Illustrative Customer Due Diligence Templates Page 8
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25EP 200 IG 2
MAIN FORM
(For legal persons)
Client/Agent’s Declaration
I declare that the information provided in these forms is true and correct. I am aware that I may be subject
to prosecution and criminal sanctions under written law if I am found to have made any false statement
which I know to be false or which I do not believe to be true, or if I have intentionally suppressed any
material fact.
Name of client/agent:
Identity/passport number:
Date:
Signature:
○ Verification (for office use)
Professional judgment must be exercised in determining if verification of identity should be that of “Normal
CDD” or “Enhanced CDD” standards, depending on the risk assessment performed on the client.
For Normal CDD, the following documents can be used to verify the client’s identity:
Copy of screening results from a reliable independent database (e.g., Thomson Reuters World-
☐
Check, Dow Jones Risk and Compliance database) of the client
☐
Memorandum and Articles of Association
ACRA profile of the company or incorporation or registration documents from a regulatory body (for
☐
foreign firms) or certificate of incorporation (for foreign firms)
Information documenting the ownership and control structure of the entity (e.g., ownership chart
☐
signed by a director.)
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