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  • New Customer Form 2 - English - Doc 2003

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    Wawan
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    This document is a form for identifying the beneficial owner of assets involved in a business relationship with a financial intermediary. The contracting party must declare whether they are the sole beneficial owner or list additional beneficial owners. They agree to promptly report any changes to beneficial ownership. Completing the form incorrectly could constitute a legal offense.

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    New Customer Form 2 - english.doc 2003

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    This document is a form for identifying the beneficial owner of assets involved in a business relationship with a financial intermediary. The contracting party must declare whether they are the sole beneficial owner or list additional beneficial owners. They agree to promptly report any changes to beneficial ownership. Completing the form incorrectly could constitute a legal offense.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as doc, pdf, or txt
    22 views2 pages

    New Customer Form 2 - English - Doc 2003

    Uploaded by

    Wawan
    This document is a form for identifying the beneficial owner of assets involved in a business relationship with a financial intermediary. The contracting party must declare whether they are the sole beneficial owner or list additional beneficial owners. They agree to promptly report any changes to beneficial ownership. Completing the form incorrectly could constitute a legal offense.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
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    of 2

    IDENTIFICATION OF THE BENEFICIAL OWNER

    Name and first name(s) or company name of the contracting party:


    …………………………………………………………………………………………………………
    ……….……………..
    The contracting party hereby declares (mark with a cross where appropriate)

    to be the only beneficial owner of the assets being involved in his business
    relationship with [Name of the financial intermediary]

    that the following person(s) is/are the beneficial owner(s) of the assets
    implicated in his business relationship with [Name of the financial Intermediary]

    (Name(s) and first name(s) or complete Company Name(s)


    …………………………………………………………………………………………………………
    ………………….…..
    …………………………………………………………………………………………………...
    ……………………………
    ……………………………………………………………………...
    …………………………………………………………
    ………………………………………...
    ………………………………………………………………………………………
    …………...
    ……………………………………………………………………………………………………
    ………………
    …………………………………………………………………………………………………………
    ……………………...
    The contracting party undertakes to communicate spontaneously and without
    delay any modification concerning the beneficial owner(s). The contracting
    party has been made aware that to intentionally complete this form in an
    erroneous manner constitutes creating a false document falling under Article
    251 of the Swiss Penal Code.

    Place and date : …………………………………………………………


    Signature of the contracting party :

    ………………………………………………….
    ……………………………………………………………………………

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