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Formulario Diligenciado
Formulario Diligenciado
The questionnaire will be asked to the User/Client that completed the KYC Verification, whereby the
User will have to disclose their source of funds along with appropriate documentation required.
Pasivo
Obligaciones financieras: USD 409
Total Pasivo: USD 409
2.3. Kindly chose the Proof of Income from the below check box option*
☑ Other
2.5. Kindly chose the Proof of Income from the below check box option*
NO APLICA
☑ Other
☑ Other
* Required to fill
Additional Questions on the basis of the withdrawal amount:-
● On the basis of the Total Annual Income and the type of Category the Users fall into they will
have to fill up the additional documents.
For Broker Group Ltd to comply with the global AML (Anti Money Laundering) Regulations and
Legislations, it is mandatory for the Applicants to provide us with the below details which will assist us in
understanding how you have acquired your funds or wealth.
1.1. In the description box kindly provide the origin and source of your wealth.*
(Text Box)
Soy profesional en contaduria pública, especialista en alta gerencia y trabajo en
compañia de seguros como Profesional Posventa, mis ingresos corresponden al
salario como contribución al desarrollo de mis actividades.
☑ Yes ☑ No.
On the basis of the above selected option please attach the supporting document
⬇ (Uploading Option)
● Employee - Copy of the Bonus Pay Slip in the company letter head and the company
stamp.
● For all - Bank statement displaying the most recent income earned.
1.3. Sale of any asset or property?*
☑ Yes ☑ No.
If yes, please provide the supporting document. (Kindly upload this file)
☑ Yes ☑ No.
If yes, please provide the supporting document. (Kindly upload this file)
(Text Box)
1.6. Kindly provide a brief description about the activity or services provided by your company.*
NO APLICA
(Text Box)
1.7. If your business is related to any one of the following business activities, as per the AML
(Anti Money Laundering) Regulations and Legislation, we will require additional
documentation. NO APLICA
1. Law Firm or Legal Consultancies
1.1. In the description box kindly provide the origin and source of your wealth. *
NO APLICA
Text Box:
☑ Yes ☑ No.
If yes, please provide the supporting document. (Kindly upload this file)
1.3. If Unemployed/ Student, did you receive any inheritance money?*
☑ Yes ☑ No.
If yes, please provide the supporting document. (Kindly upload this file)
☑ Yes ☑ No.
If yes, please provide the supporting document. (Kindly upload this file)
☑ Yes ☑ No.
If yes, please provide the supporting document. (Kindly upload this file)
☑ Yes ☑ No.
If yes, please provide the supporting document. (Kindly upload this file)