International Law Office of Ake & Associates Co., LTD.: Advocates - Solicitors - Notaries

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INTERNATIONAL LAW OFFICE OF AKE & ASSOCIATES CO., LTD.

ADVOCATES - SOLICITORS - NOTARIES

Day______, of ___________ 2023

International Law Office of Ake and Associates Co., Ltd


125/462 Moo 5, Pracha Uthit 5 Road, Ratsada Sub-district, Muang Phuket District, Phuket
Province 83000 Thailand

Attention ___________

Dear ____________,

Subject: Know Your Customer and Due Diligence.

This message is in response to your inquiry about ____________________ dated _____


of__________, 2023.

This is to provide the Know Your Customer basic information about TTMV Pattaya
(Jomtien) Co Ltd (hereinafter the “Company”) as prescribed by FATF standards. The
information provided will suit your compliance guidelines in most cases, however should
you need any specific questions to be replied in addition, please send your inquiry.

KNOW YOUR CUSTOMER FORM

1. CONTACT INFORMATION

1.1 Full Name of the Company:

1.2 Trading Name (if applicable):

Your Registered/Principal Office


1.3 Address:

Address for contact (if different


1.4 from above)

Contact Number
1.5 (Mobile/Telephone):

Contact Person/ Authorized Person


1.6 (Name & Position):

1.7 Mobile & E-mail:

1.8 Company Website:

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INTERNATIONAL LAW OFFICE OF AKE & ASSOCIATES CO., LTD.
ADVOCATES - SOLICITORS - NOTARIES

1.9 Company Registration No

1.10 Date of incorporation

1.11 Capital

1.12
Type of company

1.13
Registration authority

1.14 Nature of Business/ Principal


Business Activity:

If the entity is listed on any stock


1.15 exchange market, please provide
the name of the relevant market:

2. REGULATORY INFORMATION

2.1
Name of the Regulatory Authority:

License validity Date (Renewal


2.2 date)

Place & Country of Company


2.3 Registration:

Your Regulatory authorisation /


2.4 Registration Licence number:

Are you Authorized to handle client


2.5 money?

Please explain how client’s balance


2.6 is segregated from corporate
balance?

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INTERNATIONAL LAW OFFICE OF AKE & ASSOCIATES CO., LTD.
ADVOCATES - SOLICITORS - NOTARIES

3. OWNERSHIP AND MANAGEMENT

Please provide details of shareholders (Corporate/ Individual) of Your Business


(create Additional columns if required):

Percentag
Full name Date of birth/ Nationality Residence/ Jurisdiction e of
incorporation ownership

3.1

Please provide details below of Directors, Principals, Partners, Officers and key staff
(create additional columns if necessary):

Full name Date of birth Position Residence Nationality

3.2

Mr. Bryan Stuart 3/09/1961 Director Goldcoast, Australia


Australian Priestley

Please provide the names and details of


Ultimate Beneficial Owners (UBO) or Persons NA
with Significant Control (PSC): if any
shareholders in §3.1 above is a legal entity,
3.3 please disclose the names and details of all
natural persons who hold 10% or more of the
company’s shares (create additional columns if
necessary):

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INTERNATIONAL LAW OFFICE OF AKE & ASSOCIATES CO., LTD.
ADVOCATES - SOLICITORS - NOTARIES

Is a member of senior management, owners, No


directors, or shareholders of your company a
3.4 Politically Exposed Person, or an immediate
family member or a business partner of PEP?

4. BANK ACCOUNT & OTHER DETAILS

4.1 Bank Name: Bangkok Bank

Beneficiary name:
Saving Account No.:

Beneficiary Bank:
Branch:
4.2 Account Details:
SWIFT Code: BKKBTHBK

4.3 Base currency: THB

4.4 Tax ID (VAT, PAN, TIN or alike)

5. PROFESSIONAL INDEMNITY INSURANCE

Does your company have NA


5.1 professional indemnity insurance?

5.2 Name of Insurer(s): NA

5.3 Limit per occurrence: NA

5.4 Next renewal date: NA

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INTERNATIONAL LAW OFFICE OF AKE & ASSOCIATES CO., LTD.
ADVOCATES - SOLICITORS - NOTARIES

6. FINANCIAL POSITION & RATING

Do you have audited financial NA


6.1 statement:

6.2 Fiscal year: NA

6.3 Annual turnover: NA

6.4 Source of funds: NA

Net annual income for the past NA


6.5 three (3) years:

6.6 Name of the Auditor: NA

6.7 Address of the Auditor: NA

Contracts of the Auditor (telephone, NA


6.8 email, website):

Financial Strength Rating details NA


6.9 (Rating agency name and strength
score):

7. EVIDENCE CHECKLIST

7.1 Commercial License ☐

7.2 Articles and Memorandum of Association ☐

7.3 Certificate of Incorporation ☐

7.4 Certificate of Incumbency ☐

7.5 Copy of the Recent Audited Financial statements ☐

7.6 Copy of the Register of Shareholder ☐

7.7 Passport copies of the UBOs/ PSCs, ☐

7.8 Copy of the Register of Directors ☐

7.9 Passport copies of all the Directors and Officers of the company. ☐

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INTERNATIONAL LAW OFFICE OF AKE & ASSOCIATES CO., LTD.
ADVOCATES - SOLICITORS - NOTARIES

8. DECLARATION

We declare that the above-mentioned information is true and correct, and it has been
provided in good faith. We are obliged to advise you of any changes to information given
and to documents submitted, and to provide you with the updated information and necessary
documentation without undue delay.

NAME: DESIGNATION: DATE:

STAMP AND SIGNATURE:

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