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Counterparty Registration - Standard KYC questionnaire

Corporate Details

Registered Company Name ROSSLYN ENERGY LIMITED Any Trading Name(s)

Registered Address 29-30 ADEYERI CRESCENT, Address of Head Office 3-9 OLU KOLEOSHO STREET,

COLLEGE ROAD, MEDICAL ROAD

OGBA, IKEJA, LAGOS

Town / City LAGOS Country of Incorporation NIGERIA

Post Code 100218 Company Registration Number RC1490213

Country NIGERIA Incorporation Date (DD/MM/YYYY) 27/04/2018

Contact Number Point Of Contact 3-9 OLU KOLEOSHO, MEDICAL ROAD, IKEJA' LAGOS' NIGERIA.

Mobile Number 2348135937121 Fax Number

E-Mail Address contact@rosslynenergy.com Website www.rosslynenergy.com

2. Counterparty Details

2.1 Counterparty Status: (Please Tick)

Public Company ✘ Private Company Partnership State or Government Entity Individual

Other- Please Specify

If a publicly quoted company, please name


2.2
Stock Exchange(s) and listing(s)

2.3 Counterparty Type: (Please Tick)

Physical Trader Service Provider Ship Owner Shipping Ship Broker ✘


Oil Broker Swap Futures Inspector
Agent Broker Broker

✘ Trades Swaps

3. Banking

3.1 Principal Bankers (Bank Name) ACCESS BANK PLC / CITI BANK NEW YORK (Intermediary Bank)

3.2 Swift BIC ABNGNGLA / CITIUS33 (Intermediary Swift Code)

3.3 Bank Branch Address Details 125 LADIPO STREET, MATORI, MUNSHIN, LAGOS, NIGERIA

NEW YORK, N.Y 100043, USA (Intermediary Bank)

3.4 Bank Country NIGERIA

3.5 Beneficiary Name (Account Name) ROSSLYN ENERGY LTD

3.6 Currency of Bank Account US DOLLAR

3.7 Bank Account Number/ IBAN Number 774324281

3.8 Name of Bank Account Manager & Contact Details NGOZI EVELYN ONYEAGBA. EMAIL: ngozi.onyeagba@accessbankplc.com.

Please provide copies of the below documents. These documents should be provided in the English Language
4. Company Identification Details or with an English Translation. If the company is publicly listed, please note these documents are NOT required.

Documents to be provided for Counterparties Please tick Documents to be provided for individuals Please tick
Certificate of Incorporation or Memorandum/
4.1 4.5 Copy of identification document (passport)
Articles of Association
4.2 Names of Directors 1-HASSAN AHMED, 2- HASSA 4.6 Proof of address - Utility Bill from the last 3 months

Corporate document evidencing the full names


4.3 and shareholding of all Ultimate Beneficial 4.7 Bank Reference Letter (if possible)
Owners

4.4 Bank Reference Letter (if possible)

Name of person completing this Questionnaire MR HASSAN AHMED Date 3/7/2018

Position MANAGING DIRECTOR

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