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COMPANY DETAILS1.1 Company Name *1.2 Registered Address *Address Line 1CityState / Province / RegionPostal CodeCountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountry1.3 Is Business Address same as Registered Address? *YesNoBusiness Address *Address Line 1CityState / Province / RegionPostal CodeCountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountry1.4 Phone Number *1.5 Email Address *1.6 Date of Incorporation *1.7 Country of Incorporation *Select countryAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCentral African RepublicChadChileChinaColombiaComorosCongoCosta RicaCote d'IvoireCroatiaCubaCyprusCzechiaDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFijiFinlandFranceGabonGambiaGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorth KoreaNorth MacedoniaNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSwedenSwitzerlandSwazilandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabwe1.8 Trade License Number *1.9 Trade License Issue Date *1.10 TRN / GST / Excise / Service Tax Registration Number) *1.11 If Listed, Indicate Name of Stock Exchange(s) and Ticker *Write N/A if not listed anywhere1.12 Website / URL *Write N/A if no website1.13 External Financial Auditors *Write N/A if no answer1.14 How many direct and indirect subsidiaries does the company have? ***Please provide a Group Chart via Email2.) BUSINESS ACTIVITY2.1 Description of core business activity *2.2 Does the company hold a license to conduct its business(es)? *YesNo2.3 Please provide list of country(es) from where you purchase / sales your precious metals products. *Select country(ies)AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCôte d'IvoireCabo VerdeCambodiaCameroonCanadaCentral African RepublicChadChileChinaColombiaComorosCongo (Congo-Brazzaville)Costa RicaCroatiaCubaCyprusCzechia (Czech Republic)Democratic Republic of the CongoDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (fmr. "Swaziland")EthiopiaFijiFinlandFranceGabonGambiaGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmar (formerly Burma)NamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorth KoreaNorth MacedoniaNorwayOmanPakistanPalauPalestine StatePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSwedenSwitzerlandSyriaTajikistanTanzaniaThailandTimor-LesteTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVenezuelaVietnamYemenZambiaZimbabwe2.4 Main Products *3. BENEFICIAL OWNERS3.1 List of All Shareholders : (Please mention all the shareholders)*** If more than 5 entries, please send the shareholding chart with KYC on email.Name *Residential / Office AddressDate of Incorporation / Date of Birth *Holding Percentage (%) *NameResidential / Office AddressDate of Incorporation / Date of BirthHolding Percentage (%)NameResidential / Office AddressDate of Incorporation / Date of BirthHolding Percentage (%)NameResidential / Office AddressDate of Incorporation / Date of BirthHolding Percentage (%)NameResidential / Office AddressDate of Incorporation / Date of BirthHolding Percentage (%)3.2 List of All Ultimate Beneficial Owners : (Please mention all the UBO)*** If more than 5 entries, please send the shareholding chart with KYC on email.NameResidential AddressDate of BirthHolding (%) in Shareholding CompanyNameResidential AddressDate of BirthHolding (%) in Shareholding CompanyNameResidential AddressDate of BirthHolding (%) in Shareholding CompanyNameResidential AddressDate of BirthHolding (%) in Shareholding CompanyNameResidential AddressDate of BirthHolding (%) in Shareholding Company3.3 Does your Company or any of your Shareholders / UBOs / Directors falls under the category of PEP? *YesNo4. MANAGEMENT STRUCTURE4.1 Board of Directors :Name *Position *Date of Birth *Nationality(ies) *Nationality(ies)AfghanAlbanianAlgerianArgentineArgentinianAustralianAustrianBangladeshiBelgianBolivianBatswanaBrazilianBulgarianCambodianCameroonianCanadianChileanChineseColombianCosta RicanCroatianCubanCzechDanishDominicanEcuadorianEgyptianSalvadorianEstonianEthiopianFijianFinnishFrenchGermanGhanaianGreekGuatemalanHaitianHonduranHungarianIcelandicIndianIndonesianIranianIraqiIrishIsraeliItalianJamaicanJapaneseJordanianKenyanKuwaitiLaoLatvianLebaneseLibyanLithuanianMalagasyMalaysianMalianMalteseMexicanMongolianMoroccanMozambicanNamibianNepaleseDutchNew ZealandNicaraguanNigerianNorwegianPakistaniPanamanianParaguayanPeruvianPhilippinePolishPortugueseRomanianRussianSaudiScottishSenegaleseSerbianSingaporeanSlovakSouth AfricanKoreanSpanishSri LankanSudaneseSwedishSwissSyrianTaiwaneseTajikistaniThaiTonganTunisianTurkishUkrainianEmiratiBritishAmericanUruguayanVenezuelanVietnameseWelshZambianZimbabweanNamePositionDate of BirthNationality(ies)Nationality(ies)AfghanAlbanianAlgerianArgentineArgentinianAustralianAustrianBangladeshiBelgianBolivianBatswanaBrazilianBulgarianCambodianCameroonianCanadianChileanChineseColombianCosta RicanCroatianCubanCzechDanishDominicanEcuadorianEgyptianSalvadorianEstonianEthiopianFijianFinnishFrenchGermanGhanaianGreekGuatemalanHaitianHonduranHungarianIcelandicIndianIndonesianIranianIraqiIrishIsraeliItalianJamaicanJapaneseJordanianKenyanKuwaitiLaoLatvianLebaneseLibyanLithuanianMalagasyMalaysianMalianMalteseMexicanMongolianMoroccanMozambicanNamibianNepaleseDutchNew ZealandNicaraguanNigerianNorwegianPakistaniPanamanianParaguayanPeruvianPhilippinePolishPortugueseRomanianRussianSaudiScottishSenegaleseSerbianSingaporeanSlovakSouth AfricanKoreanSpanishSri LankanSudaneseSwedishSwissSyrianTaiwaneseTajikistaniThaiTonganTunisianTurkishUkrainianEmiratiBritishAmericanUruguayanVenezuelanVietnameseWelshZambianZimbabweanNamePositionDate of BirthNationality(ies)Nationality(ies)AfghanAlbanianAlgerianArgentineArgentinianAustralianAustrianBangladeshiBelgianBolivianBatswanaBrazilianBulgarianCambodianCameroonianCanadianChileanChineseColombianCosta RicanCroatianCubanCzechDanishDominicanEcuadorianEgyptianSalvadorianEstonianEthiopianFijianFinnishFrenchGermanGhanaianGreekGuatemalanHaitianHonduranHungarianIcelandicIndianIndonesianIranianIraqiIrishIsraeliItalianJamaicanJapaneseJordanianKenyanKuwaitiLaoLatvianLebaneseLibyanLithuanianMalagasyMalaysianMalianMalteseMexicanMongolianMoroccanMozambicanNamibianNepaleseDutchNew ZealandNicaraguanNigerianNorwegianPakistaniPanamanianParaguayanPeruvianPhilippinePolishPortugueseRomanianRussianSaudiScottishSenegaleseSerbianSingaporeanSlovakSouth AfricanKoreanSpanishSri LankanSudaneseSwedishSwissSyrianTaiwaneseTajikistaniThaiTonganTunisianTurkishUkrainianEmiratiBritishAmericanUruguayanVenezuelanVietnameseWelshZambianZimbabwean4.2 Details of Authorized Signatory :Name *Position *Contact Number *Email Address *NamePositionContact NumberEmail AddressNamePositionContact NumberEmail Address4.3 Department Information :Name *Department Name *Contact Number *Email Address *NameDepartment NameContact NumberEmail AddressNameDepartment NameContact NumberEmail Address5. HUMAN RESOURCES5.1 No. of Employees within the Company *5.2 No. of Employees within the Group *6. ORIGIN OF PHYSICAL PRECIOUS METALS6.1 Type of Entities of your precious metals suppliers *Legal Entities (I.E., Companies, Banks or Financial Institutions)Individuals6.2 Country(ies) of origin of raw precious metals / refined precious metals delivered to us? OR Country(ies) of destination of raw precious metals / refined precious metals delivered by us? *Select country(ies)AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCentral African RepublicChadChileChinaColombiaComorosCongoCosta RicaCote d'IvoireCroatiaCubaCyprusCzechiaDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFijiFinlandFranceGabonGambiaGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorth KoreaNorth MacedoniaNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSwedenSwitzerlandSwazilandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabwe6.3 Is the Company legally required to have a licence to import / Export precious metals? (If Yes, Copy required) *YesNo7. FACILITIES7.1 Does the company have any melting or refining facilities? *YesNo7.2 Does the Company have any manufacturing facilities? *YesNo7.3 Does the Company produce its own jewellery? *YesNo7.4 What are the types & forms of precious metals sourced by the Company? *Recycled Precious MetalsLBMA GD BullionRudimentary BarsJewelleryBroken JewelleryCoinsNon LBMA Good Delivery Bullion (Au =>995 / AG =>9999)Primary Material – Mined Precious MetalsNone7.5 What type of precious metals is the Company planning to send for refining? *GoldSilverNone7.6 What is the form of precious metals planned to be sent for refining? *Unprocessed Recycled Precious MetalsLBMA GD BullionMelted Recycled Precious MetalsJewelleryBroken JewelleryCoinsNon LBMA Good Delivery Bullion (Au =>995 / AG =>9999)Primary Material – Mined Precious MetalsNone8. RESPONSIBLE PRECIOUS METAL SUPPLY CHAIN POLICY8.1 Did your institution establish a responsible supply chain of gold from conflict-affected and high risk areas policy which is consistent with the standards set forth in the model supply chain policy in Annex II of the OECD Due Diligence Guidance for Responsible Supply Chains of Minerals from Conflict-Affected and High-Risk Areas? *YesNo*If Yes, Copy of the policy Required8.2 Does your institution comply or plan to comply with the OECD Due Diligence Guidance for Responsible Supply Chains of Minerals from Conflict-Affected and High-Risk Areas? *Currently CompliesPlans to ComplyNo8.3 Is the company complying with any of the following industry initiatives? *LBMA Responsible Gold GuidanceLBMA Responsible Silver GuidanceRJC Chain of Custody StandardWGC Conflict Free Gold StandardConflict Free Smelter (CFS) ProgramOthers, please specifyAdditional Comments (if any) :8.4 What are the procedures in place to ensure that the precious metals purchased have not financed armed conflict? *9. ANTI MONEY LAUNDERING (AML) & COMBATING FINANCIAL TERRORISM (CFT)9.1 Is your institution subject to Anti-Money Laundering / Combating financial terrorism Law / Regulations? *YesNoName of the AML-CFT Law / Regulation *Name of the Regulator *10. BRIBERY POLICY10.1 Does your Company have any bribery policy in place? *YesNo10.2 Has the company or the Senior Management ever been charged anywhere in the world for violation of applicable anti-bribery laws or regulations? *YesNoPlease provide details (Anti-bribery Laws or Regulations) *11. DATA PRIVACY PROTECTION11.1 Does your company have Data Protection Policy? *YesNo11.2 Does your company have a certified data storage system or an information system? *YesNo12. PRECIOUS METALS SUPPLIERS DUE DILIGENCE QUESTIONAIRE12.1 Does the Company have a person responsible (Compliance Officer) for all AML-CFT matters (Due Diligence, AML policies, internal training)? *YesNoName of Compliance Officer *Phone Number of Compliance Officer *Email Address of Compliance Officer *12.2 Is the Company subject to an AML-CFT audit by an independent party or a governmental party? *YesNoDate of your last AML-CFT compliance audit *12.3 Does the Company have an AML-CFT training for the employees? *YesNo12.4 Does the Company delegate to third parties some of the compliance functions to be carried out? *YesNo Please provide the details of those compliance functions: *12.5 How long does the Company keep its due diligence files (records)? *1 Year2 Years3 Years4 Years5 Years6 Years7 Years8 Years9 Years10 Years12.6 What type of information does the Company request from its precious metals suppliers?Companies / Banks / Any other Institutions *NameAddressDate of IncorporationCountry of IncorporationBusiness Registry Extract or any equivalent documentBeneficial OwnersOrigin of Precious MetalsDescription of main activity and financial informationIndividuals Suppliers / Shareholders / UBO's *First Name and Last NameAddressDate of BirthNationalityCopy of ID Card or PassportBeneficial OwnersOrigin of Precious MetalsSupplier Profile (Activity, Wealth etc.)12.7 Does the Company have a risk-based assessment of its precious metals suppliers (e.g. low, medium or high risks)? *YesNo12.8 Does the Company screen precious metals suppliers and transactions against sanctioned lists of persons, entities or countries issued by government / competent authorities? *YesNo12.9 Does the Company perform enhanced due diligence for high risk precious metals suppliers? *YesNo12.10 Does the Company assess its corporate precious metals suppliers’ AML-CFT and purchase procedures and practices? *YesNo12.11 Does the Company perform a risk-based assessment to understand the normal and expected transactions of its suppliers (in order to identify the unusual transactions)? *YesNo12.12 Does the Company have a monitoring program for unusual and potentially suspicious activity that covers funds transfers and monetary instruments (e.g. traveller’s cheques) or third party payments? *YesNo12.13 Does the Company have to register all purchases and sales? *YesNo12.14 By what mode does the company accept / make payment to its client? *Bank TransfersCheque / Demand DraftsCash12.15 Does the Company have a procedure in place to prevent, detect and report suspicious transactions from its suppliers to the relevant Authority? *YesNo12.16 How many suspicious reports has the Company filed and handed over to the relevant Authority the last two years? *12.17 Where cash transaction reporting is mandatory, does the Company have procedures to identify transactions structured to avoid such obligations? *YesNo13. TRANSACTION MONITORING ON PURCHASE FROM INDIVIDUALS13.1 Does the company deals with Individuals? *YesNo13.2 Does the Company perform statistics on precious metals sold by person in order to identify unusual transactions? *YesNo13.2.1 Please describe how? *13.3 Does the Company have a specific procedure if a deal with an individual is significantly higher than the average deal? *YesNo13.3.1 Please describe how? *13.4 Is the Company able to verify that a person does not come several times to the counter / to the different counters to sell each time a small amount which leads to a considerable amount in total (smurfing)? *YesNo13.4.1 Please describe how? *14. INDUSTRIAL SOURCING (To Be Filled Only By Industrial Companies)14.1 Does your company falls under the category of Industrial Company? *YesNo14.2 What is the form of precious metals planned to be sent for refining? *LBMA GD BullionGrainsSemi-finished productsNon LBMA Good Delivery Bullion (Au =>995 / AG =>9999)Industrial Products (Please specify)14.3 From which / to country(ies) do you purchase / sales your precious metals products?Select country(ies)*United Arab EmiratesIndiaCanadaQatarBahrainKenyaOmanZambiaSaudi ArabiaUnited StatesUnited KingdomSwitzerlandSingaporeOthers14.4 From whom do you source your precious metal products? *RefineriesIndustrialBanksOthersPrecious metals dealers14.5 Have you identified the refinery, which produced the precious metals used in your supply chain? *14.6 Have you assessed the refiner’s due diligence policies and practices? *15. BANK DETAILSBank Name *Account Currency *Select Currency AEDINRUSDGBPAccount Number *Account Number IBAN *Bank NameAccount CurrencySelect Currency AEDINRUSDGBPAccount NumberAccount Number IBAN16. SIGNATURESName of Signatory *Title / Position *Company Name *Signature Date *Place *I hereby declare that the information given above is true and accurate as of the date of writing. *I hereby declare that the information given above is true and accurate as of the date of writing.I undertake to inform Iris Global DMCC of any material changes in the above details immediately. *I undertake to inform Iris Global DMCC of any material changes in the above details immediately.Submit to ContinueSave and Resume LaterSANCTIONED COUNTRIES DETAILS DOCUMENT***Required Instructions 1.) View & Download your file from here : Sanctioned Countries – Undertaking Download 2.) Open the Editable PDF File 3.) Enter the required details in the editable mentioned places. 4.) Save this updated file, print on your letterhead with sign & stamp. 5.) Upload the updated file below.Sanctioned Countries Details File * Click or drag a file to this area to upload. Allowed File Types: .PDF OnlyAUTHORIZATION LETTER DETAILS DOCUMENT***Required Instructions 1.) View & Download your file from here : Authorization Letter Download 2.) Open the Editable PDF File 3.) Enter the required details in the editable mentioned places. 4.) Save this updated file, print on your letterhead with sign & stamp. 5.) Upload the updated file below.Authorization Letter File Upload * Click or drag a file to this area to upload. Allowed Files: .PDF onlyPOLITICALLY EXPOSED PERSON (PEP) DECLARATION DETAILS DOCUMENT***Required Instructions 1.) View & Download your file from here : PEP Declaration Download 2.) Open the Editable PDF File 3.) Enter the required details in the editable mentioned places. 4.) Save this updated file, print on your letterhead with sign & stamp. 5.) Upload the updated file below.PEP Declaration File Upload * Click or drag a file to this area to upload. Allowed Files: .PDF onlySOURCE OF FUNDS DETAILS***Required Instructions 1.) View & Download your file from here : Souce of Funds Download 2.) Open the Editable PDF File 3.) Enter the required details in the editable mentioned places. 4.) Save this updated file, print on your letterhead with sign & stamp. 5.) Upload the updated file below.Source of Funds File Upload * Click or drag a file to this area to upload. Allowed Files: .PDF onlySubmit ApplicationSave and Resume Later Your form entry has been saved and a unique link has been created which you can access to resume this form. Enter your email address to receive the link via email. Alternatively, you can copy and save the link below. Please note, this link should not be shared and will expire in 30 days, afterwards your form entry will be deleted. Copy Link Email * Send Link