Thejas Consulting LTD Form

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KNOW YOUR CLIENT / BORROWER

DISCLOSURE REQUIREMENTS
(Required Pursuant to Corporate Governance Policies of TheJas Consulting Ltd and Pursuant to Anti-Money Laundering Legislation)
Please fill this form in ENGLISH and in BLOCK LETTERS. Entering final negotiations and concluding agreements with
TheJas Consulting Ltd is subject to having duly completed and disclosed the information required herein as part of
the counter party risk assessment process of Thejas Consulting Ltd. All information is dealt with on a confidential
basis pursuant to TheJas Consulting Ltd values and corporate governance practices, please send same to TheJas
Consulting Ltd for the attention of the CEO and we will gladly execute sign and return same to you in support of
helping and assisting you to meet our corporate governance requirements.

KNOW YOUR CLIENT (KYC) APPLICATION FORM


Please fill this form in ENGLISH and in BLOCK LETTERS.

REQUIREMENT DETAILS

Client Company Name

Incorporation
Jurisdiction
(Country/State)

Client's Registered
Office Address

Client's Telephone
Number

Client's WhatsApp
Number
Client's Website
Address

Client's Email Address

Client's Date of
Incorporation

Client's Key Contact


Name and Title

Who Will Be
Responsible for Our
Fund?

Who Are the Board of


Directors and Key
Management of The
Client?

Client's Auditor's Name


& Address

Client's Solicitor's
Name & Address

Client's Number of
Employees and
Number of
Departments

How Much
Funding/Investment
Amount Required?
Purpose of Investment
Funding (Reason why
apply for loan)

Which Countries,
Provinces and States
are Current
Funding/Investment
Conducted?

Client's Reporting
Requirement?

Are there any


Politicians Involved
directly or indirectly in
the company/project?

Is There any Existing


Mortgage/Charge on
The Security? if so.
Provide Details.

Dose The Company


Have Clean Credit
Record?

I…………………………………………………………………………………………………………………... hereby confirm,

and duly authorized, that the information provided herein is accurate and true as of this

date………………………………………………………………………………
for and on behalf of Borrower:
Full Name and Title of Signatory…………………………………………………………………………………………….
Company………………………………………………………………………………………………………………………………
Country, Province, and State of Incorporation………………………………………………………………………

Signature………………………………………………………………………………………………………………………………

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