AML: CLIENT DUE DILIGENCE

Secure Information Gateway

Governing Data Exchange

Anti-Money Laundering - Client Due Diligence

Required in accordance with the Data Protection Act 2018 (DPA 2018) and anti-money laundering compliance with HM Revenue & Customs.

Title *

Name *

First

Last

Have you ever used a different name? *

Gender *

Marital Status *

Date of Birth *//

Country of residence *

Are you a politically exposed person (PEP) or potentially a PEP? *

Nationality *

Occupation *

National Insurance Number (NINO) *

Do you have a Unique Tax Reference (UTR *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Phone *

Email *

Identity Evidence *

A valid photo identity is required, please upload document in the section below.

Upload Photo Identity *

Click or drag files to this area to upload. You can upload up to 2 files.

As per GDPR regulations, I understand that by ticking the box below, I am providing consent to allow my information to be held on file *

I herby confirm that the data provided is correct and accurate. *

Signature *

Additional Information

AML 5.0 Integration Fee

Price: £ 60.00

Please note that a one-off integration fee is required in order to complete the anti-money laundering checks and client due diligence report

Payment Details *

Card

Name on Card

Website