Company’s Legal Name
Type of Company (Public/ Private/Listed/Other)
Date of Incorporation
Place of Incorporation
Registration Number
Registration Place/Authority
Country of VAT registration
Paid-up Share Capital
Phone No.
Email
Address
Operating Address, If different from above.
Business Activity
Ultimate Beneficial owner (Name and Share %)
Shareholders Name
Share %
2.1. Please furnish the following information about company's directors and managers: managing directors
Full name
Nationality
DOB
Email Address
Director
CEO
Trader/Sales Manager
Operations PIC
Finance PIC
Company’s Banking Details
Principal Bank Name:
Address:
Beneficiary Account Name:
IBAN / Account No
Swift Code / Fedwire Ref.
Correspondent Bank & Swift
Please enclose the following documents with the filled-in questionnaire.
Registration copy / Trading License copy / Incorporation certificate.
Copies of audited financial reports/statements for the three most recent complete financial years.
Bank reference letter / Letter of Good Standing – The letter from the bank on the bank letterhead must include the Account holder's name (the counterparty's name), IBAN Number, (or Account Number if the country is not using the IBAN system) and Account’s Currency.
Company Profile
List of vessels owned/chartered/operated/managed and recent fixtures.
Owners / Directors / Authorized Signatory - ID / Passport copy.
Customer represents and warrants that neither it, nor any person or entity that owns or controls it, is a designated target of economic trade sanctions promulgated by the U.S., E.U, U.N., UAE, or the country of origin of the goods (“Sanction Laws”). All information and data provided are true and customer abides with all the information.
Authorized Signature
Name
Date
Place
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