Due Diligence Questionnaire

# Due Diligence Questionnaire ## HK-C ### Corporate Information * Full Name of Corporation * Business Name of Corporation (if any) * Date of Incorporation * Country of Company Registration * Registration or Incorporation No. * Registered Office Address * Business Address * Telephone * Company Email Address * Authorized Capital (USD) * Paid-Up Capital (USD) * Nature of Business ### Corporate Documents * Certified Certificate of Incorporation * Certified Business Registration Certificate * Charted Documents * Certified Business Address Proof * Certified Certificate of Incumbency * Certified Ownership Chart * Certified Register of Directors * Certified Register of Members * W Form * Company Logo ### Finance Inquiry * Anticipated Monthly Transaction Activities * Initial Deposit Amount (USD) * Expected Monthly Average Balance (USD) * Will any occasional transactions be performed? * No * Yes * Main Source of Funds * Retained Earnings * Debt Capital * Equity Capital * Other * Net Asset Value (USD) * Profit After Tax (USD) ### Banking Detail * Account Name * Account Type * Account Number * Bank Name * Bank Address * Banking Detail Address ### Director(s): INDIVIDUAL * Full Name of Director * Identity Proof (front) of Director * Identity Proof (back) of Director * Residential Address * Address Proof of Director * W Form ### Director(s): CORPORATION * Full Name of Corporation * Certificate of Incorporation * Business Address * Business Address Proof * W Form ### Beneficial Owner(s) * Beneficial Owner(s) and Controller Certification * Full Name of Beneficial Owner * Identity Proof (front) of Beneficial Owner * Identity Proof (back) of Beneficial Owner * Residential Address * Address Proof of Beneficial Owner * W Form * Declaration Form ### Authorized Person(s) * Full Name of Authorized Person * Identity Proof (front) of Authorized Person * Identity Proof (back) of Authorized Person * Residential Address * Address Proof of Authorized Person * Letter of Authorization ### Additional Document(s) * Title * Document ### Client Declaration * Declaration Form --- ## HK-I ### Basic Information * First Name (English) * Middle Name (English) * Last Name (English) * Full Name (Native) * Former Name(s) * Gender * Male * Female * Date of Birth ### Personal Details * Mobile * Residential Landline * Personal Email Address * Occupation * Name of Employer/Company * Address of Employer/Company * Educational Level * Early Childhood Education * Primary Education * Lower Secondary Education * Upper Secondary Education * Post-Secondary Non-Tertiary education * Short-Cycle Tertiary Education * Bachelor's or Equivalent * Master's or Equivalent * Doctorate or Equivalent ### Residential Details * Country of Residence * ountryNam * Residential Address * Residential Details Address * Proof of Residential Address ### Identity Verification * Country of Citizenship * ID Document Type * Passport * Driver's License * National ID Card * Front of Selected ID Document * Back of Selected ID Document * Face with ID Document * W Form ### Financial Information * Approximate Total Net Asset * Below US$1,000,000 * US$1,000,000 - $5,000,000 * US$5,000,001 - $8,000,000 * Above US$8,000,000 * Main Source of Funds * Salary * Commission * Rent * Interest Rate * Pension * Investment * N/A * Other * Annual Income * Below US$45,000 * US$45,000 to US$139,999 * US$140,000 to US$149,999 * US$150,000 to US$199,999 * Above US$200,000 * Residential Property * Rental Property * Self-owned Property * Mortgaged Property * Company-owned Property * Family Property ### Anticipated Account Activities * Anticipated Monthly Transaction Activities * Initial Deposit Amount (USD) * Expected Monthly Average Balance (USD) * Will any occasional transactions be performed? * No * Yes ### Banking Detail * Account Name * Account Type * Account Number * Bank Name * Bank Address * Banking Detail Bank ZIP ### Additional Document(s) * Title * Document ### Client Declaration * Declaration Form --- ## SD-C ### Corporate Information * Full Name of Corporation * Business Name of Corporation (if any) * Date of Incorporation * Country of Company Registration * Registration or Incorporation No. * Registered Office Address * Business Address * Telephone * Company Email Address * Nature of Business ### Corporate Documents * Certificate of Incorporation * Charted Documents * Business Address Proof * Ownership Chart * Register of Directors * Register of Members * W Form * Company Logo (optional) ### Finance Inquiry * Anticipated Monthly Transaction Activities * Initial Deposit Amount (USD) * Expected Monthly Average Balance (USD) * Main Source of Funds * Retained Earnings * Debt Capital * Equity Capital * Other ### Banking Detail * Account Name * Account Type * Account Number * Bank Name * Bank Address * Banking Detail Address ### Beneficial Owner(s) * Beneficial Owner(s) and Controller Certification * Full Name of Beneficial Owner * Identity Proof (front) of Beneficial Owner * Identity Proof (back) of Beneficial Owner * Residential Address * Address Proof of Beneficial Owner ### Authorized Person(s) * Full Name of Authorized Person * Identity Proof (front) of Authorized Person * Identity Proof (back) of Authorized Person * Residential Address * Address Proof of Authorized Person * Letter of Authorization ### Additional Document(s) * Title * Document ### Client Declaration * Declaration Form --- ## SD-I ### Basic Information * First Name (English) * Middle Name (English) * Last Name (English) * Full Name (Native) * Former Name(s) * Gender * Male * Female * Date of Birth ### Personal Details * Mobile * Residential Landline * Personal Email Address * Occupation * Name of Employer/Company * Educational Level * Early Childhood Education * Primary Education * Lower Secondary Education * Upper Secondary Education * Post-Secondary Non-Tertiary education * Short-Cycle Tertiary Education * Bachelor's or Equivalent * Master's or Equivalent * Doctorate or Equivalent ### Residential Details * Country of Residence * Residential Address * Proof of Residential Address ### Identity Verification * Country of Citizenship * ID Document Type * Passport * Driver's License * National ID Card * Front of Selected ID Document * Back of Selected ID Document * Face with ID Document * W Form ### Financial Information * Approximate Total Net Asset * Below US$1,000,000 * US$1,000,000 - $5,000,000 * US$5,000,001 - $8,000,000 * Above US$8,000,000 * Main Source of Funds * Salary * Commission * Rent * Interest Rate * Pension * Investment * N/A * Other * Annual Income * Below US$45,000 * US$45,000 to US$139,999 * US$140,000 to US$149,999 * US$150,000 to US$199,999 * Above US$200,000 * Residential Property * Rental Property * Self-owned Property * Mortgaged Property * Company-owned Property * Family Property ### Anticipated Account Activities * Anticipated Monthly Transaction Activities * Initial Deposit Amount (USD) * Expected Monthly Average Balance (USD) * Will any occasional transactions be performed? * No * Yes ### Banking Detail * Account Name * Account Type * Account Number * Bank Name * Bank Address * Banking Detail Address ### Additional Document(s) * Title * Document ### Client Declaration * Declaration Form