Client name: File reference number: Relevant year: Prepared by: Prepared date (day/month/year): Complete the following information (where applicable / relevant to understanding the client) or cross-reference to the relevant files if information is already recorded elsewhere. PART 1 CUSTOMER DUE DILIGENCE (CDD) / KNOW YOUR CLIENT (KYC) FORM SECTION 1A 1) Client’s trading name (if different): 2) Client’s registered office address: 3) Client’s full principal trading address (if different / applicable): 4) Client’s business telephone number or email address: 5) Legal structure of the business / entity (e.g. sole trader, partnership, limited company): Limited CompanySole TraderPartnership 6) When was the business / entity formed (day/month/year)? 7) Company number or Certificate of Incorporation number: 8) State the law to which the entity is subject (i.e. Companies Ordinance etc): Company OrdinanceOther 9) Where is the entities constitution set out (Obtain copy for permanent file)? Article of AssociationOther 10) Applicable tax registration numbers or Business Registration number: 11) Client’s year end: JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember 12) Principal of the entity present for identification? YesNo 13) What are the proposed services required from us? SECTION 1B 1) List (or attach a list of) the names of those who control the business / entity (e.g. directors, partners, trustees etc): Directors: 2) List (or attach a list of) the names of the senior persons responsible for the day to day operation of the entity: Managers: Same as directors? If yes, copy directors name here 3) List (or attach a list of) the names of those who own the business / entity or any other beneficial owners: Shareholders: 4) If the beneficial owner is a legal entity or a partnership detail the client’s ownership structure and who are the ultimate beneficial owners: Ultimate beneficial owners: Same as shareholders? If yes, copy shareholders name here 5) What is the nature of the client’s business / activities? (Please be specific on what kind of products or services) 6) What are the key sources of income and capital? SavingsSale of investmentsSale of propertyLoanInheritanceInsurance Maturity & ClaimDividendsProfits from companyDivorceOther court awardLotteryGambling winGiftOthers For others, please specify. 7) What is the scale of the business’ / entity’s expected transactions? (a) Expected turnover / income (HKD per year): (b) Typical transaction values (HKD per transaction): (c) Expected profit / surplus (HKD per year): 8) Geographical connections (group companies, branches, major customers or suppliers): Countries of major customers: / Countries of major suppliers: / Countries of group companies: / Countries of branches: 9) Other relevant information: Conclusion Risk assessment: NormalLowHigh Comments: Standard procedures acceptable? YesNo Comments: Frequency of ongoing monitoring: AnnualOther Comments: Review Reviewed by: Reviewed date (day/month/year): CDD / risk profile up to date / appropriate? Yes, UpdatedNo Comments: PART 2 RISK ASSESSMENT FORM SECTION 2A Does the client meet the requirement for automatic Enhanced Due Diligence (EDD)bas a result of: 1) Being a case identified as high risk in our firm-wide risk assessment: NoYes 2) Transactions being conducted on behalf of a politically exposed person (PEP) or a close family member or known close associate of a PEP. Beneficial owner is a PEP, close family member of a PEP or know close associate of a PEP: NoYes 3) Providing false or stolen ID documentation: NoYes 4) Transactions being complex and unusually large or having an unusual pattern of transactions: NoYes 5) Being in a business relationship or transaction with a person established in a high risk third country: NoYes 6) The transaction/(s) having no apparent economic or legal purpose: NoYes Any ‘yes’ answers will indicate a high risk client for AML purposes: NoYes, High Risk SECTION 2B Are any of the following risk factors present in your client? 1) The business relationship is conducted in unusual circumstances: NoYes 2) The customer is resident in, or has connections to, a geographical area of higher risk: NoYes 3) The business is cash intensive: NoYes 4) The entity is involved in transactions that favour anonymity: NoYes 5) The entity’s structure is unusual or excessively complex: NoYes 6) You have not met a senior representative of the client: NoYes 7) The entity receives payments from unknown or un-associated third parties: NoYes 8) Does the presence of any of these risk factors indicate a higher risk of money laundering or terrorist financing? The presence of these factors may indicate a high risk for AML purposes but will not automatically do so: NoYes, High risk SECTION 2C Does the individual otherwise present a higher than normal risk of money laundering or terrorist financing? NoYes, High risk SECTION 2D Does the client meet the criteria for simplified due diligence as a result of: 1) There being a very low risk of money laundering or terrorist financing due the nature of the entity, the services provided and is located in a geographical area of lower risk as provided for in the Anti-Money Laundering and Counter-Terrorist Financing Ordinance (Cap. 615)/ AML/CTF Guidelines issued by the TCSP: NoYes 2) It is a public administration, or a publicly owned enterprise: NoYes 3) It is a company whose securities are listed on a regulated market, and subject to disclosure requirements regarding ownership: NoYes Any ‘yes’ answers may indicate a low risk client for AML purposes but will not automatically do so: No, Normal RiskYes, Low Risk SECTION 2E (if applicable) Enhanced due diligence to be performed where risk is assessed as high 1) Obtaining approval of senior management to commence or continue the relationship: Not applicableYesNo 2) Additional evidence to support verification of identity: Not applicableYesNo 3) More detailed customer due diligence/ Know Your Client information to better understand the background, ownership and financial situation of the client and others party to transactions: Not applicableYesNo 4) Additional steps to be satisfied that transactions are consistent with the purpose and intended nature of the business relationship: Not applicableYesNo 5) Increased monitoring of the business relationship: Not applicableYesNo 6) Increased scrutiny of transactions: Not applicableYesNo PART 3 IDENTIFICATION / VERIFICATION OF IDENTITY FORM SECTION 3A Risk assessment for client (see customer due diligence/ Know Your Client and risk assessment forms): Normal RiskHigh Risk Identification obtained 1) Search of Hong Kong Companies Registry or equivalent Comments: Cross-reference to documents (please upload company search report as supporting): Limit:1mb 2) Review the company’s Articles of Association Comments: Cross-reference to documents (please upload articles of association as supporting): Limit:5mb 3) List the names of all directors Comments: Same persons listed in Section 1B question 1, otherwise please specify Cross-reference to documents (please upload NNC1 / latest annual return / ND2A as supporting): Limit:5mb 4) Verify the identity of directors Comments: For the first director, cross-reference to documents (please upload ID card copy / passport copy as supporting): Limit:1.5mb For the second director (if applicable), cross-reference to documents (please upload ID card copy / passport copy as supporting): Limit:1.5mb For the third director (if applicable), cross-reference to documents (please upload ID card copy / passport copy as supporting): Limit:1.5mb 5) List the names of beneficial owners (usually same as shareholders) Comments: Same persons listed in Section 1B question 4, otherwise please specify Cross-reference to documents (please upload client confirmation as supporting): Limit:1mb 6) Satisfy yourself regarding the identity of beneficial owners Comments: For the first beneficial owner, cross-reference to documents (please upload ID card copy / passport copy as supporting): Limit:1.5mb For the second beneficial owner (if applicable), cross-reference to documents (please upload ID card copy / passport copy as supporting): Limit:1.5mb For the third beneficial owner (if applicable), cross-reference to documents (please upload ID card copy / passport copy as supporting): Limit:1.5mb 7) List the names of the most senior persons within your client company responsible for the operation (usually same as directors) Comments: Same persons listed in Section 1B question 2, otherwise please specify Cross-reference to documents (please upload client confirmation as supporting): Limit:1mb 8) Sanctions check for the entity (non-personal) Comments: Cross-reference to documents (please upload worldcheck report as supporting): Limit:3mb Conclusion Satisfactory ID obtained?: YesNo THIS IS THE END. WE UNDERSTAND THIS IS A LONG PROCEDURE. WE TRULY APPRECIATE YOUR PATIENCE AND EFFORT. THANK YOU VERY MUCH! Δ