KNOW YOUR CUSTOMER (KYC)

AND DUE DILIGENCE QUESTIONNAIRE

Questionnaire Reference: _____________________________________________

Date Issued: _____________________________________________

Counterparty Name: _____________________________________________

Completed By: _____________________________________________

Date Completed: _____________________________________________

This questionnaire is to be completed by the counterparty named above and returned to the issuing party together with the supporting documents listed in each section. All information provided will be treated as strictly confidential and used solely for the purposes of compliance, due diligence, and risk assessment. Providing false or misleading information may result in termination of the commercial relationship and may constitute a criminal offence.

SECTION 1 — ENTITY IDENTIFICATION

Supporting Documents Required:

Certificate of incorporation or equivalent registration document (certified copy)

Current memorandum and articles of association or equivalent constitutional documents

Proof of registered office address (utility bill or bank statement, not more than 3 months old)

VAT / GST registration certificate (if applicable)

SECTION 2 — DIRECTORS AND OFFICERS

List all current directors, officers, managing partners, or persons with equivalent authority:

Supporting Documents Required:

Certified copy of passport or national identity document for each director / officer listed

Proof of residential address (utility bill or bank statement, not more than 3 months old) for each director / officer

SECTION 3 — ULTIMATE BENEFICIAL OWNERSHIP (UBO)

List all persons who directly or indirectly own or control 10% or more of the shares or voting rights, or who otherwise exercise ultimate control over the entity:

Supporting Documents Required:

Current shareholder register or equivalent document confirming ownership structure

Certified copy of passport or national identity document for each UBO listed

Proof of residential address for each UBO (not more than 3 months old)

If UBO is a corporate entity: repeat entity identification documents for that entity

SECTION 4 — BUSINESS ACTIVITIES

Supporting Documents Required:

Most recent audited financial statements (or management accounts if unaudited)

Copies of relevant licences, regulatory certificates, or approvals (e.g. IEC, RCMC, APEDA, export/import licences)

SECTION 5 — BANKING INFORMATION

Supporting Documents Required:

Bank confirmation letter or voided cheque on bank letterhead confirming account details

Most recent bank statement (not more than 3 months old, for AML verification purposes)

SECTION 6 — SANCTIONS AND PEP DECLARATIONS

SECTION 7 — COMMERCIAL PURPOSE OF RELATIONSHIP

SECTION 8 — DECLARATION AND SIGNATURE

I / We, the undersigned, being duly authorised to complete this questionnaire on behalf of the entity named herein, hereby confirm that:

All information provided in this questionnaire is true, accurate, and complete to the best of our knowledge and belief;

We will promptly notify the requesting party of any material change to the information provided;

We consent to the requesting party conducting such further due diligence checks as it considers necessary;

We understand that providing false or misleading information may result in termination of the commercial relationship and may constitute a criminal offence;

We agree to provide any additional information or documentation reasonably requested by the requesting party in connection with its compliance obligations.

Authorised Signatory: _____________________________________________

Full Name: _____________________________________________

Title: _____________________________________________

Entity Name: _____________________________________________

Date: _____________________________________________

Entity Seal (if applicable): _____________________________________________

Doc 22 — KYC and Due Diligence Questionnaire — Neutral Template