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Kamila’s AML form for NZ

Step 1 of 3

33%
  • How would you like us to refer to you? For example Mr, Mrs, Doctor etc.
  • DD slash MM slash YYYY
  • Company Structure

  • Personal Identity Verification

  • By law, we are required to see proof of identity for all new and some existing clients. Please upload a scan of one of the following documents:

    Valid passport New Zealand firearms licence New Zealand certificate of identity

  • Max. file size: 100 MB.
  • By law, we are required to see proof of residential address for all new and some existing clients. Please upload a scan of one of the following documents:

    Bank, Building Society or Home Loan Statement Dated with 3 months. Must include account number and show recent activity. No general correspondence.

    Credit Card Statement Dated within 3 months. Must include account number and show recent activity. No general correspondence.

    Utility Bill Dated within 6 months E.g. Gas, electricity, water. Must show address for service and/or account number. No general correspondence.

    Telephone Bill Dated within 6 months E.g. Landline or mobile pay monthly (excluding pay as you go). Must show address for service and/or account number. No general correspondence.

    Goverment Letter Dated within 12 months. E.g. Council Tax statement. Must show address for service and/or account number. No general correspondence.

    Tenancy Agreement Dated with 12 months. Must state full name and full property address. Issued by local council, housing association, solicitor or reputable letting agent.

    Home or Motor Insurance Certificate Dated within 12 months. Must state insured address or registered address for vehicle and policy number. No general correspondence.

  • Max. file size: 100 MB.
  • Corporate Identity Verification

  • PRIVATE LIMITED COMPANY OR LLP

  • Your company's registered address
  • Please add the address of your company's place of business
  • Max. file size: 100 MB.
  • Max. file size: 100 MB.
  • Aside from yourself, are there any shareholders/members who ultimately own or control more than 25% of the shares or voting rights (directly or indirectly including bearer shares) in your company?
  • Personal Identity Verification for other Shareholders/Members

  • By law, we are required to see proof of identity for all shareholders/members who ultimately own or control more than 25% of the shares or voting rights (directly or indirectly including bearer shares) in your company. Please upload a scans of one of the following documents for all shareholders/members with 25% of the shares or voting rights:

    Valid passport New Zealand firearms licence New Zealand certificate of identity

  • Drop files here or
    Max. file size: 100 MB.
    • PUBLIC LIMITED COMPANIES

    • Your company's registered address
    • Please upload one of the following documents: - A printout from the web-site of the relevant regulator or exchange - Written confirmation of your company's regulatory or listing status from the regulator or exchange
      Max. file size: 100 MB.
    • TRUSTS

    • Pleas list all trustees, click the + to add each person
    • Pleas list all beneficiaries, click the + to add each person
    • Max. file size: 100 MB.
    • Aside from yourself, are there anybody else with a vested interest in 25% or more of the capital and/or those who exercise control over the Trust.
    • Personal Identity Verification for other Trustees/Beneficiaries

    • By law, we are required to see proof of identity for all trustees/beneficiaries with a vested interest in 25% or more of the capital and/or those who exercise control over the Trust. Please upload a scans of one of the following documents for all trustees/beneficiaries meeting these criteria:

      Valid passport New Zealand firearms licence New Zealand certificate of identity

    • Drop files here or
      Max. file size: 100 MB.
      • Confirmation

      • I confirm that the information given in this form is true, complete and accurate.

      Oops! We could not locate your form.

      1234 5678 234
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