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Rikvin Pte Ltd

20 Cecil Street, #14-01, Equity Plaza Singapore 159471


Phone: +65 6438 8887 Fax: +65 6438 2436
Email: info@rikvin.com Website: www.rikvin.com

KYC - Know your Client Due Diligence Form (Internal use only)
When acting as a nominee director and/or shareholder services for our clients, we are required by law to
conduct a KYC (Know Your Client) before we consent to act as the nominee. In view of the above, kindly
furnish us the following information and documents for our perusal.

Name: _____________________________________________

Home Phone: __________________________ Office Phone: ____________________________

Mobile Phone: ____________________________ Email ID: ________________________________

You may attach your CV

A brief history about yourself`


Please state your current and past experience including your educational background

Provide details of the nature of main business you are currently involved in:

Why did you choose to setup in Singapore?

Do you own this business? ______________________ In business since: ____________________________

How long have you been operating (or employed by) this company?
_________________________________________
Describe the business activities your Singapore company will be involved in (please be
Name of the company: ____________________________________________ Your business email id:
specific):
__________________________________

Your Designation: ________________________ Annual turnover of the company:


_______________________________________

Company website: _______________________________________ Your office phone: ___________________________

Your office address:


Estimated annual _______________________________________________________________________________
turnover: Year 1 _______________ Year 2 ________________ Year 3 ________________
Who are the people involved, if the names are different from the incorporation forms
List countries where majority of your clients will be located and where the payments will
come from:

This
List includes
countriesthewhere
detailsmajority
of the ultimate beneficiary:
of your suppliersthe person(s)
will or corporation
be located and where who
thereceive
fundsthe
willprofits,
be
even
paid if they do not appear as the director or shareholder of the company
out:

Average incoming amount per transaction ($):


________________________________________________________

Estimated number of incoming transactions per month:


_______________________________________________

22.10.2009
I hereby confirm that the information given above is true and complete to my/our best knowledge, and further
undertake to notify you promptly in writing upon significant change

________________________________
____________________________
Full Name Relationship to proposed Singapore company Signature

Documentation Required
If you plan to visit our office, please bring the originals. However, if you are not able to visit our office, then
you should send us a certified copy.

1. Passport Photo Copies and second identification document:


This copy should have a clear picture, as well as clear personal details (nationality, date and place of
birth). We will also require a second identification document such as driver's license, national ID card
or another government issued document which has both a photograph as well as clear personal
details.

2. Proof of residence (address):


This may be in the form of a recent utility bill, credit card statement, a bank statement.

3. Reference Letter
A letter of introduction from your bank

22.10.2009

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