PDC CORPORTATE SERVICES_CLIENT KYC FORM

CLIENT KYC FORM

(To be completed by each Founder, Secretary, Officer, Director or Council Member, where applicable)
PERSONAL DETAILS
FULL NAME*

First NameMiddle NameSurname
ADDRESS*

Residential Address

Directions (MUST BE COMLETED IN DETAIL TO AVOID ANY DELAY WITH YOUR DOCUMENTS)

CityState / Province

Postal / Zip CodeCountry
CELLPHONE NUMBER*
Please enter a valid phone number.
HOME PHONE NUMBER
Please enter a valid phone number.
EMAIL ADDRESS*
example@example.com
DATE OF BIRTH*

MonthDayYear
PLACE OF BIRTH
INCORPORATION NAME DETAILS

Please provide 3 different names for your incorporation
INCORPORATION NAME 1*
INCORPORATION NAME 2*
INCORPORATION NAME 3*
NATURE OF BUSINESS/ TYPE OF SERVICES*
CURRENT EMPLOYMENT DETAILS

If not applicable, please put N/A
NAME OF EMPLOYER
OCCUPATION
POSITION
BUSINESS ADDRESS
BUSINESS PHONE NUMBER
Please enter a valid phone number.
BUSINESS EMAIL ADDRESS
example@example.com

ESTIMATE OF FUNDS TO BE HELD ON CLIENT A/C*
WHICH OF THE FOLLOWING POSITIONS WILL BE SERVED BY YOU? Kindly note if only two directors are named one must hold position of Secretary/Director.*

CHAIRMAN/DIRECTORVICE CHAIRMAN/DIRECTORTREASURER/DIRECTORSECRETARY/DIRECTOROTHER
WHAT WOULD BE YOUR SHARE OWNERSHIP PERCENTAGE?*
I agree to accept incorporation services provided by PDC CORPORATE SERVICES at a fee of 3,000 plus vat, which will include:

1. Incorporation Fees
2. Government Fees
3. Company Seal
4. Share Certificate Book
5. Bank Resolution to open Business Bank Account
WOULD YOU LIKE TO HAVE YOUR COMPANY DOCUMENTS CERTIFIED?*

YESNO
I, First Name* Last Name* hereby confirm that the above information is accurate and true to the best of my knowledge. I also agree to render at least 50% payment along with this completed form and to pay the balance once company is incorporated in order to receive documents.
NON-DISCLOSURE, NON-CIRCUMVENTION AND NON-COMPETITION AGREEMENT

This NON-DISCLOSURE, NON-CIRCUMVENTION and NON COMPETITION AGREEMENT is effective as of   Date   by and between PDC Corporate Services., a Bahamian company whose address is #204 Saffrey Square, P.O. Box SP-63026, Nassau, N.P., The Bahamas individually or collectively, and on behalf of any/all/other affiliated companies, or approved agents and official representatives of the above organizations
(hereinafter the "Companies"); and      . (hereinafter "Confidant"),

1. Purpose
The parties to this Agreement desire to engage in discussions regarding present and/or
potential future business relationships. This Agreement combines a non -disclosure, a
non-competition, and a non-circumvention agreement. The parties intend to engage in
substantive discussions and sharing of confidential information regarding certain new
and useful business opportunities, trade secrets, business entity formation and
structuring. In connection with these discussions, it may be necessary and/or desirable
for the Company to provide the Confidant with, or allow access to, proprietary,
technical, or business data, and/or other confidential information of the Company
(collectively the "Confidential Information"). Therefore, the Confidant, individually and on behalf of those they represent, agree that they are under an obligation of confidentiality. The Company believes, and the Confidant hereby agrees, that the
Company’s Confidential Information has significant commercial value that would be
diminished by unauthorized disclosure. Accordingly, the commitments of
confidentiality in this Agreement are a condition to the Confidant’s willingness to
engage in the contemplated business discussions and planning. The Confidant agrees
that it shall not use any advantages derivable from such information in its own
business or affairs, unless the same is done pursuant to a new agreement with all other
signatories to this document. Each signing party shall be held responsible and liable in
case of a breach of this Agreement both in their professional and personal capacity.

IN WITNESS WHEREOF, the parties hereto have individually and by their duly
authorized representatives executed and delivered this Agreement, to be effective as
of the date first written above.

AGREED TO AND ACCEPTED BY:
(THE COMPANY(S)) PDC CORPORATE SERVICES

by: _____________________________________
PETER CARTWRIGHT
PRESIDENT

CONFIDANT:
COMPANY NAME: *
(THE CONFIDANT)

by:  Signature
(SIGNATURE)
Name:   First Name   Last Name

Title:
Contact Number:   Area Code   Phone Number
I agree with the Non Disclosure Agreement attached above.*

Yes
Client Signature*

Clear
Date*

MonthDayYear

GUIDANCE NOTES FOR COMPLETION OF KYC FORM
This Form should be returned with the following supporting documents:

FOR EACH INDIVIDUAL:
(a) Copies of passport or national identity card; and
(b) Utility Bill

FOR EACH CORPORATE OR OTHER ENTITY:
(c) Certified copies of constitutive documents.
File formats accepted for submission are pdf, jpg, jpeg, and png documents.
TAKE PHOTOS OF DOCUMENTS*
ATTACH DOCUMENTS HERE

Cancelof
Supporting documents can also be sent to info@pdccorpgroup.com with the subject title as (CLIENT NAME-COMPANY NAME).

CLIENT KYC FORM

PERSONAL DETAILS

INCORPORATION NAME DETAILS

CURRENT EMPLOYMENT DETAILS

GUIDANCE NOTES FOR COMPLETION OF KYC FORM

KYC FORM PAYMENT (fees exclude VAT)