Client Information Form (Legal team)

Client Information Form

Dear Partner, we kindly request you to fill out this Client Information Form for contracting and compliance purposes. Thank you for your cooperation. If you encounter difficulties filling out this Form, please contact your TEQ Contact Person.
I. Your Data
Your Name*

First NameLast Name
Your Email Address*
example@example.com
II. Entity's Data (entity you represent)

Note: Data are compulsory for contract preparation purposes
Natural personLegal personIndividual entrepreneur (capable of invoicing)
Official Place of Residence (FULL address)*
Country issuing photo ID*
Nationality*
Photo ID type*
Photo ID number*
Entity Name and Legal Form you represent/working for *
(e.g. Football Ltd.)
Tax number / EU VAT number*
If the Legal Person is from an EU member country, please enter its EU VAT number!
Official Seat*
Tax number / EU VAT number
If you are from an EU member country, please enter your EU VAT number!
Company Registration number*
Authorized signer's name (who is empowered to sign any official document, e.g. contract)*
Authorized signer's official (company) email address (please note that signer's private e-mail address is not accepted in case it represents a legal entity)*
(e.g. teqball@teqball.com, but iloveteqball@gmail.com is not deemed to be official)
Entrepreneur Number*
The number on which you are registered as a sole trader.
Company excerpt which contains all the requested data AND a certificate that the given Authorized signer has the right to sign (if the excerpt doesn't contain this informaton) *

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More files can be uploaded if it's needed. Cancelof
Photo ID card which contains all the requested data*

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More files can be uploaded if it's needed. Cancelof
Sole Trader excerpt which contains all the requested data *

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An official documentum that certify that you are a sole trader. / More files can be uploaded if it's needed. Cancelof
III. TEQ Contact Person Details
TEQ Contact Person's (your contact person's name at Teqball, not yours!)*

First NameLast Name
Email address of such TEQ Contact Person*
example@example.com
Please choose the TEQ entity you are in contact with*
Name of other TEQ entity
IV. Business Relationship details
Contract type*
Describe the type of contract*
Short description of business*
Other relevant information
IV. Due Diligence information
YesNo
YesNo
YesNo
YesNo
YesNo
In case you answered ’No’ to question Number 1, 2 or 3 please explain!
In case you answered ’Yes’ to question Number 4 or 5, please explain!
Comments, if any, regarding the above
Attachments, if any

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Cancelof
Please note, that in case of business partners within the EU, we can only accept invoices containing EU VAT number.
By filling out this form, you declare that the above information are accurate and true, for which you are responsible.
Yes
YesNo
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