CRS INDIVIDUAL - SELF-CERTIFICATION FORM Logo
Language
  • English (US)
  • Arabic‬‎
  • Please read this information before you complete the form

  • Why we are asking you to complete this form

    Regulations based on the OECD Common Reporting Standard (CRS) require financial institutions like us to collect and report information about where our customers are tax resident. Under these regulations, we have to ask you to provide the information requested in this form.

    About tax residence

    Each country/jurisdiction has its own rules for defining tax residence. In general, you are tax resident in the country/jurisdiction where youlive. You can be tax resident in a country/jurisdiction without paying tax, for example, if your income is below the threshold. Special circumstances (such as studying abroad, working overseas or extended travel) may cause you to be tax resident elsewhere or tax 
    resident in more than one country/jurisdiction at the same time. For more information on tax residence, please seek specialist advice or consult the information on the OECD website:

    www.oecd.org/tax/automatic-exchange/crs-implementation-andassistance/
    tax-residency/.

    What you need to do

    You need to complete this form, even if you have given us information about your tax status in the past. If you have a joint account, each individual will need to complete a copy of the form.

    Even if you have already provided information in relation to the United States Government’s Foreign Account Tax Compliance Act
    (FATCA), you may still need to provide additional information for the CRS as this is a separate regulation.

    Completing this form on behalf of someone else

    If you are completing this form on behalf of someone else, make sure you let them know that you have done so and tell us in what capacity you are signing in Part 3. For example, you might be completing this form as a custodian or nominee of an account, under a power of attorney or as a legal guardian on behalf of an account holder who is a minor.

    Where to go for help

    If you have any questions about the information requested in this form please contact us, or visit us. You can find more information about CRS and the governments taking part on the OECD website:

    www.oecd.org/tax/automatic-exchange/

    We are not allowed to give tax advice so if you’re not sure what your tax residence status is, please visit the OECD website or speak to a professional tax adviser. You can find a list of definitions in the Appendix.

    Please complete Parts 1 – 3 If you are completing this form on behalf of someone else, enter their details in Parts 1 - 3.

    Part 1
    Identifying who you are

  • Part 2
    Your country/jurisdiction of residence for tax purposes and related Taxpayer Identification Number or functional equivalent (“TIN”). (See Appendix).

    Please complete the following table telling us:

    I. Which country(ies)/jurisdiction(s) you are tax resident in; and


    II. Your TIN for each country/jurisdiction indicated.


    If account holder is a tax resident in more than three


    countries)/jurisdictions, you can use separate sheet.

    If you do not have a TIN please provide the appropriate reason A, B or C:
    Reason A               The country/jurisdiction where I am liable to pay tax does not                                 issue TINs to its residents.
    Reason B               I am otherwise unable to obtain a TIN or equivalent number.                                 (Please explain why you are unable to obtain a TIN in the below                               table if you have selected this reason).
    Reason C               The laws of my country/jurisdiction of tax residence do not require me to provide a TIN. Country/Jurisdiction of tax residence Country /jurisdiction  of taxresidence TIN If no

  •  
  •  
  • Part 3
    Declarations and Signature


    I certify that I am the account holder (or am authorized to sign for the account holder) of all the account(s) to which this form relates.

    I understand that the information I have provided is covered by the Privacy Notice and the terms and conditions governing the account holder‘s relationship with Al Sahel Shares Center, in particular how Al Sahel Shares Center may use and share it. 

    I acknowledge that Al Sahel Shares Center may share this information with the tax authorities of the country(ies)/jurisdiction(s) where the account(s) are held, and that those tax authorities may exchange this information between themselves as part of the intergovernmental agreements to exchange Financial Account information. If I have completed this form on behalf of the Controlling Person, I
    certify that I have their authority and that all relevant individuals have been made aware of the Privacy Notice, and the individual rights and information it sets out. I will notify them within 30 days of signing this form that I have provided this
    information to Al Sahel Shares Center and that it may be passed to the tax authorities of all countries/jurisdictions where the account holder maintains accounts.

    I declare that all statements made in this declaration are, to the best of my knowledge and belief, correct and complete.

     I agree to tell Al Sahel Shares Center within 30 days of any change in circumstance that affects the tax residence status of the person named in Part 1 of this form or means that the information contained within the form becomes out of date. I agree to provide an updated self-certification form to Al Sahel Shares Center within 90 days of any such changes.

  • Clear
  •  - -
  • Appendix – Definitions
    Note: These are selected definitions provided to assist you with the completion of this form. Further details can be found within the OECD Common Reporting Standard for Automatic Exchange of Financial Account Information (the CRS”), the associated Commentary to the CRS, and domestic guidance. This can be found at the following link:
    www.oecd.org/tax/transparency/automaticexchangeofinformation.htm


    If you have any questions,

    If you have any questions, please contact your tax adviser or domestic tax authority.

    “Account Holder” The term “Account Holder” means the person listed or identified as the holder of a Financial Account. A person,other than a Financial Institution, holding a Financial Account for the benefit of another person as an agent, a custodian, a nominee, a signatory, an investment advisor, an intermediary, or as a legal guardian, is not treated as the Account Holder. In these circumstances that other person is the Account Holder. For example, in the case of a parent/child relationship where the parent is acting as a legal guardian, the child is regarded as the Account Holder. With respect to a jointly held account, each joint holder is treated as an Account Holder. 

    “Participating Jurisdiction” A Participating Jurisdiction is ajurisdiction with which an agreement is in place pursuant to which it will provide the information set out in the Common Reporting Standard.

    “Reportable Account” The term “Reportable Account” means an account held by one or more Reportable Persons or by a Passive NFE with one or more Controlling Persons that is a Reportable Person. “Reportable Jurisdiction” A Reportable Jurisdiction is a jurisdiction with which an obligation to provide financial account information is in place. “Reportable Person” A Reportable Person is an individual that is tax resident in a Reportable Jurisdiction under the laws of that jurisdiction. The Account Holder will normally be the “Reportable Person”; Dual resident individuals may rely on the tiebreaker rules contained in tax conventions (if applicable) to solve cases of double residence for purposes of determining their residence for tax purposes.

    “TIN” (including “functional equivalent”) The term “TIN” means Taxpayer Identification Number or a functional equivalent in the absence of a TIN. A TIN is a unique combination of letters or numbers assigned by a jurisdiction to an individual or an Entity and used to identify the individual or Entity for the purposes of
    administering the tax laws of such jurisdiction. Further details of acceptable TINs can be found at the following link:
    www.oecd.org/tax/automatic-exchange/crs-implementation-andassistance/tax-identification-numbers/ 

    Some jurisdictions do not issue a TIN. However, these jurisdictions often utilize some other high integrity number with an equivalent level of identification (a “functional equivalent”). Examples of that type of number include, for individuals, a social security/ insurance number, citizen/personal identification/service code/number, and resident registration number.

  • Should be Empty: