CAPRIKRN FZE - GOLD TRANSACTION KYC FORM

CAPRIKRN FZE - GOLD TRANSACTION KYC FORM
Your Location details:
SECTION 1: ENTITY DETAILS
Name of Business*
Country of Incorporation *
Tax Registration Number
Business License Number
Date of Incorporation (DD/MM/YYYY)*

MonthDayYear
Date
Website
Current Residential/Registered Office Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Place of Business (if different from above)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Name of authorized signatory*
Passport/ID Number*
Contact Number*
Email ID*
example@example.com
Politically Exposed Person?

YesNo
UBO with more than 25% shareholding
Nature of Business or Profession*
Regulatory Authority for Business Activities
Source of Funds*

SavingsSale of PropertyBusiness RevenueLoanInheritanceOther
Purpose of Gold Transaction*
Expected Transaction Value (in USD)*
SECTION 2: BANKING DETAILS
Name of the Bank *
Bank address*
Country*
Bank account number*
IBAN
Bank account name*
BIC/SWIFT*
Currency*
SECTION 3: TRANSACTION DETAILS
Type of Gold (e.g., bars, coins, etc.)*
Weight of Gold in kg*
Purity/Grade of Gold
Country of Origin*
Details of Previous Transactions (if any)
Please attach the following documents:

For Entities:
- Business License or Incorporation Certificate
- Memorandum of Association
- Tax Registration Certificate
- Ownership and Control Structure
- Articles of Association/Memorandum
- Passport/ID copies of all Directors/Owners/Authorized Signatories
- Proof of Registered Address
- Additional Documents for Gold Transaction: Certificate of Authenticity for Gold Export documentation (if applicable) Relevant tax receipts (if applicable)
SECTION 4: TRACEBILITY TO SOURCE
Mine/Source Name*
Mine/Source Location (Provide full address)*
Operational Head/Owner of the Mine/Source*
Contact Information of Mine/ Source*
License Number/Proof of Legal Operation*
Date of Extraction (if applicable, DD/MM/YYYY)

MonthDayYear
Date
Licensing Authority of Mine/Source*
Supply Chain Details (List intermediaries, if any, between mine/source and seller):
1.
2.
3.
Additional Comments/Information about the Source
SECTION 5: DOCUMENTATION
(Include previously mentioned documents)
- Mine/Source Licensing Documents: Proof of the mine's legality, obtained from the appropriate licensing authority.
- Chain of Custody Documentation: Sequential listing of all intermediaries (with names and addresses) that handled the gold, from extraction to sale.
- Certificate of Authenticity for Gold: Confirming the purity, weight, and other relevant attributes.
- Independent Verification/Audit Reports (if available): External checks validating the legitimacy and ethical standards of the mine/source.
- Proof of Extraction Date: Can be a document from the mine or a timestamped receipt of the first transaction.
- Ethical Sourcing Certification: If the mine/source has been audited for ethical practices,any certification or recognition from recognized bodies can be included.
- Export documentation: Detailed paperwork of the gold's exportation process (if applicable
- Relevant tax receipts: Especially if the gold transaction has tax implications in the country of origin.
- Additional Documents for Gold Transaction: Detailed description or assay report of the gold, including weight, type, and purity. Pictures or visual documentation of the gold consignment.
SECTION 6: TRANSACTIONAL DOCUMENTS
Export & Import Transactional Documents:

Export Documentation (send documents from a sample transaction)
- Proforma Invoice: Preliminary bill of sale sent to the buyer in advance of a shipment or delivery of goods.
- Commercial Invoice: Detailed bill for the goods shipped, indicating the seller, buyer, invoice number, date, and the goods' total value.
- Packing List: Specifies the volume, type, and dimensions of cargo. It will detail the kind, quantity, and weight of gold being transported.
- Certificate of Origin: A document certifying the country where the gold was mined or sourced.
- Bill of Lading (for sea freight) or Airway Bill (for air freight): A contract between the exporter and the freight carrier detailing the goods' type, quantity, and destination.
- Export License (if required): Some countries require a special license to export certain products, including precious metals like gold.
- Customs Declaration: This document indicates the nature, quantity, and value of the goods being exported, and it's used by customs officials to assess duties and taxes.
- Freight Insurance Certificate: If the goods are insured during transportation, this document serves as proof.
- Inspection Certification: Depending on the buyer or country's requirements, some goods need to be inspected before exportation.
Import Declaration (into UAE) (provided by Caprikrn FZE for each consignment , here for demonstration purpose only)
- Import Declaration: A document filed by the importer or customs broker with UAE customs detailing the volume, type, and value of the imported goods.
- Bill of Entry: Document generated at the point of entry, detailing the type, quantity, and value of the gold.
- Delivery Order: Released by the port, airline, or freight forwarder to the importer after confirming the payment of freight charges.
- Duty Payment Receipt: If customs duties are levied on the gold, this document acts as proof of payment.
- Certificate of Conformity: Some countries require products to meet their specific standards. This certificate confirms the product conforms to the necessary standards.
After submitting the form, you can download the PDF and follow the instructions to send the required documents to activate the process.

I/We, the undersigned, certify that the information provided above is accurate and complete. I/We understand that this information is required for compliance with KYC regulations and consent to Caprikrn FZE verifying any information provided on this form.
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CAPRIKRN FZE - GOLD TRANSACTION KYC FORM

SECTION 1: ENTITY DETAILS

SECTION 2: BANKING DETAILS

SECTION 3: TRANSACTION DETAILS

SECTION 4: TRACEBILITY TO SOURCE

SECTION 5: DOCUMENTATION

SECTION 6: TRANSACTIONAL DOCUMENTS