CWP Global Due Diligence Form for an Individual
The purpose of this questionnaire is to assist CWP Global in performing due diligence on its business partners and personnel in accordance with our policies. CWP Global may ask for further clarification or request additional supporting documents. Please answer every question accurately. If the question does not apply to you, please write N/A (Not Applicable) or if you don’t know the answer, please write N/K (Not Known). This questionnaire does not constitute a commitment by CWP Global to any individual.
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of birth
*
-
Month
-
Day
Year
Date
Contact Information
*
Nationality
*
Current or previous employer
*
Please provide examples and/or records of relevant experience
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Do you have any financial or personal relationships with CWP that may present a conflict of interest?
*
Yes
No
Maybe
Please provide additional information of the financial or personal relationships that may present a conflicts of interest.
Have you ever filed for bankruptcy or been involved in any financial disputes?
*
Yes
No
Please provide additional information about any instance of bankruptcy or financial dispute.
Have you ever been convicted of a crime or faced any legal charges?
*
Yes
No
Please provide additional information on any convictions or legal charges.
Have you ever had any professional licenses or certifications revoked or suspended?
*
Yes
No
N/A
Please provide additional information of the cases in which your professional licenses or certifications have been revoked or suspended.
Do you hold (currently or within the previous 12 months) a position that has served public functions, or have immediate family or close association with any persons holding such a position?
*
Yes
No
Maybe
Please provide additional information on the above.
(Optional) Please provide up to three professional references who can vouch for your character and work.
Do you have any additional information to be considered or any questions or concerns relating to the due diligence process?
Your email address
*
You will receive a copy of the submission
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