NEWLY INCORPORATED DISCLAIMER

Enhanced Due Diligence (EDD) Disclaimer
Full Name*

First NameLast Name
Email*
example@example.com
DOB

DayMonthYear
Date
Country of Residence *
Nationality *

Purpose of Service Use
Is this service intended for personal use, business use, or both?*
Please specify the reason for using our services*

0/0
Do you plan to use our virtual address to register with any organisations *
Please specify which organisations your will be using our virtual address*
Do you plan to use our virtual address with any financial organisations or for financial transactions*
Please specify which financial organisations or for what type of financial transactions your will be using our virtual address*

Business Activity
Business Name*

First NameLast Name
Nature of Business *
please describe your core activities
Products or Services Offered *
Countries in Which You Operate *
Provide details of your business activities*
Is your business involved in any of the following activities
- Financial services
- Cryptoassets, cryptocurrency
- Accountancy Services
- Legal services
- Trust and company service providers (TCSPs) Company formation and associated TCSP services
- Real Estate, estate agency, and property letting, property investment
- Cash and Money service businesses
- Non-profit organisations
- Gambling
- High value goods and traders
- Wholesale and distribution
- Art and Antiques Dealers
Yes / No *
Please list the beneficial owners of the business (anyone owning 25% or more)*
Beneficial Owner 1

First NameLast Name
Ownership %*
Add another Beneficial Owner*
Beneficial Owner 2

First NameLast Name
Ownership %*
Add another Beneficial Owner*
Beneficial Owner 3

First NameLast Name
Ownership %*
Add another Beneficial Owner*
Beneficial Owner 4

First NameLast Name
Ownership %*
Beneficial Owner 5

First NameLast Name
Ownership %*

Declaration and Signature
Signature*

Clear
Should be Empty: