KYC - Identity Verification Form

Identity Verification Form
Full Name

First NameLast Name
Permanent Address

Address

Address Line 2

CityCounty

Postal / Zip CodeCountry
Phone Number

+44Phone Number
Photo ID (driving license or passport)

Browse Files

Cancelof
Proof of Address (utility bill or bank statement within last 3 months)

Browse Files

Cancelof
National Insurance Number
Home Owner
Do you have a credit report (Max 3 mths old)
Company Name
Company Number
E-mail
Are you a High Net-Worth/Sophisticated Investor?
Source of Finance
Which category do you fit into...?
Would you like to opt in and receive updates of property stock? (You can Unsubscribe to this at anytime)
Are you looking for...
How many units do you currently have?
What locations are you looking for?
Which member of staff where you referred by?
Name
Date

DayMonthYear
Date
Signature
Vista-Source Ltd.
www.vista-group.co.uk
3rd Floor
207 Regent Street
London W1B 3HH
Tel: +44 020 7692 8985
Should be Empty: