Compliance Form
Company name?
Number of shareholders
Name of shareholders
Nationality
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo (Congo-Brazzaville)
Costa Rica
Croatia
Cuba
Cyprus
Czechia (Czech Republic)
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
East Timor (Timor-Leste)
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (fmr. "Swaziland")
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar (formerly Burma)
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
North Korea
North Macedonia (formerly Macedonia)
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
If multiple nationalities (please write below)
Business Type
Payment type for Business Transactions
For Customer Receipts
Cash
Bank Transfer
Debit/Credit card
Digital Currency
Other
For Supplier Payments
Cash
Bank Transfer
Debit/Credit card
Digital Currency
Other
Source of income
Income Form Business
Savings From Employment Income
Investments
Share Save
Property Sale
Loan
Inheritance
Gift
Others
Shareholders holding any other business in UAE
Yes
No
If yes, business type
Expected annual Turnover
AED 10000 - AED 100000
AED 100000 - AED 500000
AED 500000 - AED 1000000
More than AED 1000000
Any receipt from high risk countries
Yes
No
If yes, method of receipt
Cash
Bank Transfer
Debit/Credit card
Digital Currency
Other
Proof of identification (ID/Passport) - Each Partner
Proof of address (Telephone, Utility Bill, Tenancy Contract) - Each Partner
Proof of Transaction (Bank statement of 6 month)
Declaration
Are not made on behalf of a third party. The funds invested are derived from legitimate sources and are not linked and/or derived from criminal origin, of whatsoever nature, and do not constitute the proceeds of money laundering or terrorist financing.
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List of high risk countries
List of high risk activities
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