Know Your Customer

Client Details

Legal Entity Name Client Type Sole EstablishmentLimited Liability CompanyFree Zone CompanyFree Zone EntityCivil CompanyBranch Office of Foreign CompanyOther Trade License Number Trade License

Date of Incorporation Trade License Expiry
Country of Incorporation

Nature of Business

Annual Turnover AED < 500,000AED 500,000 – AED 1,000,000AED 1,000,000 – AED 5,000,000AED 5,000,000 – AED 10,000,000AED 10,000,000 – AED 50,000,000AED > 50,000,000

Business Address Is the business the Ultimate Beneficial Owner? YesNo

Authorized Signatory

Name Designation Gender MaleFemaleOther Nationality

Identity Proof Emirates IDPassport Identification No. Address Emirate Proof of address (Utility Bill, Bank Statement etc.)

Transaction Details

Purpose of Property Purchase/ Rental InvestmentResidential UseCommercial UseOthers (specify below) Source of Funds Business IncomeLoan/Financing (Bank Name below)Others (specify below)

Banking Information

Related Parties/Connected Parties

Do you have any related parties involved in the transaction? YesNo

Politically Exposed Person (PEP)

YesNo (if Yes, provide details)

Declaration and Signature

I / WE hereby declare that the information given herein are true, correct and complete to the best of my knowledge and belief. In addition, documents submitted along with this application are genuine.

I / WE hereby undertake to promptly inform BLUE VELVET of any changes in the information provided herein.

I / WE agree & accept that BLUE VELVET is not responsible or liable for any losses or activities performed on the basis of this information provided by me / us and also due to not advising of any such changes.

Also, it is agreed that I / WE will provide any additional information / documentation that may be required from time to time by BLUE VELVET or its authorized agents in any connection with this form.

Client Name Signature of Authorized Signatory

Clear

Date

Additional Documents Required

Memorandum of Association / Power of Attorney

Emirates ID, Passport and UAE Visa Copies of all shareholders & POA

Emirates ID, Passport and UAE Visa Copies of UBO (if applicable)