2. UBOs identification

General information about stakeholders of the entity

This is the general description for every role lorem ipsum dolor sit amet, consectetur adipiscing elit. Vestibulum tincidunt semper neque, sit amet hendrerit purus eleifend semper. Praesent vehicula aliquet augue, eu euismod neque sagittis eget.

What is an authorised signatory?

Lorem Ipsum is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the industry's standard dummy text ever since the 1500s, when an unknown printer took a galley of type and scrambled it to make a type specimen book.

What is a director?

It is a long established fact that a reader will be distracted by the readable content of a page when looking at its layout. The point of using Lorem Ipsum is that it has a more-or-less normal distribution of letters, as opposed to using 'Content here, content here', making it look like readable English.

What is a UBO?

There are many variations of passages of Lorem Ipsum available, but the majority have suffered alteration in some form, by injected humour, or randomised words which don't look even slightly believable. If you are going to use a passage of Lorem Ipsum, you need to be sure there isn't anything embarrassing hidden in the middle of text. All the Lorem Ipsum generators on the Internet tend to repeat predefined chunks as necessary, making this the first true generator on the Internet.

Authorized signatories
  • Alexander
  • Amelia King
  • Olivia Thompson
Will you provide us a separate document with the roles of the authorised signatories list, directors list & UBO/controling person declaration?
If No, please complete the applicable FATCA form and specify the FATCA Chapter 4 status reported under Part I of that form
Please indicate the CRS status of the entity

Entity's representatives, directors & UBOs identification

  • John Doe

    Authorized signatory
    • Place of birth: Kortrijk
    • Date of birth: 30/09/1981
    • Function: Banker
    • Gender: Male
    • PEP: Yes, closely related to a politically exposed person
    Supporting documents:
    • Identity verification file: To be provided

  • Gabriel Lefever

    Authorized signatoryAuthorized signatory
    • Place of birth: Kortrijk
    • Date of birth: 30/09/1981
    • Function: Banker
    • Gender: Male
    • PEP: Yes, closely related to a politically exposed person
    Supporting documents:
    • Identity verification file: Compliant
    • Proof of domiciliation file: Provided
    • Power of signature file: To be provided

  • Philippe Dubois

    Authorized signatory
    • Address: Kapel ter Bede 40, 8200 Kortrijk, Belgium
    • PEP: Yes, closely related to a politically exposed person
    • Identity document type: eID
    • Identity document number: 123.123-12-12-12
    • Type of benefical owner: Control via ownership (≥25% share capital or voting rights)
    • Percentage of share capital: 28%
    • Percentage of voting rights: 30%
    • Country of Tax residency: Belgium
    • Tax Identification Number (TIN): 123456789
    Supporting documents:
    • Identity verification file: Compliant
    • Proof of domiciliation file: Provided
    • Power of signature file: To be provided

  • Philippe Dubois

    Authorized signatory
    • Address: Kapel ter Bede 40, 8200 Kortrijk, Belgium
    • PEP: Yes, closely related to a politically exposed person
    • Identity document type: eID
    • Identity document number: 123.123-12-12-12
    • Type of benefical owner: Control via ownership (≥25% share capital or voting rights)
    • Percentage of share capital: 28%
    • Percentage of voting rights: 30%
    • Country of Tax residency: Belgium
    • Tax Identification Number (TIN): 123456789

  • Philippe Dubois

    Authorized signatory
    • Address: Kapel ter Bede 40, 8200 Kortrijk, Belgium
    • PEP: Yes, closely related to a politically exposed person
    • Identity document type: eID
    • Identity document number: 123.123-12-12-12
    • Type of benefical owner: Control via ownership (≥25% share capital or voting rights)
    • Percentage of share capital: 28%
    • Percentage of voting rights: 30%
    • Country of Tax residency: Belgium
    • Tax Identification Number (TIN): 123456789
    • Representing the entity: Marie-Louise Van der straete
    • PEP: Yes, closely related to a politically exposed person
    • Representing the entity: Marie-Louise Van der straete
    • PEP: Yes, closely related to a politically exposed person
    Supporting documents:
    • Identity verification file: Compliant
    • Proof of domiciliation file: Provided
    • Power of signature file: To be provided
20 of 170 individuals shown
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