Client questionnaire

Client

Natural person

Legal entity or legal arrangement

Name Pieejams tikai: a-ž, A-Ž, '-'

Surname Pieejams tikai: a-ž, A-Ž, '-'

Name of the legal entity or legal arrangement

Phone number

e-mail

Type of document

Name of document

Document No.

Issuing country

Date of issue Format: dd.mm.yyyy

Country

Date of registration Format: dd.mm.yyyy

Issuing authority

Date of birth Format: dd.mm.yyyy

personal ID code

Registration number

VAT number

Declared address

Legal address

Actual address

Economic and/or professional activity

Purpose of request of accounting services

Check if the client is (or within last 12 months was) politically exposed person, family member of a politically exposed person or person closely related to a politically exposed person

The client is (or within last 12 months was) politically exposed person

The client is (or within last 12 months was) family member of a politically exposed person

Name, Surname Pieejams tikai: a-ž, A-Ž, '-'

The client is (or within last 12 months was) person closely related to a politically exposed person

Name, Surname Pieejams tikai: a-ž, A-Ž, '-'

Add document

Attaching copy of ID document of person signing this Questionnaire is mandatory

Reset

Client questionnaire

Client

Declared address

Legal address

Actual address

Add document

Client's representative

Declared address

Actual address