Client questionnaire

Client

Natural person

Legal entity or legal arrangement

Name Pieejams tikai: a-z, A-Z, '-'

Surname Pieejams tikai: a-z, A-Z, '-'

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

Living 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-z, A-Z, '-'

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

Name, Surname Pieejams tikai: a-z, A-Z, '-'

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

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Client questionnaire

Client

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Client's representative