Business Activity Questionnaire
Business Activity Questionnaire
Company name
IVO GOLD AND DIAMONDS TRADING
:
Type : Existing ✔ New
Stakeholder name IVAN VORIH
:
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✔ Cheque
□ Cash
Mention the payment methods you will be accepting from ✔ Bank Transfer
customers? ✔ United Payment Interface (Paymnet link, Credit/ Debit card)
□ Others “virtual currency…”
(If cash selected, please note that you will be required to provide with the average cash amount).
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Mention the primary payment method your company will use
SWIFT PAYMENTS ONLINE
generally & when transacting with suppliers? (Examples:
cheque, cash, bank transfers etc.)
Who are the top 5 suppliers that you will be dealing with, and
country of location for each:
IVAN VORIH
Authorized Signatory Name : _
Signature
:
Date
: 31 MAY 2024
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SECTION C: SOURCE OF WEALTH DECLARATION
I/ We hereby confirm that investments made into the above-named company registered/to be registered in Sharjah Media City Free Zone Shams:
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 in particular do not constitute the proceeds of money laundering or terrorist financing; and
My/our overall wealth originate from the following source:
(Multiple selections are possible)
☐✔ Professional salary:
(If selected, please note that you might be required to provide: the name and address of Employer, details of business if self-employed, occupation,
Number of years in employment, Number of years in employment, gross annual income, last 3 months’ pay slips and bank statements that clearly
show receipt of the most recent 3 months)
EMPLOYED IN UK BASED COMPANY EURO MANAGEMENT COMPANY LTD
☐ Inheritance:
(If selected, please note that you might be required to provide: total amount received, name of benefactor, relationship to benefactor, date received
and Solicitor’s letter)
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☐ Gift:
(If selected, please note that you might be required to provide: details of benefactor, reason for gift, relationship to benefactor, source of donated funds
and a letter from donor confirming details of gift and acknowledging the source of the donated funds)
☐ Loan:
(If selected, please note that you might be required to provide: amount of loan, purpose for obtaining a loan, Name & address of loan provider date of
loan, loan agreement and recent loan statements)
☐ Company profit:
(If selected, please note that you might be required to provide: copy of latest accounts and a letter from a regulated accountant giving details of
company profits over the last 2 years)
☐ Other:
Please specify:
(If selected, please note that you might be required to provide: nature of income, amount, date received, received from whom, signed letter detailing
funds from a regulated accountant)
I declare that the information provided in this form is true and complete.
Signature :
31 AY 2024
Date :
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