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Truman Bodden & Company

CLIENT DUE DILIGENCE QUESTIONNAIRE (INDIVIDUAL)
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We are required by the Cayman Islands Monetary Authority, and applicable legislation relating to the provision of financial services, to make such enquiries as are necessary to verify the identity of our clients, and the nature of the business activity they undertake.
This questionnaire must be completed by each BENEFICIAL OWNER, DIRECTOR AND OFFICER.
Please return the completed questionnaire
Trulaw Corporate Services Ltd
PO Box 866GT
Grand Cayman, BWI
(345) 949 4952
CLIENT RESUME

FULL NAME (and previous names or alternative names if any formal name changes have
occurred or you have utilized a business name or other means of identification)
DATE OF BIRTH (DD/MM/YY) PLACE OF BIRTH
NATIONALITY AND RESIDENCE Notarized copies of the photograph and identification pages of your passport should be attached to the questionnaire
COMPANY NAME (the names of the Cayman Islands companies of which you are a beneficial owner, director or officer)
CONTACT DETAILS

CURRENT PERMANENT ADDRESS (and previous addresses if less than 5 years). Evidence of current address should be attached such as an original utility bill or credit card statement

OFFICE ADDRESS
HOME TELEPHONE NUMBER WORK TELEPHONE NUMBER
FAX NUMBER EMAIL ADDRESS
EDUCATION & QUALIFICATIONS
EDUCATIONAL BACKGROUND Please provide details of academic and professional qualifications
GOVERNMENT OR POLITICAL POSITIONS (do you presently hold, or have you previously held any government or political post in your present or previous country of residence)
BUSINESS / EMPLOYMENT HISTORY
NAME & LOCATION OF THE BUSINESS
DETAILS OF THE ACTIVITY OF THE BUSINESS
DATES INVOLVED
SOURCE OF CAPITAL/ASSETS
Please provide information as to the source of the capital/assets used to establish the company and the source of any additional capital/assets which have been or may be subsequently introduced. NB - This information must be detailed and comprehensive
REFERENCES
We require 2 original references or letters of introduction – one from a Bank and the other from a Professional such as an attorney or accountant, addressed to Trulaw Corporate Services Ltd. Each reference must confirm a current relationship of at least 2 years and if possible, certify your permanent home address and personal details.
NAME
ADDRESS
OTHER INFORMATION
CHECK LIST
PLEASE ENSURE THAT YOU HAVE ATTACHED THE ORIGINALS OF THE FOLLOWING DOCUMENTS
Evidence of Proof of Current Address (eg: Original Utility Bill/Credit Card Statement)
Original Bank Reference
Original Professional Reference
Notarized copy of the photograph and identification pages of your passport
DECLARATION
I hereby confirm the accuracy and correctness of the foregoing information
 
 
 
OFFICE USE ONLY
Date

E
 Copyright 2008. Truman Bodden