| ID | Serial Number | Status | Name | What Form | PLEASE CONFIRM WHETHER ANY OFFICIAL OR MANAGER OF THE ENTITY OR THE ENTITY ITSELF HAS HAD PREVIOUS DEALINGS WITH THE FIRM (BBB ATTORNEYS INC) | PLEASE CONFIRM THE NATURE OF THE CURRENT INTERACTION WITH THE FIRM (BBB ATTORNEYS INC) | REFERENCE NAME OF THE INSTITUTION/ENTITY | NAME AND SURNAME OF THE REPRESENTATIVE | REGISTRATION NUMBER IF APPLICABLE | INCOME TAX & VAT NO. IF APPLICABLE | NATURE OF YOUR BUSINESS | REGISTERED ADDRESS | TRADING ADDRESS | MAIN CONTACT NUMBER | MAIN CONTACT EMAIL | INDUSTRY OF TRADE | COUNTRIES OF TRADE | MAIN COUNTRY OF TRADE | OTHER INDUSTRIES OF TRADE | PUBLIC ENTITY? | MAIN INDUSTRY OF TRADE | Are you prepared to share the proof of your banking account if so requested? | Are you prepared to share the proof of your banking account if so requested? | ARE ANY OF THE MANAGERS, MEMBERS, SHAREHOLDERS OR OFFICE BEARERS INVOLVED IN TRADING OF DUAL-USE GOODS SUBJECT TO EXPORT CONTROL OR IS THERE ANY CONNECTION WITH AN UNIVERSITY OR RESEARCH FACILITY INVOLVED IN THE RESEARCH OF DUAL-USE GOODS OR GOODS SUBJECT TO EXPORT CONTROL? | ARE ANY OF THE MANAGERS, MEMBERS, SHAREHOLDERS OR OFFICE BEARERS INVOLVED IN ACTIVITIES DIRECLTY OR INDIRECTLY LINKED WITH THE MANUFACTURING OR SALE OF ARMS OR WEAPONS? | ANY ENTITY OFFICE BEARER A DOMESTIC OR FOREIGN POLITICALLY EXPOSED OR INFLUENTIAL PERSON OR A FAMILY MEMBER OR ASSOCIATE OF SUCH A PERSON *THIS WILL BE VERIFIED | textarea | textarea | LIST ALL EXECUTIVE MANAGERS FULL NAMES AND ID’S | LIST ALL THE OFFICE BEARERS OF THE ENTITY FULL NAMES AND ID’S | PLEASE CONFIRM THE OCCUPATION OF ALL OFFICE BEARERS | PLEASE CONFIRM THE INDUSTRY OF TRADE FOR EACH OFFICE BEARER | ALTERNATIVE JURISTIC PERSONS VERIFICATION DOCUMENTS Please take note that we require documentary proof for verification purposes of the following items (please tick item off if provided): | CheckboxWe may also require documentary proof for verification purposes at any stage of the transaction or business relationship which may include the following items (please tick item off if provided): Field | DECLARATION: I confirm that all the information completed on both the ENTITY’S FICA questionnaire together with the information completed on this ENTITY Representative FICA questionnaire IS CORRECT and that I have truthfully completed all such questions. I confirm further that the ENTITY on whose behalf I am acting as Representative does not trade in illegal activities. | HAVE YOU PREVIOUSLY DEALT WITH THE FIRM (BBB ATTORNEYS INC) AND IF SO, PLEASE SUPPLY A SUMMARY | WHAT IS THE NATURE OF YOUR CURRENT INTERACTION WITH THE FIRM (BBB ATTORNEYS INC) | FULL NAMES | ID/PASSPORT NUMBERS | RSA RESIDENT | IF NON-RESIDENT, PLEASE CONFIRM THE PLACE OF PERMANENT RESIDENCY | IF FOREIGN, PLACE OF BIRTH | RSA VISA ISSUED IF FOREIGN | INCOME TAX NUMBER | PLEASE CONFIRM TAX BASE IF NOT SOUTH AFRICA | MARITAL STATUS | EMPLOYER | EMPLOYER CONTACT DETAILS | EMPLOYER ADDRESS | YOUR CONTACT NUMBER | YOUR CONTACT EMAIL | MAIN OCCUPATION | INDUSTRY OF TRADE | OTHER INDUSTRIES OF TRADE | COUNTRIES OF TRADE | DO YOU HOLD INTEREST IN ANY ENTITY (COMPANY OR TRUST) REGISTERED ABROAD | Examples of dual-use goods and technology include global positioning satellites, missiles, nuclear technology, chemical and biological tools, night vision technology, thermal imaging, some models of drones, aluminium pipes with precise specifications or certain kinds of ball bearings. | ARE YOU INVOLVED ACTIVITIES DIRECLTY OR INDIRECTLY LINKED WITH THE MANUFACTURING OR SALE OF ARMS OR WEAPONS? | ARE YOU A DOMESTIC OR FOREIGN POLITICALLY EXPOSED OR INFLUENTIAL PERSON OR A FAMILY MEMBER OR ASSOCIATE OF SUCH A PERSON *THIS WILL BE VERIFIED | INDIVIDUAL VERIFICATION DOCUMENTS | In addition to the above, please take note that we may require documentary proof for verification purposes at any stage of the transaction or business relationship of the following: | DECLARATION: I confirm that all the information completed on both the ENTITY’S FICA questionnaire together with the information completed on this ENTITY Representative FICA questionnaire IS CORRECT and that I have truthfully completed all such questions. I confirm further that the ENTITY on whose behalf I am acting as Representative does not trade in illegal activities. | Please select all that apply | Please select all that apply | Please select all that apply | WHAT IS THE NATURE OF THE CURRENT INTERACTION WITH THE FIRM (BBB ATTORNEYS INC) | DECEASED NAME & SURNAME | DECEASED ID/PASSPORT NUMBER | DECEASED INCOME TAX NUMBER | EXECUTOR NAME & SURNAME | EXECUTOR REPRESENATIVE NAME AND SURNAME | EXECUTOR PHYSICAL ADDRESS | EXECUTOR YOUR CONTACT NUMBER | EXECUTOR YOUR CONTACT EMAIL | WHICH MASTER’S OFFICE ADMINISTERS THE ESTATE | NAMES AND ID NUMBERS OF THE NAMED HEIRS IN THE WILL | HAS ANY OF THE HEIRS, THE EXECUTOR OR THE DECEASED HAD ANY PREVIOUS INTERACTION WITH THE FIRM (BBB ATTORNEYS INC) | ALL INDUSTRIES OF TRADE OF THE DECEASED | ALL INDUSTRIES OF TRADE FOR THE NAMED HEIRS IN THE WILL | ALL COUNTRIES OF TRADE OF THE DECEASED | ALL COUNTRIES OF TRADE FOR ALL HEIRS | MAIN COUNTRY OF TRADE OF THE DECEASED | MAIN COUNTRY OF TRADE FOR AL HEIRS | OCCUPATION OF EACH HEIR | DECEASED ESTATE BANK ACCOUNT DETAILS | BANK ACCOUNT DETAILS OF EACH HEIR7 | ARE ANY OF THE DECEASED OR HEIRS IN THE ESTATE INVOLVED IN TRADING OF DUAL-USE GOODS SUBJECT TO EXPORT CONTROL OR IS THERE ANY CONNECTION WITH AN UNIVERSITY OR RESEARCH FACILITY INVOLVED IN TRADING OF DUAL-USE GOODS OR GOODS SUBJECT TO EXPORT CONTROL? | ARE ANY OF THE DECEASED, EXECUTOR OR HEIRS IN THE ESTATE INVOLVED IN ACTIVITIES DIRECLTY OR INDIRECTLY LINKED WITH THE MANUFACTURING OR SALE OF ARMS OR WEAPONS? | ANY OF THE DECEASED OR HEIRS A DOMESTIC OR FOREIGN Politically Exposed or Influential Person OR A FAMILY MEMBER OR ASSOCIATE OF SUCH A PERSON *This will be verified | We respect your information and in compliance with the Protection of Personal Information Act our privacy policy can be accessed on request. You hereby agree that personal information provided to THE FIRM (BBB ATTORNEYS INC) may be processed and, shared with the professionals associated with the process, may be stored electronically or physically and that your personal information may be used for purposes of future services and/or to remain on the mailing list for articles/newsflashes to be sent and you agree to receiving any marketing material telephonically, per email or WhatsApp or otherwise | DECEASED ESTATE VERIFICATION DOCUMENTS Please take note that we require documentary proof for verification purposes of the following items (please tick item off if provided): | If the information herein supplied is in any way vague or not clear and properly completed, we may also require documentary proof for verification purposes at any stage of the transaction or business relationship which may include the following items (please tick item off if provided): | Please select all that apply | Please select all that apply | Please select all that apply | HAS THE FOREIGN COMPANY OR ANY OF ITS DIRECTORS, SHAREHOLDERS OR MEMBERS PREVIOUSLY DEALT WITH THE FIRM (BBB ATTORNEYS INC) AND IF SO, PLEASE SUPPLY A SUMMARY | WHAT IS THE NATURE OF THE FOREIGN COMPANY’S INTERACTION WITH THE FIRM (BBB ATTORNEYS INC) | REGISTERED NAME | TRADING NAME | REGISTRATION NUMBER | INCOME TAX NUMBER | WHICH REVENUE OFFICE ISSUED THE TAX NUMBER | NATURE OF YOUR BUSINESS | REGISTERED ADDRESS | TRADING ADDRESS | MAIN CONTACT NUMBER | MAIN CONTACT EMAIL | COUNTRIES OF TRADE | MAIN COUNTRY OF TRADE | PUBLIC COMPANY | STATE OWNED COMPANY | OTHER INDUSTRIES OF TRADE | Are you prepared to share the proof of your banking account if so requested? | Are you prepared to share the proof of your banking account if so requested? | ARE ANY OF THE DIRECTORS OR SHAREHOLDERS INVOLVED IN TRADING OF DUAL-USE GOODS SUBJECT TO EXPORT CONTROL OR IS THERE ANY CONNECTION WITH AN UNIVERSITY OR RESEARCH FACILITY INVOLVED IN THE RESEARCH OF DUAL-USE GOODS OR GOODS SUBJECT TO EXPORT CONTROL? | ARE ANY OF THE DIRECTORS, SHAREHOLDERS OR OFFICE BEARERS INVOLVED IN ACTIVITIES DIRECLTY OR INDIRECTLY LINKED WITH THE MANUFACTURING OR SALE OF ARMS OR WEAPONS? | ANY DIRECTOR OR SHAREHOLDER A DOMESTIC OR FOREIGN POLITICALLY EXPOSED OR INFLUENTIAL PERSON OR A FAMILY MEMBER OR ASSOCIATE OF SUCH A PERSON *THIS WILL BE VERIFIED | textarea | textarea | LIST ALL DIRECTORS / FULL NAMES AND ID’S | Please confirm the details of all the shareholders Please confirm the details of all the UBOs in the event of a multi layered shareholding Please provide proof thereof | Please confirm the details of the ultimate persons/juristic persons who individually or collectively control the company (i.e. have a material influence on the company operations) Please provide proof thereof | Company executive managers | PLEASE CONFIRM THE OCCUPATION OF EACH DIRECTOR AND SHAREHOLDER | PLEASE CONFIRM THE INDUSTRY/INDUSTRIES OF TRADE FOR EACH DIRECTOR AND EACH SHAREHOLDER | IF SHARES ARE ISSUED TO OTHER JURISTIC PERSONS, PLEASE LIST THE OTHER JURISTIC PERSONS’ SHAREHOLDING and SUPPLY AN ORGANOGRAM FOR THE OWNERSHIP STRUCTURE | Please take note that we require documentary proof for verification purposes of the following items (please tick item off if provided): | We may also require documentary proof for verification purposes at any stage of the transaction or business relationship which may include the following items (please tick item off if provided): | DECLARATION: I confirm that all the information completed on both the Company/Close Corporation FICA questionnaire together with the information completed on this Company/Close Corporation Representative FICA questionnaire IS CORRECT and that I have truthfully completed all such questions. I confirm further that the Company/Close Corporation on whose behalf I am acting as Representative does not trade in illegal activities. | HAVE YOU PREVIOUSLY DEALT WITH THE FIRM (BBB ATTORNEYS INC) AND IF SO, PLEASE SUPPLY A SUMMARY | WHAT IS THE NATURE OF YOUR CURRENT INTERACTION WITH THE FIRM (BBB ATTORNEYS INC) | FULL NAMES | ID/PASSPORT NUMBERS | RSA RESIDENT Party 1 | RSA RESIDENT Party 2 | IF NON-RESIDENT, PLEASE CONFIRM THE PLACE OF PERMANENT RESIDENCY | IF FOREIGN, PLACE OF BIRTH | RSA VISA ISSUED IF FOREIGN Party 1 | RSA VISA ISSUED IF FOREIGN Party 2 | INCOME TAX NUMBER | PLEASE CONFIRM TAX BASE IF NOT SOUTH AFRICA | MARITAL STATUS | ADDRESS (DOMICILIUM) | EMPLOYER | EMPLOYER CONTACT DETAILS | EMPLOYER ADDRESS | YOUR CONTACT NUMBER | YOUR CONTACT EMAIL | MAIN OCCUPATION | INDUSTRY OF TRADE | OTHER INDUSTRIES OF TRADE | COUNTRIES OF TRADE | DO YOU HOLD INTEREST IN ANY ENTITY (COMPANY OR TRUST) REGISTERED IN SOUTH AFRICA OR ABROAD | ARE YOU INVOLVED IN TRADING OF DUAL-USE GOODS SUBJECT TO EXPORT CONTROL OR IS THERE ANY CONNECTION WITH AN UNIVERSITY OR RESEARCH FACILITY INVOLVED IN THE RESEARCH OF DUAL-USE GOODS OR GOODS SUBJECT TO EXPORT CONTROL? | ARE YOU INVOLVED IN ACTIVITIES DIRECLTY OR INDIRECTLY LINKED WITH THE MANUFACTURING OR SALE OF ARMS OR WEAPONS? | ARE YOU A DOMESTIC OR FOREIGN POLITICALLY EXPOSED OR INFLUENTIAL PERSON OR A FAMILY MEMBER OR ASSOCIATE OF SUCH A PERSON *THIS WILL BE VERIFIED - Party 1 | ARE YOU A DOMESTIC OR FOREIGN POLITICALLY EXPOSED OR INFLUENTIAL PERSON OR A FAMILY MEMBER OR ASSOCIATE OF SUCH A PERSON *THIS WILL BE VERIFIED - Party 2 | INDIVIDUAL VERIFICATION DOCUMENTS | In addition to the above, please take note that we may require documentary proof for verification purposes at any stage of the transaction or business relationship of the following: | DECLARATION: I confirm that all the information completed on both the Company/Close Corporation FICA questionnaire together with the information completed on this Company/Close Corporation Representative FICA questionnaire IS CORRECT and that I have truthfully completed all such questions. I confirm further that the Company/Close Corporation on whose behalf I am acting as Representative does not trade in illegal activities. | % of ownership | Name & surname | Mobile no. | Home no. | Owner industry experience | ID number | Email Address | Physical address | Ethnicity | Town/City | Gender | Postal address | Town/City | % of ownership | Name & surname | Mobile no. | Home no. | Owner industry experience | ID number | Email Address | Physical address | Ethnicity | Town/City | Gender | Postal address | Town/City | % of ownership | Name & surname | Mobile no. | Home no. | Owner industry experience | ID number | Email Address | Physical address | Ethnicity | Town/City | Gender | Postal address | Town/City | Please select all that apply | Please select all that apply | Please select all that apply | HAVE YOU PREVIOUSLY DEALT WITH THE FIRM (BBB ATTORNEYS INC) AND IF SO, PLEASE SUPPLY A SUMMARY | WHAT IS THE NATURE OF YOUR CURRENT INTERACTION WITH THE FIRM (BBB ATTORNEYS INC) | FULL NAMES | ID/PASSPORT NUMBERS | RSA RESIDENT Party 1 | RSA RESIDENT Party 2 | IF NON-RESIDENT, PLEASE CONFIRM THE PLACE OF PERMANENT RESIDENCY | IF FOREIGN, PLACE OF BIRTH | RSA VISA ISSUED IF FOREIGN Party 1 | RSA VISA ISSUED IF FOREIGN Party 2 | INCOME TAX NUMBER | PLEASE CONFIRM TAX BASE IF NOT SOUTH AFRICA | MARITAL STATUS | ADDRESS (DOMICILIUM) | EMPLOYER | EMPLOYER CONTACT DETAILS | EMPLOYER ADDRESS | YOUR CONTACT NUMBER | YOUR CONTACT EMAIL | MAIN OCCUPATION | INDUSTRY OF TRADE | OTHER INDUSTRIES OF TRADE | COUNTRIES OF TRADE | DO YOU HOLD INTEREST IN ANY ENTITY (COMPANY OR TRUST) REGISTERED IN SOUTH AFRICA OR ABROAD | ARE YOU INVOLVED IN TRADING OF DUAL-USE GOODS SUBJECT TO EXPORT CONTROL OR IS THERE ANY CONNECTION WITH AN UNIVERSITY OR RESEARCH FACILITY INVOLVED IN THE RESEARCH OF DUAL-USE GOODS OR GOODS SUBJECT TO EXPORT CONTROL? | ARE YOU INVOLVED IN ACTIVITIES DIRECLTY OR INDIRECTLY LINKED WITH THE MANUFACTURING OR SALE OF ARMS OR WEAPONS? | textarea | textarea | PLEASE CONFIRM WITH WHICH BANK YOU HOLD YOUR MAIN ACCOUNT? | Are you prepared to share the proof of your banking account if so requested? - Party 1 | Are you prepared to share the proof of your banking account if so requested? - Party 2 | ARE YOU A DOMESTIC OR FOREIGN POLITICALLY EXPOSED OR INFLUENTIAL PERSON OR A FAMILY MEMBER OR ASSOCIATE OF SUCH A PERSON *THIS WILL BE VERIFIED - Party 1 | ARE YOU A DOMESTIC OR FOREIGN POLITICALLY EXPOSED OR INFLUENTIAL PERSON OR A FAMILY MEMBER OR ASSOCIATE OF SUCH A PERSON *THIS WILL BE VERIFIED - Party 2 | INDIVIDUAL VERIFICATION DOCUMENTS | In addition to the above, please take note that we may require documentary proof for verification purposes at any stage of the transaction or business relationship of the following: | DECLARATION: I confirm that all the information completed on this FICA questionnaire IS CORRECT and that I have truthfully completed all such questions. I confirm further that I do not trade in illegal activities. | Please select all that apply | Please select all that apply | Please select all that apply | HAS ANY OF THE PARTNERS OR THE PARTNERSHIP ITSELF HAD PREVIOUS DEALINGS WITH THE FIRM (BBB ATTORNEYS INC) | WHAT IS THE NATURE OF THE CURRENT INTERACTION WITH THE FIRM (BBB ATTORNEYS INC) | PARTNERSHIP NAME the trading name or name by which the Partnership is commonly known | INCOME TAX & VAT NO. | CONTACT NUMBER OF EACH PARTNER | CONTACT EMAIL | WHO ARE THE EXECUTIVE PARTNERS | INDUSTRY OF TRADE | COUNTRIES OF TRADE | MAIN COUNTRY OF TRADE | MAIN INDUSTRY OF TRADE | OTHER INDUSTRIES OF TRADE | Are you prepared to share the proof of your banking account if so requested? | Are you prepared to share the proof of your banking account if so requested? | ARE ANY OF THE PARTNERS OR EXECUTIVE MANAGERS INVOLVED IN TRADING OF DUAL-USE GOODS SUBJECT TO EXPORT CONTROL OR IS THERE ANY CONNECTION WITH AN UNIVERSITY OR RESEARCH FACILITY INVOLVED IN THE RESEARCH OF DUAL-USE GOODS OR GOODS SUBJECT TO EXPORT CONTROL? | ARE ANY OF THE PARTNERS OR EXECUTIVE MANAGERS INVOLVED IN ACTIVITIES DIRECLTY OR INDIRECTLY LINKED WITH THE MANUFACTURING OR SALE OF ARMS OR WEAPONS? | ANY PARTNER A DOMESTIC OR FOREIGN Politically Exposed or Influential Person OR A FAMILY MEMBER OR ASSOCIATE OF SUCH A PERSON *This will be verified | GENERAL SOURCE OF WEALTH OF EACH PARTNER IN THE PARTNERSHIP | PLEASE CONFIRM EACH PARTNER’S GENERAL SOURCE OF FUNDS IN RESPECT OF THE TRANSACTION | LIST ALL PRESENT PARTNERS’ FULL NAMES AND ID’S | LIST ALL AUTHORIZED REPRESENTATIVES’ NAME & ID | PLEASE CONFIRM THE OCCUPATION OF EACH PARTNER | PLEASE CONFIRM THE MAIN INDUSTRY OF TRADE FOR EACH PARTNER | We may also require documentary proof for verification purposes at any stage of the transaction or business relationship which may include the following items (please tick item off if provided): | PARTNERSHIP VERIFICATION DOCUMENTS - Please take note that we require documentary proof for verification purposes of the following items (please tick item off if provided): | DECLARATION: I confirm that all the information completed on both the PARTNERSHIP FICA questionnaire together with the information completed on this PARTNERSHIP Representative FICA questionnaire IS CORRECT and that I have truthfully completed all such questions. I confirm further that the PARTNERSHIP on whose behalf I am acting as Representative does not trade in illegal activities. | HAVE YOU PREVIOUSLY DEALT WITH THE FIRM (BBB ATTORNEYS INC) AND IF SO, PLEASE SUPPLY A SUMMARY | WHAT IS THE NATURE OF YOUR CURRENT INTERACTION WITH THE FIRM (BBB ATTORNEYS INC) | FULL NAMES | ID/PASSPORT NUMBERS | RSA RESIDENT - Party 1 | RSA VISA ISSUED IF FOREIGN - Party 1 | IF NON-RESIDENT, PLEASE CONFIRM THE PLACE OF PERMANENT RESIDENCY | IF FOREIGN, PLACE OF BIRTH | RSA VISA ISSUED IF FOREIGN - Party 1 | RSA VISA ISSUED IF FOREIGN - Party 2 | INCOME TAX NUMBER | PLEASE CONFIRM TAX BASE IF NOT SOUTH AFRICA | MARITAL STATUS | ADDRESS (DOMICILIUM) | EMPLOYER | EMPLOYER CONTACT DETAILS | EMPLOYER ADDRESS | YOUR CONTACT NUMBER | YOUR CONTACT EMAIL | MAIN OCCUPATION | INDUSTRY OF TRADE | OTHER INDUSTRIES OF TRADE | COUNTRIES OF TRADE | DO YOU HOLD INTEREST IN ANY ENTITY (COMPANY OR TRUST) REGISTERED ABROAD | ARE YOU INVOLVED IN TRADING OF DUAL-USE GOODS SUBJECT TO EXPORT CONTROL OR IS THERE ANY CONNECTION WITH AN UNIVERSITY OR RESEARCH FACILITY INVOLVED IN THE RESEARCH OF DUAL-USE GOODS OR GOODS SUBJECT TO EXPORT CONTROL? | ARE YOU INVOLVED IN ACTIVITIES DIRECLTY OR INDIRECTLY LINKED WITH THE MANUFACTURING OR SALE OF ARMS OR WEAPONS? | ARE YOU A DOMESTIC OR FOREIGN POLITICALLY EXPOSED OR INFLUENTIAL PERSON OR A FAMILY MEMBER OR ASSOCIATE OF SUCH A PERSON *THIS WILL BE VERIFIED - Party 1 | ARE YOU A DOMESTIC OR FOREIGN POLITICALLY EXPOSED OR INFLUENTIAL PERSON OR A FAMILY MEMBER OR ASSOCIATE OF SUCH A PERSON *THIS WILL BE VERIFIED - Party 2 | INDIVIDUAL VERIFICATION DOCUMENTS | In addition to the above, please take note that we may require documentary proof for verification purposes at any stage of the transaction or business relationship of the following: | DECLARATION: I confirm that all the information completed on both the PARTNERSHIP FICA questionnaire together with the information completed on this PARTNERSHIP Representative FICA questionnaire IS CORRECT and that I have truthfully completed all such questions. I confirm further that the PARTNERSHIP on whose behalf I am acting as Representative does not trade in illegal activities. | Please select all that apply | Please select all that apply | Please select all that apply | HAS THE TRUST, ANY TRUSTEE OR ANY BENEFICIARY HAD PREVIOUS DEALINGS WITH THE FIRM (BBB ATTORNEYS INC) | PLEASE CONFIRM THE NATURE OF THE TRUST’S INTERACTION WITH THE FIRM (BBB ATTORNEYS INC) | TRUST NAME | TRUST NUMBER | INCOME TAX & VAT NO. | ADDRESS | CONTACT NUMBER | CONTACT EMAIL | WHICH MASTER’S OFFICE ADMINISTERS THE TRUST | PLEASE CONFIRM WHERE THE TRUST IS REGISTERED, IF NOT SOUTH AFRICA? | NAMES AND ID NUMBER OF THE DONOR AND MAIN PLACE OF RESIDENCE OF THE DONOR | INDUSTRY OF TRADE | COUNTRIES OF TRADE | MAIN COUNTRY OF TRADE | MAIN INDUSTRY OF TRADE | OTHER INDUSTRIES OF TRADE | PLEASE CONFIRM WITH WHICH BANK THE TRUST HOLDS ITS MAIN ACCOUNT? | PLEASE CONFIRM WHETHER THE TRUST HOLDS ANY BANK ACCOUNTS WITH BANKING INSTITUTIONS OUTSIDE OF SOUTH AFRICA? | ARE ANY OF THE TRUSTEES OR BENEFICIARIES IN THE TRUST INVOLVED IN TRADING OF DUAL-USE GOODS SUBJECT TO EXPORT CONTROL OR IS THERE ANY CONNECTION WITH AN UNIVERSITY OR RESEARCH FACILITY INVOLVED IN THE RESEARCH OF DUAL-USE GOODS OR GOODS SUBJECT TO EXPORT CONTROL? | ARE ANY OF THE TRUSTEES OR BENEFICIARIES INVOLVED IN ACTIVITIES DIRECLTY OR INDIRECTLY LINKED WITH THE MANUFACTURING OR SALE OF ARMS OR WEAPONS? | ARE ANY TRUSTEE AND/OR BENEFICIARY A DOMESTIC OR FOREIGN POLITICALLY EXPOSED OR INFLUENTIAL PERSON OR A FAMILY MEMBER OR ASSOCIATE OF SUCH A PERSON *THIS WILL BE VERIFIED | GENERAL SOURCE OF WEALTH OF THE TRUST | PLEASE CONFIRM THE TRUST’S GENERAL SOURCE OF FUNDS IN RESPECT OF THE TRANSACTION | ALL PRESENT TRUSTEES FULL NAMES AND ID’S | ALL NAMED BENEFICIARIES’ NAMES AND IDs | AUTHORIZED REPRESENTATIVE TRUSTEE NAME AND ID | PLEASE CONFIRM THE OCCUPATION FOR EACH TRUSTEE AND EACH BENEFICIARY | PLEASE CONFIRM THE INDUSTRY/INDUSTRIES OF TRADE FOR EACH TRUSTEE AND BENEFICIARY | TRUST VERIFICATION DOCUMENTS Please take note that we require documentary proof for verification purposes of the following items (please tick item off if provided): | TRUSTS CREATED OUTSIDE OF SOUTH AFRICA: | We may also require documentary proof for verification purposes at any stage of the transaction or business relationship which may include the following items (please tick item off if provided): | DECLARATION: I confirm that all the information completed on both the Trust FICA questionnaire together with the information completed on this Trust Representative FICA questionnaire IS CORRECT and that I have truthfully completed all such questions. I confirm further that the Trust on whose behalf I am acting as Representative does not trade in illegal activities. | HAVE YOU PREVIOUSLY DEALT WITH THE FIRM (BBB ATTORNEYS INC) AND IF SO, PLEASE SUPPLY A SUMMARY | WHAT IS THE NATURE OF YOUR CURRENT INTERACTION WITH THE FIRM (BBB ATTORNEYS INC) | FULL NAMES | ID/PASSPORT NUMBERS | RSA RESIDENT - Party 1 | RSA RESIDENT - Party 2 | IF NON-RESIDENT, PLEASE CONFIRM THE PLACE OF PERMANENT RESIDENCY | IF FOREIGN, PLACE OF BIRTH | RSA VISA ISSUED IF FOREIGN - Party 1 | RSA VISA ISSUED IF FOREIGN - Party 2 | INCOME TAX NUMBER | PLEASE CONFIRM TAX BASE IF NOT SOUTH AFRICA | MARITAL STATUS | ADDRESS (DOMICILIUM) | EMPLOYER | EMPLOYER CONTACT DETAILS | EMPLOYER ADDRESS | YOUR CONTACT NUMBER | YOUR CONTACT EMAIL | MAIN OCCUPATION | INDUSTRY OF TRADE | OTHER INDUSTRIES OF TRADE | COUNTRIES OF TRADE | DO YOU HOLD INTEREST IN ANY OTHER ENTITY (COMPANY OR TRUST) REGISTERED ABROAD | ARE YOU INVOLVED IN TRADING OF DUAL-USE GOODS SUBJECT TO EXPORT CONTROL OR IS THERE ANY CONNECTION WITH AN UNIVERSITY OR RESEARCH FACILITY INVOLVED IN THE RESEARCH OF DUAL-USE GOODS OR GOODS SUBJECT TO EXPORT CONTROL? | ARE YOU INVOLVED IN ACTIVITIES DIRECLTY OR INDIRECTLY LINKED WITH THE MANUFACTURING OR SALE OF ARMS OR WEAPONS? | ARE YOU A DOMESTIC OR FOREIGN POLITICALLY EXPOSED OR INFLUENTIAL PERSON OR A FAMILY MEMBER OR ASSOCIATE OF SUCH A PERSON *THIS WILL BE VERIFIED - Party 1 | ARE YOU A DOMESTIC OR FOREIGN POLITICALLY EXPOSED OR INFLUENTIAL PERSON OR A FAMILY MEMBER OR ASSOCIATE OF SUCH A PERSON *THIS WILL BE VERIFIED - Party 2 | INDIVIDUAL VERIFICATION DOCUMENTS | In addition to the above, please take note that we may require documentary proof for verification purposes at any stage of the transaction or business relationship of the following: | DECLARATION: I confirm that all the information completed on both the Trust FICA questionnaire together with the information completed on this Trust Representative FICA questionnaire IS CORRECT and that I have truthfully completed all such questions. I confirm further that the Trust on whose behalf I am acting as Representative does not trade in illegal activities. | Please select all that apply | Please select all that apply | Please select all that apply | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1 | 1 | unread | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 2 | 2 | unread | Daren Faddy | daren@faddy.co.za | ALTERNATIVE JURISTIC PERSONS QUESTIONNAIRE | Agree |
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| 3 | 3 | unread | Daren Faddy | daren@faddy.co.za | ALTERNATIVE JURISTIC PERSONS QUESTIONNAIRE | test | test | test | test | test | test | test | test | test | test | test | test | test | test | test | Yes | test | Yes | Yes | test | test | Yes | test | test | test | test | test | test | Resolution of Authorised Signatories, Constitution; OR Founding documents; OR Other documents relating the founding of the legal juristic client, Certified extract from minutes proving authority, Letter of appointment, Power of manager, Mandate, Written instruction, Court order, Letterhead confirming operating address as well as trading name, Proof of Identification and authority for all Managers, Office Bearers and Authorised Signatories, Proof of Address for all Managers & Authorised Signatories | Tax Clearance/Official document from SARS confirming Income Tax Number, Completion of the FICA questionnaire for the natural person by all Managers, Office Bearers and Authorised Signatories, Proof of banking details, Proof of Source of Income (only if required) | Agree |
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| Copy of Green bar-coded South African ID/card or Passport if foreign and/or Residency VISA if applicable, Marriage Certificate and Antenuptial Agreement if applicable, Proof of Address (in the form of a utility bill, telephone account, lease agreement or alternatives issued by a 3rd party) | Tax Clearance/Official document from SARS confirming your Income Tax Number (if requested), Proof of banking details, Proof of Source of Income, Information regarding your Source of Wealth (only if required) | Agree | Salaried, Self Employed, Retired, Unemployed, Student, Minor | Allowance, Bursary, Company Profits, Company Sale or Sale of Interest in Company, Court Order, Director/Member of Company/CC, Director/Owner of own Business, Dividends from Investments, Divorce Settlement, Encashment Claim, Gift / Donation, Income from Employment, Inheritance, Loan, Lottery / Gambling Winnings, Maintenance, Maturing Investments, New Investments / Capital, Other, Pension, Private Capital Raise, Public Capital Raise, Sale of Asset / Property, Sale of Shares, Savings, Crypto currency, Deceased Estate | Allowance, Bursary, Company Profits, Company Sale or Sale of Interest in Company, Court Order, Director/Member of Company/CC, Director/Owner of own Business, Dividends from Investments, Divorce Settlement, Encashment Claim, Gift / Donation, Income from Employment, Income from Previous Employment, Inheritance, Loan, Lottery / Gambling Winnings, Maintenance, Maturing Investments, New Investments / Capital, Other, Pension, Private Capital Raise, Public Capital Raise, Sale of Asset / Property, Sale of Shares, Savings, Crypto currency, Deceased Estate | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 4 | 4 | unread | Nicky Nicky | nicky@faddy.co.za | ALTERNATIVE JURISTIC PERSONS QUESTIONNAIRE | Agree |
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| Agree | Salaried, Self Employed, Retired, Unemployed, Student, Minor |