Account Ownership and Activity Questionnaire

Please complete the form below

Complete this form as indicated in each section. Remember to be as detailed as possible. All applicable fields must be completed in their entirety.

Basic Information

Format: DD/MM/YYYY
Please choose the Total Number of Employees
Please choose the Total Number of Offices


Ownership History

You must identify an ownership structure. Please determine if your Company is publicly owned, government owned, or privately owned.

Nominee Owners & Directors

A Nominee Director is a person who lends his or her name as a Director of an Entity. The nominee Director acts according to the instructions of the Beneficial Owner.

Does your Company have the ability to designate Nominee Owners &/or Directors?

Foreign Bank

As defined according to 31 CFR 1010.100(u), a foreign bank is a bank organized under foreign law, or an agency, branch or office located outside the United States of a bank. The term does not include an agent, agency, branch or office within the United States of a bank organized under foreign law.


Regulatory Registration

Directors & Senior Management

Please list your Director(s) and Key Management's name, title and location.

  • Directors The people appointed by an Entity to lead or supervise.
  • Senior Management The people who have authority and responsibility for planning, directing, and controlling the activities and finances of an Entity.
  • Members of the Board of Directors If no formal Board of Directors appointed, please list names of the members of the equivalent management body and senior persons responsible for the operation of the body corporate.
  • Individuals who exert significant influence of the body corporate.

Do you want to add another director or manager?

Authorization and Signature

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Thank You

Your information has been received and will be processed shortly. Please allow 1-2 business days for your form to be reviewed.

Reminder: Additional information and/or documents may be required in order to complete your application. Once we have reviewed your submitted document(s), you will be contacted regarding the next steps of the application process.