Identification Information: Individual
Date *
Please select the type *
Sale
Resale
Full name of customer
Email
Do you have a UAE Golden Visa?
Yes
No
Nationality
Your nationality
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo (Brazzaville)
Congo (Kinshasa)
Costa Rica
Côte dIvoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
North Macedonia
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Sweden
Switzerland
Syria
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Passport Number *
Mobile number *
Telephone number
Service(s) Availed *
Buying
Selling
Leasing
Property Management
Are you a politically exposed person, or a close family member or associate of one? *
Yes
No
Home Address *
UAE Address
Is the customer part of a multi-national group?
Yes
No
Authorized to Operate the Account
Authorized Representative
Guradian
Self
Other? Specify
Power of Attorney/Guardian/Trusteeship/Other representative *
Yes
No
Details Of Property
Unit Details *
Describe the purpose of availing the service *
Residence
Warehouse
Office Space
Other? Specify
Estimated duration of holding the property/availing the service if it is renting. *
Renting
Other? Specify
Select the Years *
0-1 Year
1-3 Years
3-5 Years
more than 5 Years
Payment Details
Payment Methods *
Bank transfer
Cash
Cheque
Other? Specify
If payment mode is other than cash, Is the money flowing through the customer's own bank account? *
Yes
No
Currency
Afghan Afghani - AFN
Albanian Lek - ALL
Algerian Dinar - DZD
Angolan Kwanza - AOA
Argentine Peso - ARS
Armenian Dram - AMD
Aruban Florin - AWG
Australian Dollar - AUD
Azerbaijani Manat - AZN
Bahamian Dollar - BSD
Bahraini Dinar - BHD
Bangladeshi Taka - BDT
Barbadian Dollar - BBD
Belarusian Ruble - BYN
Belgian Franc - (historical, replaced by EUR)
Belize Dollar - BZD
Beninese CFA Franc - XOF
Bermudian Dollar - BMD
Bhutanese Ngultrum - BTN
Bolivian Boliviano - BOB
Bosnia and Herzegovina Convertible Mark - BAM
Botswana Pula - BWP
Brazilian Real - BRL
Brunei Dollar - BND
Bulgarian Lev - BGN
Burkina Faso CFA Franc - XOF
Burundian Franc - BIF
Cambodian Riel - KHR
Cameroonian CFA Franc - XAF
Canadian Dollar - CAD
Cape Verdean Escudo - CVE
Cayman Islands Dollar - KYD
Central African CFA Franc - XAF
CFP Franc - XPF
Chilean Peso - CLP
Chinese Renminbi (Yuan) - CNY
Colombian Peso - COP
Comorian Franc - KMF
Congolese Franc - CDF
Costa Rican Colón - CRC
Croatian Kuna - HRK
Cuban Peso - CUP
Czech Koruna - CZK
Danish Krone - DKK
Djiboutian Franc - DJF
Dominican Peso - DOP
East Caribbean Dollar - XCD
Egyptian Pound - EGP
Euro - EUR
Ethiopian Birr - ETB
Falkland Islands Pound - FKP
Fijian Dollar - FJD
Gambian Dalasi - GMD
Georgian Lari - GEL
Ghanaian Cedi - GHS
Gibraltar Pound - GIP
Guatemalan Quetzal - GTQ
Guinean Franc - GNF
Guyanese Dollar - GYD
Haitian Gourde - HTG
Honduran Lempira - HNL
Hong Kong Dollar - HKD
Hungarian Forint - HUF
Icelandic Króna - ISK
Indian Rupee - INR
Indonesian Rupiah - IDR
Iranian Rial - IRR
Iraqi Dinar - IQD
Israeli Shekel - ILS
Jamaican Dollar - JMD
Japanese Yen - JPY
Jordanian Dinar - JOD
Kazakhstani Tenge - KZT
Kenyan Shilling - KES
Kuwaiti Dinar - KWD
Kyrgyzstani Som - KGS
Lao Kip - LAK
Lebanese Pound - LBP
Lesotho Loti - LSL
Liberian Dollar - LRD
Libyan Dinar - LYD
Macedonian Denar - MKD
Malagasy Ariary - MGA
Malawian Kwacha - MWK
Malaysian Ringgit - MYR
Maldivian Rufiyaa - MVR
Malian CFA Franc - XOF
Mauritanian Ouguiya - MRU
Mauritian Rupee - MUR
Mexican Peso - MXN
Moldovan Leu - MDL
Mongolian Tögrög - MNT
Montenegrin Euro - EUR
Moroccan Dirham - MAD
Mozambican Metical - MZN
Myanmar Kyat - MMK
Namibian Dollar - NAD
Nepalese Rupee - NPR
New Zealand Dollar - NZD
Nicaraguan Córdoba - NIO
Nigerian Naira - NGN
North Korean Won - KPW
Norwegian Krone - NOK
Omani Rial - OMR
Pakistani Rupee - PKR
Panamanian Balboa - PAB
Papua New Guinean Kina - PGK
Paraguayan Guarani - PYG
Peruvian Sol - PEN
Philippine Peso - PHP
Polish Zloty - PLN
Qatari Riyal - QAR
Romanian Leu - RON
Russian Ruble - RUB
Rwandan Franc - RWF
Saint Helena Pound - SHP
Salvadoran Colón - SVC
Saudi Riyal - SAR
Senegalese CFA Franc - XOF
Serbian Dinar - RSD
Seychellois Rupee - SCR
Sierra Leonean Leone - SLL
Singapore Dollar - SGD
Sint Maarten Guilder - ANG
Slovak Koruna - (historical, replaced by EUR)
Slovenian Euro - EUR
Solomon Islands Dollar - SBD
Somali Shilling - SOS
South African Rand - ZAR
South Korean Won - KRW
South Sudanese Pound - SSP
Spanish Euro - EUR
Sri Lankan Rupee - LKR
Sudanese Pound - SDG
Tajikistani Somoni - TJS
Tanzanian Shilling - TZS
Thai Baht - THB
Tongan Pa'anga - TOP
Trinidad and Tobago Dollar - TTD
Tunisian Dinar - TND
Turkish Lira - TRY
Turkmenistani Manat - TMT
Tuvaluan Dollar - TVD
Ugandan Shilling - UGX
Ukrainian Hryvnia - UAH
United Arab Emirates Dirham - AED
United States Dollar - USD
Uruguayan Peso - UYU
Uzbekistan Som - UZS
Vanuatu Vatu - VUV
Venezuelan Bolivar - VED
Vietnamese Dong - VND
Yemeni Rial - YER
Zambian Kwacha - ZMW
Zimbabwean Dollar - ZWL
Please specify the payee *
Related party / Relative
Self
Shareholder / Beneficiary
Other? Specify
ID documents of individual customer *
ID type (Emirates ID/Passport Copy with Visa Page/National ID)
ID documents of representatives / beneficiaries / other parties involved in the business relationship
ID type (Emirates ID/Passport Copy with Visa Page/National ID)
Source of Income Proof *
Copy of PoA or its equivalent in case of dealing with dealing with the representatives of the customer
Salary Certificate/Bank Statement/Trade license/Approval
AML Details
Does the country have a branch/related party/place of operation in a high-risk/sancitoned jurisdiction? (Colombia, Peru, North Korea, Iran, Congo, Somalia, Syria) *
Yes
No
Does the country have a branch/related party/place of operation in a tax haven? (Cayman Islands, Mauritius, Isle of Man, Andorra, the Bahamas, Belize, Bermuda, the British Virgin Islands, the Cayman Islands, the Channel Islands, the Cook Islands, The Island of Jersey, Hong Kong, The Isle of Man, Mauritius, Lichtenstein, Monaco, Panama, St. Kitts and Nevis, British Virgin Islands, Bermuda) *
Yes
No
Is the customer listed on any recognised stock exchanges? (For legal persons) *
Yes
No
Other? Specify
Is the customer part of a multi-national group? *
Yes
No
Is there any adverse media reports/articles about the customer? *
Yes
No
Have the customer or its owners/directors/senior officers been fined/convicted by an authority for any money laundering/terrorist funding offences in the past? *
Yes
No
Is the customer or its owners/directors/senior officers a sanctioned entity under the Local or UNSC Lists? *
Yes
No
What business/industry does the customer operate in? *
Real Estate
Lawyers
Legal Consultant
Insurance
Banking
Money exchanges
Stock brokers
Auditors
Fund management
Corporate Services Provider
Dealer in precious stones/metals
Did the money flows originate from the place of the customer's residence (for individuals) or registration (for legal persons)? *
Yes
No
Are the transactions carried out in person? *
Yes
No
Is the money flowing through the customer's own bank account? *
Yes
No
Declaration *
I hereby confirm to the best of my knowledge and belief that the information contained in this form and any attachment hereto is true and correct. I will timely inform the service provider in writing of any subsequent material changes to the information provided herein/ attached hereto. wherein I hereby explicitly agree to abide by all AML/CFT Laws and Regulations of The UAE, including circulars, guidelines, notifications issued from time to time by the Ministry of Economy and goAML portal and attaching below certified true copies. I shall cooperate further with the service provider to provide Information which may be required during the course or after exiting my business relationship if requested for the purpose of regulatory reporting. Falsifying any information or incomplete form will result in rejection of the application by Seller.
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