As a valued business partner of the Interwetten Group we are sure that you will appreciate the need for us to ensure that we comply with all regulations applicable to our industry. Your cooperation to this effect is much appreciated.
The Directive (EU) 2015/849 of the European Parliament and of the Council of 20 May 2015 (4
th AMLD) on the prevention of the use of the financial system for the purposes of money laundering or terrorist financing requires entities to conduct a due diligence process for identification and verification purposes. Interwetten is obliged by law to request information from its counterparties. For this purpose, we kindly ask that you print this email and provide the information requested along with the documentation detailed in the Appendix below (if applicable).
Please send this form and the enclosures to
compliance@interwetten.com. For certified documents, please forward the originals to the address below:
Interwetten Group Compliance Department
2
nd Floor
Global Capital Building
Testaferrata Street
Ta’ Xbiex, XBX1403
Malta
Many thanks for your assistance and we look forward to receiving the requested information and/or documentation in due course however, at latest within 20 days from receipt of this request. Please do not hesitate to direct any queries you might have to
compliance@interwetten.com.
Best regards
Sharon Stanforth
Compliance Assistant
Data:
Company Name:
Company Registration Number:
Registered address:
Tax Identification Number (TIN):
Year of establishment:
Contact person:
Email:
Telephone Number:
Are you or is any Owner, Director or member of the Senior Management Team of the company you represent a Politically Exposed Person or is closely related to a Politically Exposed Person ?
I hereby declare that the information provided in this due diligence form is true and accurate and that the company and the services it provides are compliant with the applicable laws and regulations.
Name of Director:
Signature of Director:
Date:
Appendix
Due diligence information request
Documentation:
· Certified copy of identification document for the Key Account Manager who is authorised to sign contracts on behalf of the company and for any contact person to the Interwetten Group
· Proof of residential address (e.g. a utility bill or other document bearing the name and address and dated within the last six months) for the Key Account Manager
· Current Police record for the Key Account Manager
· Certificate of company incorporation
· Extract from the Company Registry
· List of Beneficial Owners with more than 25% shareholding
· Agreements on fiduciary agreements regarding the company's assets (if applicable)