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Section A — Applicant Type
Applicant Type
*
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Individual
Legal Entity (Company)
Personal Information
Full Name
*
Date of Birth
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Nationality
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Passport / National ID Number
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Passport Issue Date
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Passport Expiry Date
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Place of Issue
Mobile Number (with Country Code)
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Email Address
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Residential Address
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Proof of Address
*
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Utility Bill, Lease, or Bank Statement
Passport Copy
*
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Photo Page
ID Card Copy
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if applicable
Selfie Holding ID or Passport
*
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Selfie with ID
Company Information
Full Company Name
*
Company Registration Number
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Country of Incorporation
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Date of Incorporation
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Registered Office Address
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Names of Directors / Board Members
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Ultimate Beneficial Owners (UBOs) & Ownership Percentage
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Certificate of Incorporation
*
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Memorandum / Articles of Association
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ID Copies of Directors / Beneficial Owners
*
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Company Bank Account Number / IBAN
Recent Company Bank Statement (Last 3–6 Months)
*
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Export / Trade Profile
Professional & Business Information
Trade / Company Name
Are you an authorized representative of a company?
*
Yes
No
Office or Business Address
Official Website
Business Profile Links
Description of Professional Background and Experience in Gold Trading
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Maximum / Minimum Gold Access or Supply Capacity
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Do you have access to any gold mines or extraction sources?
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Yes
No
Please describe and attach supporting documents.
*
Do you or your company hold any valid gold trade or export licenses?
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Yes
No
Attach a Copy
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Have you participated directly in the gold supply chain before?
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Yes
No
Provide sample contracts, invoices, or Bill of Lading documents
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Required Documents & Attachments
Certificate of Incorporation
*
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CEO Passport or ID
*
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Proof of Address
*
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Gold Origin Documents
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Source Certificates, Contracts, Invoices, Bill of Lading, etc.
Sample Trade Invoice or Contract
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Trade References
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Industry Compliance or Certification Documents
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AML Compliance Questionnaire
Are you or your company listed on any international sanctions lists?
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Yes
No
Are you or your company a Politically Exposed Person (PEP) or related to one?
*
Yes
No
Have you or your company ever been convicted of any financial or criminal offenses?
*
Yes
No
Please describe the main source of your gold or capital
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Are you willing to provide additional supporting documents if requested?
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Yes
No
Declaration & Signature
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