Royal Precious Gold Refinery
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Section A — Applicant Type

Personal Information

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Utility Bill, Lease, or Bank Statement
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Photo Page
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if applicable
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Selfie with ID

Company Information

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Professional & Business Information

Are you an authorized representative of a company? *
Do you have access to any gold mines or extraction sources? *
Do you or your company hold any valid gold trade or export licenses? *
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Have you participated directly in the gold supply chain before? *
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Required Documents & Attachments

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Source Certificates, Contracts, Invoices, Bill of Lading, etc.
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AML Compliance Questionnaire

Are you or your company listed on any international sanctions lists? *
Are you or your company a Politically Exposed Person (PEP) or related to one? *
Have you or your company ever been convicted of any financial or criminal offenses? *
Are you willing to provide additional supporting documents if requested? *

Declaration & Signature

Saih Shuaib 2, Plot No. 176-0, P1 / Block I, Dubai Industrial City, Dubai, UAE Mail: Info@royalpreciousgoldrefinery.com +971 55 814 7363

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