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Your company
Beneficial Ownership Declaration
Private company · Standard · EU AMLR

1. Organisation details

Registered legal name*Art 22(1)(b)(i)
Registration number and name of the register*Art 22(1)(b)(iii)
Country of incorporation or registration*Art 22(1)(b)(ii)
Select a country ▾

2. Management and authority

Are any shares or directorships held by a nominee?*Art 22(1)(b)(iv)
NoYes, explain below

3. Beneficial owners

Does any person own or control 25% or more of the organisation, directly or through other companies?*Art 51, 52
YesNo
For each beneficial owner: full name, date and place of birth, nationality, residential address, percentage held and whether held directly or indirectly*Art 62(1)(a), (b)
People who control the organisation by other means (voting rights, right to appoint directors, agreements), or if no one meets the threshold, the senior managing official*Art 51, 52
Identity documents of the beneficial ownersArt 22(7)
Upload a file (PDF, JPG or PNG)

4. Declaration and signature

I confirm the information in this form is true and complete, and I will tell you promptly if it changes.*Art 26
I agree
Name, position and signature*
Date*
DD / MM / YYYY

About this template

A declaration where a company names everyone who owns or controls 25% or more of it, directly or indirectly, and anyone who controls it by other means.

When to use it

Use it when you only need to collect or refresh the ownership information of a business customer.

What it covers

This is a focused form. It collects only what this declaration needs. For full onboarding, pair it with a complete KYC or KYB form.

Edit it before you use it

Every question can be removed, reworded, reordered or made optional in the editor. You can add your own questions and fields too.

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