An enhanced KYB form for businesses that handle a lot of cash, such as restaurants, car washes, convenience stores and dealers in high-value goods.
Use it when most of the customer’s takings are in cash.
7 of 7 core requirements of FATF Recommendations.
Every question can be removed, reworded, reordered or made optional in the editor. You can add your own questions and fields too.
| Question | Field type | Section | Legal basis |
|---|---|---|---|
| Registered legal name * | Text | Organisation details | R.10 |
| Trading names or brands | Text | Organisation details | Good practice |
| Legal form * | Single choice | Organisation details | R.10 |
| Registration number and name of the register * | Text | Organisation details | Good practice |
| Country of incorporation or registration * | Country | Organisation details | Good practice |
| Year of incorporation | Number | Organisation details | Good practice |
| Registered office address * | Long text | Organisation details | R.10 |
| Principal place of business, if different | Long text | Organisation details | R.10 |
| Legal Entity Identifier (LEI), if you have one | Text | Organisation details | Good practice |
| Website | Text | Organisation details | Good practice |
| Countries where you operate | Text | Organisation details | Good practice |
| Contact email * | Organisation details | Good practice | |
| Contact phone | Phone | Organisation details | Good practice |
| Directors, partners or board members: full names * | Long text | Management and authority | R.10 |
| Senior managing official (CEO, managing director or equivalent) * | Text | Management and authority | R.10 |
| Person completing this form for the customer: full name, role and date of birth * | Long text | Management and authority | R.10 |
| Proof of authority (power of attorney or board resolution), if acting for someone else | File upload | Management and authority | Good practice |
| Are any shares or directorships held by a nominee? * | Single choice | Management and authority | Good practice |
| Constitutional documents (articles of association or partnership agreement) * | File upload | Management and authority | R.10 |
| Does any person own or control 25% or more of the organisation, directly or through other companies? * | Single choice | Beneficial owners | R.24 |
| For each beneficial owner: full name, date and place of birth, nationality, residential address, percentage held and whether held directly or indirectly * | Long text | Beneficial owners | R.10 |
| 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 * | Long text | Beneficial owners | R.10 |
| Identity documents of the beneficial owners | File upload | Beneficial owners | Good practice |
| Describe the main business activities * | Long text | Occupation and business | R.10 |
| Industry * | Single choice | Occupation and business | Good practice |
| Number of employees and annual turnover | Text | Occupation and business | Good practice |
| Is the business licensed or regulated? If yes, by whom, with licence number | Text | Occupation and business | Good practice |
| Main customers and suppliers, and the countries they are in * | Long text | Occupation and business | Good practice |
| Why do you want to open this relationship, and what will you use it for? * | Long text | Purpose and expected activity | R.10 |
| Which products or services will you use? * | Multiple choice | Purpose and expected activity | Good practice |
| Expected value of transactions per month (EUR or equivalent) * | Single choice | Purpose and expected activity | Good practice |
| Expected number of transactions per month | Single choice | Purpose and expected activity | Good practice |
| Main countries you will send money to or receive it from * | Long text | Purpose and expected activity | Good practice |
| Will you pay in or withdraw cash? Roughly how much? * | Single choice | Purpose and expected activity | Good practice |
| Will you carry out transactions on behalf of, or for the benefit of, anyone else? * | Single choice | Purpose and expected activity | R.10 |
| Do you expect any large or one-off transactions? Describe them and why. * | Long text | Purpose and expected activity | Good practice |
| Where will the money for this relationship come from? * | Multiple choice | Source of funds and wealth | R.10 |
| Bank and country of the account the funds will come from | Text | Source of funds and wealth | Good practice |
| How was your overall wealth built up? (source of wealth) * | Long text | Source of funds and wealth | R.12 |
| Evidence of source of funds and wealth (for example payslips, sale contract, audited accounts) * | File upload | Source of funds and wealth | Good practice |
| Will your first payment come from an account in your own name at a bank that applies customer due diligence? * | Single choice | Source of funds and wealth | Good practice |
| Do you, or does any beneficial owner, director or authorised signatory, hold a prominent public function now or in the last 12 months? * | Single choice | Politically exposed persons | R.12 |
| Is any of them a family member or known close associate of such a person? * | Single choice | Politically exposed persons | R.12 |
| If yes: name, position, country and dates in office | Long text | Politically exposed persons | Good practice |
| Are you, or is any beneficial owner, director or related company, named on a sanctions list (UN, EU, UK or US)? * | Single choice | Sanctions and other declarations | R.6 |
| Is the organisation owned 50% or more, together, or otherwise controlled by sanctioned persons? * | Single choice | Sanctions and other declarations | Good practice |
| Do you do business in, with, or through comprehensively sanctioned countries or regions? * | Single choice | Sanctions and other declarations | Good practice |
| Has the customer, any owner or any director been convicted of, or investigated for, a financial crime? * | Single choice | Sanctions and other declarations | Good practice |
| Countries of tax residence | Text | Tax residency | Good practice |
| Tax identification number | Text | Tax residency | Good practice |
| Are you a US person for tax purposes? | Single choice | Tax residency | Good practice |
| Certificate of incorporation or recent extract from the official register * | File upload | Documents to provide | R.10 |
| Register of shareholders or members | File upload | Documents to provide | Good practice |
| Latest financial statements * | File upload | Documents to provide | Good practice |
| I confirm the information in this form is true and complete, and I will tell you promptly if it changes. * | Checkbox | Declaration and signature | Good practice |
| I understand my information will be used to meet anti-money laundering obligations and kept for at least 5 years after the relationship ends. * | Checkbox | Declaration and signature | Good practice |
| Name, position and signature * | Text | Declaration and signature | Good practice |
| Date * | Date | Declaration and signature | Good practice |
| Screening: sanctions, PEP and adverse media for the customer, beneficial owners and directors (date and result) * | Long text | For internal use | R.6, R.12 |
| Customer risk rating and reason * | Single choice | For internal use | R.1, R.10 |
| Senior management approval (name and date) * | Text | For internal use | R.12 |
| Next review date * | Date | For internal use | R.10 |
| Reviewed by (name and date) * | Text | For internal use | Good practice |
Cash leaves no trail, so illegal money can be mixed into real takings.
Expected cash deposits, latest financial statements and main customers and suppliers.
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With complead KYC Forms your customers fill in the form online, under your logo. Answers land on the customer record and every name is screened automatically.
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