29 questions · live preview
Your company
Listed Company KYB Form
Listed company · Simplified · EU AMLR

1. Organisation details

Registered legal name*Art 22(1)(b)(i)
Legal form*Art 22(1)(b)(i)
Private limited companyPublic limited companyLimited liability partnershipGeneral or limited partnershipFoundationAssociation or societyCooperativeBranch of a foreign companyOther
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 ▾
Registered office address*Art 22(1)(b)(ii)
Principal place of business, if differentArt 22(1)(b)(ii)
Legal Entity Identifier (LEI), if you have oneArt 22(1)(b)(iii)
Contact email*
Contact phone

2. Management and authority

Directors, partners or board members: full names*Art 22(1)(b)(iii)
Person completing this form for the customer: full name, role and date of birth*Art 20(1)(i)
Proof of authority (power of attorney or board resolution), if acting for someone elseArt 20(1)(i)
Upload a file (PDF, JPG or PNG)

3. Beneficial owners

Regulated market where your shares are listed, and ticker symbol*

4. Occupation and business

Describe the main business activities*Art 20(1)(e), 25(e)

5. Purpose and expected activity

Why do you want to open this relationship, and what will you use it for?*Art 20(1)(c), 25(a)
Will you carry out transactions on behalf of, or for the benefit of, anyone else?*Art 20(1)(h)
No, only for myself or this organisationYes, explain below

6. Politically exposed persons

Do you, or does any beneficial owner, director or authorised signatory, hold a prominent public function now or in the last 12 months?*Art 20(1)(g), 42, 45
NoYes, give details below
Is any of them a family member or known close associate of such a person?*Art 46
NoYes, give details below

7. Sanctions and other declarations

Are you, or is any beneficial owner, director or related company, named on a sanctions list (UN, EU, UK or US)?*Art 20(1)(d)
NoYes, explain below

8. Tax residency

Tax identification numberArt 22(1)(a)(iv), (b)(iii)

9. Documents to provide

Certificate of incorporation or recent extract from the official register*Art 22(6)
Upload a file (PDF, JPG or PNG)

10. 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
I understand my information will be used to meet anti-money laundering obligations and kept for at least 5 years after the relationship ends.*Art 77
I agree
Name, position and signature*
Date*
DD / MM / YYYY

11. For internal use

Screening: sanctions, PEP and adverse media for the customer, beneficial owners and directors (date and result)*Art 20(1)(d), (g)
Customer risk rating and reason*
LowMediumHigh
Next review date*Art 26(2)
DD / MM / YYYY
Reviewed by (name and date)*

About this template

A short KYB form for companies listed on a regulated market. Ownership is already public, so it asks for the market and ticker instead of a full beneficial ownership breakdown.

When to use it

Use it for companies whose shares trade on a regulated market with disclosure rules.

Core requirements covered

10 of 10 core requirements of EU AMLR.

  • Identify and verify the customer✓
  • Verify identity from a document or eID✓
  • Identify the beneficial owners✓
  • Purpose and intended nature✓
  • Targeted financial sanctions✓
  • Nature of the customer's business✓
  • Ongoing monitoring✓
  • Politically exposed persons✓
  • On behalf of someone else✓
  • Authority of the person acting✓

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.

Businesses

Company KYB Form

A know your business form for private limited companies. It covers the registered details, directors, beneficial owners, business activity, expected transactions, sanctions and the documents to provide.

54 questionsEU AMLR
Businesses

Partnership KYB Form

A KYB form for general partnerships, limited partnerships and LLPs. It identifies the partners, the people who control the partnership and the partnership agreement.

54 questionsUK MLRs 2017

Send this form as a secure online form

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.