22 questions · live preview
Your company
Supplier Due Diligence Form
Private company · Standard · FATF Recommendations

1. Organisation details

Registered legal name*R.10
Legal form*R.10
Private limited companyPublic limited companyLimited liability partnershipGeneral or limited partnershipFoundationAssociation or societyCooperativeBranch of a foreign companyOther
Registration number and name of the register*
Country of incorporation or registration*
Select a country ▾
Registered office address*R.10
Website
Countries where you operate

2. Management and authority

Directors, partners or board members: full names*R.10
Person completing this form for the customer: full name, role and date of birth*R.10

3. Beneficial owners

Does any person own or control 25% or more of the organisation, directly or through other companies?*R.24
YesNo
For each beneficial owner: full name, date and place of birth, nationality, residential address, percentage held and whether held directly or indirectly*R.10

4. Occupation and business

Describe the main business activities*R.10
Is the business licensed or regulated? If yes, by whom, with licence number
Which goods or services will you supply to us?*Sector questionSector

5. 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)?*R.6
NoYes, explain below
Is the organisation owned 50% or more, together, or otherwise controlled by sanctioned persons?*
NoYes, explain below
Do you do business in, with, or through comprehensively sanctioned countries or regions?*
NoYes, explain below
Has the customer, any owner or any director been convicted of, or investigated for, a financial crime?*
NoYes, explain below

6. Documents to provide

Certificate of incorporation or recent extract from the official register*R.10
Upload a file (PDF, JPG or PNG)

7. Declaration and signature

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

About this template

A due diligence form for suppliers and vendors. It covers the company, its owners, what it supplies and whether it is touched by sanctions.

When to use it

Use it before you sign a new supplier, especially one in another country.

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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