Implementation Guidance Ep 200 Ig 2 - Anti-Money Laundering And Countering The Financing Of Terrorism - Institute Of Singapore Chartered Accountants Page 15

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EP 200 IG 2
CLIENT INFORMATION FORM
(COMPANY)
5
SECTION D: PERSON HAVING EXECUTIVE AUTHORITY
Full name (and state aliases, if any):
Identity card or passport
Position in / relationship with
6
number
:
company:
7
SECTION E: PERSONS ACTING ON BEHALF OF COMPANY
1.
Please list the full names and relationship with the company for all persons acting on behalf of the
company.
Full Name
Relationship
1.
2.
3.
Please complete a Form B for each and every person acting on behalf of
Yes (See Form B) / NA
2.
the company.
5
Examples of persons having executive authority in a company include the Chairman and the Chief Executive Officer.
6
Identity card number is preferred where applicable, such as for Singapore citizens and Singapore Permanent Residents. If identity
card or passport number is not available, consider other unique identification number from a reliable and independent identif ication
document (e.g. birth certificate).
7
A person appointed to act on behalf of the client may be an officer of the company who enters into the business relationship with
the professional firm/professional accountant on behalf of the company. This person is usually the one wh o signs the engagement
letter with the professional firm on behalf of the client. Alternatively, the person may be an agent (individual or entity) appointed by
the client to act on its behalf.
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