Implementation Guidance Ep 200 Ig 2 - Anti-Money Laundering And Countering The Financing Of Terrorism - Institute Of Singapore Chartered Accountants Page 21
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47EP 200 IG 2
FORM A
(BENEFICIAL OWNER)
Please complete a Form A for each and every beneficial owner (BO) that the
company has.
In situations where no individual can be identified as a BO, please complete a
10
Form A for each and every person having executive authority
in the company.
All information requested in this form is required to be provided in full for client
acceptance. The information declared must be true and correct. Documents to
verify the information will be requested.
This form is not required for entities that are listed in Annex 1, unless requested
by the professional firm.
SECTION A: PERSONAL PARTICULARS
Full name:
Aliases (if any):
Identity card or passport
11
number
:
Nationality
(please indicate all nationalities):
Date of birth:
Residential address:
Telephone number:
Email address:
State reason for being a BO (e.g.
own 30% of shares of the
company):
10
Examples of persons having executive authority in a company include the Chairman and the Chief Executive Officer.
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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 identification
document (e.g. birth certificate).
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