Registration Form

Please fill out the forms to the fullest details and kindly sign it off and attach details as per section 4.

* Company’s Legal Name

* Type of Company (Public/ Private/Listed/Other)

* Date of Incorporation

* Place of Incorporation

* Registration Number

* Registration Place/Authority

* Country of VAT registration

* Paid-up Share Capital

Registered Address

* Phone No.

* Email

* Address

* Operating Address, If different from above.

* Business Activity

Ultimate Beneficial owner (Name and Share %)

* Shareholders Name

* Share %

*Shareholders Name

Share %

Shareholders Name

Share %

2. Company’s Board of Directors and Executive Management Information

2.1. Please furnish the following information about company's directors and managers:

Managing Directors

Name

DOB

Nationality

Email Address

Director

* Name

* DOB

* Nationality

* Email Address

CEO

Name

Email Address

Trader/Sales Manager

* Name

* Email Address

Operations PIC

* Name

* Email Address

Finance PIC

* Name

* Email Address

3. Financial Information

Company’s Banking Details

* Principal Bank Name

* Address

* Beneficiary Account Name

* IBAN / Account No

* Swift Code / Fedwire Ref.

* Correspondent Bank & Swift

4. Documents to be enclosed

Please enclose the following documents with the filled-in questionnaire.

Registration copy / Trading License copy / Incorporation certificate.

Copies of audited financial reports/statements for the three most recent complete financial years.

Bank reference letter / Letter of Good Standing – The letter from the bank on the bank letterhead must include the Account holder's name (the counterparty's name), IBAN Number, (or Account Number if the country is not using the IBAN system) and Account’s Currency.

Company Profile

List of vessels owned/chartered/operated/managed and recent fixtures.

Owners / Directors / Authorized Signatory - ID / Passport copy.

6. Sanctions Compliance Verification Statement

Customer represents and warrants that neither it, nor any person or entity that owns or controls it, is a designated target of economic trade sanctions promulgated by the U.S., E.U, U.N., UAE, or the country of origin of the goods (“Sanction Laws”). All information and data provided are true and customer abides with all the information.

Signature

* Name

* Date

* Place

Registered Address

Ultimate Beneficial owner (Name and Share %)

2. Company’s Board of Directors and Executive Management Information

3. Financial Information

4. Documents to be enclosed

6. Sanctions Compliance Verification Statement

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