Anglo-Suisse Capital Limited - Client identification form
Please fill in the details below. Anglo-Suisse Capital Limited, being regulated by the UK Financial Conduct Authority, is obliged to carry out client identification procedures to assist in know-your-client and anti-money-laundering provisions. This form can be submitted even if not complete.
Full name of client (or controller of client)
Registered number
Registered address in country of incorporation
Street address
Street address line 2
Town, city
County, state, province
Post code, zip code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Business address same as registered address?
Yes
No
Business address
Street address
Street address line 2
Town, city
County, state, province
Post code, zip code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Telephone number
-
Country code
Number
Website
Annual report
Upload a File
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of
Memorandum & articles of association
Upload a File
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of
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Client classification
Under the rules of the UK Financial Conduct Authority, clients have to be classified. Market counterparties are generally other regulated firms. Anglo-Suisse Capital Limited is not allowed to deal with Retail clients. The most common category for corporate clients is Elective professional client.
Client classification
Market counterparty
De facto professional client
Elective professional client
Retail client
Client classification letter
Received/attached
In progress
To request
Not required
Client classification letter
Upload a File
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of
Financially regulated
Yes
No
Regulator
Regulated number
Quoted on a stock exchange
Yes
No
Stock exchange
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Control
List of directors
Directors' register or extract
Upload a File
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of
List of controllers of 25% or more of shares or voting rights
Shareholders' register or extract
Upload a File
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Directors
Passport and utility bill equivalents bearing collectively photographs, date of birth and residential address must be supplied for at least two directors.
Director 1 name
Director 1 date of birth
-
Day
-
Month
Year
Date Picker Icon
Note: in place of a passport, the following documents may be used: photocard driving licence, national identity card, firearms certificate
Director 1 passport
Received/attached
In progress
To request
Not required
Director 1 passport
Upload a File
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of
Director 1 passport number
Director 1 passport expiry
-
Day
-
Month
Year
Date Picker Icon
Director 1 residential address
Director 1 utility bill
Received/attached
In progress
To request
Not required
Director 1 utility bill
Upload a File
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of
Director 1 utility bill date
-
Day
-
Month
Year
Date Picker Icon
Sole director?
Yes
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Directors (continued)
Director 2 name
Director 2 date of birth
-
Day
-
Month
Year
Date Picker Icon
Director 2 passport
Received/attached
In progress
To request
Not required
Director 2 passport
Upload a File
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of
Director 2 passport number
Director 2 passport expiry
-
Day
-
Month
Year
Date Picker Icon
Director 2 residential address
Director 2 utility bill
Received/attached
In progress
To request
Not required
Director 2 utility bill
Upload a File
Cancel
of
Director 2 utility bill date
-
Day
-
Month
Year
Date Picker Icon
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Shareholders
Any entity which controls more than 25% of the capital or votes of a client must also undergo the same client identification procedures. Please note prior to submission connected clients.
Any major shareholders (over 25%) or contollers
Yes
No
Major shareholder 1 name
Major shareholder 1 %
Major shareholder 1 client identification
Complete
In progress
To request
Not required
Major shareholder 2 name
Major shareholder 2 %
Major shareholder 2 client identification
Complete
In progress
To request
Not required
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Submission
Additional information (including related clients)
Client identification
Complete
In progress
Outstanding items / notes
Other document to upload
Upload a File
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of
Name of submitter
*
Company
Position
E-mail address
Telephone
-
Code
Number
I certify the above is correct
Should be Empty: