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Appendix 6 - Sample File Forms

Sample File Forms

Firm Name

Verification of Identity

 (For use where the client or the third party is an individual)

Name:                                                                                                                         _     _        

Address:                                                                                                                      _      _      

Phone No:                                                                                                                    _       _    

Business Address:                                                                                                                _  

Business Phone No:                                                                                                               

Occupation(s)                                                                                                                        _   


Original Document Reviewed - Copy Attached  

□ Driver's Licence

□ Birth Certificate

□ Passport

□ Other(specify type)            _________________________________________

Meeting Date Identity Verified:                                                                                                

Identity Verified By:                                                                                                                      

Date File Reviewed by Lawyer:                                                                                               

Name of Lawyer:                                                                                                                           

Firm Name

Verification of Identity

(For use where the client or the third party is an organization)

Name:                                                                                                                                    _  

Business Address:                                                                                                                _ 

Business Phone No:                                                                                                               

Incorporation or Business Identification No:                                                              

Place of Issue of No:                                                                                                              

Type of Business or Activity:                                                                                             


Person Authorized to Instruct

Name:                                                                                                                                     

Position:                                                                                                                                 

Phone No:                                                                                                                              
 

Original Document Reviewed - Copy Attached

□ Driver's Licence

□ Birth Certificate

□ Passport

□ Other(specify type)                                                                                                                                            

Names and Occupation(s) of Directors 

                                                                                                                                                                              

Names,  Addresses  and  Occupation(s)  of  Owners  or  Shareholders  owning  a  25% interest or more of the organization or shares in the organization 

                                                                                                                                                                              
 

Original Document Reviewed - Copy Attached

□ Certificate of Corporate Status

□ Annual Filings of the Organization (specify type)                                                           

□ Partnership Agreement

□ Trust Agreement

□ Articles of Association

□ Other (specify type)                                                                                                                     

 

Meeting Date Identity Verified:                                                                                               

Identity Verified By:                                                                                                                      

Date File Reviewed by Lawyer:                                                                                               

Name of Lawyer:                                                                                                                 ____