Client's Registration Form

Client’s Form and Declaration (Anti-Money Laundering)

DEAR CLIENT, in compliance with Legislative Decree n. 231/2007 and subsequent amendments and additions, and assuming full civil, administrative and criminal responsibility for any false or untrue statement, you are required to provide the necessary and up-to-date information to enable the Firm to fulfil its AML obligations.

Customer’s details (natural person or legal representative)

Name and Family name *

Place and date of birth *

Residential Address *

Tax Code *

Profession *

Identity Document *

Identity Document number *

Issued by *

Valid until *

Politically Exposed Person (PEP) status *

to be a PEP NOT to be a PEP

If applicable, please specify the reasons below.

Reasons (if any)

Customer’s details (other than a natural person)

Company or Entity’s name

Registered office in

Tax Code / VAT Number

Position / qualification of the Legal Representative

Document proving the powers of the Legal Representative

Details of the professional service

Brief description of the nature and purpose of the requested professional service *

Value of the transaction subject to the professional service *

Amount in euros (if applicable)

Fill only if you selected “Euros (amount specified)”.

Details of the beneficial owner

Name and Family name *

Place and date of birth *

Residential Address *

Tax Code *

Profession *

Identity document *

Identity document number *

Issued by *

Valid until *

If the Customer is unable to identify the beneficial owner, state reasons

Details of the source of the funds

Please describe the source of funds *

Declarations

I declare, under my full responsibility, that the details/information provided are true.

I acknowledge that failure to provide information may hamper the Firm’s capacity to carry out the requested professional service.

I undertake to communicate without delay any integration/variation to the information provided.

Date *

Signature (type full name) *

Note: this is not a qualified e-signature; use eIDAS tools if needed.

Attachments (required)

Passport / ID copy *

Accepted: PDF/JPG/PNG

Utility bill (proof of address) *

Accepted: PDF/JPG/PNG

For companies: Certificate of Incorporation (if applicable)

For companies: Legal representative appointment (if applicable)

PLEASE ATTACH COPY OF YOUR PASSPORT/ID AND UTILITY BILL. FOR COMPANIES: PLEASE ATTACH COPY OF CERTIFICATE OF INCORPORATION WITH LEGAL REPRESENTATIVE APPOINTMENT.

I have read and accepted Privacy Terms and Conditions *

Customer’s details (natural person or legal representative)

Customer’s details (other than a natural person)

Details of the professional service

Details of the beneficial owner

Details of the source of the funds

Declarations

Attachments (required)

Italy

United Kingdom

Bulgaria

Helpline

Search

Newsletter

Client’s Registration Form

Customer’s details (natural person or legal representative)

Customer’s details (other than a natural person)

Details of the professional service

Details of the beneficial owner

Details of the source of the funds

Declarations

Attachments (required)

Footer

Italy

United Kingdom

Bulgaria

Helpline

Search

Newsletter