B2C Client Self KYC | 1905 Jewels

Client Self KYC

In accordance with the laws and regulations of the United Arab Emirates please fill in the form below.

Title

Select a date

First Name

Last Name

Date of Birth

Phone

Emirates ID

Emirates ID Expiry Date

Passport Number

Passport Expiry Date

Street Address

Street Address Line 2

City

Postal / Zip code

Region/State/Province

If yes, please provide exposure details in respect of, (a) Positions held including applicable datesm (b) Dates of association with a PEP, if any (c) PEP Name and Country:

Source of Funds

Bank Account Name

Account Number

Currency

Bank Name

Account Type

IBAN Number

Bank Address

Source of Income

Copy of Emirates ID

Upload File

Copy of Passport

Upload File

Proof of Address

Recent Utility Bill

If any other documents attached please specify

Thanks for submitting!

Client Self KYC

Source of Funds

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