Due Diligence Questionnaire | Ovamba Solutions Inc

VERIFICATION OF IDENTITY OF BENEFICIAL OWNER* and SOURCE OF FUNDS

Section A – Verification Subject (Where the Beneficial Owner is an individual – See Section B if not an individual)

Full name

Identity Number (Attach copy of Government identification)

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Nationality and Date of Birth

Permanent Residential Address

Telephone Number

Section B – Verification Subject (Where the Beneficial Owner is not an individual)

Full name

Identity Number (Attach copy of government identification & Company Registration Documents)

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Permanent Business Address

Telephone Number

Source of Funds verification

Full description of the source of funds to be deposited or transferred in the accounts of the Company** with supporting documentary evidence where available.

Certification

Full name

Authorised Person (If applicable)

Capacity

Signature

Date (dd mm yyyy)

* The document should be filled in for each beneficial owner.

** The Global Business Company

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CENTRAL BANKS

Section A – Verification Subject (Where the Beneficial Owner is an individual – See Section B if not an individual)

Section B – Verification Subject (Where the Beneficial Owner is not an individual)

Source of Funds verification

Certification

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