AML Form

Full Name
First Middle Last
Date of Birth
Your Residential Address
Address 1 Address 2 City Postcode
Email
Phone Number
What is your company structure?
- Sole Trader or Individual
- Partnership
- Limited Company or LLP
- Trust

Personal Identity Verification
By law, we are required to see proof of identity for all new and some existing clients. Please upload a scan of one of the following documents:

Valid passport
Valid photo card driving licence
National Identity card (non UK nationals)
Identity card issued by the Electoral Office for Northern Ireland
Upload your personal identity document here
National Insurance Number*
Unique Tax Reference Number*
Personal Address Verification
By law, we are required to see proof of residential address for all new and some existing clients. Please upload a scan of one of the following documents:

UK/EU/EEA Drivers Licence (if UK Drivers Licence not used as ID)
Must be valid, not expired. Photo only. Full or provisional.

Bank, Building Society or Credit Union Statement
Dated with 3 months. Must include account number and show recent activity. No general correspondence.

Credit Card Statement
Dated within 3 months. Must include account number and show recent activity. No general correspondence.

UK, EU, EEA Mortgage statement
Dated within 12 months. Must show account number. No general correspondence.

Utility Bill
Dated within 6 months E.g. Gas, electricity, water. Must show address for service and/or account number. No general correspondence.

Telephone Bill
Dated within 6 months E.g. Landline or mobile pay monthly (excluding pay as you go). Must show address for service and/or account number. No general correspondence.

Council Tax
Dated within 12 months. Must show address for service and/or account number. No general correspondence.

Tenancy Agreement
Dated with 12 months. Must state full name and full property address. Issued by local council, housing association, solicitor or reputable letting agent.

HMRC Tax Notification
Dated with 6 months. Must state national insurance number and tax calculation. No general correspondence.

Home or Motor Insurance Certificate
Dated within 12 months. Must state insured address or registered address for vehicle and policy number. No general correspondence.

NHS Medical Card or letter from GP confirming registration
Dated within 3 months. Must state individual’s date of birth and NHS number. No general correspondence.

Official confirmation of Electoral Register entry or official poll card
Dated within 12 months. Must state full name and full address. No general correspondence.
Upload your personal address document here

Partnership
Business name
Registered Number
Registered Address
Your company's registered address

Address 1 Address 2 City Postcode
Is your registered address the same as your place of business?
- Yes
- No
Place of business
Please add the address of your company's place of business

Address 1 Address 2 City Postcode
Certificate of incorporation
Latest Annual Return or Confirmation Statement, with details of current company officers
Other shareholders/members
- Yes
- No
Aside from yourself, are there any shareholders/members who ultimately own or control more than 25% of the shares or voting rights (directly or indirectly including bearer shares) in your company?
Personal Identity Verification for other Shareholders/Members
By law, we are required to see proof of identity for all shareholders/members who ultimately own or control more than 25% of the shares or voting rights (directly or indirectly including bearer shares) in your company. Please upload a scans of one of the following documents for all shareholders/members with 25% of the shares or voting rights:

Valid passport
Valid photo card driving licence
National Identity card (non UK nationals)
Identity card issued by the Electoral Office for Northern Ireland
Upload personal address documents for other shareholder/members here
Drop files here or
Public Limited Companies
Full Company Name
Membership or Registration Number
Registered Address
Your company's registered address

Address 1 Address 2 City Postcode
Verification documents
Please upload one of the following documents:
- A printout from the web-site of the relevant regulator or exchange
- Written confirmation of your company's regulatory or listing status from the regulator or exchange

Trusts
Title of Trust

Pleas list all trustees, click the + to add each person
Beneficiaries

Pleas list all beneficiaries, click the + to add each person
Trust deed
Other trustees/beneficiaries
- Yes
- No
Aside from yourself, are there anybody else with a vested interest in 25% or more of the capital and/or those who exercise control over the Trust.
Personal Identity Verification for other Trustees/Beneficiaries
By law, we are required to see proof of identity for all trustees/beneficiaries with a vested interest in 25% or more of the capital and/or those who exercise control over the Trust. Please upload a scans of one of the following documents for all trustees/beneficiaries meeting these criteria:

Valid passport
Valid photo card driving licence
National Identity card (non UK nationals)
Identity card issued by the Electoral Office for Northern Ireland
Upload personal address documents for other shareholder/members here
Drop files here or

Step 1 of 4

Personal Identity Verification

Personal Address Verification

Partnership

Personal Identity Verification for other Shareholders/Members

Public Limited Companies

Trusts

Personal Identity Verification for other Trustees/Beneficiaries

Gascoynes

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