Contact Us 03 – Kgare Holdings

Head office address:

3556 Hartford Way Vlg, Mount Pleasant, SC, 29466, Australia.

Call for help:

(734) 697-2907
(843) 971-1906

Mail for information:

info@asri.com
support@asri.com

For any inquiries relating to my Retail and Leadership Programs*

CORPORATE ENTITY

Company Name

Trading Name

Registration Number

Postal Address

Physical Address

Email Address

Country of Incoporation

Website

If External Head Office, Address

Brief Description of Business

Income Tax Number

VAT registration Number (if applicable)

CONTACT PERSON

Title

Fore Names

Surname

Date of Birth

National ID/Passport No

Nationality

Position

Physical Address

Village / Town / City

Country

Telephone

Mobile Number

Email Address

BANKING DETAILS

Bank Name

Branch

Account Number

Account Name

Account Type

Source of funds

DECLARATION OF BENEFICIAL OWNERSHIP

The Company hereby confirms and declares that as at the date hereof, the following individual(s) is/are the ultimate beneficial owner(s) of the Company through ownership in the intermediate or ultimate holding companies:

ANTI-MONEY LAUNDERING AND COUNTER TERRORIST FINANCING REQUIREMENTS

In accordance with the Financial Intelligence Regulations the following documents should be provided for verification:

Is your cormmecial entity a

company

partnership

trust

other

Company

company_Certificate of incorporation

One file only.
512 MB limit.
Allowed types: jpg, pdf.

Memorandum and articles 0f association

One file only.
512 MB limit.
Allowed types: , jpg, pdf, .

Notice of registered office and postal address

One file only.
512 MB limit.
Allowed types: jpg, pdf, .

Identification documents of the person(s) managing the company (certified copy of Omang or passport)

One file only.
512 MB limit.
Allowed types: jpg, pdf, .

Resolution specifying who is authorised to act on behalf of the company

One file only.
512 MB limit.
Allowed types: , jpg, pdf, .

Identification of authorised signatories (certified copy of Omang or passport)

One file only.
512 MB limit.
Allowed types: , jpg, pdf, .

Certified identification document(s) of the person(s) authorised to act on behalf of the company

One file only.
512 MB limit.
Allowed types: , jpg, pdf, .

Partnership

Partnership agreement

One file only.
512 MB limit.
Allowed types: jpg, pdf, .

Identification documents of the natural persons who are partners e.g. certified copy of I.D / passport

One file only.
512 MB limit.
Allowed types: jpg, pdf, .

Resolution specifying who is authorised to act on behalf of the partnership

One file only.
512 MB limit.
Allowed types: jpg, pdf, .

Identification of authorised signatories (certified copy of Omang or passport)

One file only.
512 MB limit.
Allowed types: jpg, pdf, .

Certified identification document(s) of the person(s) authorised to act on behalf of the partnership.

One file only.
512 MB limit.
Allowed types: jpg, pdf, .

Certified identification document(s) of the person(s) authorised to act on behalf of the partnership.

One file only.
512 MB limit.
Allowed types: jpg, pdf, .

TRUST

Deed of Trust

One file only.
512 MB limit.
Allowed types: , jpg, pdf, .

Identification documents of the Trustees i.e. certified copy of I.D for Batswana/passport for non-citizens

One file only.
512 MB limit.
Allowed types: , jpg, pdf, .

Resolution specifying who is authorised to act on behalf of the Trust

One file only.
512 MB limit.
Allowed types: jpg, pdf, .

Identification of authorised signatories

One file only.
512 MB limit.
Allowed types: jpg, pdf, .

Certified identification document(s) of the person(s) authorised to act on behalf of the Trust

One file only.
512 MB limit.
Allowed types: jpg, pdf, .

Certified copies of IDs/Passports of the Beneficiaries

One file only.
512 MB limit.
Allowed types: jpg, pdf, .

Other Types of Organisations

Constituting/registration document or license establishing the organisation (registration certificate, license, etc)

One file only.
512 MB limit.
Allowed types: jpg, pdf, .

Identification documents of the Board Members/Leaders of the Organisation i.e. certified copy of I.D/passport

One file only.
512 MB limit.
Allowed types: jpg, pdf, .

Resolution specifying who is authorised to act on behalf of the Organisation

One file only.
512 MB limit.
Allowed types: jpg, pdf.

Identification of authorised signatories

One file only.
512 MB limit.
Allowed types: , jpg, pdf, .

Certified identification document(s) of the person(s) authorised to act on behalf of the Organisation

One file only.
512 MB limit.
Allowed types: jpg, pdf.

List of Members of the organisation

One file only.
512 MB limit.
Allowed types: jpg, pdf, .

DECLARATION

I hereby declare that the details furnished above are true and correct for the best of my knowledge and belief and I undertake to inform you of any changes therein, immediately. In case any of the above information is found to be false or untrue or misleading or misrepresenting, I am aware that I may be liable for it.

Full Names

Designation / Position

Date

Place

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