Client Information Client Information

Website(s)*

Company Name

Type of Company

Products / Services

Company Registered Address

Business Registration Number

Date of Incorporation

Contact Person Responsible for Communications

Contact Person Phone

Contact Person Email

Correspondence Address Correspondence Address

Street and Number

City, Zip Code, District

Country

Beneficial Owner(s) Beneficial Owner(s)

Beneficial Owner Name and Surname

Beneficial Owner Date of Birth

Beneficial Owner Permanent Address

Beneficial Owner Nationality

Add Another Beneficial Owner Add Another Beneficial Owner No Add

Name and Surname

Date of Birth

Permanent Address

Nationality

Add Another Beneficial Owner Add Another Beneficial Owner No Add

Name and Surname

Date of Birth

Permanent Address

Nationality

Add Another Beneficial Owner Add Another Beneficial Owner No Add

Name and Surname

Date of Birth

Permanent Address

Nationality

Business Information Business Information

I Request to Open an Account Denominated in the Following Currency

Which Currencies will Incoming Payments be in?

Which Currencies will Outgoing Payments be in?

Monthly FX Volume/Value (if required)

Number of FX Transactions per Month

Volume/Value of Same Currency Payments per Month (e.g. GDP in/GDP out)

Incoming Payments Incoming Payments

Estimated Monthly Incoming Turnover:

Estimated Number of Incoming Payments per Month:

Average Amount of Incoming Payment:

List of Countries / Jurisdictions From Which the Payments will be Received to Bank Account:

List of Clients / Companies Who Will Send the Incoming Payments to Bank Account (Country of Residence, Business Type):

Will Incoming Transactions be First or Third-Party? (i.e., From Accounts in Your Name Elsewhere or From Accounts of Your Clients?)

Please Provide Nature of Underlying Clients for Incoming Payments (e.g., Bulk Payment of Acquired Funds, Companies Own Funds, Funds Belonging to Clients Who are Either Individual or Corporate Clients)

Purpose of Incoming Payments

List of Example Incoming Payments (Please Include as Much Detail as Possible)

Outgoing Payments Outgoing Payments

Estimated Monthly Outgoing Turnover:

Estimated Number of Outgoing Payments Per Month:

Average Amount of Outgoing Payment:

List of Countries / Jurisdictions to Which the Outgoing Payments will be Sent From Fido Account:

List of Beneficiaries Who Will Receive the Outgoing Payments From Bank Account (Individuals/Corporates, Business Type):

Will Outgoing Transactions be First or Third-Party? (i.e., to accounts elsewhere in your name or to accounts of your clients?)

Purpose of Outgoing Payments

List of Example Outgoing Payments (Please Include as Much Detail as Possible)

Website Follow Up Website Follow Up

How do You Find Customers? (Please Provide us With Some Marketing Materials or a Business Plan.)

Please Provide us With a Detailed Description of Your Business and Flow of Funds.

Please Provide a List of Target Countries.