Due Diligence Form for Companies

Please complete all sections accurately. Fields marked with * are mandatory under Cyprus AML Law.

This form must be completed for each corporate entity engaging the services of Yiannakis K. Thoma Law Firm LLC. The information requested represents the minimum required under the Prevention and Suppression of Money Laundering and Terrorist Financing Law 188(I)/2007 (as amended). The scope of due diligence is risk-based and may be expanded according to the risk profile of your company. All information provided is treated as strictly confidential.

Section 1 of 12

Company Details

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Company Details

Full Legal Name of the Company *

As it appears on the Certificate of Incorporation.

Jurisdiction of Incorporation *

Registration Number *

Date of Incorporation *

Tax Identification Number (TIN)

Required for CRS/FATCA compliance.

VAT Registration Number (if applicable)

Company Website

Registered Office Address *

Principal Place of Business (if different from registered office)

Provide the main operational address if it differs from the registered office.

Contact Email Address

Contact Telephone Number

Jurisdiction(s) of Parent / Holding Company (if applicable)

Select the country where the parent or holding company is incorporated.

Director(s)

Director 1

Director type *

Legal Entity (Company)Natural Person (Individual)

If the director is a Legal Person, please complete the following:

Company Name

Country of Incorporation

Registration Number

Registered Office Address

III

Secretary

Full Name

Telephone Number

Address

Shareholder(s)

Shareholder 1

Shareholder type *

Legal Entity (Company)Natural Person / Nominee

If the shareholder is a Legal Person:

Company Name

Country of Incorporation

Registration Number

Registered Office Address

Brief description of business activities

Ultimate Beneficial Owner(s) (UBOs)

A UBO is any natural person who ultimately owns or controls more than 25% of the shares or voting rights of the company, or who otherwise exercises control. Please provide details for each UBO.

Full Name(s) *

ID Card Number

Required if the UBO holds Cyprus nationality.

Passport Number

Required for non-Cyprus nationals.

Date of Birth

Nationality

Place of Birth

Residential Address *

Telephone Number *

Tax Identification Number (TIN)

Required if the UBO’s country of tax residence issues TINs.

Country of Tax Residence *

Percentage (%) of Shares

Voting Rights (%)

Authorised Signatory

Please provide details of the person authorised to act on behalf of the company and give instructions to the firm.

Full Name

Position / Title

Passport / ID Number

Email Address

Telephone Number

VII

Company Ownership Structure

Please provide a chart showing the full ownership structure, including all subsidiaries, associates, companies, individuals, trusts, and foundations leading up to the individual UBO(s). The chart must be signed by the UBO(s) and attached to this form.

Description of ownership structure (if chart is not yet available)

VIII

Business Activities

Detailed description of business activities *

General terms such as ‘Trading’, ‘Consulting’, or ‘Holding’ are not acceptable. Please provide a specific and detailed description of the company’s actual business operations.

Countries of business activity

List all countries where the company conducts business.

Related entities (if any)

Existing or pending legal proceedings / regulatory investigations (if any)

Disclose any pending litigation, regulatory investigations, or sanctions proceedings involving the company or its directors/UBOs.

Financial Information

Source of funds invested in the company (select all that apply)

Please provide supporting documentation for the selected source(s). This is mandatory under Cyprus AML Law.

Additional details on source of funds

Existing bank account(s) and country

Bank account(s) to be opened and country

Expected annual turnover

Actual turnover per annum (if available)

Anticipated volume of transactions per month

Anticipated nature of transactions

Company assets

Services Provided to the Company

Other services (if applicable)

PEP Declaration & Screening Consents

Section — Politically Exposed Person (PEP) Declaration

Mandatory under Cyprus AML Law 188(I)/2007, Article 61 — All questions must be answered

Definition: A Politically Exposed Person (PEP) is an individual who holds or has held a prominent public function, including Heads of State or Government, senior politicians, senior government, judicial or military officials, senior executives of state-owned enterprises, and senior officials of political parties. It also includes members of the governing bodies of international organisations.

1. Do you currently hold or have you previously held a prominent public function (i.e., are you a PEP)?*

YesNo

2. Are you an immediate family member of a PEP? (spouse, partner, children, parents, or siblings)*

YesNo

3. Are you a known close associate of a PEP? (a person known to have joint beneficial ownership, close business relations, or to be the sole beneficial owner of a legal entity set up for the benefit of a PEP)*

YesNo

I consent to the processing of my personal data by Yiannakis K. Thoma Law Firm LLC for AML/KYC compliance purposes, as required under Cyprus AML Law 188(I)/2007 and the EU General Data Protection Regulation (GDPR). I understand that my data will be retained for a minimum of five (5) years from the end of the business relationship, as required by law. *I acknowledge that Yiannakis K. Thoma Law Firm LLC is required to conduct screening against EU, UN, OFAC, and other applicable sanctions lists, as well as adverse media checks, as part of its AML/KYC obligations. *

XII

Document Upload

Please upload the required supporting documents listed below. Accepted formats: PDF, JPG, PNG, DOCX (max 10 MB each). You may upload up to 10 files.

Passport / National ID Card (Directors, Secretary, UBOs)*

Upload a clear copy of a valid passport or national ID card for each director, secretary, and UBO.

Click to select files or drag and drop here

Accepted formats: PDF, JPG, PNG, DOCX — Maximum 10 MB per file · max 5

Proof of Address (Utility Bill / Bank Statement — less than 3 months old)*

Upload a recent utility bill or bank statement for each director and UBO.

Click to select files or drag and drop here

Accepted formats: PDF, JPG, PNG, DOCX — Maximum 10 MB per file · max 5

Certificate of Incorporation & Corporate Documents*

Upload the Certificate of Incorporation, Memorandum & Articles of Association, and any other corporate documents.

Click to select files or drag and drop here

Accepted formats: PDF, JPG, PNG, DOCX — Maximum 10 MB per file · max 5

Additional Supporting Documents (optional)

Upload any other relevant documents such as financial statements, TIN documentation, or ownership structure charts.

Click to select files or drag and drop here

Accepted formats: PDF, JPG, PNG, DOCX — Maximum 10 MB per file · max 5

Mandatory Documents

The following documents must be submitted together with this form. This is the minimum required documentation; additional documents may be requested.

Memorandum and Articles of Association (certified copy)
Certificate of Incorporation (certified copy)
Certificate of Good Standing (not older than 6 months)
Certificate of Directors and Secretary (certified copy)
Certificate of Shareholders (certified copy)
Certificate of Registered Office (certified copy)
Certified copies of passports/IDs of all UBOs (holding 10% or more)
Certified copies of passports/IDs of all Directors
Latest audited financial statements or management accounts
Bank reference letter (not older than 3 months)

Important Notice

• Each document must be an Original or a Certified Copy. Certified copies must be certified by a Certified Officer, Embassy, Consulate, High Commission, or Apostille.
• Documents must be in English or Greek. Otherwise, an official translation is required.
• Upon request, supporting documents (contracts, invoices, information on business partners, etc.) will be provided to justify the nature of the business and financial profile.

Declaration

By signing this form I confirm and declare that:

The information provided in this form is true, accurate, and complete to the best of my knowledge and belief.

The company has not been engaged in or benefited from criminal conduct or money laundering activities.

I undertake to promptly notify Yiannakis K. Thoma Law Firm LLC in writing within 14 days of any material changes.

I acknowledge that Yiannakis K. Thoma Law Firm LLC is required by law to conduct ongoing due diligence and may request updated documentation periodically.

I understand that providing false or misleading information may constitute a criminal offence under Cyprus law.

Date

Electronic Signature *

Sign below using your mouse, touch, or paste a signature image.