Due Diligence Form for Public Interest Company (Listed Company)

Cyprus Bar Association β€” AML/KYC Compliance | Law 188(I)/2007

Section 1 of 10
Company Details
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This form is for Public Interest Entities (PIEs) β€” companies whose securities are admitted to trading on a regulated stock exchange. It must be completed by a Director or authorised signatory. All fields marked with an asterisk (*) are mandatory under Cyprus Anti-Money Laundering legislation.

I

Company Details

II

Stock Exchange Listing

As a Public Interest Entity, the company benefits from simplified due diligence under Cyprus AML Law. However, evidence of listing and details of any persons who exercise control outside the normal listed company structure must still be provided.

III

Directors and Officers

IV

Persons Exercising Control Outside the Listed Company Structure

Please identify any person(s) who exercise control over the company through means other than their shareholding or directorship β€” for example, through a Power of Attorney, management agreement, or other arrangement.

V

Business Activities

VI

Services Requested from the Firm

VII

PEP Declaration & Screening Consents

PEP Declaration β€” Directors and Beneficial Owners

The following PEP declaration must be completed by the person signing this form and applies to all Directors and any persons who otherwise exercise control over the company.

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.

VIII

Additional Compliance Information

IX

Document Upload

Please upload the required supporting documents. Accepted formats: PDF, JPG, PNG, DOCX (max 10 MB each).

Upload the full M&A (original or certified true copy).

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Accepted formats: PDF, JPG, PNG, DOCX β€” Maximum 10 MB per file Β· max 2

Upload the official certificate of incorporation.

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Accepted formats: PDF, JPG, PNG, DOCX β€” Maximum 10 MB per file

Upload the current certificate of directors.

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Accepted formats: PDF, JPG, PNG, DOCX β€” Maximum 10 MB per file

Upload the certificate of registered office.

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Accepted formats: PDF, JPG, PNG, DOCX β€” Maximum 10 MB per file

Upload a current certificate of good standing and incumbency.

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Accepted formats: PDF, JPG, PNG, DOCX β€” Maximum 10 MB per file

Upload official evidence of listing on the stock exchange (e.g. listing certificate, official notice).

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Accepted formats: PDF, JPG, PNG, DOCX β€” Maximum 10 MB per file Β· max 2

Upload the most recent annual report and audited financial statements.

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Accepted formats: PDF, JPG, PNG, DOCX β€” Maximum 10 MB per file Β· max 2

Upload passport/ID and proof of address (less than 3 months old) for any person exercising control outside the normal listed company structure.

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Accepted formats: PDF, JPG, PNG, DOCX β€” Maximum 10 MB per file Β· max 5

Upload any other relevant documents (e.g. Powers of Attorney, management agreements).

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Accepted formats: PDF, JPG, PNG, DOCX β€” Maximum 10 MB per file Β· 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.

  • Certificate of Incorporation (certified copy)
  • Memorandum and Articles of Association (certified copy)
  • Certificate of Directors (certified copy)
  • Certificate of Shareholders (certified copy)
  • Certificate of Good Standing (not older than 6 months)
  • Certified copies of passports/IDs of all UBOs
  • Latest audited financial statements
  • Bank reference letter (not older than 3 months)

Important Notice

  • β€’ 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.
  • β€’ Documents must be in English or Greek. Otherwise, an official translation is required.
  • β€’ Upon request, supporting documents (contracts, invoices, information on business partners, etc.) will be provided to justify the nature of the business and financial profile.
X

Consent and Acknowledgements

Declaration

By signing this form I confirm and declare that:

A.

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

B.

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

C.

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

D.

I acknowledge that Yiannakis K. Thoma Law Firm LLC may request updated documentation periodically.

E.

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

Date

Electronic Signature *

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