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Information request Information for the Bank
(Please provide the following information in
the right-hand column in typewritten form
only)
1. Company Information
Exact name and address of the
company (legal domicile)
Contact details
(names of contact persons, phone numbers,
fax, e-mail-addresses, etc.)
Date of creation
Place of registration
Share-capital
Number of employees
Organization chart?
(Please provide a copy if available)
2. Shareholders / Beneficial
Owner (If the shareholder is not identical with the
(In case of more than one shareholder Beneficial Owner (BO), then also provide the
please provide the information below information below for each BO)
for each)
• Family name / First name or
Company name
• Nationality
• Legal domicile (full address – no P.O.
Box please)
• Date of birth or registration
• Repartition in shares
• Background information (origin of
wealth, partition in other companies,
professional qualifications)
• Public functions ( politics, religion,
military)
3. Company Activity
What kind of products does the
company deal in or what type of
services does it offer? (Please provide
External Document for Prospect Page 1 of 3 12/13/2009
detailed information )
Which country/countries does the
company buy products or services
from?
(In case of several countries please indicate
which is main market)
4. Financials
• Audited figures (for the last 3 The financial information may be sent to us by
years) confidential mail or will be obtained during the
• Management figures personal meeting at the bank before the account
• Budgets opening.
• Business Plans
5. Relationship with UBS
What is the purpose of the account
relationship ? (Commercial transactions /
payments or investments / management of
wealth)
P.S. Please note that a fully completed and comprehensive questionnaire will significantly speed up
the processing of your account opening request.