Know Your Client Form
Please complete the following information for compliance purposes:
Full Name
Date of Birth
Country of Birth
Nationality
Sex
Male
Female
Contact Number
Email Address
Identification (Two forms required)
Upload clear photos of your IDs (front and back where applicable). For example, a driver’s license may only require the front.
ID #1 Front
ID #1 Back
ID #2 Front
ID #2 Back
Residential Address
Residence Status
Own
Rent
Board
Proof of Permanent Address
Upload a recent utility bill, bank statement, or deed showing your name and address.
Employment Status
Employed
Student
Retired
Self-Employed
Other
Proof of Finances
Upload a job letter, bank statement, or payslip to verify financial status.
Purpose of Transaction
Purchaser
Vendor
Landlord
Tenant
Are you a Politically Exposed Person (PEP)?
Yes
No
Source of Funds Declaration
Confirm if you agree to sign a Source of Funds Declaration form when requested by the organization.
Yes
No
Client's Declaration & Consent
Read carefully: You must confirm that all information provided is true and that you are not engaged in illicit activities.
I declare and confirm that the information given by me on this document is true and correct. Further, I confirm and declare that I am not engaged in Money Laundering, Drug Trafficking, Fraud, Identity Theft or any other Crimes or illicit activities.
Upload Signature (clear image)
Upload a clear image of your handwritten signature. Most users will be completing this form on their phone, so ensure the photo is well-lit and legible.
Note:
All information will be treated with strict confidentiality and used solely for compliance purposes. Supporting documents are required to verify identity and financial status.
📞 Contact: (868) 355-1680
📧 Email: akingenterprisesales@gmail.com
Submit KYC Form
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