AML / KYC

Client identification legal person

Title/Name *

Registration number *

Legal address *

CONTACT DETAILS, ID DOCUMENT DETAILS

Phone *

E-mail *

document upload

Confirmation of registration of legal person *

File is required

Extract from the Company Register, Articles of Association, establishment agreement, etc.

MEMBERS OF THE MANAGEMENT BOARD

Name, Surname *

Personal ID in Latvia or date of birth *

Personal ID document number *

Will you pay the bill? *

Yes

Who will proceed payment *

Source of funds *

Income in last 6 months *

Specification *

Type of business activity *

Specify business activity *

Is member of the Management Board, member of Supervisory Board, shareholder or Ultimate Beneficial Owner Politically Exposed Person? *

Yes

If Yes, please describe relations, please provide name, surname, personal ID number (or birthday), personal ID document number, issue date, issuing authority, issuing state, country where the person is politically exposed, institution and position.

Name, Surname *

Relations *

Personal ID in Latvia or date of birth *

Personal ID document number *

Issue date *

Issuing authority *

Issuing state *

Country where person is politically exposed *

Institution *

Position *

document upload

Passport/ ID card of the board member *

File is required

Add member of the management board

Remove member of the management board

Name, Surname *

Personal ID in Latvia or date of birth *

Personal ID document number *

Will you pay the bill? *

Yes

Who will proceed payment *

Source of funds *

Income in last 6 months *

Specification *

Type of business activity *

Specify business activity *

Is member of the Management Board, member of Supervisory Board, shareholder or Ultimate Beneficial Owner Politically Exposed Person? *

Yes

Name, Surname *

Relations *

Personal ID in Latvia or date of birth *

Personal ID document number *

Issue date *

Issuing authority *

Issuing state *

Country where person is politically exposed *

Institution *

Position *

document upload

Passport/ ID card of the board member *

File is required

Add member of the management board

Remove member of the management board

Name, Surname *

Personal ID in Latvia or date of birth *

Personal ID document number *

Will you pay the bill? *

Yes

Who will proceed payment *

Source of funds *

Income in last 6 months *

Specification *

Type of business activity *

Specify business activity *

Is member of the Management Board, member of Supervisory Board, shareholder or Ultimate Beneficial Owner Politically Exposed Person? *

Yes

Name, Surname *

Relations *

Personal ID in Latvia or date of birth *

Personal ID document number *

Issue date *

Issuing authority *

Issuing state *

Country where person is politically exposed *

Institution *

Position *

document upload

Passport/ ID card of the board member *

File is required

Add member of the management board

Remove member of the management board

Name, Surname *

Personal ID in Latvia or date of birth *

Personal ID document number *

Will you pay the bill? *

Yes

Who will proceed payment *

Source of funds *

Income in last 6 months *

Specification *

Type of business activity *

Specify business activity *

Is member of the Management Board, member of Supervisory Board, shareholder or Ultimate Beneficial Owner Politically Exposed Person? *

Yes

Name, Surname *

Relations *

Personal ID in Latvia or date of birth *

Personal ID document number *

Issue date *

Issuing authority *

Issuing state *

Country where person is politically exposed *

Institution *

Position *

document upload

Passport/ ID card of the board member *

File is required

Add member of the management board

Remove member of the management board

Name, Surname *

Personal ID in Latvia or date of birth *

Personal ID document number *

Will you pay the bill? *

Yes

Who will proceed payment *

Source of funds *

Income in last 6 months *

Specification *

Type of business activity *

Specify business activity *

Is member of the Management Board, member of Supervisory Board, shareholder or Ultimate Beneficial Owner Politically Exposed Person? *

Yes

Name, Surname *

Relations *

Personal ID in Latvia or date of birth *

Personal ID document number *

Issue date *

Issuing authority *

Issuing state *

Country where person is politically exposed *

Institution *

Position *

document upload

Passport/ ID card of the board member *

File is required

Add member of the management board

Remove member of the management board

Name, Surname *

Personal ID in Latvia or date of birth *

Personal ID document number *

Will you pay the bill? *

Yes

Who will proceed payment *

Source of funds *

Income in last 6 months *

Specification *

Type of business activity *

Specify business activity *

Is member of the Management Board, member of Supervisory Board, shareholder or Ultimate Beneficial Owner Politically Exposed Person? *

Yes

Name, Surname *

Relations *

Personal ID in Latvia or date of birth *

Personal ID document number *

Issue date *

Issuing authority *

Issuing state *

Country where person is politically exposed *

Institution *

Position *

document upload

Passport/ ID card of the board member *

File is required

Add member of the management board

Remove member of the management board

Name, Surname *

Personal ID in Latvia or date of birth *

Personal ID document number *

Will you pay the bill? *

Yes

Who will proceed payment *

Source of funds *

Income in last 6 months *

Specification *

Type of business activity *

Specify business activity *

Is member of the Management Board, member of Supervisory Board, shareholder or Ultimate Beneficial Owner Politically Exposed Person? *

Yes

Name, Surname *

Relations *

Personal ID in Latvia or date of birth *

Personal ID document number *

Issue date *

Issuing authority *

Issuing state *

Country where person is politically exposed *

Institution *

Position *

document upload

Passport/ ID card of the board member *

File is required

Add member of the management board

Remove member of the management board

Name, Surname *

Personal ID in Latvia or date of birth *

Personal ID document number *

Will you pay the bill? *

Yes

Who will proceed payment *

Source of funds *

Income in last 6 months *

Specification *

Type of business activity *

Specify business activity *

Is member of the Management Board, member of Supervisory Board, shareholder or Ultimate Beneficial Owner Politically Exposed Person? *

Yes

Name, Surname *

Relations *

Personal ID in Latvia or date of birth *

Personal ID document number *

Issue date *

Issuing authority *

Issuing state *

Country where person is politically exposed *

Institution *

Position *

document upload

Passport/ ID card of the board member *

File is required

Add member of the management board

Remove member of the management board

Name, Surname *

Personal ID in Latvia or date of birth *

Personal ID document number *

Will you pay the bill? *

Yes

Who will proceed payment *

Source of funds *

Income in last 6 months *

Specification *

Type of business activity *

Specify business activity *

Is member of the Management Board, member of Supervisory Board, shareholder or Ultimate Beneficial Owner Politically Exposed Person? *

Yes

Name, Surname *

Relations *

Personal ID in Latvia or date of birth *

Personal ID document number *

Issue date *

Issuing authority *

Issuing state *

Country where person is politically exposed *

Institution *

Position *

document upload

Passport/ ID card of the board member *

File is required

Add member of the management board

Remove member of the management board

Name, Surname *

Personal ID in Latvia or date of birth *

Personal ID document number *

Will you pay the bill? *

Yes

Who will proceed payment *

Source of funds *

Income in last 6 months *

Specification *

Type of business activity *

Specify business activity *

Is member of the Management Board, member of Supervisory Board, shareholder or Ultimate Beneficial Owner Politically Exposed Person? *

Yes

Name, Surname *

Relations *

Personal ID in Latvia or date of birth *

Personal ID document number *

Issue date *

Issuing authority *

Issuing state *

Country where person is politically exposed *

Institution *

Position *

document upload

Passport/ ID card of the board member *

File is required

Add member of the management board

Remove member of the management board

Name, Surname *

Personal ID in Latvia or date of birth *

Personal ID document number *

Will you pay the bill? *

Yes

Who will proceed payment *

Source of funds *

Income in last 6 months *

Specification *

Type of business activity *

Specify business activity *

Is member of the Management Board, member of Supervisory Board, shareholder or Ultimate Beneficial Owner Politically Exposed Person? *

Yes

Name, Surname *

Relations *

Personal ID in Latvia or date of birth *

Personal ID document number *

Issue date *

Issuing authority *

Issuing state *

Country where person is politically exposed *

Institution *

Position *

document upload

Passport/ ID card of the board member *

File is required

Add member of the management board

Remove member of the management board

Name, Surname *

Personal ID in Latvia or date of birth *

Personal ID document number *

Will you pay the bill? *

Yes

Who will proceed payment *

Source of funds *

Income in last 6 months *

Specification *

Type of business activity *

Specify business activity *

Is member of the Management Board, member of Supervisory Board, shareholder or Ultimate Beneficial Owner Politically Exposed Person? *

Yes

Name, Surname *

Relations *

Personal ID in Latvia or date of birth *

Personal ID document number *

Issue date *

Issuing authority *

Issuing state *

Country where person is politically exposed *

Institution *

Position *

document upload

Passport/ ID card of the board member *

File is required

Add member of the management board

Remove member of the management board

Name, Surname *

Personal ID in Latvia or date of birth *

Personal ID document number *

Will you pay the bill? *

Yes

Who will proceed payment *

Source of funds *

Income in last 6 months *

Specification *

Type of business activity *

Specify business activity *

Is member of the Management Board, member of Supervisory Board, shareholder or Ultimate Beneficial Owner Politically Exposed Person? *

Yes

Name, Surname *

Relations *

Personal ID in Latvia or date of birth *

Personal ID document number *

Issue date *

Issuing authority *

Issuing state *

Country where person is politically exposed *

Institution *

Position *

document upload

Passport/ ID card of the board member *

File is required

Add member of the management board

Remove member of the management board

Name, Surname *

Personal ID in Latvia or date of birth *

Personal ID document number *

Will you pay the bill? *

Yes

Who will proceed payment *

Source of funds *

Income in last 6 months *

Specification *

Type of business activity *

Specify business activity *

Is member of the Management Board, member of Supervisory Board, shareholder or Ultimate Beneficial Owner Politically Exposed Person? *

Yes

Name, Surname *

Relations *

Personal ID in Latvia or date of birth *

Personal ID document number *

Issue date *

Issuing authority *

Issuing state *

Country where person is politically exposed *

Institution *

Position *

document upload

Passport/ ID card of the board member *

File is required

Add member of the management board

Remove member of the management board

Name, Surname *

Personal ID in Latvia or date of birth *

Personal ID document number *

Will you pay the bill? *

Yes

Who will proceed payment *

Source of funds *

Income in last 6 months *

Specification *

Type of business activity *

Specify business activity *

Is member of the Management Board, member of Supervisory Board, shareholder or Ultimate Beneficial Owner Politically Exposed Person? *

Yes

Name, Surname *

Relations *

Personal ID in Latvia or date of birth *

Personal ID document number *

Issue date *

Issuing authority *

Issuing state *

Country where person is politically exposed *

Institution *

Position *

document upload

Passport/ ID card of the board member *

File is required

Add member of the management board

Remove member of the management board

Name, Surname *

Personal ID in Latvia or date of birth *

Personal ID document number *

Will you pay the bill? *

Yes

Who will proceed payment *

Source of funds *

Income in last 6 months *

Specification *

Type of business activity *

Specify business activity *

Is member of the Management Board, member of Supervisory Board, shareholder or Ultimate Beneficial Owner Politically Exposed Person? *

Yes

Name, Surname *

Relations *

Personal ID in Latvia or date of birth *

Personal ID document number *

Issue date *

Issuing authority *

Issuing state *

Country where person is politically exposed *

Institution *

Position *

document upload

Passport/ ID card of the board member *

File is required

Add member of the management board

Remove member of the management board

Name, Surname *

Personal ID in Latvia or date of birth *

Personal ID document number *

Will you pay the bill? *

Yes

Who will proceed payment *

Source of funds *

Income in last 6 months *

Specification *

Type of business activity *

Specify business activity *

Is member of the Management Board, member of Supervisory Board, shareholder or Ultimate Beneficial Owner Politically Exposed Person? *

Yes

Name, Surname *

Relations *

Personal ID in Latvia or date of birth *

Personal ID document number *

Issue date *

Issuing authority *

Issuing state *

Country where person is politically exposed *

Institution *

Position *

document upload

Passport/ ID card of the board member *

File is required

Add member of the management board

Remove member of the management board

Name, Surname *

Personal ID in Latvia or date of birth *

Personal ID document number *

Will you pay the bill? *

Yes

Who will proceed payment *

Source of funds *

Income in last 6 months *

Specification *

Type of business activity *

Specify business activity *

Is member of the Management Board, member of Supervisory Board, shareholder or Ultimate Beneficial Owner Politically Exposed Person? *

Yes

Name, Surname *

Relations *

Personal ID in Latvia or date of birth *

Personal ID document number *

Issue date *

Issuing authority *

Issuing state *

Country where person is politically exposed *

Institution *

Position *

document upload

Passport/ ID card of the board member *

File is required

Add member of the management board

Remove member of the management board

Name, Surname *

Personal ID in Latvia or date of birth *

Personal ID document number *

Will you pay the bill? *

Yes

Who will proceed payment *

Source of funds *

Income in last 6 months *

Specification *

Type of business activity *

Specify business activity *

Is member of the Management Board, member of Supervisory Board, shareholder or Ultimate Beneficial Owner Politically Exposed Person? *

Yes

Name, Surname *

Relations *

Personal ID in Latvia or date of birth *

Personal ID document number *

Issue date *

Issuing authority *

Issuing state *

Country where person is politically exposed *

Institution *

Position *

document upload

Passport/ ID card of the board member *

File is required

Add member of the management board

Remove member of the management board

Name, Surname *

Personal ID in Latvia or date of birth *

Personal ID document number *

Will you pay the bill? *

Yes

Who will proceed payment *

Source of funds *

Income in last 6 months *

Specification *

Type of business activity *

Specify business activity *

Is member of the Management Board, member of Supervisory Board, shareholder or Ultimate Beneficial Owner Politically Exposed Person? *

Yes

Name, Surname *

Relations *

Personal ID in Latvia or date of birth *

Personal ID document number *

Issue date *

Issuing authority *

Issuing state *

Country where person is politically exposed *

Institution *

Position *

document upload

Passport/ ID card of the board member *

File is required

Add member of the management board

Remove member of the management board

Name, Surname *

Personal ID in Latvia or date of birth *

Personal ID document number *

Will you pay the bill? *

Yes

Who will proceed payment *

Source of funds *

Income in last 6 months *

Specification *

Type of business activity *

Specify business activity *

Is member of the Management Board, member of Supervisory Board, shareholder or Ultimate Beneficial Owner Politically Exposed Person? *

Yes

Name, Surname *

Relations *

Personal ID in Latvia or date of birth *

Personal ID document number *

Issue date *

Issuing authority *

Issuing state *

Country where person is politically exposed *

Institution *

Position *

document upload

Passport/ ID card of the board member *

File is required

Add member of the management board

Remove member of the management board

ULTIMATE BENEFICIAL OWNER(S)

Name, Surname *

Personal ID in Latvia or date of birth *

Personal ID document number *

Nationality *

Country of residence *

Type of income *

Way of control? *

Controls % of shares

Directly

Indirectly (specify way of indirect control)

Realizes control in another way (specify)

Type here the % of shares of the Ultimate Beneficial Owner(s) *

Specify the way of control *

document upload

Passport / ID card of the UBO *

File is required

Add ultimate beneficial owner

Remove ultimate beneficial owner

Name, Surname *

Personal ID in Latvia or date of birth *

Personal ID document number *

Nationality *

Country of residence *

Type of income *

Way of control? *

Controls % of shares

Directly

Indirectly (specify way of indirect control)

Realizes control in another way (specify)

Type here the % of shares of the Ultimate Beneficial Owner(s) *

Specify the way of control *

document upload

Passport / ID card of the UBO *

File is required

Add ultimate beneficial owner

Remove ultimate beneficial owner

Name, Surname *

Personal ID in Latvia or date of birth *

Personal ID document number *

Nationality *

Country of residence *

Type of income *

Way of control? *

Controls % of shares

Directly

Indirectly (specify way of indirect control)

Realizes control in another way (specify)

Type here the % of shares of the Ultimate Beneficial Owner(s) *

Specify the way of control *

document upload

Passport / ID card of the UBO *

File is required

Add ultimate beneficial owner

Remove ultimate beneficial owner

Name, Surname *

Personal ID in Latvia or date of birth *

Personal ID document number *

Nationality *

Country of residence *

Type of income *

Way of control? *

Controls % of shares

Directly

Indirectly (specify way of indirect control)

Realizes control in another way (specify)

Type here the % of shares of the Ultimate Beneficial Owner(s) *

Specify the way of control *

document upload

Passport / ID card of the UBO *

File is required

Add ultimate beneficial owner

Remove ultimate beneficial owner

Name, Surname *

Personal ID in Latvia or date of birth *

Personal ID document number *

Nationality *

Country of residence *

Type of income *

Way of control? *

Controls % of shares

Directly

Indirectly (specify way of indirect control)

Realizes control in another way (specify)

Type here the % of shares of the Ultimate Beneficial Owner(s) *

Specify the way of control *

document upload

Passport / ID card of the UBO *

File is required

Add ultimate beneficial owner

Remove ultimate beneficial owner

Name, Surname *

Personal ID in Latvia or date of birth *

Personal ID document number *

Nationality *

Country of residence *

Type of income *

Way of control? *

Controls % of shares

Directly

Indirectly (specify way of indirect control)

Realizes control in another way (specify)

Type here the % of shares of the Ultimate Beneficial Owner(s) *

Specify the way of control *

document upload

Passport / ID card of the UBO *

File is required

Add ultimate beneficial owner

Remove ultimate beneficial owner

Name, Surname *

Personal ID in Latvia or date of birth *

Personal ID document number *

Nationality *

Country of residence *

Type of income *

Way of control? *

Controls % of shares

Directly

Indirectly (specify way of indirect control)

Realizes control in another way (specify)

Type here the % of shares of the Ultimate Beneficial Owner(s) *

Specify the way of control *

document upload

Passport / ID card of the UBO *

File is required

Add ultimate beneficial owner

Remove ultimate beneficial owner

Name, Surname *

Personal ID in Latvia or date of birth *

Personal ID document number *

Nationality *

Country of residence *

Type of income *

Way of control? *

Controls % of shares

Directly

Indirectly (specify way of indirect control)

Realizes control in another way (specify)

Type here the % of shares of the Ultimate Beneficial Owner(s) *

Specify the way of control *

document upload

Passport / ID card of the UBO *

File is required

Add ultimate beneficial owner

Remove ultimate beneficial owner

Name, Surname *

Personal ID in Latvia or date of birth *

Personal ID document number *

Nationality *

Country of residence *

Type of income *

Way of control? *

Controls % of shares

Directly

Indirectly (specify way of indirect control)

Realizes control in another way (specify)

Type here the % of shares of the Ultimate Beneficial Owner(s) *

Specify the way of control *

document upload

Passport / ID card of the UBO *

File is required

Add ultimate beneficial owner

Remove ultimate beneficial owner

Name, Surname *

Personal ID in Latvia or date of birth *

Personal ID document number *

Nationality *

Country of residence *

Type of income *

Way of control? *

Controls % of shares

Directly

Indirectly (specify way of indirect control)

Realizes control in another way (specify)

Type here the % of shares of the Ultimate Beneficial Owner(s) *

Specify the way of control *

document upload

Passport / ID card of the UBO *

File is required

Add ultimate beneficial owner

Remove ultimate beneficial owner

Name, Surname *

Personal ID in Latvia or date of birth *

Personal ID document number *

Nationality *

Country of residence *

Type of income *

Way of control? *

Controls % of shares

Directly

Indirectly (specify way of indirect control)

Realizes control in another way (specify)

Type here the % of shares of the Ultimate Beneficial Owner(s) *

Specify the way of control *

document upload

Passport / ID card of the UBO *

File is required

Add ultimate beneficial owner

Remove ultimate beneficial owner

Name, Surname *

Personal ID in Latvia or date of birth *

Personal ID document number *

Nationality *

Country of residence *

Type of income *

Way of control? *

Controls % of shares

Directly

Indirectly (specify way of indirect control)

Realizes control in another way (specify)

Type here the % of shares of the Ultimate Beneficial Owner(s) *

Specify the way of control *

document upload

Passport / ID card of the UBO *

File is required

Add ultimate beneficial owner

Remove ultimate beneficial owner

Name, Surname *

Personal ID in Latvia or date of birth *

Personal ID document number *

Nationality *

Country of residence *

Type of income *

Way of control? *

Controls % of shares

Directly

Indirectly (specify way of indirect control)

Realizes control in another way (specify)

Type here the % of shares of the Ultimate Beneficial Owner(s) *

Specify the way of control *

document upload

Passport / ID card of the UBO *

File is required

Add ultimate beneficial owner

Remove ultimate beneficial owner

Name, Surname *

Personal ID in Latvia or date of birth *

Personal ID document number *

Nationality *

Country of residence *

Type of income *

Way of control? *

Controls % of shares

Directly

Indirectly (specify way of indirect control)

Realizes control in another way (specify)

Type here the % of shares of the Ultimate Beneficial Owner(s) *

Specify the way of control *

document upload

Passport / ID card of the UBO *

File is required

Add ultimate beneficial owner

Remove ultimate beneficial owner

Name, Surname *

Personal ID in Latvia or date of birth *

Personal ID document number *

Nationality *

Country of residence *

Type of income *

Way of control? *

Controls % of shares

Directly

Indirectly (specify way of indirect control)

Realizes control in another way (specify)

Type here the % of shares of the Ultimate Beneficial Owner(s) *

Specify the way of control *

document upload

Passport / ID card of the UBO *

File is required

Add ultimate beneficial owner

Remove ultimate beneficial owner

Name, Surname *

Personal ID in Latvia or date of birth *

Personal ID document number *

Nationality *

Country of residence *

Type of income *

Way of control? *

Controls % of shares

Directly

Indirectly (specify way of indirect control)

Realizes control in another way (specify)

Type here the % of shares of the Ultimate Beneficial Owner(s) *

Specify the way of control *

document upload

Passport / ID card of the UBO *

File is required

Add ultimate beneficial owner

Remove ultimate beneficial owner

Name, Surname *

Personal ID in Latvia or date of birth *

Personal ID document number *

Nationality *

Country of residence *

Type of income *

Way of control? *

Controls % of shares

Directly

Indirectly (specify way of indirect control)

Realizes control in another way (specify)

Type here the % of shares of the Ultimate Beneficial Owner(s) *

Specify the way of control *

document upload

Passport / ID card of the UBO *

File is required

Add ultimate beneficial owner

Remove ultimate beneficial owner

Name, Surname *

Personal ID in Latvia or date of birth *

Personal ID document number *

Nationality *

Country of residence *

Type of income *

Way of control? *

Controls % of shares

Directly

Indirectly (specify way of indirect control)

Realizes control in another way (specify)

Type here the % of shares of the Ultimate Beneficial Owner(s) *

Specify the way of control *

document upload

Passport / ID card of the UBO *

File is required

Add ultimate beneficial owner

Remove ultimate beneficial owner

Name, Surname *

Personal ID in Latvia or date of birth *

Personal ID document number *

Nationality *

Country of residence *

Type of income *

Way of control? *

Controls % of shares

Directly

Indirectly (specify way of indirect control)

Realizes control in another way (specify)

Type here the % of shares of the Ultimate Beneficial Owner(s) *

Specify the way of control *

document upload

Passport / ID card of the UBO *

File is required

Add ultimate beneficial owner

Remove ultimate beneficial owner

Name, Surname *

Personal ID in Latvia or date of birth *

Personal ID document number *

Nationality *

Country of residence *

Type of income *

Way of control? *

Controls % of shares

Directly

Indirectly (specify way of indirect control)

Realizes control in another way (specify)

Type here the % of shares of the Ultimate Beneficial Owner(s) *

Specify the way of control *

document upload

Passport / ID card of the UBO *

File is required

Add ultimate beneficial owner

Remove ultimate beneficial owner

Name, Surname *

Personal ID in Latvia or date of birth *

Personal ID document number *

Nationality *

Country of residence *

Type of income *

Way of control? *

Controls % of shares

Directly

Indirectly (specify way of indirect control)

Realizes control in another way (specify)

Type here the % of shares of the Ultimate Beneficial Owner(s) *

Specify the way of control *

document upload

Passport / ID card of the UBO *

File is required

Add ultimate beneficial owner

Remove ultimate beneficial owner

I consent to having this website store my submitted information so they can respond to my inquiry.

+371 67 320 000 latvia@vilgerts.com

Audēju iela 15-8 , 6th floor, LV-1050 | Latvia

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