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PRIME BRIDGE REAL ESTATE BROKERAGE – L.L.C – S.P.C
Commercial License No: CN-6410679
KYC / CUSTOMER DUE DILIGENCE (CDD) FORM
Company / Legal Entity · For AML / CFT Compliance
Customer Due Diligence · Federal Decree-Law No. (10) of 2025 (AML/CFT)
SECTION 1: CORPORATE / FOUNDATION INFORMATION
1.
Legal Name
*
2.
Trade License / Registration No.
*
3.
Expiry Date
*
4.
Legal Form
*
Please Select
LLC
Free Zone Company
Sole Establishment
Partnership
Public / Private Joint Stock Company
Branch of a Foreign Company
Foundation
Non-Profit Organisation
Trust
Other
Please specify:
5.
Country of Incorporation / Registration
*
Please Select
6.
Registered Office Address
*
Address
Please Select
Country
City
Please Select
Dubai
Abu Dhabi
Ras Al Khaimah
Sharjah
Ajman
Umm Al Quwain
Fujairah
Emirate
7.
Mailing Address (if different)
Same as registered office
Different
Address
Please Select
Country
City
Please Select
Dubai
Abu Dhabi
Ras Al Khaimah
Sharjah
Ajman
Umm Al Quwain
Fujairah
Emirate
8.
Contact Number
*
Please Select
Country code
Phone Number
9.
Email
*
10.
Website
SECTION 2: IDENTIFICATION & VERIFICATION
Attach certified copies of the applicable documents. Tick the documents you are attaching.
1.
Type of Entity
*
Corporate entity
Foundation / Non-profit entity
Other (specify):
2.
Documents Attached
*
2.
Documents for Corporate Entities
*
Trade License
Certificate of Incorporation / Registration
Memorandum & Articles of Association
Board Resolution authorizing relationship and signatories
List of directors and shareholders with % ownership
Identification and proof of address of Ultimate Beneficial Owners (25% or more)
2.
Documents for Foundations / Non-Profit Entities
*
Foundation Charter / Articles of Association
Certificate of Registration / Incorporation
Trade License (if applicable)
Governing Board Resolution authorizing the relationship and appointed representatives
List of council members / trustees / governing board members
List of authorized signatories with specimen signatures
Identification and proof of address for Founder(s), Board members, UBOs (if applicable)
Details of controlling persons or entities with significant influence
Proof of principal place of management (utility bill, lease, etc.)
Annual report or latest audited financial statements (if available)
Evidence of source of funds for the intended transaction
3.
Upload Documents (.jpeg, .pdf)
*
Certified copies of the documents ticked above. Images are attached to the printed PDF; PDF files are attached to the e-mail.
Choose file(s)
No file chosen
SECTION 3: ULTIMATE BENEFICIAL OWNERSHIP (UBO)
1.
Are you acting on behalf of another legal entity?
*
Yes
No
Name of that entity:
SECTION 4: NATURE & PURPOSE OF RELATIONSHIP
1.
Purpose of Engagement
*
Property purchase
Property sale
Investment
Leasing
Other (specify):
2.
Expected Source of Funds
*
Business income
Shareholder capital
Investment returns
Endowment income
Donations
Other (specify):
3.
Source of Wealth (brief description)
*
4.
Estimated Value of Transaction
*
AED
Amount in AED.
SECTION 6: DECLARATIONS
We confirm that the information provided is true and correct to the best of our knowledge.
We agree to provide any further information as required for AML/CFT compliance under UAE laws, including Federal Decree-Law No. (10) of 2025 on Anti-Money Laundering and Combating the Financing of Terrorism and its implementing regulations.
Authorized Representative Name
*
First Name
Last Name
Designation
*
Date
*
(date of submission, filled automatically)
Signature & Company Seal
*
Clear
Company seal / stamp (optional): upload a photo of the stamp, it will be placed next to the signature.
Choose file
No file chosen
SECTION 5: RISK ASSESSMENT (INTERNAL USE)
Geographic Risk:
Low
Medium
High
Customer Risk:
Low
Medium
High
Product/Service Risk:
Low
Medium
High
Overall Risk Rating:
Low
Medium
High
Enhanced Due Diligence required?
Yes
No
SECTION 7: FOR PRIME BRIDGE REAL ESTATE BROKERAGE – L.L.C – S.P.C INTERNAL USE ONLY
Reviewed & Verified by:
Date:
KYC Verification Completed:
Yes
No
EDD Performed (if applicable):
Yes
No
Compliance Officer Signature: