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Prime Bridge Real Estate
PRIME BRIDGE REAL ESTATE BROKERAGE – L.L.C – S.P.C
Commercial License No: CN-6410679

KNOW YOUR CUSTOMER (KYC) FORM

Individual
Customer Due Diligence · Federal Decree-Law No. (10) of 2025 (AML/CFT)
A. PERSONAL INFORMATION
1. Full Name *
First Name
Last Name
2. Nationality *
3. Gender *
4. Marital Status *
5. Date of Birth *
6. Identification Type *
7. Identification Number *
8. Date of Issue *
9. Place of Issue *
10. Date of Expiry
11. Emirates ID
B. CONTACT INFORMATION
1. Full Permanent/Residential Address *
Address
Country
City
2. Phone Number *
Country code
Phone Number
3. Email Address * Please ensure to enter your correct email address. (example@gmail.com)
C. OCCUPATION AND SOURCE OF FUNDS
1. Employment Status *
2. Occupation/ Profession *
3. Employer/ Business Name *
4. Employer Address/ Business Address *
Address
Country
City
5. Number of years employed with company *
6. Nature of Business *
7. Annual Income *
Total yearly income in AED.
8. Source of Funds *
9. Bank Name *Bank from which the payment will be made.
10. Bank Country *
D. TRANSACTION DETAILS
1. Role in the Transaction *
2. Property Type *
3. Property Address *
Building Name
Street Address
Country
Emirate
4. Transaction Type *
5. Transaction Value *
Exact amount in AED.
6. Payment Method *
E. POLITICALLY EXPOSED PERSONS (PEPs) AND SANCTIONS
1. Are you, or any immediate family member, a Politically Exposed Person (PEP)? *
If Yes, please specify the relationship and position held: * Name of the person, relationship to you, and the public position held.
2. Are you, or any immediate family member, listed on any international sanctions list? *
F. BENEFICIAL OWNERSHIP (FOR DEVELOPERS/COMPANIES)
Do you represent a company or development project? *If yes, please provide details of the ultimate beneficial owners below.
1. Company Name *
2. Company Registration Number *
3. Ownership Structure * Ultimate beneficial owners: names, nationality, and percentage of ownership.
G. DECLARATION AND CONSENT
  • I hereby declare that the information provided above is true, accurate, and complete to the best of my knowledge.
  • I understand that Prime Bridge Real Estate Brokerage L.L.C – S.P.C (the “real estate company”) will perform a verification process as required by UAE AML regulations.
  • I consent to the collection and processing of my personal data as part of the due diligence process in accordance with UAE data protection laws and AML/CTF regulations.
  • I acknowledge that the real estate company is obligated to report suspicious transactions or activities to the UAE Financial Intelligence Unit (FIU) if deemed necessary.
  • I confirm that if any information is found incorrect and/or incomplete that leads to a violation of regulations, it may initiate legal actions, and I accept that I am the responsible party for any and all charges, penalties and violations.
Name of the Applicant * (taken from section A)
First Name
Last Name
Date Signed * (date of submission, filled automatically)
Signature of the Applicant *
IMPORTANT NOTES

1. Data Protection Policy: All personal and business data provided in this form will be handled in accordance with applicable privacy and data protection laws in the UAE.

2. Additional Documents If Required by Compliance: Clients may be required to submit supporting documents, such as proof of identity/proof of address/business documents etc.

FOR OFFICE USE ONLY
Service Channel:
Risk Rating: Screening done:
Prime Bridge Real Estate Brokerage – L.L.C – S.P.C · Commercial License No: CN-6410679 KYC Form · v2.0