Foundation Application Form - Helm Trust Company Limited
Foundation Application Form - Helm Trust Company Limited
Foundation Application Form - Helm Trust Company Limited
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PART B ‐ DETAILS ABOUT FOUNDER(S) / ULTIMATE CLIENT(S)<br />
1. Client Identification:<br />
We are required to verify the identity of all Founders, <strong>Foundation</strong> Council Members,<br />
Guardians, Beneficiaries and External parties. Our requirements are detailed in the last<br />
two pages of this <strong>Application</strong> <strong>Form</strong>.<br />
2. Details of Founder(s) / Ultimate Client:<br />
(Please photocopy this page before completion and use further copies if more than one<br />
Founder / Ultimate Client) and describe the nature of the relationship between them.<br />
Full Name:<br />
_______________________________________________________<br />
Residential Address (permanent physical address, P.O. Box is not acceptable):<br />
House Name: ____________________________________________________________________<br />
Street___________________________________________________________________________<br />
Town___________________________________________________________________________<br />
Post code__________________ Country___________________________________________<br />
Telephone:<br />
Facsimile:<br />
Home ___________________ Office: _____________________________<br />
Home ___________________ Office: _____________________________<br />
Mobile: ________________________________________<br />
Email address: ____________________________________________________________________<br />
Nature of relationship with other Founder (as applicable) ________________________<br />
________________________________________________________________________________<br />
________________________________________________________________________________<br />
Address for correspondence (if different to above):<br />
Name: _____________________________________________________________<br />
Address: ___________________________________________________________<br />
__________________________________________________________________<br />
__________________________________________________________________<br />
Telephone: _________________________________________________________<br />
Facsimile___________________________________________________________<br />
Please attach a certified true copy of Founder’s passport:<br />
Please refer to the last two pages of this <strong>Application</strong> <strong>Form</strong> for full details of our Client<br />
Due Diligence requirements<br />
<strong>Foundation</strong> application form – Aug 2012<br />
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