KYC verification

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KYC verification

KYC Document

Name

Company Name

Country

Company address line 1

Company address line 2

City

Postal Code

VAT

Eg: XX0123.456.789

Phone number

Fax number

WEBSITE URL

Your contact person KYC/AML

Your registration number

www.registereddiamondcompanies.be (Fill in the number if have or write "don't have") Eg: 0123455789

Director(s) or company's authorized representative(s)

Your business activity

Legal entity

Retailer

Wholesaler

Manufacturer

Other: (please specify)

*If Other, please specify

Bank details

(Bank name, Account, N IBAN, SWIFT code, Correspondent US SWIFT ID)

If you are human, leave this field blank.

YOU CAN ALSO SEND THE COPY OF YOUR ID CARD BY FAX FAX +32 3 226 44 92 OR MAIL A COPY TO : EL-RAN BV, PELIKAANSTRAAT 62 (OFFICE 760), 2018.

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