Individual KYC Form

Know You Client (KYC)



This form is intended to fulfil the identification and due-diligence obligations set out in Portuguese Law no. 83/2017, of 18 August. It must be completed in full, truthfully and legibly.

1. PERSONAL DATA

Full name *
Date of birth *
Marital status *
Place of birth *
city and country
Nationality *
indicate all, if holding more than one
Profession *
2. IDENTIFICATION DOCUMENT *


National ID card (Portuguese Cartão de Cidadão)

National ID card number (Portuguese Citizen Card) *
Expiration date *
Upload your Citizen Card in PDF format.
Drag and drop media files to upload. or
Tamanho máximo do arquivo: 5 MB Allowed file types: application/pdf
0/3
You can send more than one if the front and back are in different files.


Portuguese residence permit

Portuguese residence permit number *
Expiration date *
Upload your Residence Permit in PDF format.
Drag and drop media files to upload. or
Maximum file size: 5 MB Allowed file types: application/pdf
0/3
You can send more than one if the front and back are in different files.


CPLP residence title

CPLP number residence title *
Expiration date *
Upload your CPLP Residence Permit in PDF format.
Drag and drop media files to upload. or
Maximum file size: 5 MB Allowed file types: application/pdf
0/3
You can send more than one if the front and back are in different files.


Passport

Passport Number *
Expiration date *
Country of passport issuance *
Upload your passport as a PDF.
Drag and drop media files to upload. or
Tamanho máximo do arquivo: 5 MB Allowed file types: application/pdf
0/3
You can send more than one if the front and back are in different files.

Other Document

Other Document Number *
Expiration date *
Country of issuance of the Document *
Upload your PDF document.
Drag and drop media files to upload. or
Maximum file size: 5 MB Allowed file types: application/pdf
0/3

4. TAX INFORMATION

Portuguese Taxpayer Number (NIF) *
Tax number in country of origin
if applicable

5. ADDRESS AND CONTACTS

Residential address in Portugal *
Postal code and town *
Address in country of origin
if different
Tax domicile
if different from residential address
Preferred mobile phone *
with country code
Alternative mobile phone
Preferred e-mail *
Preferred language of communication *
Other (please specify)
Preferred means of contact *
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6. REPRESENTATION


Complete only if the individual is not acting on their own behalf.

Identification of the person on whose behalf you are acting
Relationship with that person

7. PURPOSE OF THE PROFESSIONAL RELATIONSHIP

Area of legal advice: *
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Other (please specify)
Source of funds used to pay for the services *
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Other source (please specify)

8. ADDITIONAL INFORMATION (AML)

Is any person identified in this form a Politically Exposed Person (PEP)? *
Is any person identified in this form a Close Family Member, or known to be Closely Associated with, a Politically Exposed Person? *
Does any person identified in this form hold Another Political or Public Office? *
If yes, please state who and the position or office held


9. INVOICING

I wish my invoice to be sent by: *


10. DECLARATIONS

(1) I declare, on my honour, that the data and documentation provided, including copies or photocopies, faithfully reproduce the original documents and the up-to-date information relating to the individual identified above. *
(2) I declare that I have read and understood the Privacy Policy of Catarina Zuccaro — Global Law Advisor regarding the processing of personal data. *

Read our Privacy Policy
(3) I authorise the processing of my personal data for institutional communications and legal marketing. Optional authorisation, revocable at any time.
Place *
Date *
Signature *
To clean
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