Company Due Diligence Form

Please complete this form to provide the details for the company and one stakeholder

Company nameTrading name (if different)Company IRD numberCountries in which the company operatesDirector DetailsFirst name(s)SurnameResidential AddressStreetSuburbCityCountryPostcodeEmailPhone number

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Preferred method of communicationDate of birthCity and country of birthCountry of residencyNew Zealand residency statusAre you a tax resident of any other country?NoYes (specify below)IRD numberOccupationAre you or the company a trustee of a trust?YesNoIf so, is the trust involved in this transaction?YesNoTransaction type (eg. Sale of house, business purchase):Names of other directors, shareholders and authorised agents in this companyDocumentsPlease attach a copy of your company extract

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View a list of acceptable forms of identification and address verificationPlease type your name to confirm the information provided above is true and completePlease note your DK Law Contact Person, if known

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Duncan King Law (incorporating: Duncan Horrocks Law, Jan P Campi, Sandringham Law and Wadsworth Ray)

40 George Street, Kingsland, Auckland 1024
‍
Mon-Fri
8:30am-5pm

(09) 623 0515
reception@dklaw.co.nz

PO Box 10161
DX CP37017

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