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Standard Client Due Diligence Form for Companies
Please complete this form for each additional director, shareholder or authorised agent, in addition to the information provided on the Company Due Diligence form
Company name
Director Details
Salutation
Mr
Miss
Mrs
Ms
Other
First name(s)
Surname
Residential Address
Street
Suburb
City
Country
Postcode
Email
Phone numbers
Home
Work
Mobile
Preferred method of communication
Select one...
Email preferred
Post preferred
Date of birth
City and country of birth
Country of residency
New Zealand residency status
Select one...
Citizen
Resident
Permanent Resident
Work Visa
Other
Are you a tax resident of any other country?
No
Yes (specify below)
Occupation
New Zealand IRD number
Documents
Please attach a photo of current identification
Upload File
Max file size 10MB.
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Please attach a photo of a proof of address
Upload File
Max file size 10MB.
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View a list of acceptable forms of identification and address verification
Please type your name to confirm the information provided above is true and complete
Please 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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