FORM A - Langstaffs

Statutory Anti-Money Laundering Questionnaire (Form A) - Individual

1. Full Name*

2. Address of current primary residence*

3. Date of birth*

4. Are you, a close relative, or a close business associate a 'Politically Exposed Person'?

Yes
No

A close relative is a spouse, sibling, child, parent, sibling-in-law or parent-in-law.

A detailed definition of 'Politically Exposed Person' can be found here: www.lawsociety.org.uk/topics/anti-money-laundering/peps

5. Please upload a form of photographic identity (eg driving licence or passport)

If it is too much trouble to upload a copy of your photographic identification here, please feel free to submit a copy by other means (eg email, post etc).

6. Please list all of the business or organisations where Langstaffs provides book-keeping or accountancy services AND where you have a significant (25%+) financial interest.