"*" indicates required fieldsStep 1 of 520%Full Name* First Middle Last TitleHow would you like us to refer to you? For example Mr, Mrs, Doctor etc.Date of Birth* DD slash MM slash YYYY Your Residential Address* Address 1 Address 2 City Province Postcode Email* Phone Number*What is your company structure?* Sole Trader Private Limited Company or LLP Public Limited Company TrustPersonal Identity VerificationBy law, we are required to see proof of identity for all new and some existing clients. Please upload a scan of one of the following documents: Valid passport New Zealand firearms licence New Zealand certificate of identityUpload your personal identity document here*Max. file size: 100 MB.Personal Address VerificationBy law, we are required to see proof of residential address for all new and some existing clients. Please upload a scan of one of the following documents:Bank, Building Society or Home Loan Statement Dated with 3 months. Must include account number and show recent activity. No general correspondence.Credit Card Statement Dated within 3 months. Must include account number and show recent activity. No general correspondence.Utility Bill Dated within 6 months E.g. Gas, electricity, water. Must show address for service and/or account number. No general correspondence.Telephone Bill Dated within 6 months E.g. Landline or mobile pay monthly (excluding pay as you go). Must show address for service and/or account number. No general correspondence.Goverment Letter Dated within 12 months. E.g. Council Tax statement. Must show address for service and/or account number. No general correspondence.Tenancy Agreement Dated with 12 months. Must state full name and full property address. Issued by local council, housing association, solicitor or reputable letting agent.Home or Motor Insurance Certificate Dated within 12 months. Must state insured address or registered address for vehicle and policy number. No general correspondence.Upload your personal address document here*Max. file size: 100 MB.Private Limited Companies and LLPsFull Company Name*IRD Number*Registered Address*Your company's registered address Address 1 Address 2 City Postcode Is your registered address the same as your place of business?* Yes NoPlace of business*Please add the address of your company's place of business Address 1 Address 2 City Postcode Certificate of incorporation*Max. file size: 100 MB.Latest Annual Return with details of current company officers*Max. file size: 100 MB.Other shareholders/members* Yes NoAside from yourself, are there any shareholders/members who ultimately own or control more than 25% of the shares or voting rights (directly or indirectly including bearer shares) in your company?Personal Identity Verification for other Shareholders/MembersBy law, we are required to see proof of identity for all shareholders/members who ultimately own or control more than 25% of the shares or voting rights (directly or indirectly including bearer shares) in your company. Please upload a scans of one of the following documents for all shareholders/members with 25% of the shares or voting rights: Valid passport New Zealand firearms licence New Zealand certificate of identityUpload personal address documents for other shareholder/members here* Drop files here or Select filesMax. file size: 100 MB.Public Limited CompaniesFull Company Name*IRD Number*Registered Address*Your company's registered address Address 1 Address 2 City Postcode Verification documents*Please upload one of the following documents: - A printout from the web-site of the relevant regulator or exchange - Written confirmation of your company's regulatory or listing status from the regulator or exchangeMax. file size: 100 MB.TrustsTrustees* Add RemovePleas list all trustees, click the + to add each personBeneficiaries* Add RemovePleas list all beneficiaries, click the + to add each personTrust deed*Max. file size: 100 MB.Other trustees/beneficiaries* Yes NoAside from yourself, are there anybody else with a vested interest in 25% or more of the capital and/or those who exercise control over the Trust.Personal Identity Verification for other Trustees/BeneficiariesBy law, we are required to see proof of identity for all trustees/beneficiaries with a vested interest in 25% or more of the capital and/or those who exercise control over the Trust. Please upload a scans of one of the following documents for all trustees/beneficiaries meeting these criteria: Valid passport New Zealand firearms licence New Zealand certificate of identityUpload personal address documents for other shareholder/members here* Drop files here or Select filesMax. file size: 100 MB.ConfirmationPlease sign below*I confirm that the information given in this form is true, complete and accurate.CAPTCHANameThis field is for validation purposes and should be left unchanged.Δ