Know Your Customers

Client Information

You can select more than one item

Gender:

Female

Male

Residents

Non-Residents

Legal representative

Personal

Employment Information

You can select more than one item

Employed

Unemployed

Retired

Student

Private Business

Other

Income Indicators

Inheritance

Business profit / Investment Income

Finance / Loan

Salary / Pension / Insurance

Other

Average annual income

up to 100,000 KD

up to 75,000 KD

up to 50,000 KD

up to 25,000 KD

up to 10,000 KD

Approximate wealth

1 million KD & above

up to 750,000 KD

500,000 KD

250,000 KD

100,000 KD

Investment Indicators

Investment Experience

Real estate

Investment fund

Bonds & instruments

Other

Investment Awareness

Expert (more than 5 years)

Good (from 2 – 5 years)

Basic (less than 2 years)

Investment Objectives

Speculation

Acquisition

Short term investment

Long term investment

Other

Risk Appetite

Low

Medium

High

Desired Investment

REAL ESTATE

Investment fund

Bonds & instruments

Other

Preferred duration

Long term

Medium Term

Short Term

Percentage of Invested Amount

Up to 100 %

Up to 80 %

Up to 60 %

Up to 40 %

Up to 20 %

Disclosure Information

If you have any membership of the board of directors or have an access to the financial statements and inside information of any Boursa listed companies and any other stock exchange markets, please list them below

Additional information

Do you trade in Boursa Kuwait through another company / Broker?

Yes - Company / Broker name:

Do you trade in other stock market?

Yes - Company / Broker name:

Do you have client political position

Do you trade in other stock market?

Senior executive in stated owned institution

Political party officer

Senior political or government officer or military

Member of parliament

Royal family

Other

If any of your direct relative (second degree) or associates (advisor, partner) holding a political position.

Do you trade in other stock market?

Senior executive in stated owned institution

Political party officer

Senior political or government officer or military

Member of parliament

Royal family

Other

High risk politically exposed person (PESP) is any person who was, has, or had, or seeks to have, or is nominated for, a public position in Kuwait or in a foreign country (this applies to non-residents in Kuwait).

Requested documents

A copy of valid civil ID for Kuwait national and resident expatriate.

A copy of valid national ID for GCC citizens.

A copy of valid passport for non-resident expatriates.

A copy of valid civil ID or valid diplomatic ID for diplomats.

Valid support documents for Legal representative.

Residence specification for Tax requirements (FATCA)

Do you hold a US passport or citizenship or a permanent residence in the U.S.A. ?

Yes

If yes, please fill in the W-9 form and provide the TIN (Taxpayer Identification Number).
If not, please provide self certification form for residents in Kuwait or W-8 BEN form for non-Kuwait residents.

Were you born in the U.S.A ?

Yes

Do you have mail a postal or residential address in the U.S.A.?

Yes

Please provide complete address including town, state, zip code and P.O.Box:
If not, please provide self certification form for residents in Kuwait or W-8 BEN form for non-Kuwait residents.

Do you have a phone number in the U.S.A.?

Yes

Please provide telephone number:
If not, please provide self certification form for residents in Kuwait or W-8 BEN form for non-Kuwait residents.

Have you given regular instructions to transfer any amount to a reserved account in the U.S.A.?

Yes

Please provide the beneficiary name:
If not, please provide self certification form for residents in Kuwait or W-8 BEN form for non-Kuwait residents.

Have you given a valid power attorney or legal authorization to a person with an address in the U.S.A.?

Yes

Please provide the proxy / assignee’s name:
If not, please provide self certification form for residents in Kuwait or W-8 BEN form for non-Kuwait residents.

Do you have a “hold mail instruction” or “in care of” address in the U.S.A ?

Yes

Please provide the address:

CRS Indicia

Are you a permanent resident of any Reportable Jurisdiction?

Yes

Please provide the Taxpayer Identification Number (TIN):

Do you have a current mailing or residence address in any Reportable Jurisdiction?

Yes

Please fill Address, P.O.Box & Postal Code in the Reportable Jurisdiction:

Have you given permanent standing instructions to transfer any amount to an account maintained in any Reportable Jurisdiction?

Yes

Please provide the telephone number in the Reportable Jurisdiction:

Have you issued a valid power of attorney or authorization to a person who has an address in any Reportable Jurisdiction?

Yes

Please fill the Name of the person:

Do you have an “in-care-of” or “hold mail” address in any Reportable Jurisdiction?

Yes

Please fill the following:

Acknowledgment

I, undersigned, hereby certify that the provided information is true, correct and complete, as well as the submitted documents, and I further undertake to inform A'ayan leasing & investment company in writing of any changes to such information, and update it whenever requested or annually. In case of non-compliance, the account will be suspended within 3 working days without any responsibility to A'ayan.

Name:Mohammad Ali

Date: 19 Jun 2018

Signature

Back

KNOW YOUR CUSTOMERS

Client Information

You can select more than one item

Gender:

Employment Information

You can select more than one item

Income Indicators

Income Indicators

Average annual income

Approximate wealth

Investment Indicators

Investment Experience

Investment Awareness

Investment Objectives

Risk Appetite

Desired Investment

Preferred duration

Percentage of Invested Amount

Disclosure Information

Additional information

Do you trade in Boursa Kuwait through another company / Broker?

Do you trade in other stock market?

Do you trade in other stock market?

Do you trade in other stock market?

Requested documents

Residence specification for Tax requirements (FATCA)

Do you hold a US passport or citizenship or a permanent residence in the U.S.A. ?

Were you born in the U.S.A ?

Do you have mail a postal or residential address in the U.S.A.?

Do you have a phone number in the U.S.A.?

Have you given regular instructions to transfer any amount to a reserved account in the U.S.A.?

Have you given a valid power attorney or legal authorization to a person with an address in the U.S.A.?

Do you have a “hold mail instruction” or “in care of” address in the U.S.A ?

CRS Indicia

Are you a permanent resident of any Reportable Jurisdiction?

Do you have a current mailing or residence address in any Reportable Jurisdiction?

Have you given permanent standing instructions to transfer any amount to an account maintained in any Reportable Jurisdiction?

Have you issued a valid power of attorney or authorization to a person who has an address in any Reportable Jurisdiction?

Do you have an “in-care-of” or “hold mail” address in any Reportable Jurisdiction?

Acknowledgment

Name:Mohammad Ali

Date: 19 Jun 2018

Signature