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    Puma Standard KYC Form

    Uploaded by

    Clayton Lambert
    This document is a standard KYC (Know Your Customer) questionnaire that collects information about a proposed new third party business partner. It requests corporate details, ownership information, documents, banking details, and a justification for the new partnership from Cummins Automotive Services & Parts Ltd based in Lusaka, Zambia. The company provides diesel engines, generators, and aftermarket parts and wants to establish the partnership to expand its sales and service offerings.

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    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd

    Puma Standard KYC Form

    Uploaded by

    Clayton Lambert
    547 views2 pages
    This document is a standard KYC (Know Your Customer) questionnaire that collects information about a proposed new third party business partner. It requests corporate details, ownership information, documents, banking details, and a justification for the new partnership from Cummins Automotive Services & Parts Ltd based in Lusaka, Zambia. The company provides diesel engines, generators, and aftermarket parts and wants to establish the partnership to expand its sales and service offerings.

    Original Description:

    KYC form

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    This document is a standard KYC (Know Your Customer) questionnaire that collects information about a proposed new third party business partner. It requests corporate details, ownership information, documents, banking details, and a justification for the new partnership from Cummins Automotive Services & Parts Ltd based in Lusaka, Zambia. The company provides diesel engines, generators, and aftermarket parts and wants to establish the partnership to expand its sales and service offerings.

    Copyright:

    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd
    Download as xls, pdf, or txt
    547 views2 pages

    Puma Standard KYC Form

    Uploaded by

    Clayton Lambert
    This document is a standard KYC (Know Your Customer) questionnaire that collects information about a proposed new third party business partner. It requests corporate details, ownership information, documents, banking details, and a justification for the new partnership from Cummins Automotive Services & Parts Ltd based in Lusaka, Zambia. The company provides diesel engines, generators, and aftermarket parts and wants to establish the partnership to expand its sales and service offerings.

    Copyright:

    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd
    Download as xls, pdf, or txt
    of 2

    Standard KYC Questionnaire

    In keeping with International Business Standards it is important you provide the following
    background information. This will ensure we have a clear understanding of the proposed
    business relationship

    1. Corporate Details
    Full Registered Company Name

    CUMMINS AUTOMOTIVE
    SERVICES & PARTS LTD

    28-11-2011

    Incorporation Date

    P.O BOX FW 397

    LUSAKA

    Town / City

    PLOT NO. 6980, KATANGA ROAD, INDUSTRIAL AREA, LUSAKA.

    Physical Address of Head Office

    97689

    Initial point of contact at


    counterparty:

    0211845818

    Telephone Number

    0211845818

    Fax Number

    0211845819

    Mobile Number

    965186323

    E-Mail Address

    sales@cummins-zambia.com

    Company Registration Number

    www.cummins-zambia.com ; www.thebestofzambia.com/cummins

    Website

    2. Third party business partner indentification details

    2.1

    ZAMBIA

    Country of Incorporation

    PLOT NO. 6980, KATANGA ROAD, INDUSTRIAL AREA, LUSAKA.

    Registered Street Address

    Post Code

    Any trading name(s):

    Documents to be provided for Company


    Certificate of Incorporation or Memorandum/ Articles
    of Association

    2.2

    Names of Directors

    2.3

    Corporate document evidencing the full names and


    shareholding of all Ultimate Beneficial Owners

    2.4

    Bank Reference Letter

    3. Third party business partner details

    Please provide copies of the below documents. These documents should be provided in the
    English Language or with an English Translation. If the company is publicly listed, state owned
    or regulated please note these documents are NOT required.
    Documents to be provided for individuals

    Please tick

    2.5

    Copy of identification document (passport)

    2.6

    Proof of address - Utility Bill from the last 3 months

    2.7

    Bank Reference Letter

    Please tick

    Details of the proposed new third party business partner


    Third party business partner Status: (Please Tick)

    3.1
    Public Company (If publicly quoted company, please
    name Stock Exchange(s) and listing(s))

    Private Company

    Partnership

    State or Government Entity

    Individual
    Please note the beneficial owner must be a public limited company, state owned, or an individual. If the majority shareholder of a company is another privately
    owned company, further enquiries must take place until the ultimate beneficial owner has been identified

    4. Banking

    Please provide the full banking details for this third party business partner.

    4.1

    Principal Bankers (Name of the Bank)

    FIRST ALLANCE BANK

    4.2

    Swift BIC

    4.3

    Bank Branch Address Details

    4.4

    Bank City & Country

    4.5

    Bank Account Name (Beneficary Name)

    4.6

    Currency of Bank Account

    USDOLLAR

    ZMW (KWACHA)

    4.7

    Bank Account Number/ IBAN number

    0102205014

    0000102205006

    4.8

    Name of Bank Account Manager & Contact Details

    FALLZMLU
    CAIRO ROAD BRANCH
    LUSAKA, ZAMBIA
    CUMMINS AUTOMOTIVE SERVICES & PARTS

    Mr. Zulu

    Tel. 0211220386

    5. Justification for new third party business partner


    Type of business partner (supplier, contractor, service
    station dealer, customer etc)

    Please give basic explanation of services provided by third party business partner and why
    you wish to use new third party business partner.

    CUMMINS DIESEL ENGINES, GENERATION SETS SALES AND SERVICE ( AFTER MARKET SUPPORT).
    SUPPLIERS OF FLEET GUARD FILTERS, CUMMINS PREMIUM BLUE OIL AND GENUINE ENGINE PARTS

    Justification:

    Details of individual completing KYC form


    Name (Print):
    Signature:

    Prasad Panicker

    Date:

    09/9/2014

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