Anti Money Laundering Form Template UK

The Anti Money Laundering Form Template UK is offered in multiple formats, including PDF, Word, and Google Docs, featuring customizable and printable examples.

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Sample

Anti Money Laundering Form Template UK

Editable – Printable

PDF – 1 PDF – 2

Anti Money Laundering Form Template UK

1. Client Information



2. Service Provider Information



3. Source of Funds

4. Purpose of Transaction

5. Beneficial Ownership Information

6. Politically Exposed Persons (PEPs)

7. Risk Assessment

8. Enhanced Due Diligence Measures

9. Declaration of Truthfulness

10. Acknowledgment of Risks

11. Date of Completion

12. Signatures



PDF

WORD

Examples

Anti Money Laundering Form Template UK (1)
Client Information:
[Name of the Client]
[Client’s ID/Number]
[Client’s Address]
[Client’s Phone]
[Client’s Email]
Service Provider Information:
[Name of the Service Provider]
[Provider’s ID/Number]
[Provider’s Address]
[Provider’s Phone]
[Provider’s Email]
Date of Form Completion:
[Date]
Nature of Business Relationship:
Briefly describe the nature of the business relationship and its purpose.
Potential Risks:
Identify any potential money laundering risks associated with this client or transaction.
Client Verification Method:
Outline the method used for verifying the client’s identity (e.g., passport, utility bills).
Source of Funds:
State the source of the funds being used in this transaction and how they were obtained.
Ongoing Monitoring Obligations:
Detail the obligations for ongoing monitoring of the client and transactions.
Record Keeping:
Describe how and where records will be kept and for how long they will be retained.
Risk Assessment Completed:
[Yes/No] – If yes, include details of the assessment results.
Signed Confirmation:
I hereby confirm that the information provided above is accurate to the best of my knowledge.
[Signature of the Client]
[Name of the Client]
[Signature of the Service Provider]
[Name of the Service Provider]
Anti Money Laundering Form Template UK (2)
Client Details:
[Full Name of the Client]
[Client’s ID/Number]
[Client’s Address]
[Client’s Phone]
[Client’s Email]
Provider Details:
[Full Name of the Service Provider]
[Provider’s ID/Number]
[Provider’s Address]
[Provider’s Phone]
[Provider’s Email]
Form Completion Date:
[Completion Date]
Purpose of Relationship:
Explain the purpose of this business relationship.
Money Laundering Risks:
Describe any specific risks identified in relation to this client.
Identity Verification Process:
Outline the client verification process followed (e.g., government-issued ID).
Funds Source Explanation:
Provide detailed information regarding the source of funds used.
Monitoring Procedures:
List the procedures in place for ongoing monitoring of the client’s activity.
Document Retention Policy:
Describe how records are maintained and for what period according to regulations.
Risk Assessment Status:
[Completed/In Progress] – If completed, attach the findings.
Certification of Accuracy:
I confirm that all information is truthful and accurate.
[Signature of the Client]
[Name of the Client]
[Signature of the Service Provider]
[Name of the Service Provider]

Printable

PDF – 1 PDF – 2

Anti Money Laundering Form Template UK