KYC – Account Application Form

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1. Legal Entity Identification
2. Nature of Business Activity
3. Gold Product & Sourcing Profile
4. Beneficial Ownership (UBO) & Management
5. Management Structure
NamePosition (Board / Mgmt)DesignationNationalityDate of Birth
PRINCIPAL CONTACT / PERSON WHO WILL OPERATE THE ACCOUNT
Authorised Operator NameCountry of ResidenceDesignationNationalityDate of Birth
6. Counterparty Settlement Bank Details

Settlement account in the counterparty’s name. Note: payment is released only after the Final Assay Report; no advance payment.

TRADE REFERENCES (minimum of 2)
NameCountry of Incorporation
7. Specimen Signatures
Declaration of Source of Funds
I / We confirm that the source of funds and/or precious metals presented in connection with this account are derived from legitimate sources, and that such funds do not originate from any sanctioned country, entity or person under United Nations, UAE or other applicable sanctions programmes. I / We acknowledge the requirements of the UAE anti-money-laundering and counter-terrorist-financing framework, including Federal Decree-Law No. 10 of 2025 and Cabinet Decision No. 134 of 2025 and their implementing regulations.
[Confirm exact legal citation with GGT Prime’s legal counsel before issuing.]
Signature
Stamp
8. AML / CFT Compliance Questionnaire
General Undertaking & Indemnity
By signing this form I declare that the information provided is true and that all documents submitted with this KYC application are genuine. I undertake to promptly inform GGT Prime FZCO in writing of any changes, and agree that GGT Prime FZCO is not liable for activity performed on the basis of the information provided.
AUTHORISED SIGNATORY
Signature
Required Documents
Valid Trade Licence (minimum 3 months before expiry)
Company registration documents: Memorandum of Association (and amendments), Articles of Incorporation, Share Certificate
Passport / visa-page copies of: beneficial owners / shareholders, authorised signatories, and account operator(s)
Latest utility bill or tenancy contract for the registered address and the office / principal place of business
Board Resolution stating the intent and purpose of the account, naming the person who will operate it
Duly completed application form
Bank Letter of Good Standing and/or Trade Reference Letter (at least one)
Important Information
Kindly email the saved PDF of this form together with scanned copies of the required documents to info@ggtprime.ae for initial assessment. We will advise when to send notarised copies or present originals for verification.
  • We only accept documents in English (certified translations where applicable).
  • The list above is a minimum requirement; additional supporting documents may be requested during onboarding.
  • All parties (company, shareholders, beneficial owners and account operators) are screened against World-Check and other third-party due-diligence databases, and may be disclosed to auditors or regulators to satisfy KYC obligations.
Compliance Department: +971 50 629 111  /  info@ggtprime.ae
FOR GGT PRIME USE ONLY
(do not fill in this box)
Risk Rating:
Screening completed (World-Check / sanctions):
Finished? Save as PDF, then email it to info@ggtprime.ae