Individual Client Form

Individual Client

1. Identification

Full Name(Required)

Date of Birth

Nationality

Tax Identification Number (TIN) from the country you currently reside(Required)

Current full address

Street Address City County / State / Region ZIP / Postal Code Country

Phone contact

Copy of your passport or id card(Required)

Max. file size: 2 MB.

Proof of address

Tax residence certificate, recent utility bill, bank statement, rental agreement, etc.)

Max. file size: 2 MB.

Please upload additional information which may be relevant

e.g. company organisation chart, contracts, bank statements, etc.

Max. file size: 2 MB.

2. Professional and Financial Information

Current profession/occupation

Employer or self-employed

Source of funds/assets

Income from work | savings | inheritance/donation | sale of assets | other

Jurisdictions with tax or asset links

3. Professional Relationship with the Firm

Purpose of the service requested

Brief description of the transaction or matter

Estimated value involved (if applicable)

4. Beneficial Owner and PEP

Do you act on your own behalf or on behalf of third parties?

Yes

No (if no, identify the beneficial owner: name, nationality, relationship)

Are you or have you been a Politically Exposed Person (PEP)? (Holder of a political, judicial, military or relevant public office — e.g. member of the Government, deputy, magistrate, ambassador, head of a public company, etc.)

Yes (if yes, indicate the position, country and period)

5. Compliance and DAC6

Are you involved in cross-border transactions or structures (DAC6)? (Indicate whether the transaction or service involves more than one country.) Typical examples: Incorporation of or participation in a company based outside Portugal | Transfer of tax residence between countries | Acquisition or disposal of property located abroad | Income from work, services, dividends, interest or royalties from abroad | Structures with more than one jurisdiction (Portuguese company with non-resident partners, foreign trusts or foundations)

Yes (if yes, indicate the position, country and period)

Individual Client Form