FORM U4 – Particulars of Legal Person Your Client Is Acting On Behalf Of

(Entity / Legal Arrangement)

Section 1: Particulars of Legal Person on whose behalf Client is acting

Is the Client authorised to act on behalf of the Legal Person?

Yes No

Supporting document: Copy of Letter of Authorisation.

Full name of entity

Supporting document: Copy of ACRA Certificate of Incorporation.

Registered office address

Principal address of business (optional)

Telephone number

Email address

UEN / Incorporation / Registration no.

Date of incorporation / registration

Country or territory of incorporation/registration

Main business activity

Type of entity/legal arrangement

Section 2: Particulars of Senior Management Personnel

Are the senior management personnel the beneficial owners of the entity/legal arrangement?

Yes No

If “No”, proceed to provide beneficial owners information in Section 3.

Person 1

Designation

Nationality

Full Name

Identification Type

Identity No.

Person 2

Designation

Nationality

Full Name

Identification Type

Identity No.

Person 3

Designation

Nationality

Full Name

Identification Type

Identity No.

Section 3: Particulars of Beneficial Owner(s) of Entity / Legal Arrangement

Note: Details of beneficial owners who have control over the entity/legal arrangement should be identified and verified.

Beneficial Owner 1

Full Name

Identification Type

Identity No.

Date of Birth

Nationality

Occupation

Residential Address

Beneficial Owner 2

Full Name

Identification Type

Identity No.

Date of Birth

Nationality

Occupation

Residential Address

*To add more pages where necessary.