SME KYC NO BNP CLIENT EN

Official name of the company

VAT number of the company

Company address

Street

House number

Postal code

City

Website (URL) if available

If no website is available: description of the company's activity

Company's bank account number

Does your company have activities or operations in or with any of the six sanctioned countries/regions (Cuba, Iran, Syria, Crimea, Sebastopol, North Korea)?

Yes

In which country does the main activity of your Belgian company take place? In other words: in which country does your Belgian entity generate the highest turnover?

Belgium

In another country

Please specify the country in which your Belgian entity generate the highest turnover

How many people does the company consist of?

One person

Serveral people

Indicate the company representative below. This person must be registered in the Crossroads Bank for Enterprises or in the Belgian Official Gazette. Also enter his/her date of birth and position within the company. Important! The company representative mentioned below must sign the framework agreement.

Company representative's surname and first name

Company representative's date of birth

Company representative's date of birth: Day

Company representative's date of birth: Months

Company representative's date of birth: Year

Company representative's position

E-mail address of the company representative

Indicate two company representatives below. These persons must be registered in the Crossroads Bank for Enterprises or in the Belgian Official Gazette. Also enter their date of birth and position within the company. Important! One of the company representatives mentioned below must sign the framework agreement.

Surname and first name (first company representative)

Date of birth (first company representative)

Date of birth (first company representative): Day

Date of birth (first company representative): Months

Date of birth (first company representative): Year

Position (first company representative)

E-mail address (first company representative)

Surname and first name (second company representative)

Date of birth (second company representative)

Date of birth (second company representative): Day

Date of birth (second company representative): Months

Date of birth (second company representative): Year

Position (second company representative)

E-mail address (second company representative)

Add a bank statement here with the name of the company, account number and logo of the bank. This may also be a screenshot of PC banking.

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Allowed types: pdf, doc, docx, png, jpg.

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