Buyer and End User Due Diligence Assistant

Reference

Date

* Fields marked with a red asterisk are required. You must complete all required fields before the form can be printed or the email information copied.

Buyer Information

Provide the full details of the person or organisation purchasing or arranging the purchase of the goods.

End User Information

Identify the person or organisation that will ultimately use the goods.

If the buyer is the same entity as the end-user, tick this box.

End user linked to buyer. The end user details below have been populated from the buyer information. Changes made to the buyer information will automatically update the end user information.

Consignee

Provide the person or organisation to which the goods will be physically delivered.

If the consignee is the same entity as the end-user, tick this box.

Intermediate Users and Third Parties

Add every known intermediate user, agent, distributor, stockist, contractor, broker, representative, related company or other third party involved in the transaction or intended use.

Ultimate End User

Identify the person or organisation that will ultimately use the goods where this is different from the immediate end user.

Tick this box if there is no ultimate end user.

No ultimate end user identified. The Ultimate End User section has been removed from this submission and its fields are no longer required.

Associations and Relationships

Explain the relationship between the end user and each intermediate user, third party, consignee or ultimate end user.

Supporting Documents

Tick each document that you are providing with this form. Documents can be attached separately to the email generated by this assistant.

Proof of Identity Passport, driving licence or national identity card.

Proof of Address Recent utility bill, bank statement or council tax bill.

Certificate of Incorporation Certificate of incorporation or equivalent business registration document.

Directors and UBO Details Details of directors and Ultimate Beneficial Owners.

Business Address Verification Evidence confirming the registered or operating business address.

Other Supporting Documents Other documents relevant to the due diligence assessment.

Additional documents included

Additional Information

Declaration

I confirm that, to the best of my knowledge and belief, the information provided in this form is complete, accurate and factual. I understand that this information may be used for due diligence, compliance and transaction assessment purposes, and I will notify the recipient if I become aware that any material information provided is incorrect or has changed. *

Privacy and Information Handling

This form does not store your information.

The form itself does not transmit the information you enter to a server, save it to a database or retain it for later use. The information remains within the form in your browser while the page is open.

When you select "Prepare Email" or "Copy Email", the information is formatted so that you can paste it into your own email. Any subsequent storage, transmission or retention of the information will be controlled by the email service, device or organisation you use.

You should attach any supporting documents separately to your email.

Buyer Information

End User Information

Consignee

Intermediate Users and Third Parties

Ultimate End User

Associations and Relationships

Supporting Documents

Additional Information

Declaration

Privacy and Information Handling

Preformatted Email / Copy Text

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