Company Information

Personal Information

Business Experience

Proposed Business Detail

Due Diligence i the Mineral Supply Chain

  • Section I
  • Section II
  • Section III
  • Section IV
  • Section V

Company Information

Company Name (as shown on Trade License)

Country of Establishment

License No.

Year of Incoperation

Beneficial Owner/Authorizrd Signature 1

Address: Main office

City

Telephone

Email (official)

Section II: Personal Information

Checkbox List

Title

Surname (As shown in Passport)

First Name

Other Names

Gender

Date of Birth

Country of Citizenship

Passport Number

Date of Issue

Date of Expiry

Current office Address

City

Email

Phone

Mobile

Section III

Number of years of operating in business

Most of your work has been in?

Proposed Business Detail

Physical Business

Type of Delivery

Source of Gold/Funds

Expected Frequency of Deliveries/pick ups

Attached Documents

Due Diligence i the Mineral Supply Chain

Does your company have a strong management system?

Do you have company policy?

If yes does your policy comply with VECD guidlines for responsible supply chains of minerals from conflict affected and high-risk areas?

Do you have contracts and agreements with other suppliers?

Do you have a designed and implementation strategy to respond to identified risks

If yes please provide details regarding your procedures Does your company carry out third-party audit of supply chain due diligence?

Do you have the company policy on your website?

If No please provide us with a copy of your company's policy

Authorized Signature

Declaration Sources of Gold, and Funds

We/I the undersigned do hereby warrant under the penalty of perjury that the funds/Gold to be delivered to Stelna Solutions Limited-Ghana have been procured, sourced, secured through legal means and or investment channels. We/I further attest that such Gold/funds have been purchased or sourced from legitimate investment sources not involved or related to conflict funding, illicit gains from narcotic and or drug-related businesses, including human right violations neither from profits accrued in contravention of any laid down international laws including money laundering. We/I sate here to the best of my/our knowledge that the undersigned hereby guarantee that the source of funds have been properly sourced from legal and legitimate means to be used in the trading with Stelna Solutions Limited.

Authorized person (s) Name:

Authorized person (s) Signature

Place and Date

For Stelna Solutions Limited Use Only (Compliance Department)

Name

Have all requirements been fulfilled?

If no kindly specify

Signature

Place, Date

Compliance Department

Name

Have all requirements been fulfilled?

If no kindly specify

Signature

Place, Date

Account Opened By

Name

Signature

Place, Date

Client's Account Name

Client's Account No.

Need more info?

Don’t hesitate to contact us using the form below

Subject
Subject
Buy & Sell Gold
Gold Export
Gold Assaying
Cargo Aircraft Charter
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