<\/em><\/div>"},{"lid":"1554571242378","ls":"80","loff":"","li_type":"uc","li_title":"Extract from the Commercial Register","li_nm":"Extract from the Commercial Register"},{"lid":"1554571288874","ls":"90","loff":"","li_type":"uc","li_title":"Copy of shareholders register","li_nm":"Copy of shareholders register"},{"lid":"1554571599441","ls":"100","loff":"","li_type":"tx","li_text":" Identification documents<\/strong> (for foreign companies)<\/em><\/strong><\/em><\/em><\/strong><\/em><\/div>"},{"lid":"1554571659962","ls":"110","loff":"","li_type":"uc","li_title":"Extract from the Commercial Register","li_nm":"Extract from the Commercial Register_2"},{"lid":"1554571675507","ls":"120","loff":"","li_type":"uc","li_title":"Articles of Association","li_nm":"Articles of Association"},{"lid":"1554571631571","ls":"130","loff":"","li_type":"uc","li_title":"Copy of shareholders register","li_nm":"Copy of shareholders register_2"},{"lid":"1554568626958","ls":"140","loff":"","li_type":"ws","li_rows":"3"},{"lid":"1554568683564","ls":"150","loff":"","li_type":"rd","li_title":"Declaration of the controlling person(s) (not quoteed on the stock exchange)","li_req":"y","li_variants":"the person(s) listed below is\/are holding 25% or more of the contracting partner\u2019s shares (capital shares or voting rights); or\nif the capital shares or voting rights cannot be determined or \tin chase there are no capital shares or voting rights 25% or more, the contracting partner herby declares that the person(s) listed below is\/are controlling the contracting partner in other ways; or\nin case this\/these person(s) cannot be determined or this\/these person(s) does\/do not exist, the contracting partner hereby declares that the person(s) listed below is\/are the managing director(s)","li_radcb":"rb","li_nm":"Declaration of the controlling persons not quoteed on the stock exchange"},{"lid":"1554567134712","ls":"160","loff":"","li_type":"nm","li_name":"name","li_title":"Full Name (1)","li_nm":"name_2"},{"lid":"1554567209578","ls":"170","loff":"","li_type":"ta","li_title":"Residential address (1)","li_rows":"3","li_nm":"Residential address 1"},{"lid":"1554567563902","ls":"180","loff":"","li_type":"da","li_title":"Date of birth (1)","li_dateformat":"DD-MM-YYYY","li_datediv":"slash","li_nm":"Date of birth 1","li_datemask":"99\/99\/9999"},{"lid":"1554567605205","ls":"190","loff":"","li_type":"in","li_title":"Nationality (1)","li_nm":"Nationality 1"},{"lid":"1554567794387","ls":"200","loff":"","li_type":"nm","li_name":"name","li_title":"Full Name (2)","li_nm":"name_3"},{"lid":"1554567811137","ls":"210","loff":"","li_type":"ta","li_title":"Residential address (2)","li_rows":"3","li_nm":"Residential address 2"},{"lid":"1554567836048","ls":"220","loff":"","li_type":"da","li_title":"Date of birth (2)","li_dateformat":"DD-MM-YYYY","li_datediv":"slash","li_nm":"Date of birth 2","li_datemask":"99\/99\/9999"},{"lid":"1554567852379","ls":"230","loff":"","li_type":"in","li_title":"Nationality (2)","li_nm":"Nationality 2"},{"lid":"1554572265216","ls":"240","loff":"","li_type":"nm","li_name":"name","li_title":"Full Name (3)","li_nm":"name_4"},{"lid":"1554572065755","ls":"250","loff":"","li_type":"ta","li_title":"Residential address (3)","li_rows":"3","li_nm":"Residential address 3"},{"lid":"1554572054352","ls":"260","loff":"","li_type":"da","li_title":"Date of birth (3)","li_dateformat":"DD-MM-YYYY","li_datediv":"slash","li_nm":"Date of birth 3","li_datemask":"99\/99\/9999"},{"lid":"1554572051204","ls":"270","loff":"","li_type":"in","li_title":"Nationality (3)","li_nm":"Nationality 3"},{"lid":"1554572286530","ls":"280","loff":"","li_type":"nm","li_name":"name","li_title":"Full Name (4)","li_nm":"name_5"},{"lid":"1554572312044","ls":"290","loff":"","li_type":"ta","li_title":"Residential address (4)","li_rows":"3","li_nm":"Residential address 4"},{"lid":"1554572361041","ls":"300","loff":"","li_type":"da","li_title":"Date of birth (4)","li_dateformat":"DD-MM-YYYY","li_datediv":"slash","li_nm":"Date of birth 4","li_datemask":"99\/99\/9999"},{"lid":"1554572335224","ls":"310","loff":"","li_type":"in","li_title":"Nationality (4)","li_nm":"Nationality 4"},{"lid":"1554573276029","ls":"320","loff":"","li_type":"ws","li_rows":"3"},{"lid":"1554572728928","ls":"330","loff":"","li_type":"rd","li_title":"Is a third party the beneficial owner of the assets held in the account\/securities account?","li_req":"y","li_variants":"No.\nYes. Please fill in the below information.","li_radcb":"rb","li_nm":"Is a third party the beneficial owner of the assets held in the accountsecurities account"},{"lid":"1554572807210","ls":"340","loff":"","li_type":"nm","li_name":"name","li_title":"Full Name (1)","li_nm":"name_6"},{"lid":"1554572924161","ls":"350","loff":"","li_type":"ta","li_title":"Residential address (1)","li_rows":"3","li_nm":"Residential address 1_2"},{"lid":"1554572899370","ls":"360","loff":"","li_type":"da","li_title":"Date of birth (1)","li_dateformat":"DD-MM-YYYY","li_datediv":"slash","li_nm":"Date of birth 1_2","li_datemask":"99\/99\/9999"},{"lid":"1554572881838","ls":"370","loff":"","li_type":"in","li_title":"Nationality (1)","li_nm":"Nationality 1_2"},{"lid":"1554572957960","ls":"380","loff":"","li_type":"nm","li_name":"name","li_title":"Full Name (2)","li_nm":"name_7"},{"lid":"1554572976516","ls":"390","loff":"","li_type":"ta","li_title":"Residential address (2)","li_rows":"3","li_nm":"Residential address 2_2"},{"lid":"1554573000950","ls":"400","loff":"","li_type":"da","li_title":"Date of birth (2)","li_dateformat":"DD-MM-YYYY","li_datediv":"slash","li_nm":"Date of birth 2_2","li_datemask":"99\/99\/9999"},{"lid":"1554573022202","ls":"410","loff":"","li_type":"in","li_title":"Nationality (2)","li_nm":"Nationality 2_2"},{"lid":"1554568078793","ls":"420","loff":"","li_type":"cb","li_req":"y","li_label":"I herewith confirm that the above-mentioned information is correct.","li_nm":"Checkbox"},{"lid":"1554568164941","ls":"430","loff":"","li_type":"cb","li_req":"y","li_label":"I hereby declare that I am not, nor have I at any time been, involved in any criminal or money laundering activities and that the funds are not derived from any illegal activities.
I further declare that to the best of my knowledge and belief, the information given by me regarding the source of funds is true and accurate and all funds, financial instruments and or precious metals are free of all claims, debts, loans and lawsuits, contingent liabilities, such as indemnities or guarantees and have not been derived directly or indirectly from any act or omission that may constitute an offence or as a result of or in connection with any criminal conduct.
I also confirm that any taxation due on the funds has been paid as legally required.
I understand and consent that the information held by you may be disclosed to law enforcement authorities where required by Court Order or other applicable law.
At the same time, I release Ammer Capital AG, its employees and its respective partners and successors and assigns (collectively the \"Released Parties\") of and from all claims, causes of action, suits, liabilities, debts, covenants and demands of every kind whatsoever, that I may now have, ever had or ever may have against any Released Party by reason of any matter or cause whatsoever arisen at any time on or prior to the signing of this document.
","li_nm":"Checkbox_2"}]