Name, Second name (if on in Document) and  Last Name of the Beneficiary

Identification code or passport number

Place of birth

date of birth

Contact address

Contact Phone

Company name, Code in the State Register, Address Company.

Types of activities

Registration code

The place of residence

E-mail and Site

Whether the juridical entity is publicly quoted?

The detailed description of the main activity

Share of cash operations in a turnover

Partners and Regions activity

Whether the juridical entity is publicly quoted?If the juridical entity is not publicly quoted please fill in the data of the valid proprietor who is receiving benefit (The person to whom expressly or by implication belongs more than 25 % of individual shares or which in a different way supervises the juridical entity) - Name and surname, date of birth, the residence address:

Whether the juridical entity a subject of international sanction?