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KYC APPLICATION
‫اﻟﺘﺎرﻳﺦ‬__________________________________________________________________________Date
‫أ‬<‫اﻟﻌﻤﻴﻞ‬ ‫ﻋﻦ‬ ‫ﻣﻌﻠﻮﻣﺎت‬A> CUSTOMER DATA
‫اﻟﻔﻮاﺗﻴﻴﺮ‬ ‫ﻋﻠﻰ‬ ‫اﻷﺻﻠﻲ‬ ‫اﻻﺳﻢ‬:___________________________________________Legal Name for Invoicing
‫اﻟﻤﺆﺳﺴﺔ‬ ‫ﻧﻮع‬:________________________________________________________Type of Organization
‫اﻟﻘﺎﻧﻮﻧﻲ‬ ‫اﻟﻮﺿﻊ‬:_______________________________________________________________legal Status
‫اﻟﻤﺎل‬ ‫رأس‬:______________________________________________________________Share / Capital
‫اﻟﺼﻨﺎﻋﻲ‬ ‫اﻟﺘﺼﺮﻳﺢ‬)‫و‬ ‫إذا‬‫ﺟﺪ‬(________________________________________________Ind. License (if any)
‫اﻟﺘﺠﺎري‬ ‫اﻟﺴﺠﻞ‬ ‫رﻗﻢ‬:_____________________________________________Commercial Registration No:
‫اﻟﺴﻌﻮدي‬ ‫اﻟﻜﻔﻴﻞ‬ ‫أو‬ ‫اﻟﻤﺎﻟﻚ‬ ‫اﺳﻢ‬____________________________________Name of Owner or Saudi Sponsor
‫اﻟﻌﺎم‬ ‫اﻟﻤﺪﻳﺮ‬ ‫اﺳﻢ‬__________________________________________________Name of General Manager
‫اﻟﻤﺎﻟﻲ‬ ‫اﻟﻤﺪﻳﺮ‬ ‫اﺳﻢ‬________________________________________________Name Of Finance Manager
‫اﻟﻤﺎﺿﻲ‬ ‫ﻟﻠﻌﺎم‬ ‫اﻟﻤﺎل‬ ‫رأس‬ ‫دورة‬:_______________________________________Annual Turnover (Last year)
‫اﻟﻤﺎﻟﻴﺔ‬ ‫اﻟﺴﻨﺔ‬:______________________________________________________________Financial Year
‫اﻟﺒﺮﻳﺪي‬ ‫اﻟﻌﻤﻴﻞ‬ ‫ﻋﻨﻮان‬:____________________________________________Mailing Address of customer
‫اﻟﺘﻠﻔﻮن‬ ‫أرﻗﺎم‬:_______________________________________________________________Telephones:
‫ﺗﻠﻜﺲ‬/‫ﻓﺎآﺲ‬:________________________________________________________________Telex / Fax
‫اﻟﺮﺋﻴﺴﻲ‬ ‫ﻟﻠﻤﺮآﺰ‬ ‫اﻟﺒﺮﻳﺪي‬ ‫اﻟﻌﻨﻮان‬:____________________________________Mailing Address of Head Office
__________________________________________________________________________________
‫اﻟﻤﺮآﺰ‬ ‫ﺗﻠﻔﻮن‬ ‫أرﻗﺎم‬‫اﻟﺮﺋﻴﺴﻲ‬:_____________________________________________Head Office Telephones
‫ﺗﻠﻜﺲ‬/‫اﻟﺮﺋﻴﺴﻲ‬ ‫اﻟﻤﺮآﺰ‬ ‫ﻓﺎآﺲ‬::___________________________________________Head Office Telex / Fax
‫اﻟﻌﻤﻞ‬ ‫اﺑﺘﺪاء‬ ‫ﺗﺎرﻳﺦ‬:_________________________________________________Date of Starting Business
East Western General Contracting Establishment
General Contracting Establishment (Construction & Maintenance)
Registered with the Ministry of Industry and Commerce as 100 % Saudi Ownership
2059001723
Abdullah Mansoor Nasser Bani Hameem
Johnson Varghese
M. Gamal Saeed
11.29 Million SAR.
east.western.est@almahri.com.sa
00966-13-5662488
00966-13-5650722
east.western.est@almahri.com.sa
00966-13-5650722
00966-13-5662488
2002
15 Million SAR

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Kyc form

  • 1. KkK KYC APPLICATION ‫اﻟﺘﺎرﻳﺦ‬__________________________________________________________________________Date ‫أ‬<‫اﻟﻌﻤﻴﻞ‬ ‫ﻋﻦ‬ ‫ﻣﻌﻠﻮﻣﺎت‬A> CUSTOMER DATA ‫اﻟﻔﻮاﺗﻴﻴﺮ‬ ‫ﻋﻠﻰ‬ ‫اﻷﺻﻠﻲ‬ ‫اﻻﺳﻢ‬:___________________________________________Legal Name for Invoicing ‫اﻟﻤﺆﺳﺴﺔ‬ ‫ﻧﻮع‬:________________________________________________________Type of Organization ‫اﻟﻘﺎﻧﻮﻧﻲ‬ ‫اﻟﻮﺿﻊ‬:_______________________________________________________________legal Status ‫اﻟﻤﺎل‬ ‫رأس‬:______________________________________________________________Share / Capital ‫اﻟﺼﻨﺎﻋﻲ‬ ‫اﻟﺘﺼﺮﻳﺢ‬)‫و‬ ‫إذا‬‫ﺟﺪ‬(________________________________________________Ind. License (if any) ‫اﻟﺘﺠﺎري‬ ‫اﻟﺴﺠﻞ‬ ‫رﻗﻢ‬:_____________________________________________Commercial Registration No: ‫اﻟﺴﻌﻮدي‬ ‫اﻟﻜﻔﻴﻞ‬ ‫أو‬ ‫اﻟﻤﺎﻟﻚ‬ ‫اﺳﻢ‬____________________________________Name of Owner or Saudi Sponsor ‫اﻟﻌﺎم‬ ‫اﻟﻤﺪﻳﺮ‬ ‫اﺳﻢ‬__________________________________________________Name of General Manager ‫اﻟﻤﺎﻟﻲ‬ ‫اﻟﻤﺪﻳﺮ‬ ‫اﺳﻢ‬________________________________________________Name Of Finance Manager ‫اﻟﻤﺎﺿﻲ‬ ‫ﻟﻠﻌﺎم‬ ‫اﻟﻤﺎل‬ ‫رأس‬ ‫دورة‬:_______________________________________Annual Turnover (Last year) ‫اﻟﻤﺎﻟﻴﺔ‬ ‫اﻟﺴﻨﺔ‬:______________________________________________________________Financial Year ‫اﻟﺒﺮﻳﺪي‬ ‫اﻟﻌﻤﻴﻞ‬ ‫ﻋﻨﻮان‬:____________________________________________Mailing Address of customer ‫اﻟﺘﻠﻔﻮن‬ ‫أرﻗﺎم‬:_______________________________________________________________Telephones: ‫ﺗﻠﻜﺲ‬/‫ﻓﺎآﺲ‬:________________________________________________________________Telex / Fax ‫اﻟﺮﺋﻴﺴﻲ‬ ‫ﻟﻠﻤﺮآﺰ‬ ‫اﻟﺒﺮﻳﺪي‬ ‫اﻟﻌﻨﻮان‬:____________________________________Mailing Address of Head Office __________________________________________________________________________________ ‫اﻟﻤﺮآﺰ‬ ‫ﺗﻠﻔﻮن‬ ‫أرﻗﺎم‬‫اﻟﺮﺋﻴﺴﻲ‬:_____________________________________________Head Office Telephones ‫ﺗﻠﻜﺲ‬/‫اﻟﺮﺋﻴﺴﻲ‬ ‫اﻟﻤﺮآﺰ‬ ‫ﻓﺎآﺲ‬::___________________________________________Head Office Telex / Fax ‫اﻟﻌﻤﻞ‬ ‫اﺑﺘﺪاء‬ ‫ﺗﺎرﻳﺦ‬:_________________________________________________Date of Starting Business East Western General Contracting Establishment General Contracting Establishment (Construction & Maintenance) Registered with the Ministry of Industry and Commerce as 100 % Saudi Ownership 2059001723 Abdullah Mansoor Nasser Bani Hameem Johnson Varghese M. Gamal Saeed 11.29 Million SAR. east.western.est@almahri.com.sa 00966-13-5662488 00966-13-5650722 east.western.est@almahri.com.sa 00966-13-5650722 00966-13-5662488 2002 15 Million SAR