Know Your Customer (KYC) / Know Your Business (KYB) Form To be completed by Charterer / Principal
KYC / CIS of Client (Charterer)
Provide KYC/CIS of Client (Charterer) – Ametheus
Please provide the Charterer’s KYC/CIS. This is a standing company verification form. Complete it once (or refresh annually).
Please provide charterer’s KYC/CIS mainly consists of :
1. Certificate of Incorporation of Charterer
2. Corporate profile, registered address, and company website.
3. Corporate bank details in the company name.
4. Copy of signatory’s passport and company authorization letter.
Know Your Customer (KYC) / Know Your Business (KYB) Form To be completed by Charterer / Principal
Section A – Company Identification
| Field | Details to be filled by Charterer |
|---|---|
| Full Legal Company Name | |
| Trading / Brand Name (if different) | |
| Registration / Incorporation Number | |
| Country of Incorporation | |
| Date of Incorporation | |
| Legal Form (Private Limited / LLC / etc.) | |
| Registered Office Address | |
| Principal Place of Business / Operational Address | |
| Company Website | |
| Official Email Address | |
| Official Telephone Number(s) | |
| LEI (Legal Entity Identifier), if available |
Section B – Required Documents
(Please attach clear copies)
1. Company KYC / KYB Documents
- Certificate of Incorporation / Registration
- Official Company Search Extract / CAC Status Report (or equivalent)
- GST / Tax Registration Certificate (if applicable)
- Latest Proof of Address (utility bill / bank statement / official letter – not older than 3 months)
- Corporate Bank Account Confirmation Letter or recent bank statement in the exact company name
- Director(s) / Authorised Signatory(ies) KYC: – Passport / National ID / Aadhaar (as applicable) – PAN (if Indian company)
2. Additional Documents (if acting as Agent or for a third party)
- Valid Mandate / Appointment Letter on Principal’s official letterhead (signed by authorised officer)
- Explicit authorisation for Ametheus Holdings Pvt Ltd to source tonnage and disclose Principal’s name to shipowners/brokers
- Verifiable contact details of the Principal for confirmation
3. Other Supporting Documents (optional but recommended)
- Company Profile / Brochure
- Summary of relevant trading experience (last 24 months)
Section C – Charterer Background & Business Profile
| Field | Details to be filled by Charterer |
|---|---|
| Brief Company Profile (focus on petroleum / energy / commodities trading) | |
| Main Business Activities | |
| Approximate Annual Turnover / Trading Volume (last 2–3 years) | |
| Key Principals / Major Counterparties | |
| Experience in relevant trade (Petroleum products, LPG, dirty/clean products, etc.) | |
| Approximate number of similar fixtures completed in last 24 months |
Section D – Important Declarations & Confirmations
1. Principal Charterer & Paymaster We hereby confirm that the actual Charterer and Paymaster under any proposed Charter Party is: _______________________________________________ (Full legal name of the entity)
2. Authority / Mandate ☐ We are the Principal Charterer ☐ We are acting as Agent / Broker on behalf of a third party (Mandate letter attached)
3. Sanctions & Compliance Status ☐ We confirm that the company, its directors, and beneficial owners are clean of OFAC, EU, UN, UK, and other relevant sanctions lists. ☐ Screening report attached (optional)
4. Declaration We confirm that all information and documents provided are true, accurate, and complete. We authorise Ametheus Holdings Pvt Ltd to share relevant KYC information with shipowners, brokers, and their compliance teams strictly for the purpose of chartering enquiries, under confidentiality.
Section E – Authorised Signatory Details
| Field | Details |
|---|---|
| Full Name of Authorised Signatory | |
| Designation / Position | |
| Passport / ID Number | |
| Email Address | |
| Mobile Number | |
| Date | |
| Signature | |
| Company Stamp / Seal |
Submission Instructions Email the completed form together with all supporting documents to: [email protected] | [email protected]
Subject Line format: KYC/CIS – Charterer – [Company Name] – [Month Year]
Notes
- All information shared will be treated with strict confidentiality.
- Proof of Funds (POF) or additional financial documents will be requested at the fixture stage via the SPFQ.
- Incomplete submissions may delay processing.
