PRELIMINARY KYC / KNOW YOUR COUNTERPARTY FORM
(Please fill all applicable fields and reply to this message. This is a preliminary questionnaire to initiate business discussions.)

1. Company / Entity Details

• Full Legal Name:

• Trading Name / Brand:

• Type of Entity (Private Ltd / LLC / Partnership / Sole Prop / Other):

• Country of Incorporation / Registration:

• Date of Incorporation / Establishment:

• Registration Number (CIN / CRN / Equivalent):

• Company Website:

• Registered Address:

• Operational / Trading Address:

2. Main Contact Person

• Full Name: • Designation:

• Mobile / WhatsApp Number:

• Email ID: • Alternate Contact:

3. Core Business Activities

• Main Products / Services (e.g. Petroleum Products, Agri Commodities, Metals, etc.):

• Primary Countries of Operation / Trade:

• Annual Business Volume (approx): • Years in Current Business:

4. Bank Account Details (for payments / LCs)

• Account Holder Name:

• Bank Name:

• Branch & Address:

• Account Number:

• Currency (INR / USD / Others):

• SWIFT Code / IBAN / Routing Number:

• Any other relevant banking information:

5. Sanctions & Compliance

• Do you or your company have any dealings with sanctioned countries, entities, or individuals? (Yes/No) If Yes, please provide details:

• Are you or any key persons Politically Exposed Persons (PEP)? (Yes/No) If Yes, please provide details:

• Do you have internal policies for AML, Anti-Bribery, and KYC? (Yes/No)

6. Intended Transaction / Relationship with Ametheus

• Product(s) Interested In (e.g. LPG, EN590 Diesel, Rice Protein, Copper Cathodes, etc.):

• Approximate Quantity / Volume:

• Frequency (One-time / Monthly / Regular):

• Country of Delivery / Performance:

• Nature of Relationship (Buyer / Agent / Trader / End-User / Other):

7. Key Persons (Directors / Partners / Major Shareholders) (Especially those holding >25% ownership)

Additional Documents Requested (Please attach or share later):

• Company Registration Certificate
• Latest Bank Letter / Account Proof
• Director / Owner ID Proofs (Passport / PAN etc.)
• Any other relevant compliance documents

Certification I/We hereby confirm that the information provided above is true, accurate, and complete to the best of my/our knowledge. I/We agree to provide additional documents or information as required for full due diligence.

Signed: Name: Position: Date: Company Stamp / Name:

Note from Ametheus: This is a preliminary KYC form. On successful review, we will proceed with detailed discussions, offers, and full compliance checks.

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