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Registrationform Supervision english 2016.doc [Abovce]

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Registrationform Supervision english 2016.doc [Abovce]



Datum25.10.2017
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REGISTRATION FORM SUPERVISED ENTITIES AND PERSONS

Type of business / profession:



  • Trader in building and construction materials (handelaar in bouwmaterialen)

  • Dealer in precious metals and precious stones (Juwelier)

  • Car Dealer (autohandelaar)

  • Attorney, legal advisor (advocaat, juridische dienstverlener)

  • Accountant

  • Administrative Office (administratie kantoor)

  • Notary (notaris)

  • Real Estate Agent (makelaar)

  • Tax Consultant (belastingadviseur, belasting consulent)

Name of organization:
Legal representative:
Compliance Officer:

Chamber of Commerce No.:


Telephone No.:
Fax No.:
E-mail:
Address:
P.O. Box:
___________________________

signature of the above-mentioned

legal representative
Please attach:

□ Copy of identification document of the above-mentioned persons



□ Original Excerpt Curaçao Chamber of Commerce (not older than six 6 months)

FIU Curaçao

APC Plaza, Schouwburgweg 22, Curaçao

Tel. (599 9) 462.6588 Fax (599 9) 462.6522 E-mail: supervision@fiucuracao.cw

  • REGISTRATION FORM SUPERVISED ENTITIES AND PERSONS
  • ___________________________
  • FIU Curaçao APC Plaza, Schouwburgweg 22, Curaçao Tel. (599 9) 462.6588 Fax (599 9) 462.6522 E-mail: supervision@fiucuracao.cw

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