AIMS GOLD FZC
Seller (Miner or Broker) / Client / Financier Information Sheet (CIS) – KYC (Know Your Client)
Sellers, Clients and Financiers must complete ALL relevant sections that apply to them in this form, and send via
email together with all the documents that are requested, and only direct (and not via any Intermediary) to [email protected] in order to be able to process it.
This CIS or KYC will become part of your contract. Our time is as valuable as yours, so please, only serious applicants who know that they need to pass all
due diligence and compliance from our Legal Department, our Bank, our Security Company and most importantly from all fully legal licensed DGD
Refineries who would never proceed with refining any gold without all legal documentation in place, etc. that will all need to contact the Seller’s country local
authorities, UN offices and Interpol to complete their due diligence, in order to be able to do any transactions with us. For more details about due diligence,
please visit our website at http://www.aims-gold.com/duediligence.html. Unfortunately, in our business (gold and diamonds) there are over 99 scammers for
each one real Seller, so clearing due diligence and compliance is a must in order to proceed.
Thank you for your understanding and we are 100% certain that legitimate parties have nothing to be concerned about.
SELLER (Miner)
SELLER (Broker)
FINANCIER’S
COMPANY INFORMATION
(please choose/tick one of the above which applies to all the relative sections regarding the above party)
A1.
A2.
A3.
A4.
A5.
A6.
A7.
A8.
A9.
Name of Company
Type of Business Conducted
Business Address
Registered Office
Telephone, Cell & Fax Number
Do You Have Any Outstanding
Judgments, Law Suits or Tax Liens?
Date, City, Country of Incorporation
Corporation Registration Number
Shareholders
Name, %, Business Title
Name, %, Business Title
A17.
Name, %, Business Title
Chamber of Commerce Name,
Address and Registration Number
Employer Tax ID Number - EIN
Yearly Turnover from Sales of Gold
Yearly Kg Sold
Principal Structure of Business
Export Company
(if other than the Supplier’s Company)
Export Company Address
(if other than the Supplier’s Company)
Export License Number
B1.
B2.
B3.
B4.
B5.
B6.
B7.
B8.
B9.
B10.
B11.
B12.
Principal Name
Nationality
Passport # (Please attach a clear color copy)
Expiration Date
City, Country of Issue
Date Of Birth
City, Country of Birth
Permanent Address
Primary Phone Number
Cell Number
Fax Number
E-mail Address
A10.
A11.
A12.
A13.
A14.
A15.
A16.
2015
2014
2015
2014
Corporation
2013
2013
Partnership
Individual
LLC
PRINCIPAL’S INFORMATION
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All information submitted will be handled with strict confidentiality by our Company and our Consultants, Banks, Advisors, etc.
COMPANY BANK INFORMATION
C1.
C2.
C3.
C4.
C5.
C6.
C7.
C8.
C9.
C10.
C11.
C12.
BANK NAME:
BANK ADDRESS:
BIC /SWIFT CODE:
BANK OFFICER:
BANK OFFICER TELEPHONE:
BANK OFFICER EMAIL:
BENEFICIARY NAME:
ACCOUNT SIGNATORY NAME:
ACCT. NUMBER:
IBAN NUMBER:
SPECIAL WIRE INSTRUCTIONS:
REFERENCE CODE
INSTRUMENT REQUESTED FOR PAYMENT
D1.
What Kind of Banking Documentation Do You
Require for Guarantee of Payment?
None
D2.
Size of Instruments Needed
100%
PoF (Non Blocked)
Partial (please specify %
)
REFERRING INTERMEDIARY (BROKER / AGENT / MANDATE) [IF APPLICABLE]
The following person is recognized as our Referring Seller’s Intermediary:
F1.
F2.
F3.
F4.
Referring Intermediary Name
Intermediary’s Color Copy of Passport with Photo and
Signature
Referring Intermediary Email, Cell & Phone #
Intermediary Fee to be Paid Direct by AIMS Gold FZC
F5.
F6.
F7.
F8.
F9.
F10.
F11.
F12.
F13.
F14.
F15.
F16.
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Please scan/email
(this fee will be the difference between the Gross & Net Discount)
BANK NAME:
BANK ADDRESS:
BIC /SWIFT CODE:
BANK OFFICER:
BANK OFFICER TELEPHONE:
BANK OFFICER EMAIL:
BENEFICIARY NAME:
ACCOUNT SIGNATORY NAME:
ACCT. NUMBER:
IBAN NUMBER:
SPECIAL WIRE INSTRUCTIONS:
REFERENCE CODE
All information submitted will be handled with strict confidentiality by our Company and our Consultants, Banks, Advisors, etc.
The following person is recognized as our Referring Buyer’s Intermediary:
G1.
G2.
G3.
G4.
Referring Intermediary Name
Intermediary’s Color Copy of Passport with Photo and
Signature
Referring Intermediary Email & Phone #
Intermediary Fee to be Paid Direct by AIMS Gold FZC
G5.
G6.
G7.
G8.
G9.
G10.
G11.
G12.
G13.
G14.
G15.
G16.
Please scan/email
(this fee will be the difference between the Gross & Net Discount)
BANK NAME:
BANK ADDRESS:
BIC /SWIFT CODE:
BANK OFFICER:
BANK OFFICER TELEPHONE:
BANK OFFICER EMAIL:
BENEFICIARY NAME:
ACCOUNT SIGNATORY NAME:
ACCT. NUMBER:
IBAN NUMBER:
SPECIAL WIRE INSTRUCTIONS:
REFERENCE CODE
FINANCIER / MONETIZER (IF APPLICABLE)
H1.
Name
H2.
Job Title
H3.
Company Name
H4.
H6.
Address
Financier’s Color Copy of Passport with Photo and
Signature
Tel, Cell, Fax Numbers
H7.
E-mail Address & Website
H5.
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Please scan/email
All information submitted will be handled with strict confidentiality by our Company and our Consultants, Banks, Advisors, etc.
ADDITIONAL DOCUMENTATION REQUIRED
Please attach the following documents when submitting your application (Our Sales & Purchase Agreement (SPA),
or Proof of Funds Non-Blocked Funds (PoF NBF) will not be issued until all documents are received).
Please note that all documents MUST BE IN ENGLISH and must be duly signed and stamped originals or certified
copies. In case they are in another language, please also submit their official translation from the Ministry of
Foreign Affairs, by a Notary, by a Law Office or by any other official translator:
Company Gold Seller Applicants: Corporate applicants must provide the following:
(Please tick the appropriate box below indicating that you are attaching the relative document)
I1.
A Certificate of Incorporation or Organization
I2.
Corporate Resolution for the requested transaction, along with proper identification documents of authorized
principal(s).
I3.
Proof of Corporate Address with 2 different Utility Bills (optional)
I4.
Copy of Dealer License (in Export Countries where applicable and legally required)
I5.
Copy of Export License
I6.
Copy of Chamber of Commerce Registration
I7.
Copy of Tax Registration Number
I8.
Copy of Registration License with Ministry of Mines
I9.
Bank Reference Letter (BRL) according to the sample in the following link:
http://www.aims-gold.com/BRL_for_Sellers.doc
Individual Gold Seller Applicants: Individual applicants must supply the following:
(Please tick the appropriate box below indicating that you are attaching the relative document)
J1.
Color Copy of Passport with the photo and the signature page
J2.
Address of Residence with two Utility Bills (optional)
J3.
National ID and Drivers License (if applicable)
J4.
Copy of Dealer License (in Export Countries where applicable and legally required)
J5.
Copy of Export License
J6.
Copy of Tax Registration Number
J7.
Copy of Registration License with Ministry of Mines
J8.
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Bank Reference Letter (BRL) according to the sample in the following link:
http://www.aims-gold.com/BRL_for_Sellers.doc
All information submitted will be handled with strict confidentiality by our Company and our Consultants, Banks, Advisors, etc.
PROCEDURES

Seller (Miner or Owner) sends to the Buyer, AIMS Gold FZC (AIMS), a Full or Soft Corporate Offer (FCO or SCO) as per
to the sample in the following link: www.aims-gold.com/FCO_for_Sellers.doc

Buyer reviews the FCO/SCO, makes comments, if any, and if both Buyer and Seller agree on principle, then the Buyer
asks the Seller to complete and return this CIS/KYC.

Seller completes and sends the CIS/KYC and if due diligence and compliance is cleared by the Buyer, then

Seller sends all required documentation for importing the gold to Dubai, in order for the Buyer to perform his due
diligence.

Buyer sends the Sales & Purchase Agreement (SPA) for review and approval, as per the verbiage sample found in the
following link: www.aims-gold.com/SPA_for_Sellers.doc.

Buyer sends sample verbiage of the Proof of Funds (PoF) that must be issued by the Buyer’s Bank.

Seller and his bank approve the sample verbiage of the PoF, and both parties sign the SPA.

Seller, after paying all export document processing, taxes, duties, freight & insurance costs and other expenses imposed
on or required up to delivery of the Gold Bars to the Nominated International Airport, notifies the Buyer three days prior to
the date of transport with all the details of the shipment. Failure to do so would result in delays in Customs Clearance,
smelting, weighing and assaying, and the Buyer shall be held harmless and blameless.

Seller ships the commodity to the Buyer’s Nominated Airport in Dubai, U.A.E. in the name of the Buyer and Consignee,
either the Buyer or G4S or Brinks, in order for the shipment to be cleared through Customs as cargo “believed to contain
gold” and cargo will be transported by the Buyer or G4S or Brinks to the nominated Refinery or nominated Assayer
where the smelting or refining, weighing and assay will take place.
Buyer pays for Customs Clearance, Security Transport, Storage, Smelting or Refining and Assay costs in Dubai, U.A.E.
and deducts all these expenses from the final price.

Buyer assays the gold, and if not homogenous, also smelts it. If the bars are not homogeneous and needs to be smelted,
then for each 100Kg, it will take one additional business day prior to being able to do the assay. Any and all associated
costs incurred for the transfer of the Gold Bars to the smelting facility, their smelting and their return to the Bonded
Warehouse shall be borne and paid by the Buyer on behalf of the Seller and shall be set-off and deducted from the Final
Commercial Invoice Price.

After smelting the Gold will be placed in sealed boxes and the Seller from that point on will not be able to touch the gold
and in case the seal has been tampered with, the smelting and weighing process will have to be done again. The
smelting and weighing can be done in the presence of the Seller or one (and only one) of his representatives, if the Seller
so requires

Upon receipt of the refining results and/or the assay results from the Buyer’s Nominated Refinery and/or Assayer, the
Seller issues Final Commercial Invoice, which must be signed by the Seller and the Buyer (or their authorized
representatives) in the presence of one of the Buyer’s Bank Officers certifying the amount on the invoice and that
payment will be sent by swift within the next three banking days. The ownership of the gold automatically transfers to the
Buyer, while the Seller has the security of payment within 3 Dubai Business Banking Days signed and confirmed by the
Buyer’s Bank Officer.

In case any advance payment has been transferred or expenses paid, like turning the bars to a homogeneous form, from
the Buyer to the Seller or on behalf of the Seller, this amount will be deducted from the amount owed as per the Final
Commercial Invoice.
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All information submitted will be handled with strict confidentiality by our Company and our Consultants, Banks, Advisors, etc.
Sanctioned Countries:
Banks will be unable to process a transaction that involves a breach of sanctions, and authorities may require the disclosure
of information. The bank is not liable if the Seller, or any other person, fails or delays to perform the transaction, or discloses
information as a result of actual or apparent breach of such sanctions. Shipments, trans-shipments or transit to, from or
through Iran, Cuba, North Korea, Sudan, and Syria is prohibited, as well as any party which is sanctioned by the United
Nations, United States or the European Union, or United Kingdom, is to be involved in the transaction in any manner. Please
also note that Israel is also on the list of sanctioned countries for the U.A.E. No party in any of those countries (which
includes any vessel flagged in, or owned or operated by a party in, such country) is to be involved in the transaction in any
manner. The Banks may not complete a transaction which involves such a party, or any party in the above countries.
ACCURACY AND AUTHORIZATION TO VERIFY INFORMATION
I personally represent and warrant, under penalty of perjury, that the information provided is true, accurate, complete and not
misleading. Further, I warrant that I have the legal authority to sign on behalf of myself and/or the company referred herein.
I agree to notify the Buyer if the information which has been supplied changes in any manner.
I also give my full consent and authority to AIMS GOLD FZC and all its representatives (Lawyers, Compliance Officers,
Banks, etc.) to verify the information provided by contacting all relative Governmental Authorities, Banks, etc. in order to
perform a full Due Diligence and Compliance check.
__________________________
Signature & Company Stamp
Name of Authorized Signatory
Title
Date
Warning
Please be advised that as from 1st January 2010, we adhere to ICC measures with respect to the conduct of international transactions. If an ICPO is issued
and the document is not honored by either the buyer or the seller, and or is issued fraudulently, we will take the appropriate legal action. The offending party
will be reported to the FBI, ICC, and INTERPOL. This action is a criminal offence. Help to keep our industry free from controversy and assist in removing
those who flout its laws.
This regulation came into effect on 15th November, 2008 following a meeting between the US Federal Reserve, European Central Bank, Interpol, US
Federal Bureau of Investigation and the US Central Intelligence Agency.
US PATRIOT ACT CERTIFICATION
All information requested is in accordance with International Money Laundering Regulations and the US Patriot Act
In compliance with the Uniting and strengthening America by Providing Appropriate Tools Required to Intercept and Obstruct Terrorism (US Patriot Act of
2001) and other counter-terrorism laws. Client hereby certifies under penalty of perjury the following:
A. That all monies tendered or to be deposited in escrow by or on behalf of Client are from a source that is in compliance with all applicable United States
of America anti-terrorist financing and asset control laws, statutes and executive orders, and
B. That all monies received by or on behalf of Client will be used by Client strictly in compliance with all applicable United States of America anti-terrorist
and asset control laws, statutes and executive orders.
M1.
I accept all above warnings and procedures
If you have any questions about this document, please do not hesitate to contact us preferably
via email or fax or postal mail
AIMS GOLD FZC
Burj Khalifa Tower, Suite 3312, P. O. Box 74184, Dubai, UAE
EMAIL: [email protected]
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FAX (UK): +44 20 7681 1978
Gold Elution Plant – Mwanza, Tanzania
WEBSITE: www.aims-gold.com
All information submitted will be handled with strict confidentiality by our Company and our Consultants, Banks, Advisors, etc.