Client Form V2

Title *

INTENDED DATE OF MEETING *

PRIVATE CLIENT - PERSONAL DETAILS

REPEAT CUSTOMER

FULL NAME

EMAIL ADDRESS

ADDRESS

TELEPHONE NUMBER

SEARCH USER

CORPORATE INSTITUTIONAL CLIENTS DETAILS

REPEAT CUSTOMER

NAME OF BUSINESS OR ENTITY

FULL NAME

EMAIL ADDRESS

ADDRESS

TELEPHONE NUMBER

SEARCH USER

PERSON/PARTY AT WHOSE REQUEST THE ACT WAS PERFORMED

Same as Private Client
Same as Corporate Client
New
Repeat Customer

FULL NAME

EMAIL ADDRESS

ADDRESS

TELEPHONE NUMBER

SEARCH USER

PROOF OF IDENTIFICATION PRODUCED & MEETING PLACE

INSTRUCTION INFORMATION

AML - ANTI-MONEY LAUNDERING

Am I being asked (only) to:

Take an affidavit or declaration Issue a Protest Translate a Document Certify the execution of a document Or authenticate a documentation

YesNo

Do I have a substantive role in the underlying transaction?

YesNo

Is the underlying transaction concerning:

The buying and selling of real property or business entities Managing of client money, securities or other assets Opening or management of bank, savings or securities accounts Organisation of contributions necessary for the creation, operation or management of companies Creation, operation or management of trusts, companies, foundations or similar structures

YesNo

The HM Treasury approved guidance tells us that the MLR 2017 will not apply
You do not need to complete a risk analysis
But don’t forget your obligations to confirm identity under the Notaries Practice Rules

The MLR 2017 will apply and you should complete a risk analysis for the client and matter and conduct ongoing monitoring

INVOICE?

INVOICE DETAILS

This section to be completed by notarypublic.london

Notary Public Fee

Item Rate

£

VAT

VAT Rate

%

VAT

£

Foreign Office Apostile Fees

Item Rate

£

VAT

£

Apostille Agent Fees

Item Rate

£

VAT

£

Consulate fees

Item Rate

£

VAT

£

DHL Courier

Item Rate

£

VAT

£

Royal Mail Special Delivery

Item Rate

£

VAT

£

Hand Delivery Fees

Item Rate

£

VAT

£

Other - please specify

Other

Item Rate

£

VAT

£

TOTAL

£

NOTES

FURTHER MEETING INFORMATION

UPLOAD ADDITIONAL FILES

	Select attachments
1	File name: File size:
1	File name: File size:

Add Row

OTHER INFORMATION (optional)

TERMS AND CONDITIONS

I agree

Signature

Emails

Send to
	Main Email Invoice Email

Send to Private Client
	Main Email Invoice Email

Send to Corporate Client
	Main Email Invoice Email

Send to Billing
	Main Email Invoice Email

Additional Emails

1

Send to
	Main Email Invoice Email

1

Send to
	Main Email Invoice Email

Add Row

Validate Email

Client Registration

Notary Registration