Get Private And Confidential Form Pqd - Central Bank Of

Filling out the PRIVATE AND CONFIDENTIAL Form PQD is an essential process for individuals seeking to report their status as controlling shareholders, directors, controllers, or managers of licensed financial institutions. This guide offers step-by-step instructions to assist users in completing the form accurately and efficiently.

Follow the steps to successfully complete the form.

1. Click ‘Get Form’ button to obtain the form and open it in your editor.
2. In the first section, provide the name of the licensed institution you are associated with.
3. Complete the personal details. Fill in your surname, forenames, name of spouse (including maiden name), and any previous names for both you and your spouse.
4. Indicate your capacity in which you are completing the questionnaire (controlling shareholder, director, controller, or manager). Include the effective date in the specified format (DD/MM/YY).
5. Provide your private residential address and list any previous addresses during the last ten years, along with relevant dates.
6. Enter your date of birth and place of birth, including town, state, and country.
7. State your nationality and how you acquired it (e.g., birth, naturalization, marriage).
8. Provide your current occupation or employment details including your position, name of employer, and effective date. Additionally, document your employment history for the last ten years, including the names of employers, positions held, and relevant dates.
9. List all companies, partnerships, and unincorporated associations in which you are currently a shareholder/member, director, controller, or manager. Specify the number of shares held and percentage ownership.
10. Detail any private companies, partnerships, and unincorporated associations you have been associated with in the past ten years, specifying shares held, percentage ownership, and commencement/termination dates.
11. List your professional qualifications and corresponding years obtained.
12. Disclose any convictions across jurisdictions, including details of the court, offence, date of conviction, and penalty.
13. Indicate if you have faced censure, discipline, or criticism by any professional body and provide relevant particulars.
14. Reveal if you or any associated entities have been subject to investigations by regulatory bodies with full particulars.
15. Notify if you have been dismissed from any office or employment, or barred from any profession, alongside detailed particulars.
16. State if you have been adjudicated bankrupt by a court, and provide additional details.
17. Identify any debts that have been adjudged due and payable by you as a judgement-debtor and provide full particulars.
18. Clarify if you have been held liable for any fraud or misconduct in corporate management and provide details.
19. Address whether any entities with which you were associated have been wound up or settled with creditors less than fully.
20. Confirm if you will be acting on the directions of another person in carrying out your duties and provide relevant particulars.
21. Finally, certify the information you provided is accurate to the best of your knowledge, sign the document, and record the date. After completing all sections of the form, you can save changes, download, print, or share your completed form.

Ensure your documents are ready for submission by completing the PRIVATE AND CONFIDENTIAL Form PQD online today.