KYC Registration - Victus Energy Limited

Section A: Company Details

Please provide accurate information about your company

Company Name

Registration Number

Type of Business

Email Address

Telephone Number

Website (if any)

Physical Address

Postal Address

Section B: Directors / Owners Details

Provide details for all directors or owners of the company

1

Director / Owner

Full Name

Nationality

NRC / Passport No.

Contact Number

Email Address

2

Director / Owner

Full Name

Nationality

NRC / Passport No.

Contact Number

Email Address

Section C: Bank Account Details

Provide your company's bank account information

1

Bank Account

Bank Name

Branch

Account Name

Account Number

Swift Code

Section D: Attached Documents

Upload required documents (PDF, JPG, PNG - Max 10MB each)

Certificate of Incorporation

Company registration certificate

TPIN Certificate

Tax Payer Identification Number

Tax Clearance Certificate

Valid tax clearance from ZRA

Proof of Physical Address

Utility bill or lease agreement

Director IDs / Passports

National ID or Passport copies

Regulatory Licenses

Industry-specific licenses (if applicable)

Section E: Declaration

Please read and accept the declaration

I/We hereby declare that the information provided above is true and correct to the best of my/our knowledge. I/We understand that any false or misleading information may result in the rejection of this application or termination of any business relationship with Victus Energy Limited.

I/We authorize Victus Energy Limited to verify the information provided and to conduct background checks as deemed necessary for compliance with applicable laws and regulations.

I/We agree to the above declaration and confirm that all information provided is accurate.

Full Name of Declarant

Position / Title

Check Application Status

Section A: Company Details

Section B: Directors / Owners Details

Section C: Bank Account Details

Section D: Attached Documents

Certificate of Incorporation

TPIN Certificate

Tax Clearance Certificate

Proof of Physical Address

Director IDs / Passports

Regulatory Licenses

Other Documents

Section E: Declaration