1. PERSONAL DETAILS
Full Legal Name (as per Passport) *
Date of Birth (DD/MM/YYYY) *
Place of Birth (City, Country) *
Nationality / Nationalities *
Email Address *
Contact Number (incl. country code) *
Current Residential Address *
2. IDENTIFICATION DETAILS
Passport Number *
Passport Expiry Date *
National ID / Emirates ID Number
ID Expiry Date
3. EMPLOYMENT & FINANCIAL INFORMATION
Current Occupation / Job Title *
Employer / Company Name *
Primary Source of Wealth / Income *—Please choose an option— Salary Business Income Investments Inheritance Property Other
If Other, please specify
4. LEGAL INSTRUCTION DETAILS
Purpose of Legal Representation *
Source of Funds for this Transaction / Retainer *
5. PEP & SANCTIONS DECLARATION
Are you, or any close family member or associate, a Politically Exposed Person (PEP)? * Yes No
If yes, please provide details: *
Do you have business dealings or reside in comprehensively sanctioned countries? * Yes No
If yes, please provide details: *
6. REQUIRED DOCUMENTATION
Please attach clear copies of the following documents alongside this form.Please note: The maximum file size is 4 MB per document. Accepted formats: PDF, JPG, JPEG, and PNG.
Valid Passport Copy *
Valid National ID / Emirates ID
Proof of Residential Address *
7. DECLARATION
Client Signature (Type Name) *
Date (DD/MM/YYYY) *
I declare that the information provided in this form is true, accurate, and complete to the best of my knowledge. I am fully authorized to provide these details and agree to notify the law firm promptly of any material changes.
Legal Basis for Data Collection
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