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Comments

Basic Details

Is your business a Corporate or a Partnership?Corporate - business organisation that meets certain legal requirements to be recognised as having a legal existence as an entity separate and distinct from its owners.<br/>Partnership - business organisation in which two or more individuals pool resources and share profit and loss in accordance with terms of the partnership agreement.
List any and all trade names associated to your business or, any names your company operates under.
Has the name of your business changed in the last 5 years?
This number can typically be found in your certificate of incorporation, articles of association or business name filing documents e.g. business registration certificate or trade license etc.
. The date format is DD/MM/YYYY
The date when the business began operating/ trading.
. The date format is DD/MM/YYYY
Are you a commercial operating business or a holding company? Indicate if the business is an actual operating enterprise or if it is holding entity that owns other companies or assets.
Is the customer an acceptably publicly listed entity?
Is the customer an equivalently regulated financial institution?
Is the customer or mastergroup classified as wholesale?
. The date format is DD/MM/YYYY

Comments

Business Details

If your primary industry was different to the one selected above in the past 5 years then please provide details of this
Do you generate more than 20% revenue from any country?Please note that any reference to ‘Country’ throughout the following forms covers countries and territories
Please note that any reference to ‘Country’ throughout the following forms covers countries and territories
Country

Please provide the actual percentage of revenue generated within
Please note that any reference to ‘Country’ throughout the following forms covers countries and territories
Please enter value between 20 - 100.
Do you acquire more than 20% purchases from any country?Please note that any reference to ‘Country’ throughout the following forms covers countries and territories
Please note that any reference to ‘Country’ throughout the following forms covers countries and territories
Country

Please provide the actual percentage of purchases acquired in
Please note that any reference to ‘Country’ throughout the following forms covers countries and territories
Please enter value between 20 - 100.
Do you hold more than 20% assets in any country?Please note that any reference to ‘Country’ throughout the following forms covers countries and territories
Please note that any reference to ‘Country’ throughout the following forms covers countries and territories
Country

Please provide actual percentage of assets you hold within
Please note that any reference to ‘Country’ throughout the following forms covers countries and territories
Please enter value between 20 - 100.

Country

Do you manage third party funds? Management of third party funds includes holding customers’ funds, managing customers’ money or making payments on behalf of your customers
Is the sole trader simple or complex?
In your normal day to day business do you make or intend to make payments on behalf of your clients?Please note that this also includes where you are acting as an intermediary on behalf of your underlying clients.<br/>An example of this is facilitating payments for your clients using an online payment portal.
Does the current or expected revenue from your money service business (MSB) contribute to greater than 10% of your total business revenue?Money Service Business generally includes any business that transmits money or representatives of money, provides foreign currency exchange such as Bureaux de change, or cashes cheques or other money related instruments.
Are any of the above service(s) provided or intend to be provided via HSBC account(s) or system(s)?For example, through any internet banking service provided by HSBC or any other Bank account(s) that you hold with HSBC.
Is the business involved in any non-banking financial activity?Non-banking financial activity includes money service activities and financial services such as Fund Management, Financial Advice, Insurance firms, currency exchanges. An institution involved in these activities does not hold a full fledged banking license from a regulator in their area of operation. Examples of non banking financial institutions include insurance firms, venture capitalists, currency exchanges.
Does the business generate more than 20% of the revenue from any non-banking financial activity? For example, a motor dealership which receives commission on vehicle financing contributing >20% of the revenue.
Do you generate more than 20% revenue from any country?Please note that any reference to ‘Country’ throughout the following forms covers countries and territories
Please note that any reference to ‘Country’ throughout the following forms covers countries and territories
Do you acquire more than 20% purchases from any country?Please note that any reference to ‘Country’ throughout the following forms covers countries and territories
Please note that any reference to ‘Country’ throughout the following forms covers countries and territories

Country

Does the Customer's Articles of Association (or equivalent) explicitly state either:
- all shares are to be registered; or
- bearer shares are prohibited
Have you issued bearer shares?A bearer share is an equity security wholly owned by whoever holds the physical stock certificate.The articles of incorporation or other registration documents will indicate if bearer shares have been issued or if the business has the capability of issuing bearer shares.
Have the bearer shares in issue been cancelled and reissued in registered form and included in a register of shareholders maintained by you?
Do you currently hold or have you ever held a diplomatic or government position including local government positions?
Please see the help text for full list of positions.<p>Positions include:</p><ul><li>Head of state or Head of government</li><li>Senior civil servant in national government</li><li>Head of regional government</li><li>Senior/high profile politician</li><li>Senior executive of any state owned enterprises</li><li>State agency official</li><li>Large City Mayor</li><li>Senior member of the national police service, law enforcement agency or intelligence services</li><li>Ambassador</li><li>Senior executive of any national NGO</li><li>Political pressure group/labour group senior official</li><li>Leader Or Senior Official In A Political Pressure</li><li>Senior member of the judiciary</li><li>Head Of A Supranational Body(United Nations,IMF,WB</li><li>Senior Member Of A Diplomatic Group (e.g. Ambassador)</li><li>Member of a Ruling Royal Family</li><li>National government minister</li><li>Member of the national legislature</li><li>Deputy national government minister</li><li>State corporation executive</li><li>Regional government executive</li><li>Political party officials</li><li>High Ranking Military Official/Personnel</li></ul>
Does an immediate family member or an associate currently hold or has ever held a diplomatic or government position including local government positions?
In respect of the full list of positions please see helptext listed in the question above (“Do you currently hold or have you ever held a diplomatic or government position including local government positions?”)
Also please see helptext attached to this question for the definition of family members <p>Family members include:</p> <ul> <li>Husband;</li> <li>Wife;</li> <li>Partner - Note: an equivalent status of the relationship of a spouse;</li> <li>Mother;</li> <li>Father;</li> <li>Brother;</li> <li>Sister;</li> <li>Son and partner, including son-in law;</li> <li>Daughter and partner, including daughter-in-law;</li> </ul> <br/> <p>Close associates include:</p> <ul> <li>Immediate Family Member</li> <li>Aides and other close advisers</li> <li>Business Associates</li> <li>Interest or influence over Businesses/Companies</li> <li>Customer</li> <li>Business Partner</li> <li>Joint Board Membership of Company</li> <li>Joint BO of Legal Entity or Legal Arrangement</li> <li>Corporate Group Member</li> <li>Parent Company</li> </ul>
Associate

Associate

Please use the add button to add the associates who are politically exposed.
Do any family members or close associates fund your bank account(s)?
Person

Person

Comments

Contact Details

Have you ever had any other previous names or are you known by any other names?

Previous Name

. The date format is DD/MM/YYYY
Please enter your address
. The date format is DD/MM/YYYY
Previous Residential Address

Previous Residential Address

Please enter your address
. The date format is DD/MM/YYYY
Is the principal business address the same as the registered address?This is the address where the business’s head office or main place of operation is located.
Is the principal business address the same as your residential address?
Please enter your address
Is the correspondence address the same as the registered address?The correspondence address is typically where your post mail is received.
Is the correspondence address the same as your residential address?The correspondence address is typically where your post mail is received.
Please enter your address
Please note that any reference to ‘Country’ throughout the following forms covers countries and territories
Country

Please provide the actual information for this country
Do you have a Tax Identify
Does the business have a tax identification number (TIN)? Click here for additional information

Country

Comments

Financial Information

What was your annual sales revenue / turnover in the last 12 months?If your business is a start up and has not been operating for 12 months, please answer based on your business plan.
Please provide all significant sources of funds that were injected into the business when it was first established / incorporated.
The amount initially invested

Please enter the amount initially invested through this source of investment.
Please enter value between 0 - 100.
Please note that any reference to ‘Country’ throughout the following forms covers countries and territories.
Ongoing cash flow

Please enter value between 0 - 100.
Please note that any reference to ‘Country’ throughout the following forms covers countries and territories.
Please select all applicable
Do you expect to see an increase/decrease of 20% or more annually with respect to the following:
1) the value of annual cash transactions expected to flow through your accounts?For e.g. Cash transactions will fall by c.50% as we now have card terminals and can collect card payments online.
What is the total expected value of these transactions annually including the increase/decrease?For e.g. 1. Decrease in Cash Transactions of US$200k per annum, and; 2. Increase in international payments of US$100k
Please enter value between 0 - 100.
2) the value of annual international payments to or from your account? For e.g. Increase in international payments (overall c.30% increase) as we have are now buying our products direct from our overseas supplier rather than via a domestic wholesaler
What is the total expected value of these transactions annually including the increase/decrease?For e.g. 1. Decrease in Cash Transactions of US$200k per annum, and; 2. Increase in international payments of US$100k
Please enter value between 0 - 100.
Do you expect to make international payments to countries that you do not currently transact with? Please note that any reference to ‘Country’ throughout the following forms covers countries and territories
Please note that any reference to ‘Country’ throughout the following forms covers countries and territories

Comments

Sanctions Exposure

This section will help us understand the degree of your exposure to sanctioned countries.
HSBC is committed to combating financial crime and doing its part to protect the integrity of the global financial system. Please let us know if you are doing, or intend to do, business with countries, territories, governments, individuals, or entities that may be the subject or target of economic sanctions.Please visit our Sanctions Policy for further information.
If the answer is yes to any of the following questions for you as a customer, your Connected Parties or any other entities who are part of your Customer Group, please select 'yes' below.
Do you have any Business Activity through HSBC or other Financial Institutions involving:
• Cuba, Iran, North Korea, Syria or the Crimea Region and/or an Address in one of these locations?
• Individuals, entities, governments or organisations which are currently targeted by sanctions?
• A Sectoral Sanction Identification (SSI) target?
• The Government of Venezuela?
• Donations from the Government of Sudan to a U.S. Person?
• The Direct Funding of the Government of Belarus or Zimbabwe?
• The energy, military or defence industry sectors in Russia?
Are you owned by, controlled by, acting on behalf of, or acting in a capacity for:
• Individuals, entities, governments or organisations currently targeted by sanctions?
• A Sectoral Sanction Identification (SSI) target?
• The Government of Venezuela?
• Individuals, entities, governments or organisations located in Cuba, Iran, North Korea, Syria or the Crimea Region?
Please refer to below definitions:
Connected Parties – includes beneficial owners, key controllers, directors, guarantors, trustees, settlors, grantors, founders, protectors and beneficiaries.
Customer Group - includes any subsidiary, branch, joint venture, holding company or affiliate.
Business Activity – includes operations, suppliers, customers, agents, legal agreements, commercial arrangements, contracts, origin or shipping of goods, interactions/exposure to state owned or controlled entities, investments or dealings in bonds and/or securities
Address – includes current residential, registered office, business and correspondence address.
SSI – includes those entities and their subsidiaries that are targeted under the U.S. and/or EU Sectoral Sanctions. Please refer to OFAC’s Sectoral Sanctions Identifications (SSI) List at https://www.treasury.gov/resource-center/sanctions/SDN-List/Pages/ssi_list.aspx and the EU website - Economic sanctions targeting exchanges with Russia in specific economic sectors section for further information on these Sanctions.
Government of Venezuela - includes the state and Government of Venezuela, any political subdivision, agency, or instrumentality, including the Central Bank of Venezuela and Petroleos de Venezuela, S.A. (PdVSA), any entities owned 50% or more, or controlled, directly or indirectly, by the foregoing, and any person who has acted or purported to act directly or indirectly for or on behalf of, any of the foregoing, including as a member of the Maduro regime.
U.S. Person – include i) US citizens and US permanent residents (including green card holders), wherever located; ii) any business or entity organised under US law, its non-US branches and, depending on the sanctions program, its non-US subsidiaries; iii) US branches of non-US businesses; and iv) Any person present in the USA, regardless of nationality.
Direct Funding – also includes loan facilities, bond issues or other debt/equity finance-related products.

Comments

Connected Parties

Within this section we will require details of the ownership of your business and connected parties

Connected Party

Please provide the following details for the ‘Connected Party’
Is the connected party an individual or an entity?
Business Owner
This person owns of the shares/voting rights in this company either directly or indirectly via another company
Settlor
A Settlor is an individual that provides the Source of Wealth for the Trust. The party who creates a Trust by a written Trust Deed is called a Settlor (or Trustor/Donor/Grantor). The Settlor usually transfers the assets into the Trust; this can be at inception or during the life of the Trust. A Settlor can be a Beneficial Owner if they own of the company.
Beneficiary
A Beneficiary is any person who receives a distribution of assets or income from a Trust. Usually, Beneficiaries or the Class of Beneficiaries are documented in the Trust's Deed or equivalent. A Beneficiary can be a Beneficial Owner if they own of the company.