Fiu curaçao corsys registration and Login Profile Form



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FIU Curaçao

CORSYS Registration and Login Profile Form



(This form consists of 2 pages, please initial the first page and sign on the second)

Full company Name :      
Address :      
P. O. Box :      
Indicate Reporter type / branche :

  • Administrative offices (administrateurs beleggingsinstellingen)

  • Local Bank (algemene bank)

  • International Bank (internationale bank)

  • Savings Bank (spaarfonds, spaarbank)

  • Casino

  • Customs (douane)

  • Investment Institution (beleggingsinstelling)

  • Trust Companies and other Company Service Providers

  • Provider of Internet Gambling (aanbieder van internet gokken)

  • Trader in building and construction materials (handelaar in bouwmaterialen)

  • Dealer in precious metals and precious stones (Juwelier)

  • Car Dealer (autohandelaren)

  • Provider of factoring services (factoring)

  • Life Insurance (levensverzekeraar)

  • Insurance Intermediary (assurantie bemiddelaar)

  • Credit Card Company

  • Provider of Lotteries (aanbieder van loterijen)

  • Legal trusts (vertegenwoordiger van trust als in titel 6 boek 3 BW

  • Money Remitter (geldtransactiekantoor)

  • Attorney, legal advisor (advocaat, juridische dienstverlener)

  • Accountant

  • Notary (notaris)

  • Real Estate Agent (makelaar)

  • Tax Consultant (belastingadviseur, belasting consulent)

  • Central Bank of Curacao and St Maarten (CBCS)

Chamber of commerce code :      
Email address :      @     
Telephone :       -      
Fax :       -      

Name and formal function of the compliance officer
for which access to Corsys is requested:
     

     



Signature of above person:
_______________

Name and formal function of the legal representative of the company requesting registration for Corsys:      
     

Signature of above person: _______________


Company Stamp :

Please attach the following docs:



Financial Intelligence Unit Curaçao

APC Plaza, Schouwburgweg 22, Curaçao

Tel. (599 9) 4626588 Fax (599 9) 4626522 E-mail: analyse@fiucuracao.cw







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