All Users Basic Questionnaire – X001 X001 - ALL USERS BASIC QUESTIONNAIRE VER: 3.0 This is the first form of several that is annually filled by all MSM users. This form has several questions. You are advised to scroll through the list to ensure everything is available before starting. If you need to stop halfway, feel free to save and come back, but please FILL THE REQUIRED FIELDS AND SIGN OFF AT THE BOTTOM BEFORE SUBMITING. This is required because you will have to start a new list when coming back, upon which you can leave blank what you've filled before. Required fields are marked with * Are you in a position to sign this document for your company* By ticking this box, I confirm that I am authorised and knowledgeable to supply the information below on behalf of the company named below, and that I will do so to the best of my ability, and that I would rather leave a field blank if I have doubt about what that field pertains to. I also understand and accept that it is my responsibility to inform MSM, by email to info@macsm.org, if any of the information that I provide changes. If you have already submitted a question or document through email or on the website, and there has been no changes or expirations, you're welcome to leave the field blank here. USER DETAILS Full Legal Name of Company * Country of Registration * Company Registration Number * Company Customs Code Physical Address * Postal Address Legal Domicile * Valid Tax Compliance Certificate Export/Import Certificate The proxy will be the main contact point between MSM and the company. No need to fill in if this is unchanged. First and Last Name of Proxy * Proxy Job Title * Proxy Cell Number * Proxy Email address * Proxy ID Document * Proxy Appointment Letter This file is proof that the company has authorized the proxy to do business on its behalf. It should be on company letterhead with the identification number of the proxy and a clear limit of authority where required. Template available for download here. Not needed for directors or sole owners. Terms and Conditions * By checking this box , I acknowledge that I have read, understood, accept (and am authorized to accept on behalf of the company named above) the latest Terms and Conditions that govern the use of the MSM Trading Platform. * The latest terms and conditions can be found here on MSM's website. FOR NEW USERS ONLY This section of the document is only for users who are registering with MSM for the first time. Existing users may scroll down to the bottom of the document, SIGN OFF and click "SUBMIT". As part of due diligence, we need to ensure that all new users are reputable and honest. We ask the same questions to all users who join the platform. Due Dilligence By checking this box, I hereby affirm and authorize MSM, or any third party engaged or contracted by MSM, to conduct due diligence on the company named above, which I am authorized to represent. I further acknowledge that MSM, and any parties engaged by MSM for the purposes of due diligence, shall conduct such activities with the highest standards of discretion and privacy. Company Registration Certificate Company Customs Certificate Director's ID Documents MSM's KYC extends to the company's directors. In cases where more than 5 directors are on a company's board, upload at least 5 ID's. Please provide references for companies you have previously sold to, or purchased products/services from, preferably related to the business you plan to do on the platform. These references are not required, but they have a significant impact on your risk profile as a new user on the platform. Trade Reference 1 Reference Company 1 Name Reference Company 1 Contact Name Reference Company 1 Contact Email Reference Company 1 Contact Number Trade Reference 2 Reference Company 2 Name Reference Company 2 Contact Name Reference Company 2 Contact Email Reference Company 2 Contact Number Trade Reference 3 Reference Company 3 Name Reference Company 3 Contact Name Reference Company 3 Contact Email Reference Company 3 Contact Number Trade Reference 4 Reference Company 4 Name Reference Company 4 Contact Name Reference Company 4 Contact Email Reference Company 4 Contact Number Trade Reference 5 Reference Company 5 Name Reference Company 5 Contact Name Reference Company 5 Contact Email Reference Company 5 Contact Number SIGN-OFF Full Name and Surname* Date of Signing* Please sign in the block by drawing your signature with your finger or mouse* Submit