Money Laundering
Government required Identity check

We are forced by the Government to obtain and preserve evidence of your identity. We try to make it as easy as possible by utilising an online system. Please let us have this information as this will aviod you having to bring in your identity documents for copying. If you are not able to complete this form ,please telephone Karen Robertson on 01955 602222who will explain the alternatives.

Title
Mr/Mrs/Miss
Forename
Middle Name/Initials
Surname
Date of birth - 24/07/1999
Email
Telephone
House No
House Name
Address 1
Address 2
Postcode

Resident at address less than 12 months?

Yes
No

PLEASE PROVIDE TWO IDENTITY DOCUMENTS FROM THE LIST BELOW

1. Please enter driving licence number
ABCDE 12345 FG67 89

2. Is the Driving Licence an old style or a new photo licence

Old Style
Photo Licence

1. 1. Please enter UK passport machine readable data line 1
P<BGRYELLOW,,HAROLD<ERIC<<<<<<<<<<<<<<<<

2. Please enter UK passport machine readable data line 2
0402893217GBR6408239F1008117<<<<<<<<<<<<<<<08

3. Uk Passport expiry Date
25/09/2009

1. Council Tax-Demand Letter or Statement account number
15-006535002-09
2. Mailsort Code on Bill
Should be a 5 to 6 digit number found above address 60800
Please enter Tax Credit ID reference number
AB 12 34 45 C
Contact Telephone Number
01754 123456
address