Uploaded by Mohamed Elarbi

DEM KYC

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“KNOW YOUR COUNTERPARTY” QUESTIONNAIRE”
Company details
Full Legal Name:
Attaqneyah Almotaqademah For Oil Services (AAOS)
Trading Name(ifdifferent):
RegisteredAddress:
N/A
TRIPOLI - LIBYA
Tripoli Tower - second floor,office No.23
Trading Address(ifdifferent):
N/A
Country of Incorporation
LIBYA
Registered Company Number
Date of Incorporation
20/04/2011
VAT Number(EU Only)
20297
N/A
Chamber of Commerce Registration
Number or similar (absolutely
necessary for non EU registered
Companies)
Company Website URL:
www.aaos.ly
Company point of contact for
compliance issues:
EMAD SHRIHA
info@aaos.ly
Telephone number and email
address of the compliance officer:
00447405427083 - 0041766198538
info@aaos.ly
Language MSDS
ENGLISH
(Material Safety Data Sheet)
Legal Status
(please tick all the
relevant options):
Private individual / sole trader
Partnership
Limited liability Company / Partnership
*Stock Exchange where the
company shares are listed or
other details:
☐
☐
☐
Private Limited Company
Public Limited Company*
Other*
N/A
Latest available financial information (annual accounts) deposited with the Chamber of Commerce or
Public Register, if listed, provided to the stock market regulator (quarterly accounts)
☐
☐
☐
Please indicate your core business
activities and main countries of
operation:
Oil and GAS Services
Please indicate if your company has activities with sanctioned countries or individuals/other companies:
No
Contract details
Purpose / Nature of business
relationship with DEM (one off
Oil and GAS Services ( import – export – supply all related to oil and
gas industry)
services, framework contract, agent…):
Country/s where the contract will be
performed:
LIBYA – TUNISA – ITALI – TURKEY- UAE – EU
End use of the provided good, if applicable:
NO
Will any third parties, intermediaries or sub-contractors be used for the purpose of our business relationship?
If yes please provide details below:
Country/Company / Full Name (individuals)
Business relationship
Percentage
Partnership
Please list all members of the Board of Directors or partners:
Full Name
Job Title
Citizenship
Ownership:
Please state the name of any shareholders, direct or indirect, who own the Company:
Company / Full Name (individuals)
Guma Aboalgasm abdullah
shriha
Tarek Aboalgasm abdullah
shriha
Percentage
owned
Country of incorporation / Date
of birth (individuals)
50%
13-09-1986
50%
15-10-1975
Registered Company
Number / Citizenship
(individuals)
libyan
libyan
Please outline the ownership structure of your
company up to and including the Ultimate
Beneficiary Owner (see Section B):
Bank Informationfor Final Beneficiary Account
Account holder
Attaqneyah Almotaqademah oil services
(if different than vendor name)
Bank name
Currency
Libyan Foreign Bank
USD
Bank contact name
Phone
City
Address
Bank account
number
Mohamed Elkeeb
+218 (21) 335 0086
+218 (21) 361 3134
TRIPOLI
Country
LIBYA
Postal Code
Tripoli
P.O.Box 2542
Dat-Elemad Administrative complex Tower No. 2 , Tripoli P.O.Box 2542, ,
Tripoli 218
65439
Bank ABA /Routing number (US Only)
IBAN Number (only for EU bank accounts)
SWIFTCode
LAFBLYLT
BANK ID and Transit Number (Canada Only)
Sort Code (UK Only)
Relationships with Governments or Government Officials
Are any of your Company’s Directors, shareholders or beneficial owners a Politically Exposed Person?
(see Section A)
If yes please provide details below:
Full Name
Job Title
PoliticalExposure
NO
Compliance
Is your firm a regulated company in the sense that its revenues and/or activities are subject to public
authorizations and / or price intervention?
No
Does your company have
formally documented policies on
the following:
yes
yes
yes
yes
yes
Anti-Money Launderingand Combatting Terrorist Financing
Anti-Bribery and Corruption (including gifts and hospitality)
Market Abuse / Market Conduct
Code of Conduct
Anti slavery Act
Signed*:
Guma Aboalgasm abdullah shriha
Completed by:
EMAD
Position:
chairman
Date:
16-2-2023
e-mail:
info@aaos.ly
(FOR DEM INTERNAL USE) ACCEPTANCE FOR REGISTRATION IN THE CLIENT DATABASE:
>>> SALES DEPARTMENT ONLY<<<
Credit Line:
Payment:
Revue Date:
Applicant:
Accepted
☐ Yes ☐ No
Date:
Sign:
C.D.:
Accepted
☐ Yes ☐ No
Date:
Sign:
M.D.
Accepted
☐ Yes ☐ No
Date:
Sign: (procurement dept.)
Accepted by relevant Head of Department* for entry into Bunker Energy Clients Database (Mandatory before registration in then Maxcom
Bunker Client Database):
Date:
Signature:

Clients of marine fuels must be approved by the Head of Sales.
Other clients must be approved by the relevant Head of Department
2/16/2023
(*)The due diligence questionnaire must be provided by a senior officer with sufficient knowledge of the entity’s global operations in order to
respond appropriately.
DATA PRIVACY NOTICE
Please also note that this Questionnaire may be shared with any other entity of Bunker Energy, for the exclusive
purpose of meeting regulatory requirements and for addressing any regulatory investigations. By signing this
Questionnaire, you expressly agree to this sharing. Bunker Energy took all necessary security measures to ensure
the confidentiality of the information transmitted through this Questionnaire in line with Cepsa privacy policies
and data protection requirements
SECTION A – POLITICALLY EXPOSED PERSON (PEP)
A PEP is an individual who is currently or has been entrusted with a prominent public function and an immediate
family member, or a known close associate of such a person. Thiscovers:
 Heads of state, heads of government, ministers and deputy or assistant m inisters
 Members of parliaments
 Members of supreme courts, of constitutional courts, or other high -level judicial bodies
 Members of courts of auditors or the boards of central banks
 Ambassadors and high ranking officers in the armed forces (e.g. the rank o f colonel in the army, or
above)
 Members of the administrative, management or supervisory bodies of state -owned enterprises
 The immediate family and known close associates of a person in this category are also PEPs
The family members and close associates of PEPs must also be treated as PEPs and are defined as follows:
 Family members are individuals who are related to a PEP either directly (consanguinity) or through
marriage or similar (civil) forms of partnership
 Close associates are individuals who are closely connected to a PEP, either socially or professionally
SECTION B – ULTIMATE BENEFICIAL OWNER
The Ultimate Beneficial Ownership (UBO's) refers to the natural person(s) who ultimately owns or controls a
customer and/or the person on whose behalf a transaction is being conducted. It also incorporates those persons
who exercise ultimate effective control over a legal person or arrangement.
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