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Ashma General Final

The document is a JTI KYC form that requires clients to provide their information, including business details, bank details, and projected purchases. It includes sections for client information, business ownership, types of business, and trade references. Contact information for the company and its management is also provided.

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rukundo
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9 views1 page

Ashma General Final

The document is a JTI KYC form that requires clients to provide their information, including business details, bank details, and projected purchases. It includes sections for client information, business ownership, types of business, and trade references. Contact information for the company and its management is also provided.

Uploaded by

rukundo
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Tel: +254 720115560 OFFICE 1

Tel: +254 720113200 OFFICE 2


Tel: +254 722853238 MANAGER
Tel: +254 722901457 DIRECTOR
E-mail: [email protected]
E-mail:[email protected]
E-mail: [email protected]

JTI KYC FORM


(Please complete in BLOCK LETTERS and TICK where applicable)
Client Information
Registered Name
Physical Location: Official Email Address:

P.O Box: KRA PIN No.(Attach):

Telephone number: Withholding Tax Agent Certificate(Attach):

Withholding Tax Agent: Yes No Registration No: (Attach):

County of Registration: Tel. No:

Contact Person: Official Email Address:

Business Owners/Management
Name ID (Attach) Mobile No. Email Position Office Location

Types of Business
Sole Proprietor Partnership Private Ltd Company NGO
Public Limited Company Government Institution Other

Nature of Business
Distributor Wholesaler Retailer Supermarket

Institution HORECA Other

Bank Details
Bank Name Branch Account Name Account Number
Trade References (At least 3 Ref)

Business Deal
Projected Monthly Purchase of JTI Goods (KES)/Bales Mode of Payment:
Payment Terms: Goods collected from Factory Goods delivered for client

Client’s Rep. Name: Sign: Date: Stamp

Official Use Only


Office Name Sign Date Remarks

FIELD

REGION

FINANCE

Office Contact Address: Mash Building 1st Floor Opp. Al-Mukaram P.O. Box 8748-00610

www.ashmahcompany.com

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