Active Re

Due Diligence Form

X. Statement

We also declare that:

  • We have not been involved in, convicted of, or under investigation anywhere in the world for offences related to the production, trafficking, or consumption of drugs, or any other offence associated with drugs, money laundering or terrorism.
  • We confirm having and verifying the due diligence evidence of all beneficial owners, attorneys, beneficiaries, directors, officers, and signatories of the services required by Active Re, and agree to provide any information and/or documentation requested by Active Re.
  • We declare under penalty of perjury that this statement is true, correct, and complete to the best of our knowledge and belief.
  • We provide informed consent to Active Re to process the information provided in this form in accordance with the relevant data protection legislation applicable to its business activities.

By clicking the 'Submit' button below, you confirm that this action is equivalent to electronically signing this form on behalf of the company whose information has been provided to Active Re. Please ensure that all information is correct before submitting. A copy of the form will be promptly sent to the contact person specified in Section VIII.

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