Survey competence and integrity of the founder of the non-banking financial institutions model

First: the basic data

Name

Nationality

Date of Birth

ID Proof

Place of Birth

Current Address

Current Job

Other

Second: the efficiency

Academic Qualifications

Number

Statement

Concerned Party

Year

If you own shares in a company or financial institution

Number

Company name

Number of shares and percentage of ownership

Company activity

Company address

Explain in detail the existing banking facilities that you obtained in your name or in the name of any legal person in which you have an abundant interest (first degree relatives)

How get funding

Bank name

Fund amount

Guarantees

Mention the companies or financial institutions in which you hold a position on the board of directors, and mention the date

Number

Company name

Adjective

Date

Third: integrity

First Question

Have you ever been convicted of dishonesty or dishonesty?

Yes No

If the answer is yes, please provide details

Second Question

Have you ever been sentenced to a court ruling or a judicial decision for a financial settlement within Sudan or in any other country?

Yes No

If the answer is yes, please provide details

Third Question

Have you ever been related to a financial or commercial institution whose license has been withdrawn from its supervisory authority?

Yes No

If the answer is yes, please provide details

Fourth Question

Have you ever been a director, shareholder or related to a financial or commercial institution that has declared bankruptcy or has been voluntarily or compulsory liquidation?

Yes No

If the answer is yes, please provide details

Approve

I acknowledge the correctness of the data that I have filled out in the framework of the form, after reviewing the laws and regulations for the work of financial institutions with the greatest possible work by establishing them, by establishing them, the Central Bank of Sudan in writing in case of any change in these data.

Approved Name

Approved Signature

Approved Date

Warning

In the event that incorrect information is provided, whether it is discovered at the time or later, the application will be rejected and the applicant will be deprived of working in the banking system and banned from the bank with legal measures taken.