Anti-bribery and corruption—UK agent/intermediary due diligence form
Anti-bribery and corruption—UK agent/intermediary due diligence form

The following Practice Compliance precedent provides comprehensive and up to date legal information covering:

  • Anti-bribery and corruption—UK agent/intermediary due diligence form

    1. 1

      General

      Why do we need to engage an agent or intermediary?[Insert details]
      Name of agent/intermediary[Insert name]
      Principal contact at agent/intermediaryName: [insert name]
      Title: [insert title]
      Contact details: [insert contact details]
      Principal address of agent/intermediary
      If this is not in the UK, you must complete the Overseas agent/intermediary due diligence form instead
      [Insert address]
      Have we worked with this agent/intermediary before?
      If yes, provide details, including in what capacity and dates
      ☐ Yes
      ☐ No
      Is the agent/intermediary personally connected to, or otherwise able to influence the decisions of, any of our [customers OR clients]?
      If yes, provide details
      ☐ Yes
      ☐ No
      Has the agent/intermediary refused or failed to provide any information we have reasonably requested?If yes, provide details☐ Yes
      ☐ No
      Individual or corporate entity?
      If individual, go to section 3
      ☐ Individual
      ☐ Corporate
    1. 2

      Ownership and management of agent/intermediary

      For corporate entities only.

      Full legal name of agent/intermediary[Insert name]
      Operational address
      If different from above
      [Insert address]
      Owners of interests greater than [insert, eg 5%]
      Name and percentage ownership
      [Insert details]
      Directors/officers/partners
      Name and title
      [Insert details]
      General contact detailsMain telephone number: [insert number]
      Main fax number: [insert number]
      Main email address: [insert details]
      Website address: [insert details]
      During the last [five years] have any of the owners, directors, partners etc of the agent/intermediary been:
      —government employees or officials;
      —officials of a political party;
      —candidates for public office or officials of a public international organisation;
      (collectively ‘government officials’)?
      If yes, provide details
      ☐ Yes
      ☐ No
      Have any of the owners, directors, partners etc been closely connected (ie having family, personal or business

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