{ "components": [ { "label": "Content", "refreshOnChange": false, "key": "content", "type": "content", "input": false, "tableView": false }, { "label": "Text Field", "hidden": true, "hideLabel": true, "disabled": true, "tableView": true, "defaultValue": "Waterland IX - v19", "key": "textField", "type": "textfield", "input": true }, { "html": "

PLEASE COMPLETE THE INFORMATION BELOW

 

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", "label": "Content", "refreshOnChange": false, "key": "content9", "type": "content", "input": false, "tableView": false }, { "legend": "Signer's Information", "tooltip": "Please enter below the information about the individual who is (electronically) signing this subscription agreement (regardless of the type of prospective investor).", "key": "fieldSet4", "type": "fieldset", "label": "Signer's Information", "input": false, "tableView": false, "components": [ { "label": "Salutation", "widget": "choicesjs", "tableView": true, "data": { "values": [ { "label": "Mr", "value": "mr" }, { "label": "Mrs.", "value": "mrs" }, { "label": "Miss.", "value": "miss" }, { "label": "Ms.", "value": "ms" } ] }, "searchEnabled": false, "selectThreshold": 0.3, "validate": { "required": true }, "key": "title", "type": "select", "input": true }, { "label": "First name", "placeholder": "Type your first name", "tableView": true, "validate": { "required": true }, "key": "MID_NP_First", "type": "textfield", "input": true }, { "label": "Last name", "placeholder": "Type your last name", "tableView": true, "validate": { "required": true }, "key": "MID_NP_Last", "type": "textfield", "input": true }, { "label": "Job title", "tableView": true, "validate": { "required": true }, "key": "jobTitle", "type": "textfield", "input": true }, { "label": "Where are you signing this document?", "tableView": true, "validate": { "required": true }, "key": "signingPlace", "type": "textfield", "input": true }, { "label": "Email address", "tableView": true, "redrawOn": "data", "validate": { "required": true }, "key": "MID_NP_Email", "type": "email", "input": true }, { "label": "What type of investor are you?", "optionsLabelPosition": "right", "tooltip": "Are you subscribing to the fund as an individual (natural person) or are you investing through a legal entity (legal person)?", "inline": true, "tableView": false, "values": [ { "label": "Individual", "value": "naturalPerson", "shortcut": "" }, { "label": "Legal person (non-individual)", "value": "legalPerson", "shortcut": "" } ], "validate": { "required": true }, "errorLabel": "Please choose a type to continue", "key": "chooseType", "type": "radio", "input": true } ] }, { "hidden": true, "key": "fieldSet24", "conditional": { "show": true, "when": "chooseType", "eq": "legalPerson" }, "type": "fieldset", "label": "", "input": false, "tableView": false, "components": [ { "label": "Would you like to appoint an additional contact person to receive information about the fund?", "optionsLabelPosition": "right", "inline": true, "tableView": false, "values": [ { "label": "Yes", "value": "yes", "shortcut": "" }, { "label": "No", "value": "no", "shortcut": "" } ], "validate": { "required": true }, "key": "appointContactPerson", "type": "radio", "input": true }, { "legend": "Contact person", "hidden": true, "key": "fieldSet1", "conditional": { "show": true, "when": "appointContactPerson", "eq": "yes" }, "type": "fieldset", "label": "Contact person 1", "input": false, "tableView": false, "components": [ { "html": "

This person will be contacted for information related to the entity and will be sent the capital calls.

", "label": "Content", "refreshOnChange": false, "key": "content25", "type": "content", "input": false, "tableView": false }, { "label": "Contact person name", "hidden": true, "tableView": true, "validate": { "required": true }, "key": "contactPersonName", "conditional": { "show": true, "when": "appointContactPerson", "eq": "yes" }, "type": "textfield", "input": true }, { "label": "Contact person e-mail address", "hidden": true, "tableView": true, "validate": { "required": true }, "key": "contactPersonEmail", "conditional": { "show": true, "when": "appointContactPerson", "eq": "yes" }, "type": "textfield", "input": true }, { "label": "Contact person phone number", "hidden": true, "tableView": true, "validate": { "required": true }, "key": "contactPersonPhoneNumber", "conditional": { "show": true, "when": "appointContactPerson", "eq": "yes" }, "type": "textfield", "input": true } ] } ] }, { "key": "fieldSet22", "type": "fieldset", "label": "Field Set", "input": false, "tableView": false, "components": [ { "html": "

Would you like an additional person to be copied in on all email communications? Please enter their details below

", "label": "Content", "refreshOnChange": false, "key": "content24", "type": "content", "input": false, "tableView": false }, { "label": "Name of additional person", "tableView": true, "key": "additionalName", "type": "textfield", "input": true }, { "label": "Email address of additional person", "tableView": true, "key": "additionalEmail", "type": "email", "input": true } ] }, { "legend": "Applicant Information (Individual)", "hidden": true, "key": "fieldSet2", "conditional": { "show": true, "when": "chooseType", "eq": "naturalPerson" }, "type": "fieldset", "label": "Field Set", "input": false, "tableView": false, "components": [ { "label": "Is the prospective investor different than {{data.MID_NP_First}} {{data.MID_NP_Last}}?", "optionsLabelPosition": "right", "inline": true, "tableView": false, "values": [ { "label": "Yes, it's different", "value": "yes", "shortcut": "" }, { "label": "No, the prospective investor is {{data.MID_NP_First}} {{data.MID_NP_Last}}", "value": "no", "shortcut": "" } ], "redrawOn": "data", "validate": { "required": true }, "key": "isTheInvestorDifferentThanFirstLast", "type": "radio", "input": true }, { "label": "First name(s) of applicant", "hidden": true, "tableView": true, "validate": { "required": true }, "key": "firstNameOfInvestor", "conditional": { "show": true, "when": "isTheInvestorDifferentThanFirstLast", "eq": "yes" }, "type": "textfield", "input": true }, { "label": "Last name(s) of applicant", "hidden": true, "tableView": true, "validate": { "required": true }, "key": "lastNameOfInvestor", "conditional": { "show": true, "when": "isTheInvestorDifferentThanFirstLast", "eq": "yes" }, "type": "textfield", "input": true }, { "label": "Email address", "hidden": true, "tableView": true, "validate": { "required": true }, "key": "emailAddress", "conditional": { "show": true, "when": "isTheInvestorDifferentThanFirstLast", "eq": "yes" }, "type": "email", "input": true }, { "label": "Telephone number", "tableView": true, "validate": { "required": true }, "key": "telephoneNumber", "type": "textfield", "input": true }, { "label": "Date of birth", "format": "dd-MM-yyyy", "placeholder": "dd-mm-yyyy", "tableView": false, "enableMinDateInput": false, "datePicker": { "maxDate": "moment().add(0, 'days')", "disableWeekends": false, "disableWeekdays": false }, "enableMaxDateInput": true, "enableTime": false, "clearOnHide": false, "validate": { "required": true }, "key": "MID_NP_DOB", "type": "datetime", "input": true, "widget": { "type": "calendar", "displayInTimezone": "viewer", "locale": "en", "useLocaleSettings": false, "allowInput": true, "mode": "single", "enableTime": false, "noCalendar": false, "format": "dd-MM-yyyy", "hourIncrement": 1, "minuteIncrement": 1, "time_24hr": false, "minDate": null, "disableWeekends": false, "disableWeekdays": false, "maxDate": "moment().add(0, 'days')" } }, { "label": "Place of birth", "tableView": true, "validate": { "required": true }, "key": "cityOfBirth", "type": "textfield", "input": true }, { "label": "Nationality / citizenship", "widget": "choicesjs", "tableView": true, "dataSrc": "json", "data": { "json": [ { "value": "AF", "label": " Afghanistan" }, { "value": "AX", "label": " Åland Islands" }, { "value": "AL", "label": " Albania" }, { "value": "DZ", "label": " Algeria" }, { "value": "AS", "label": " American Samoa" }, { "value": "AD", "label": " Andorra" }, { "value": "AO", "label": " Angola" }, { "value": "AI", "label": " Anguilla" }, { "value": "AQ", "label": " Antarctica" }, { "value": "AG", "label": " Antigua and Barbuda" }, { "value": "AR", "label": " Argentina" }, { "value": "AM", "label": " Armenia" }, { "value": "AW", "label": " Aruba" }, { "value": "AU", "label": " Australia" }, { "value": "AT", "label": " Austria" }, { "value": "AZ", "label": " Azerbaijan" }, { "value": "BS", "label": " Bahamas" }, { "value": "BH", "label": " Bahrain" }, { "value": "BD", "label": " Bangladesh" }, { "value": "BB", "label": " Barbados" }, { "value": "BY", "label": " Belarus" }, { "value": "BE", "label": " Belgium" }, { "value": "BZ", "label": " Belize" }, { "value": "BJ", "label": " Benin" }, { "value": "BM", "label": " Bermuda" }, { "value": "BT", "label": " Bhutan" }, { "value": "BO", "label": " Bolivia (Plurinational State of)" }, { "value": "BQ", "label": " Bonaire, Sint Eustatius and Saba" }, { "value": "BA", "label": " Bosnia and Herzegovina" }, { "value": "BW", "label": " Botswana" }, { "value": "BV", "label": " Bouvet Island" }, { "value": "BR", "label": " Brazil" }, { "value": "IO", "label": " British Indian Ocean Territory" }, { "value": "BN", "label": " Brunei Darussalam" }, { "value": "BG", "label": " Bulgaria" }, { "value": "BF", "label": " Burkina Faso" }, { "value": "BI", "label": " Burundi" }, { "value": "CV", "label": " Cabo Verde" }, { "value": "KH", "label": " Cambodia" }, { "value": "CM", "label": " Cameroon" }, { "value": "CA", "label": " Canada" }, { "value": "KY", "label": " Cayman Islands" }, { "value": "CF", "label": " Central African Republic" }, { "value": "TD", "label": " Chad" }, { "value": "CL", "label": " Chile" }, { "value": "CN", "label": " China" }, { "value": "CX", "label": " Christmas Island" }, { "value": "CC", "label": " Cocos (Keeling) Islands" }, { "value": "CO", "label": " Colombia" }, { "value": "KM", "label": " Comoros" }, { "value": "CG", "label": " Congo" }, { "value": "CD", "label": " Congo, Democratic Republic of the" }, { "value": "CK", "label": " Cook Islands" }, { "value": "CR", "label": " Costa Rica" }, { "value": "CI", "label": " Côte d'Ivoire" }, { "value": "HR", "label": " Croatia" }, { "value": "CU", "label": " Cuba" }, { "value": "CW", "label": " Curaçao" }, { "value": "CY", "label": " Cyprus" }, { "value": "CZ", "label": " Czechia" }, { "value": "DK", "label": " Denmark" }, { "value": "DJ", "label": " Djibouti" }, { "value": "DM", "label": " Dominica" }, { "value": "DO", "label": " Dominican Republic" }, { "value": "EC", "label": " Ecuador" }, { "value": "EG", "label": " Egypt" }, { "value": "SV", "label": " El Salvador" }, { "value": "GQ", "label": " Equatorial Guinea" }, { "value": "ER", "label": " Eritrea" }, { "value": "EE", "label": " Estonia" }, { "value": "SZ", "label": " Eswatini" }, { "value": "ET", "label": " Ethiopia" }, { "value": "FK", "label": " Falkland Islands (Malvinas)" }, { "value": "FO", "label": " Faroe Islands" }, { "value": "FJ", "label": " Fiji" }, { "value": "FI", "label": " Finland" }, { "value": "FR", "label": " France" }, { "value": "GF", "label": " French Guiana" }, { "value": "PF", "label": " French Polynesia" }, { "value": "TF", "label": " French Southern Territories" }, { "value": "GA", "label": " Gabon" }, { "value": "GM", "label": " Gambia" }, { "value": "GE", "label": " Georgia" }, { "value": "DE", "label": " Germany" }, { "value": "GH", "label": " Ghana" }, { "value": "GI", "label": " Gibraltar" }, { "value": "GR", "label": " Greece" }, { "value": "GL", "label": " Greenland" }, { "value": "GD", "label": " Grenada" }, { "value": "GP", "label": " Guadeloupe" }, { "value": "GU", "label": " Guam" }, { "value": "GT", "label": " Guatemala" }, { "value": "GG", "label": " Guernsey" }, { "value": "GN", "label": " Guinea" }, { "value": "GW", "label": " Guinea-Bissau" }, { "value": "GY", "label": " Guyana" }, { "value": "HT", "label": " Haiti" }, { "value": "HM", "label": " Heard Island and McDonald Islands" }, { "value": "VA", "label": " Holy See" }, { "value": "HN", "label": " Honduras" }, { "value": "HK", "label": " Hong Kong" }, { "value": "HU", "label": " Hungary" }, { "value": "IS", "label": " Iceland" }, { "value": "IN", "label": " India" }, { "value": "ID", "label": " Indonesia" }, { "value": "IR", "label": " Iran (Islamic Republic of)" }, { "value": "IQ", "label": " Iraq" }, { "value": "IE", "label": " Ireland" }, { "value": "IM", "label": " Isle of Man" }, { "value": "IL", "label": " Israel" }, { "value": "IT", "label": " Italy" }, { "value": "JM", "label": " Jamaica" }, { "value": "JP", "label": " Japan" }, { "value": "JE", "label": " Jersey" }, { "value": "JO", "label": " Jordan" }, { "value": "KZ", "label": " Kazakhstan" }, { "value": "KE", "label": " Kenya" }, { "value": "KI", "label": " Kiribati" }, { "value": "KP", "label": " Korea (Democratic People's Republic of)" }, { "value": "KR", "label": " Korea, Republic of" }, { "value": "KW", "label": " Kuwait" }, { "value": "KG", "label": " Kyrgyzstan" }, { "value": "LA", "label": " Lao People's Democratic Republic" }, { "value": "LV", "label": " Latvia" }, { "value": "LB", "label": " Lebanon" }, { "value": "LS", "label": " Lesotho" }, { "value": "LR", "label": " Liberia" }, { "value": "LY", "label": " Libya" }, { "value": "LI", "label": " Liechtenstein" }, { "value": "LT", "label": " Lithuania" }, { "value": "LU", "label": " Luxembourg" }, { "value": "MO", "label": " Macao" }, { "value": "MG", "label": " Madagascar" }, { "value": "MW", "label": " Malawi" }, { "value": "MY", "label": " Malaysia" }, { "value": "MV", "label": " Maldives" }, { "value": "ML", "label": " Mali" }, { "value": "MT", "label": " Malta" }, { "value": "MH", "label": " Marshall Islands" }, { "value": "MQ", "label": " Martinique" }, { "value": "MR", "label": " Mauritania" }, { "value": "MU", "label": " Mauritius" }, { "value": "YT", "label": " Mayotte" }, { "value": "MX", "label": " Mexico" }, { "value": "FM", "label": " Micronesia (Federated States of)" }, { "value": "MD", "label": " Moldova, Republic of" }, { "value": "MC", "label": " Monaco" }, { "value": "MN", "label": " Mongolia" }, { "value": "ME", "label": " Montenegro" }, { "value": "MS", "label": " Montserrat" }, { "value": "MA", "label": " Morocco" }, { "value": "MZ", "label": " Mozambique" }, { "value": "MM", "label": " Myanmar" }, { "value": "NA", "label": " Namibia" }, { "value": "NR", "label": " Nauru" }, { "value": "NP", "label": " Nepal" }, { "value": "NL", "label": " Netherlands" }, { "value": "NC", "label": " New Caledonia" }, { "value": "NZ", "label": " New Zealand" }, { "value": "NI", "label": " Nicaragua" }, { "value": "NE", "label": " Niger" }, { "value": "NG", "label": " Nigeria" }, { "value": "NU", "label": " Niue" }, { "value": "NF", "label": " Norfolk Island" }, { "value": "MK", "label": " North Macedonia" }, { "value": "MP", "label": " Northern Mariana Islands" }, { "value": "NO", "label": " Norway" }, { "value": "OM", "label": " Oman" }, { "value": "PK", "label": " Pakistan" }, { "value": "PW", "label": " Palau" }, { "value": "PS", "label": " Palestine, State of" }, { "value": "PA", "label": " Panama" }, { "value": "PG", "label": " Papua New Guinea" }, { "value": "PY", "label": " Paraguay" }, { "value": "PE", "label": " Peru" }, { "value": "PH", "label": " Philippines" }, { "value": "PN", "label": " Pitcairn" }, { "value": "PL", "label": " Poland" }, { "value": "PT", "label": " Portugal" }, { "value": "PR", "label": " Puerto Rico" }, { "value": "QA", "label": " Qatar" }, { "value": "RE", "label": " Réunion" }, { "value": "RO", "label": " Romania" }, { "value": "RU", "label": " Russian Federation" }, { "value": "RW", "label": " Rwanda" }, { "value": "BL", "label": " Saint Barthélemy" }, { "value": "SH", "label": " Saint Helena, Ascension and Tristan da Cunha" }, { "value": "KN", "label": " Saint Kitts and Nevis" }, { "value": "LC", "label": " Saint Lucia" }, { "value": "MF", "label": " Saint Martin (French part)" }, { "value": "PM", "label": " Saint Pierre and Miquelon" }, { "value": "VC", "label": " Saint Vincent and the Grenadines" }, { "value": "WS", "label": " Samoa" }, { "value": "SM", "label": " San Marino" }, { "value": "ST", "label": " Sao Tome and Principe" }, { "value": "SA", "label": " Saudi Arabia" }, { "value": "SN", "label": " Senegal" }, { "value": "RS", "label": " Serbia" }, { "value": "SC", "label": " Seychelles" }, { "value": "SL", "label": " Sierra Leone" }, { "value": "SG", "label": " Singapore" }, { "value": "SX", "label": " Sint Maarten (Dutch part)" }, { "value": "SK", "label": " Slovakia" }, { "value": "SI", "label": " Slovenia" }, { "value": "SB", "label": " Solomon Islands" }, { "value": "SO", "label": " Somalia" }, { "value": "ZA", "label": " South Africa" }, { "value": "GS", "label": " South Georgia and the South Sandwich Islands" }, { "value": "SS", "label": " South Sudan" }, { "value": "ES", "label": " Spain" }, { "value": "LK", "label": " Sri Lanka" }, { "value": "SD", "label": " Sudan" }, { "value": "SR", "label": " Suriname" }, { "value": "SJ", "label": " Svalbard and Jan Mayen" }, { "value": "SE", "label": " Sweden" }, { "value": "CH", "label": " Switzerland" }, { "value": "SY", "label": " Syrian Arab Republic" }, { "value": "TW", "label": " Taiwan, Province of China" }, { "value": "TJ", "label": " Tajikistan" }, { "value": "TZ", "label": " Tanzania, United Republic of" }, { "value": "TH", "label": " Thailand" }, { "value": "TL", "label": " Timor-Leste" }, { "value": "TG", "label": " Togo" }, { "value": "TK", "label": " Tokelau" }, { "value": "TO", "label": " Tonga" }, { "value": "TT", "label": " Trinidad and Tobago" }, { "value": "TN", "label": " Tunisia" }, { "value": "TR", "label": " Turkey" }, { "value": "TM", "label": " Turkmenistan" }, { "value": "TC", "label": " Turks and Caicos Islands" }, { "value": "TV", "label": " Tuvalu" }, { "value": "UG", "label": " Uganda" }, { "value": "UA", "label": " Ukraine" }, { "value": "AE", "label": " United Arab Emirates" }, { "value": "GB", "label": " United Kingdom of Great Britain and Northern Ireland" }, { "value": "US", "label": " United States of America" }, { "value": "UM", "label": " United States Minor Outlying Islands" }, { "value": "UY", "label": " Uruguay" }, { "value": "UZ", "label": " Uzbekistan" }, { "value": "VU", "label": " Vanuatu" }, { "value": "VE", "label": " Venezuela (Bolivarian Republic of)" }, { "value": "VN", "label": " Viet Nam" }, { "value": "VG", "label": " Virgin Islands (British)" }, { "value": "VI", "label": " Virgin Islands (U.S.)" }, { "value": "WF", "label": " Wallis and Futuna" }, { "value": "EH", "label": " Western Sahara" }, { "value": "YE", "label": " Yemen" }, { "value": "ZM", "label": " Zambia" }, { "value": "ZW", "label": " Zimbabwe" } ] }, "valueProperty": "value", "selectThreshold": 0.3, "validate": { "required": true }, "key": "MID_NP_Nationality", "type": "select", "input": true }, { "label": "Address 1", "tableView": true, "clearOnHide": false, "validate": { "required": true }, "key": "MID_NP_Address", "properties": { "populatedBy": "addressData", "valueKey": "Address" }, "type": "textfield", "input": true }, { "label": "Address 2", "tableView": true, "key": "naturalPersonAddress2", "type": "textfield", "input": true }, { "label": "City", "tableView": true, "clearOnHide": false, "validate": { "required": true }, "key": "MID_NP_Address_City", "properties": { "populatedBy": "addressData", "valueKey": "City" }, "type": "textfield", "input": true }, { "label": "Zip code", "tableView": true, "clearOnHide": false, "validate": { "required": true }, "key": "MID_NP_Postalcode", "properties": { "populatedBy": "addressData", "valueKey": "ZipCode" }, "type": "textfield", "input": true }, { "label": "Country", "widget": "choicesjs", "tableView": true, "dataSrc": "json", "data": { "json": [ { "value": "AF", "label": " Afghanistan" }, { "value": "AX", "label": " Åland Islands" }, { "value": "AL", "label": " Albania" }, { "value": "DZ", "label": " Algeria" }, { "value": "AS", "label": " American Samoa" }, { "value": "AD", "label": " Andorra" }, { "value": "AO", "label": " Angola" }, { "value": "AI", "label": " Anguilla" }, { "value": "AQ", "label": " Antarctica" }, { "value": "AG", "label": " Antigua and Barbuda" }, { "value": "AR", "label": " Argentina" }, { "value": "AM", "label": " Armenia" }, { "value": "AW", "label": " Aruba" }, { "value": "AU", "label": " Australia" }, { "value": "AT", "label": " Austria" }, { "value": "AZ", "label": " Azerbaijan" }, { "value": "BS", "label": " Bahamas" }, { "value": "BH", "label": " Bahrain" }, { "value": "BD", "label": " Bangladesh" }, { "value": "BB", "label": " Barbados" }, { "value": "BY", "label": " Belarus" }, { "value": "BE", "label": " Belgium" }, { "value": "BZ", "label": " Belize" }, { "value": "BJ", "label": " Benin" }, { "value": "BM", "label": " Bermuda" }, { "value": "BT", "label": " Bhutan" }, { "value": "BO", "label": " Bolivia (Plurinational State of)" }, { "value": "BQ", "label": " Bonaire, Sint Eustatius and Saba" }, { "value": "BA", "label": " Bosnia and Herzegovina" }, { "value": "BW", "label": " Botswana" }, { "value": "BV", "label": " Bouvet Island" }, { "value": "BR", "label": " Brazil" }, { "value": "IO", "label": " British Indian Ocean Territory" }, { "value": "BN", "label": " Brunei Darussalam" }, { "value": "BG", "label": " Bulgaria" }, { "value": "BF", "label": " Burkina Faso" }, { "value": "BI", "label": " Burundi" }, { "value": "CV", "label": " Cabo Verde" }, { "value": "KH", "label": " Cambodia" }, { "value": "CM", "label": " Cameroon" }, { "value": "CA", "label": " Canada" }, { "value": "KY", "label": " Cayman Islands" }, { "value": "CF", "label": " Central African Republic" }, { "value": "TD", "label": " Chad" }, { "value": "CL", "label": " Chile" }, { "value": "CN", "label": " China" }, { "value": "CX", "label": " Christmas Island" }, { "value": "CC", "label": " Cocos (Keeling) Islands" }, { "value": "CO", "label": " Colombia" }, { "value": "KM", "label": " Comoros" }, { "value": "CG", "label": " Congo" }, { "value": "CD", "label": " Congo, Democratic Republic of the" }, { "value": "CK", "label": " Cook Islands" }, { "value": "CR", "label": " Costa Rica" }, { "value": "CI", "label": " Côte d'Ivoire" }, { "value": "HR", "label": " Croatia" }, { "value": "CU", "label": " Cuba" }, { "value": "CW", "label": " Curaçao" }, { "value": "CY", "label": " Cyprus" }, { "value": "CZ", "label": " Czechia" }, { "value": "DK", "label": " Denmark" }, { "value": "DJ", "label": " Djibouti" }, { "value": "DM", "label": " Dominica" }, { "value": "DO", "label": " Dominican Republic" }, { "value": "EC", "label": " Ecuador" }, { "value": "EG", "label": " Egypt" }, { "value": "SV", "label": " El Salvador" }, { "value": "GQ", "label": " Equatorial Guinea" }, { "value": "ER", "label": " Eritrea" }, { "value": "EE", "label": " Estonia" }, { "value": "SZ", "label": " Eswatini" }, { "value": "ET", "label": " Ethiopia" }, { "value": "FK", "label": " Falkland Islands (Malvinas)" }, { "value": "FO", "label": " Faroe Islands" }, { "value": "FJ", "label": " Fiji" }, { "value": "FI", "label": " Finland" }, { "value": "FR", "label": " France" }, { "value": "GF", "label": " French Guiana" }, { "value": "PF", "label": " French Polynesia" }, { "value": "TF", "label": " French Southern Territories" }, { "value": "GA", "label": " Gabon" }, { "value": "GM", "label": " Gambia" }, { "value": "GE", "label": " Georgia" }, { "value": "DE", "label": " Germany" }, { "value": "GH", "label": " Ghana" }, { "value": "GI", "label": " Gibraltar" }, { "value": "GR", "label": " Greece" }, { "value": "GL", "label": " Greenland" }, { "value": "GD", "label": " Grenada" }, { "value": "GP", "label": " Guadeloupe" }, { "value": "GU", "label": " Guam" }, { "value": "GT", "label": " Guatemala" }, { "value": "GG", "label": " Guernsey" }, { "value": "GN", "label": " Guinea" }, { "value": "GW", "label": " Guinea-Bissau" }, { "value": "GY", "label": " Guyana" }, { "value": "HT", "label": " Haiti" }, { "value": "HM", "label": " Heard Island and McDonald Islands" }, { "value": "VA", "label": " Holy See" }, { "value": "HN", "label": " Honduras" }, { "value": "HK", "label": " Hong Kong" }, { "value": "HU", "label": " Hungary" }, { "value": "IS", "label": " Iceland" }, { "value": "IN", "label": " India" }, { "value": "ID", "label": " Indonesia" }, { "value": "IR", "label": " Iran (Islamic Republic of)" }, { "value": "IQ", "label": " Iraq" }, { "value": "IE", "label": " Ireland" }, { "value": "IM", "label": " Isle of Man" }, { "value": "IL", "label": " Israel" }, { "value": "IT", "label": " Italy" }, { "value": "JM", "label": " Jamaica" }, { "value": "JP", "label": " Japan" }, { "value": "JE", "label": " Jersey" }, { "value": "JO", "label": " Jordan" }, { "value": "KZ", "label": " Kazakhstan" }, { "value": "KE", "label": " Kenya" }, { "value": "KI", "label": " Kiribati" }, { "value": "KP", "label": " Korea (Democratic People's Republic of)" }, { "value": "KR", "label": " Korea, Republic of" }, { "value": "KW", "label": " Kuwait" }, { "value": "KG", "label": " Kyrgyzstan" }, { "value": "LA", "label": " Lao People's Democratic Republic" }, { "value": "LV", "label": " Latvia" }, { "value": "LB", "label": " Lebanon" }, { "value": "LS", "label": " Lesotho" }, { "value": "LR", "label": " Liberia" }, { "value": "LY", "label": " Libya" }, { "value": "LI", "label": " Liechtenstein" }, { "value": "LT", "label": " Lithuania" }, { "value": "LU", "label": " Luxembourg" }, { "value": "MO", "label": " Macao" }, { "value": "MG", "label": " Madagascar" }, { "value": "MW", "label": " Malawi" }, { "value": "MY", "label": " Malaysia" }, { "value": "MV", "label": " Maldives" }, { "value": "ML", "label": " Mali" }, { "value": "MT", "label": " Malta" }, { "value": "MH", "label": " Marshall Islands" }, { "value": "MQ", "label": " Martinique" }, { "value": "MR", "label": " Mauritania" }, { "value": "MU", "label": " Mauritius" }, { "value": "YT", "label": " Mayotte" }, { "value": "MX", "label": " Mexico" }, { "value": "FM", "label": " Micronesia (Federated States of)" }, { "value": "MD", "label": " Moldova, Republic of" }, { "value": "MC", "label": " Monaco" }, { "value": "MN", "label": " Mongolia" }, { "value": "ME", "label": " Montenegro" }, { "value": "MS", "label": " Montserrat" }, { "value": "MA", "label": " Morocco" }, { "value": "MZ", "label": " Mozambique" }, { "value": "MM", "label": " Myanmar" }, { "value": "NA", "label": " Namibia" }, { "value": "NR", "label": " Nauru" }, { "value": "NP", "label": " Nepal" }, { "value": "NL", "label": " Netherlands" }, { "value": "NC", "label": " New Caledonia" }, { "value": "NZ", "label": " New Zealand" }, { "value": "NI", "label": " Nicaragua" }, { "value": "NE", "label": " Niger" }, { "value": "NG", "label": " Nigeria" }, { "value": "NU", "label": " Niue" }, { "value": "NF", "label": " Norfolk Island" }, { "value": "MK", "label": " North Macedonia" }, { "value": "MP", "label": " Northern Mariana Islands" }, { "value": "NO", "label": " Norway" }, { "value": "OM", "label": " Oman" }, { "value": "PK", "label": " Pakistan" }, { "value": "PW", "label": " Palau" }, { "value": "PS", "label": " Palestine, State of" }, { "value": "PA", "label": " Panama" }, { "value": "PG", "label": " Papua New Guinea" }, { "value": "PY", "label": " Paraguay" }, { "value": "PE", "label": " Peru" }, { "value": "PH", "label": " Philippines" }, { "value": "PN", "label": " Pitcairn" }, { "value": "PL", "label": " Poland" }, { "value": "PT", "label": " Portugal" }, { "value": "PR", "label": " Puerto Rico" }, { "value": "QA", "label": " Qatar" }, { "value": "RE", "label": " Réunion" }, { "value": "RO", "label": " Romania" }, { "value": "RU", "label": " Russian Federation" }, { "value": "RW", "label": " Rwanda" }, { "value": "BL", "label": " Saint Barthélemy" }, { "value": "SH", "label": " Saint Helena, Ascension and Tristan da Cunha" }, { "value": "KN", "label": " Saint Kitts and Nevis" }, { "value": "LC", "label": " Saint Lucia" }, { "value": "MF", "label": " Saint Martin (French part)" }, { "value": "PM", "label": " Saint Pierre and Miquelon" }, { "value": "VC", "label": " Saint Vincent and the Grenadines" }, { "value": "WS", "label": " Samoa" }, { "value": "SM", "label": " San Marino" }, { "value": "ST", "label": " Sao Tome and Principe" }, { "value": "SA", "label": " Saudi Arabia" }, { "value": "SN", "label": " Senegal" }, { "value": "RS", "label": " Serbia" }, { "value": "SC", "label": " Seychelles" }, { "value": "SL", "label": " Sierra Leone" }, { "value": "SG", "label": " Singapore" }, { "value": "SX", "label": " Sint Maarten (Dutch part)" }, { "value": "SK", "label": " Slovakia" }, { "value": "SI", "label": " Slovenia" }, { "value": "SB", "label": " Solomon Islands" }, { "value": "SO", "label": " Somalia" }, { "value": "ZA", "label": " South Africa" }, { "value": "GS", "label": " South Georgia and the South Sandwich Islands" }, { "value": "SS", "label": " South Sudan" }, { "value": "ES", "label": " Spain" }, { "value": "LK", "label": " Sri Lanka" }, { "value": "SD", "label": " Sudan" }, { "value": "SR", "label": " Suriname" }, { "value": "SJ", "label": " Svalbard and Jan Mayen" }, { "value": "SE", "label": " Sweden" }, { "value": "CH", "label": " Switzerland" }, { "value": "SY", "label": " Syrian Arab Republic" }, { "value": "TW", "label": " Taiwan, Province of China" }, { "value": "TJ", "label": " Tajikistan" }, { "value": "TZ", "label": " Tanzania, United Republic of" }, { "value": "TH", "label": " Thailand" }, { "value": "TL", "label": " Timor-Leste" }, { "value": "TG", "label": " Togo" }, { "value": "TK", "label": " Tokelau" }, { "value": "TO", "label": " Tonga" }, { "value": "TT", "label": " Trinidad and Tobago" }, { "value": "TN", "label": " Tunisia" }, { "value": "TR", "label": " Turkey" }, { "value": "TM", "label": " Turkmenistan" }, { "value": "TC", "label": " Turks and Caicos Islands" }, { "value": "TV", "label": " Tuvalu" }, { "value": "UG", "label": " Uganda" }, { "value": "UA", "label": " Ukraine" }, { "value": "AE", "label": " United Arab Emirates" }, { "value": "GB", "label": " United Kingdom of Great Britain and Northern Ireland" }, { "value": "US", "label": " United States of America" }, { "value": "UM", "label": " United States Minor Outlying Islands" }, { "value": "UY", "label": " Uruguay" }, { "value": "UZ", "label": " Uzbekistan" }, { "value": "VU", "label": " Vanuatu" }, { "value": "VE", "label": " Venezuela (Bolivarian Republic of)" }, { "value": "VN", "label": " Viet Nam" }, { "value": "VG", "label": " Virgin Islands (British)" }, { "value": "VI", "label": " Virgin Islands (U.S.)" }, { "value": "WF", "label": " Wallis and Futuna" }, { "value": "EH", "label": " Western Sahara" }, { "value": "YE", "label": " Yemen" }, { "value": "ZM", "label": " Zambia" }, { "value": "ZW", "label": " Zimbabwe" } ] }, "valueProperty": "label", "selectThreshold": 0.3, "clearOnHide": false, "validate": { "required": true }, "key": "MID_NP_Address_Country", "properties": { "populatedBy": "addressData", "valueKey": "Country" }, "type": "select", "input": true }, { "label": "Is the mailing address different than the above?", "optionsLabelPosition": "right", "inline": true, "tableView": false, "values": [ { "label": "Yes", "value": "yes", "shortcut": "" }, { "label": "No", "value": "no", "shortcut": "" } ], "validate": { "required": true }, "key": "mailingAddressDifferent", "type": "radio", "input": true }, { "title": "Mailing address", "collapsible": false, "hidden": true, "key": "panel", "conditional": { "show": true, "when": "mailingAddressDifferent", "eq": "yes" }, "type": "panel", "label": "Mailing address", "input": false, "tableView": false, "components": [ { "label": "Address 1", "tableView": true, "validate": { "required": true }, "key": "naturalPersonAddress1", "properties": { "populatedBy": "addressData", "valueKey": "Address" }, "type": "textfield", "input": true }, { "label": "Address 2", "tableView": true, "key": "naturalPersonAddress3", "type": "textfield", "input": true }, { "label": "City", "tableView": true, "validate": { "required": true }, "key": "naturalPersonCity1", "properties": { "populatedBy": "addressData", "valueKey": "City" }, "type": "textfield", "input": true }, { "label": "Zip code", "tableView": true, "validate": { "required": true }, "key": "naturalPersonZipCode1", "properties": { "populatedBy": "addressData", "valueKey": "ZipCode" }, "type": "textfield", "input": true }, { "label": "Country", "widget": "choicesjs", "tableView": true, "dataSrc": "json", "data": { "json": [ { "value": "AF", "label": " Afghanistan" }, { "value": "AX", "label": " Åland Islands" }, { "value": "AL", "label": " Albania" }, { "value": "DZ", "label": " Algeria" }, { "value": "AS", "label": " American Samoa" }, { "value": "AD", "label": " Andorra" }, { "value": "AO", "label": " Angola" }, { "value": "AI", "label": " Anguilla" }, { "value": "AQ", "label": " Antarctica" }, { "value": "AG", "label": " Antigua and Barbuda" }, { "value": "AR", "label": " Argentina" }, { "value": "AM", "label": " Armenia" }, { "value": "AW", "label": " Aruba" }, { "value": "AU", "label": " Australia" }, { "value": "AT", "label": " Austria" }, { "value": "AZ", "label": " Azerbaijan" }, { "value": "BS", "label": " Bahamas" }, { "value": "BH", "label": " Bahrain" }, { "value": "BD", "label": " Bangladesh" }, { "value": "BB", "label": " Barbados" }, { "value": "BY", "label": " Belarus" }, { "value": "BE", "label": " Belgium" }, { "value": "BZ", "label": " Belize" }, { "value": "BJ", "label": " Benin" }, { "value": "BM", "label": " Bermuda" }, { "value": "BT", "label": " Bhutan" }, { "value": "BO", "label": " Bolivia (Plurinational State of)" }, { "value": "BQ", "label": " Bonaire, Sint Eustatius and Saba" }, { "value": "BA", "label": " Bosnia and Herzegovina" }, { "value": "BW", "label": " Botswana" }, { "value": "BV", "label": " Bouvet Island" }, { "value": "BR", "label": " Brazil" }, { "value": "IO", "label": " British Indian Ocean Territory" }, { "value": "BN", "label": " Brunei Darussalam" }, { "value": "BG", "label": " Bulgaria" }, { "value": "BF", "label": " Burkina Faso" }, { "value": "BI", "label": " Burundi" }, { "value": "CV", "label": " Cabo Verde" }, { "value": "KH", "label": " Cambodia" }, { "value": "CM", "label": " Cameroon" }, { "value": "CA", "label": " Canada" }, { "value": "KY", "label": " Cayman Islands" }, { "value": "CF", "label": " Central African Republic" }, { "value": "TD", "label": " Chad" }, { "value": "CL", "label": " Chile" }, { "value": "CN", "label": " China" }, { "value": "CX", "label": " Christmas Island" }, { "value": "CC", "label": " Cocos (Keeling) Islands" }, { "value": "CO", "label": " Colombia" }, { "value": "KM", "label": " Comoros" }, { "value": "CG", "label": " Congo" }, { "value": "CD", "label": " Congo, Democratic Republic of the" }, { "value": "CK", "label": " Cook Islands" }, { "value": "CR", "label": " Costa Rica" }, { "value": "CI", "label": " Côte d'Ivoire" }, { "value": "HR", "label": " Croatia" }, { "value": "CU", "label": " Cuba" }, { "value": "CW", "label": " Curaçao" }, { "value": "CY", "label": " Cyprus" }, { "value": "CZ", "label": " Czechia" }, { "value": "DK", "label": " Denmark" }, { "value": "DJ", "label": " Djibouti" }, { "value": "DM", "label": " Dominica" }, { "value": "DO", "label": " Dominican Republic" }, { "value": "EC", "label": " Ecuador" }, { "value": "EG", "label": " Egypt" }, { "value": "SV", "label": " El Salvador" }, { "value": "GQ", "label": " Equatorial Guinea" }, { "value": "ER", "label": " Eritrea" }, { "value": "EE", "label": " Estonia" }, { "value": "SZ", "label": " Eswatini" }, { "value": "ET", "label": " Ethiopia" }, { "value": "FK", "label": " Falkland Islands (Malvinas)" }, { "value": "FO", "label": " Faroe Islands" }, { "value": "FJ", "label": " Fiji" }, { "value": "FI", "label": " Finland" }, { "value": "FR", "label": " France" }, { "value": "GF", "label": " French Guiana" }, { "value": "PF", "label": " French Polynesia" }, { "value": "TF", "label": " French Southern Territories" }, { "value": "GA", "label": " Gabon" }, { "value": "GM", "label": " Gambia" }, { "value": "GE", "label": " Georgia" }, { "value": "DE", "label": " Germany" }, { "value": "GH", "label": " Ghana" }, { "value": "GI", "label": " Gibraltar" }, { "value": "GR", "label": " Greece" }, { "value": "GL", "label": " Greenland" }, { "value": "GD", "label": " Grenada" }, { "value": "GP", "label": " Guadeloupe" }, { "value": "GU", "label": " Guam" }, { "value": "GT", "label": " Guatemala" }, { "value": "GG", "label": " Guernsey" }, { "value": "GN", "label": " Guinea" }, { "value": "GW", "label": " Guinea-Bissau" }, { "value": "GY", "label": " Guyana" }, { "value": "HT", "label": " Haiti" }, { "value": "HM", "label": " Heard Island and McDonald Islands" }, { "value": "VA", "label": " Holy See" }, { "value": "HN", "label": " Honduras" }, { "value": "HK", "label": " Hong Kong" }, { "value": "HU", "label": " Hungary" }, { "value": "IS", "label": " Iceland" }, { "value": "IN", "label": " India" }, { "value": "ID", "label": " Indonesia" }, { "value": "IR", "label": " Iran (Islamic Republic of)" }, { "value": "IQ", "label": " Iraq" }, { "value": "IE", "label": " Ireland" }, { "value": "IM", "label": " Isle of Man" }, { "value": "IL", "label": " Israel" }, { "value": "IT", "label": " Italy" }, { "value": "JM", "label": " Jamaica" }, { "value": "JP", "label": " Japan" }, { "value": "JE", "label": " Jersey" }, { "value": "JO", "label": " Jordan" }, { "value": "KZ", "label": " Kazakhstan" }, { "value": "KE", "label": " Kenya" }, { "value": "KI", "label": " Kiribati" }, { "value": "KP", "label": " Korea (Democratic People's Republic of)" }, { "value": "KR", "label": " Korea, Republic of" }, { "value": "KW", "label": " Kuwait" }, { "value": "KG", "label": " Kyrgyzstan" }, { "value": "LA", "label": " Lao People's Democratic Republic" }, { "value": "LV", "label": " Latvia" }, { "value": "LB", "label": " Lebanon" }, { "value": "LS", "label": " Lesotho" }, { "value": "LR", "label": " Liberia" }, { "value": "LY", "label": " Libya" }, { "value": "LI", "label": " Liechtenstein" }, { "value": "LT", "label": " Lithuania" }, { "value": "LU", "label": " Luxembourg" }, { "value": "MO", "label": " Macao" }, { "value": "MG", "label": " Madagascar" }, { "value": "MW", "label": " Malawi" }, { "value": "MY", "label": " Malaysia" }, { "value": "MV", "label": " Maldives" }, { "value": "ML", "label": " Mali" }, { "value": "MT", "label": " Malta" }, { "value": "MH", "label": " Marshall Islands" }, { "value": "MQ", "label": " Martinique" }, { "value": "MR", "label": " Mauritania" }, { "value": "MU", "label": " Mauritius" }, { "value": "YT", "label": " Mayotte" }, { "value": "MX", "label": " Mexico" }, { "value": "FM", "label": " Micronesia (Federated States of)" }, { "value": "MD", "label": " Moldova, Republic of" }, { "value": "MC", "label": " Monaco" }, { "value": "MN", "label": " Mongolia" }, { "value": "ME", "label": " Montenegro" }, { "value": "MS", "label": " Montserrat" }, { "value": "MA", "label": " Morocco" }, { "value": "MZ", "label": " Mozambique" }, { "value": "MM", "label": " Myanmar" }, { "value": "NA", "label": " Namibia" }, { "value": "NR", "label": " Nauru" }, { "value": "NP", "label": " Nepal" }, { "value": "NL", "label": " Netherlands" }, { "value": "NC", "label": " New Caledonia" }, { "value": "NZ", "label": " New Zealand" }, { "value": "NI", "label": " Nicaragua" }, { "value": "NE", "label": " Niger" }, { "value": "NG", "label": " Nigeria" }, { "value": "NU", "label": " Niue" }, { "value": "NF", "label": " Norfolk Island" }, { "value": "MK", "label": " North Macedonia" }, { "value": "MP", "label": " Northern Mariana Islands" }, { "value": "NO", "label": " Norway" }, { "value": "OM", "label": " Oman" }, { "value": "PK", "label": " Pakistan" }, { "value": "PW", "label": " Palau" }, { "value": "PS", "label": " Palestine, State of" }, { "value": "PA", "label": " Panama" }, { "value": "PG", "label": " Papua New Guinea" }, { "value": "PY", "label": " Paraguay" }, { "value": "PE", "label": " Peru" }, { "value": "PH", "label": " Philippines" }, { "value": "PN", "label": " Pitcairn" }, { "value": "PL", "label": " Poland" }, { "value": "PT", "label": " Portugal" }, { "value": "PR", "label": " Puerto Rico" }, { "value": "QA", "label": " Qatar" }, { "value": "RE", "label": " Réunion" }, { "value": "RO", "label": " Romania" }, { "value": "RU", "label": " Russian Federation" }, { "value": "RW", "label": " Rwanda" }, { "value": "BL", "label": " Saint Barthélemy" }, { "value": "SH", "label": " Saint Helena, Ascension and Tristan da Cunha" }, { "value": "KN", "label": " Saint Kitts and Nevis" }, { "value": "LC", "label": " Saint Lucia" }, { "value": "MF", "label": " Saint Martin (French part)" }, { "value": "PM", "label": " Saint Pierre and Miquelon" }, { "value": "VC", "label": " Saint Vincent and the Grenadines" }, { "value": "WS", "label": " Samoa" }, { "value": "SM", "label": " San Marino" }, { "value": "ST", "label": " Sao Tome and Principe" }, { "value": "SA", "label": " Saudi Arabia" }, { "value": "SN", "label": " Senegal" }, { "value": "RS", "label": " Serbia" }, { "value": "SC", "label": " Seychelles" }, { "value": "SL", "label": " Sierra Leone" }, { "value": "SG", "label": " Singapore" }, { "value": "SX", "label": " Sint Maarten (Dutch part)" }, { "value": "SK", "label": " Slovakia" }, { "value": "SI", "label": " Slovenia" }, { "value": "SB", "label": " Solomon Islands" }, { "value": "SO", "label": " Somalia" }, { "value": "ZA", "label": " South Africa" }, { "value": "GS", "label": " South Georgia and the South Sandwich Islands" }, { "value": "SS", "label": " South Sudan" }, { "value": "ES", "label": " Spain" }, { "value": "LK", "label": " Sri Lanka" }, { "value": "SD", "label": " Sudan" }, { "value": "SR", "label": " Suriname" }, { "value": "SJ", "label": " Svalbard and Jan Mayen" }, { "value": "SE", "label": " Sweden" }, { "value": "CH", "label": " Switzerland" }, { "value": "SY", "label": " Syrian Arab Republic" }, { "value": "TW", "label": " Taiwan, Province of China" }, { "value": "TJ", "label": " Tajikistan" }, { "value": "TZ", "label": " Tanzania, United Republic of" }, { "value": "TH", "label": " Thailand" }, { "value": "TL", "label": " Timor-Leste" }, { "value": "TG", "label": " Togo" }, { "value": "TK", "label": " Tokelau" }, { "value": "TO", "label": " Tonga" }, { "value": "TT", "label": " Trinidad and Tobago" }, { "value": "TN", "label": " Tunisia" }, { "value": "TR", "label": " Turkey" }, { "value": "TM", "label": " Turkmenistan" }, { "value": "TC", "label": " Turks and Caicos Islands" }, { "value": "TV", "label": " Tuvalu" }, { "value": "UG", "label": " Uganda" }, { "value": "UA", "label": " Ukraine" }, { "value": "AE", "label": " United Arab Emirates" }, { "value": "GB", "label": " United Kingdom of Great Britain and Northern Ireland" }, { "value": "US", "label": " United States of America" }, { "value": "UM", "label": " United States Minor Outlying Islands" }, { "value": "UY", "label": " Uruguay" }, { "value": "UZ", "label": " Uzbekistan" }, { "value": "VU", "label": " Vanuatu" }, { "value": "VE", "label": " Venezuela (Bolivarian Republic of)" }, { "value": "VN", "label": " Viet Nam" }, { "value": "VG", "label": " Virgin Islands (British)" }, { "value": "VI", "label": " Virgin Islands (U.S.)" }, { "value": "WF", "label": " Wallis and Futuna" }, { "value": "EH", "label": " Western Sahara" }, { "value": "YE", "label": " Yemen" }, { "value": "ZM", "label": " Zambia" }, { "value": "ZW", "label": " Zimbabwe" } ] }, "valueProperty": "label", "selectThreshold": 0.3, "validate": { "required": true }, "key": "naturalPersonCountry1", "properties": { "populatedBy": "addressData", "valueKey": "Country" }, "type": "select", "input": true } ] }, { "legend": "Information regarding Politically Exposes Persons", "key": "fieldSet23", "type": "fieldset", "label": "Field Set", "input": false, "tableView": false, "components": [] }, { "title": "What is a Politically Exposed Person (PEP)?", "collapsible": true, "key": "whatIsAPoliticallyExposedPersonPep", "type": "panel", "label": "Panel", "input": false, "tableView": false, "components": [ { "html": "

PEP shall mean a Person qualifying as Politically Exposed Person, being:

(i) persons who are:

(a) heads of state, government leaders, ministers, deputy ministers, state secretaries, 
(b) members of parliament or members of a similar legislative body, 
(c) members of the governing bodies of political parties, 
(d) members of supreme courts, constitutional courts, and other judicial courts who hand down judgments usually not open to appeal except in exceptional circumstances, 
(e) members of a court of audit or central bank directors, 
(f) ambassadors, consuls and high-ranking military officers, 
(g) directors, executives or members of supervisory committees of public enterprises, 
(h) directors, deputy directors and members of the board or equivalent function of an international organization, or an individual which ceased to perform the aforementioned functions in the last twelve (12) months;

(ii) of the Persons set forth under (i): direct family members, including spouses or legally equivalent partners, children and their spouses or partners, and parents; and

(iii) of the Persons set forth under (i) close associates: an individual of whom is known that he or she is the ultimate beneficiary of legal entities or constructions together with such Person set forth under (i), or has other close business relationships with the aforementioned Person, or an individual who is the sole legal beneficiary of a legal entity or construct which is knowingly created for the eventual benefit of such Person set forth under (i), provided that middle-ranking or more junior officials do not qualify a Politically Exposed Person under item (a) up to and including (h) above.

", "label": "Content", "refreshOnChange": false, "key": "content20", "type": "content", "input": false, "tableView": false } ], "collapsed": true }, { "label": "Is the applicant a Politically Exposed Person (PEP)?", "optionsLabelPosition": "right", "inline": true, "tableView": false, "values": [ { "label": "Yes", "value": "yes", "shortcut": "" }, { "label": "No", "value": "no", "shortcut": "" } ], "validate": { "required": true }, "key": "isPEP", "type": "radio", "input": true }, { "legend": "PEP Statement", "hidden": true, "key": "fieldSet3", "conditional": { "show": true, "when": "isPEP", "eq": "yes" }, "type": "fieldset", "label": "Field Set", "input": false, "tableView": false, "components": [ { "label": "I (the Applicant) hereby declare that I qualify as a PEP because the following natural person holds a politically exposed position:", "optionsLabelPosition": "right", "inline": false, "tableView": false, "values": [ { "label": "I, the undersigned (the Applicant), ", "value": "a", "shortcut": "" }, { "label": "a family member ", "value": "b", "shortcut": "" }, { "label": "a close business associate ", "value": "c", "shortcut": "" } ], "key": "declarePEP", "type": "radio", "input": true }, { "label": "First name of PEP", "tableView": true, "redrawOn": "declarePEP", "calculateValue": "if (data.declarePEP == 'a') {\n \n if (data.firstNameOfInvestor) {\n value = data.firstNameOfInvestor;\n }\n else {\n \n value = data.MID_NP_First;\n //data.firstNameOfPep.disabled = true;\n }\n}\n\n", "validate": { "required": true }, "key": "firstNameOfPep", "type": "textfield", "input": true }, { "label": "Last name of PEP", "tableView": true, "redrawOn": "declarePEP", "calculateValue": "if (data.declarePEP == 'a') {\n \n if (data.lastNameOfInvestor) {\n value = data.lastNameOfInvestor;\n }\n else {\n \n value = data.MID_NP_Last;\n //data.firstNameOfPep.disabled = true;\n }\n}", "validate": { "required": true }, "key": "lastNameOfPep", "type": "textfield", "input": true }, { "label": "Position PEP", "tableView": true, "validate": { "required": true }, "key": "positionPep", "type": "textfield", "input": true }, { "label": "Date of birth of PEP", "format": "dd-MM-yyyy", "placeholder": "dd-mm-yyyy", "tableView": false, "enableMinDateInput": false, "datePicker": { "maxDate": "moment().add(0, 'days')", "disableWeekends": false, "disableWeekdays": false }, "enableMaxDateInput": true, "enableTime": false, "calculateValue": "if (data.declarePEP == 'a') {\n \n value = data.MID_NP_DOB;\n}", "validate": { "required": true, "customMessage": "This needs to be filled in. This date will be auto-filled depending on your choices above. Please scroll up to see if any other date of birth information is missing, and complete those first" }, "key": "dobPEP", "type": "datetime", "input": true, "widget": { "type": "calendar", "displayInTimezone": "viewer", "locale": "en", "useLocaleSettings": false, "allowInput": true, "mode": "single", "enableTime": false, "noCalendar": false, "format": "dd-MM-yyyy", "hourIncrement": 1, "minuteIncrement": 1, "time_24hr": false, "minDate": null, "disableWeekends": false, "disableWeekdays": false, "maxDate": "moment().add(0, 'days')" } }, { "label": "Nationality / citizenship of PEP", "widget": "choicesjs", "tableView": true, "dataSrc": "json", "data": { "json": [ { "value": "AF", "label": " Afghanistan" }, { "value": "AX", "label": " Åland Islands" }, { "value": "AL", "label": " Albania" }, { "value": "DZ", "label": " Algeria" }, { "value": "AS", "label": " American Samoa" }, { "value": "AD", "label": " Andorra" }, { "value": "AO", "label": " Angola" }, { "value": "AI", "label": " Anguilla" }, { "value": "AQ", "label": " Antarctica" }, { "value": "AG", "label": " Antigua and Barbuda" }, { "value": "AR", "label": " Argentina" }, { "value": "AM", "label": " Armenia" }, { "value": "AW", "label": " Aruba" }, { "value": "AU", "label": " Australia" }, { "value": "AT", "label": " Austria" }, { "value": "AZ", "label": " Azerbaijan" }, { "value": "BS", "label": " Bahamas" }, { "value": "BH", "label": " Bahrain" }, { "value": "BD", "label": " Bangladesh" }, { "value": "BB", "label": " Barbados" }, { "value": "BY", "label": " Belarus" }, { "value": "BE", "label": " Belgium" }, { "value": "BZ", "label": " Belize" }, { "value": "BJ", "label": " Benin" }, { "value": "BM", "label": " Bermuda" }, { "value": "BT", "label": " Bhutan" }, { "value": "BO", "label": " Bolivia (Plurinational State of)" }, { "value": "BQ", "label": " Bonaire, Sint Eustatius and Saba" }, { "value": "BA", "label": " Bosnia and Herzegovina" }, { "value": "BW", "label": " Botswana" }, { "value": "BV", "label": " Bouvet Island" }, { "value": "BR", "label": " Brazil" }, { "value": "IO", "label": " British Indian Ocean Territory" }, { "value": "BN", "label": " Brunei Darussalam" }, { "value": "BG", "label": " Bulgaria" }, { "value": "BF", "label": " Burkina Faso" }, { "value": "BI", "label": " Burundi" }, { "value": "CV", "label": " Cabo Verde" }, { "value": "KH", "label": " Cambodia" }, { "value": "CM", "label": " Cameroon" }, { "value": "CA", "label": " Canada" }, { "value": "KY", "label": " Cayman Islands" }, { "value": "CF", "label": " Central African Republic" }, { "value": "TD", "label": " Chad" }, { "value": "CL", "label": " Chile" }, { "value": "CN", "label": " China" }, { "value": "CX", "label": " Christmas Island" }, { "value": "CC", "label": " Cocos (Keeling) Islands" }, { "value": "CO", "label": " Colombia" }, { "value": "KM", "label": " Comoros" }, { "value": "CG", "label": " Congo" }, { "value": "CD", "label": " Congo, Democratic Republic of the" }, { "value": "CK", "label": " Cook Islands" }, { "value": "CR", "label": " Costa Rica" }, { "value": "CI", "label": " Côte d'Ivoire" }, { "value": "HR", "label": " Croatia" }, { "value": "CU", "label": " Cuba" }, { "value": "CW", "label": " Curaçao" }, { "value": "CY", "label": " Cyprus" }, { "value": "CZ", "label": " Czechia" }, { "value": "DK", "label": " Denmark" }, { "value": "DJ", "label": " Djibouti" }, { "value": "DM", "label": " Dominica" }, { "value": "DO", "label": " Dominican Republic" }, { "value": "EC", "label": " Ecuador" }, { "value": "EG", "label": " Egypt" }, { "value": "SV", "label": " El Salvador" }, { "value": "GQ", "label": " Equatorial Guinea" }, { "value": "ER", "label": " Eritrea" }, { "value": "EE", "label": " Estonia" }, { "value": "SZ", "label": " Eswatini" }, { "value": "ET", "label": " Ethiopia" }, { "value": "FK", "label": " Falkland Islands (Malvinas)" }, { "value": "FO", "label": " Faroe Islands" }, { "value": "FJ", "label": " Fiji" }, { "value": "FI", "label": " Finland" }, { "value": "FR", "label": " France" }, { "value": "GF", "label": " French Guiana" }, { "value": "PF", "label": " French Polynesia" }, { "value": "TF", "label": " French Southern Territories" }, { "value": "GA", "label": " Gabon" }, { "value": "GM", "label": " Gambia" }, { "value": "GE", "label": " Georgia" }, { "value": "DE", "label": " Germany" }, { "value": "GH", "label": " Ghana" }, { "value": "GI", "label": " Gibraltar" }, { "value": "GR", "label": " Greece" }, { "value": "GL", "label": " Greenland" }, { "value": "GD", "label": " Grenada" }, { "value": "GP", "label": " Guadeloupe" }, { "value": "GU", "label": " Guam" }, { "value": "GT", "label": " Guatemala" }, { "value": "GG", "label": " Guernsey" }, { "value": "GN", "label": " Guinea" }, { "value": "GW", "label": " Guinea-Bissau" }, { "value": "GY", "label": " Guyana" }, { "value": "HT", "label": " Haiti" }, { "value": "HM", "label": " Heard Island and McDonald Islands" }, { "value": "VA", "label": " Holy See" }, { "value": "HN", "label": " Honduras" }, { "value": "HK", "label": " Hong Kong" }, { "value": "HU", "label": " Hungary" }, { "value": "IS", "label": " Iceland" }, { "value": "IN", "label": " India" }, { "value": "ID", "label": " Indonesia" }, { "value": "IR", "label": " Iran (Islamic Republic of)" }, { "value": "IQ", "label": " Iraq" }, { "value": "IE", "label": " Ireland" }, { "value": "IM", "label": " Isle of Man" }, { "value": "IL", "label": " Israel" }, { "value": "IT", "label": " Italy" }, { "value": "JM", "label": " Jamaica" }, { "value": "JP", "label": " Japan" }, { "value": "JE", "label": " Jersey" }, { "value": "JO", "label": " Jordan" }, { "value": "KZ", "label": " Kazakhstan" }, { "value": "KE", "label": " Kenya" }, { "value": "KI", "label": " Kiribati" }, { "value": "KP", "label": " Korea (Democratic People's Republic of)" }, { "value": "KR", "label": " Korea, Republic of" }, { "value": "KW", "label": " Kuwait" }, { "value": "KG", "label": " Kyrgyzstan" }, { "value": "LA", "label": " Lao People's Democratic Republic" }, { "value": "LV", "label": " Latvia" }, { "value": "LB", "label": " Lebanon" }, { "value": "LS", "label": " Lesotho" }, { "value": "LR", "label": " Liberia" }, { "value": "LY", "label": " Libya" }, { "value": "LI", "label": " Liechtenstein" }, { "value": "LT", "label": " Lithuania" }, { "value": "LU", "label": " Luxembourg" }, { "value": "MO", "label": " Macao" }, { "value": "MG", "label": " Madagascar" }, { "value": "MW", "label": " Malawi" }, { "value": "MY", "label": " Malaysia" }, { "value": "MV", "label": " Maldives" }, { "value": "ML", "label": " Mali" }, { "value": "MT", "label": " Malta" }, { "value": "MH", "label": " Marshall Islands" }, { "value": "MQ", "label": " Martinique" }, { "value": "MR", "label": " Mauritania" }, { "value": "MU", "label": " Mauritius" }, { "value": "YT", "label": " Mayotte" }, { "value": "MX", "label": " Mexico" }, { "value": "FM", "label": " Micronesia (Federated States of)" }, { "value": "MD", "label": " Moldova, Republic of" }, { "value": "MC", "label": " Monaco" }, { "value": "MN", "label": " Mongolia" }, { "value": "ME", "label": " Montenegro" }, { "value": "MS", "label": " Montserrat" }, { "value": "MA", "label": " Morocco" }, { "value": "MZ", "label": " Mozambique" }, { "value": "MM", "label": " Myanmar" }, { "value": "NA", "label": " Namibia" }, { "value": "NR", "label": " Nauru" }, { "value": "NP", "label": " Nepal" }, { "value": "NL", "label": " Netherlands" }, { "value": "NC", "label": " New Caledonia" }, { "value": "NZ", "label": " New Zealand" }, { "value": "NI", "label": " Nicaragua" }, { "value": "NE", "label": " Niger" }, { "value": "NG", "label": " Nigeria" }, { "value": "NU", "label": " Niue" }, { "value": "NF", "label": " Norfolk Island" }, { "value": "MK", "label": " North Macedonia" }, { "value": "MP", "label": " Northern Mariana Islands" }, { "value": "NO", "label": " Norway" }, { "value": "OM", "label": " Oman" }, { "value": "PK", "label": " Pakistan" }, { "value": "PW", "label": " Palau" }, { "value": "PS", "label": " Palestine, State of" }, { "value": "PA", "label": " Panama" }, { "value": "PG", "label": " Papua New Guinea" }, { "value": "PY", "label": " Paraguay" }, { "value": "PE", "label": " Peru" }, { "value": "PH", "label": " Philippines" }, { "value": "PN", "label": " Pitcairn" }, { "value": "PL", "label": " Poland" }, { "value": "PT", "label": " Portugal" }, { "value": "PR", "label": " Puerto Rico" }, { "value": "QA", "label": " Qatar" }, { "value": "RE", "label": " Réunion" }, { "value": "RO", "label": " Romania" }, { "value": "RU", "label": " Russian Federation" }, { "value": "RW", "label": " Rwanda" }, { "value": "BL", "label": " Saint Barthélemy" }, { "value": "SH", "label": " Saint Helena, Ascension and Tristan da Cunha" }, { "value": "KN", "label": " Saint Kitts and Nevis" }, { "value": "LC", "label": " Saint Lucia" }, { "value": "MF", "label": " Saint Martin (French part)" }, { "value": "PM", "label": " Saint Pierre and Miquelon" }, { "value": "VC", "label": " Saint Vincent and the Grenadines" }, { "value": "WS", "label": " Samoa" }, { "value": "SM", "label": " San Marino" }, { "value": "ST", "label": " Sao Tome and Principe" }, { "value": "SA", "label": " Saudi Arabia" }, { "value": "SN", "label": " Senegal" }, { "value": "RS", "label": " Serbia" }, { "value": "SC", "label": " Seychelles" }, { "value": "SL", "label": " Sierra Leone" }, { "value": "SG", "label": " Singapore" }, { "value": "SX", "label": " Sint Maarten (Dutch part)" }, { "value": "SK", "label": " Slovakia" }, { "value": "SI", "label": " Slovenia" }, { "value": "SB", "label": " Solomon Islands" }, { "value": "SO", "label": " Somalia" }, { "value": "ZA", "label": " South Africa" }, { "value": "GS", "label": " South Georgia and the South Sandwich Islands" }, { "value": "SS", "label": " South Sudan" }, { "value": "ES", "label": " Spain" }, { "value": "LK", "label": " Sri Lanka" }, { "value": "SD", "label": " Sudan" }, { "value": "SR", "label": " Suriname" }, { "value": "SJ", "label": " Svalbard and Jan Mayen" }, { "value": "SE", "label": " Sweden" }, { "value": "CH", "label": " Switzerland" }, { "value": "SY", "label": " Syrian Arab Republic" }, { "value": "TW", "label": " Taiwan, Province of China" }, { "value": "TJ", "label": " Tajikistan" }, { "value": "TZ", "label": " Tanzania, United Republic of" }, { "value": "TH", "label": " Thailand" }, { "value": "TL", "label": " Timor-Leste" }, { "value": "TG", "label": " Togo" }, { "value": "TK", "label": " Tokelau" }, { "value": "TO", "label": " Tonga" }, { "value": "TT", "label": " Trinidad and Tobago" }, { "value": "TN", "label": " Tunisia" }, { "value": "TR", "label": " Turkey" }, { "value": "TM", "label": " Turkmenistan" }, { "value": "TC", "label": " Turks and Caicos Islands" }, { "value": "TV", "label": " Tuvalu" }, { "value": "UG", "label": " Uganda" }, { "value": "UA", "label": " Ukraine" }, { "value": "AE", "label": " United Arab Emirates" }, { "value": "GB", "label": " United Kingdom of Great Britain and Northern Ireland" }, { "value": "US", "label": " United States of America" }, { "value": "UM", "label": " United States Minor Outlying Islands" }, { "value": "UY", "label": " Uruguay" }, { "value": "UZ", "label": " Uzbekistan" }, { "value": "VU", "label": " Vanuatu" }, { "value": "VE", "label": " Venezuela (Bolivarian Republic of)" }, { "value": "VN", "label": " Viet Nam" }, { "value": "VG", "label": " Virgin Islands (British)" }, { "value": "VI", "label": " Virgin Islands (U.S.)" }, { "value": "WF", "label": " Wallis and Futuna" }, { "value": "EH", "label": " Western Sahara" }, { "value": "YE", "label": " Yemen" }, { "value": "ZM", "label": " Zambia" }, { "value": "ZW", "label": " Zimbabwe" } ] }, "valueProperty": "value", "selectThreshold": 0.3, "customDefaultValue": "\n//value = \"AL\";\n//if (data.areYouAUsCitizen == \"yes\"){\n// \n// value = \"US\";\n//}\n", "calculateValue": "if (data.declarePEP == 'a') {\n \n value = data.MID_NP_Nationality;\n}", "validate": { "required": true }, "key": "nationalityCitizenshipPEP", "type": "select", "input": true } ] }, { "legend": "Source of wealth and/or funds", "key": "fieldSet19", "type": "fieldset", "label": "Field Set", "input": false, "tableView": false, "components": [ { "html": "

In compliance with the Dutch Act on Prevention of Money Laundering and Financing of Terrorism ('Wwft'), Trustmoore Fund Services Netherlands B.V. ('Trustmoore') is required to investigate the source of wealth and funds of its clients. In this respect, Trustmoore requests the undersigned (the Applicant) to complete this form and tick any applicable box. Please note that we may have additional questions following the information provided by the undersigned/applicant.

", "label": "Content", "refreshOnChange": false, "key": "content5", "type": "content", "input": false, "tableView": false }, { "label": "The total of the applicant's wealth is", "optionsLabelPosition": "right", "inline": false, "tableView": false, "values": [ { "label": "< €2,5 million", "value": "a", "shortcut": "" }, { "label": "between €2,5 million – € 10 million", "value": "b", "shortcut": "" }, { "label": "≥ € 10 million", "value": "c", "shortcut": "" } ], "validate": { "required": true, "customMessage": "This question requires an answer" }, "key": "totalWealth", "type": "radio", "input": true }, { "label": "The applicant hereby declares that their wealth is derived from:", "optionsLabelPosition": "right", "tableView": false, "defaultValue": { "privateSavingsObtainedFromIncomeThroughEmployment": false, "liquidReservesEmProvideAdditionalInfoBelowEm": false, "loanFromARelativeAffiliatedCompanyEmProvideAdditionalInfoBelowEm": false, "anEndowment": false, "anInheritance": false, "proceedsFromTheSaleEmProvideAdditionalInfoBelowEm": false, "dividendDistributionEmProvideAdditionalInfoBelowEm": false, "proceedsFromAnInsurancePolicyEmProvideAdditionalInfoBelowEm": false, "otherNamely": false, "a": false, "b": false, "c": false, "d": false, "e": false, "f": false, "g": false, "h": false, "other": false }, "values": [ { "label": "private savings obtained from income through employment;", "value": "a", "shortcut": "" }, { "label": "liquid reserves (provide additional info below)", "value": "b", "shortcut": "" }, { "label": "loan from a relative/ affiliated company (provide additional info below)", "value": "c", "shortcut": "" }, { "label": "an endowment", "value": "d", "shortcut": "" }, { "label": "an inheritance", "value": "e", "shortcut": "" }, { "label": "proceeds from the sale (provide additional info below)", "value": "f", "shortcut": "" }, { "label": "dividend distribution (provide additional info below)", "value": "g", "shortcut": "" }, { "label": "proceeds from an insurance policy (provide additional info below)", "value": "h", "shortcut": "" }, { "label": "other, namely...", "value": "other", "shortcut": "" } ], "validate": { "required": true, "minSelectedCount": 1 }, "minSelectedCountMessage": "You must select at least one option above", "key": "sourceOfWealthNP", "type": "selectboxes", "input": true, "inputType": "checkbox" }, { "label": "other sow/sof", "hidden": true, "hideLabel": true, "tableView": true, "key": "otherSowSof", "conditional": { "show": true, "when": "sourceOfWealthNP", "eq": "other" }, "type": "textfield", "input": true }, { "title": "Liquid reserves of...", "collapsible": false, "hidden": true, "key": "liquidReserves", "conditional": { "show": true, "when": "sourceOfWealthNP", "eq": "b" }, "type": "panel", "label": "Panel", "input": false, "tableView": false, "components": [ { "label": "Name of the company", "tableView": true, "validate": { "required": true }, "key": "liquidName", "type": "textfield", "input": true }, { "label": "Activities of the company", "tableView": true, "validate": { "required": true }, "key": "liquidActivities", "type": "textfield", "input": true } ] }, { "title": "Loan from an affiliated company...", "collapsible": false, "hidden": true, "key": "loanfromRelative", "conditional": { "show": true, "when": "sourceOfWealthNP", "eq": "c" }, "type": "panel", "label": "Liquid reserves of...", "input": false, "tableView": false, "components": [ { "label": "Name of the company", "tableView": true, "validate": { "required": true }, "key": "loanName", "type": "textfield", "input": true }, { "label": "Activities of the company", "tableView": true, "validate": { "required": true }, "key": "loanActivities", "type": "textfield", "input": true } ] }, { "title": "Proceeds from the sale of...", "collapsible": false, "hidden": true, "key": "proceedsfromSale", "conditional": { "show": true, "when": "sourceOfWealthNP", "eq": "f" }, "type": "panel", "label": "Proceeds from the sale of...", "input": false, "tableView": false, "components": [ { "label": "Name of the company", "tableView": true, "validate": { "required": true }, "key": "saleName", "type": "textfield", "input": true }, { "label": "Activities of the company", "tableView": true, "validate": { "required": true }, "key": "saleActivities", "type": "textfield", "input": true } ] }, { "title": "Dividend distribution of...", "collapsible": false, "hidden": true, "key": "dividendDistribution", "conditional": { "show": true, "when": "sourceOfWealthNP", "eq": "g" }, "type": "panel", "label": "Proceeds from the sale of...", "input": false, "tableView": false, "components": [ { "label": "Name of the company", "tableView": true, "validate": { "required": true }, "key": "dividendName", "type": "textfield", "input": true }, { "label": "Activities of the company", "tableView": true, "validate": { "required": true }, "key": "dividendActivities", "type": "textfield", "input": true } ] }, { "title": "Proceeds from an insurance policy on...", "collapsible": false, "hidden": true, "key": "insurancePolicy", "conditional": { "show": true, "when": "sourceOfWealthNP", "eq": "h" }, "type": "panel", "label": "Proceeds from an insurance policy on...", "input": false, "tableView": false, "components": [ { "label": "Describe the policy", "tableView": true, "validate": { "required": true }, "key": "describeThePolicy", "type": "textfield", "input": true } ] } ] } ] }, { "legend": "Prospective Investor Information (Legal Person)", "hidden": true, "key": "fieldSet", "conditional": { "show": true, "when": "chooseType", "eq": "legalPerson" }, "type": "fieldset", "label": "Investor Information (Legal Entity)", "input": false, "tableView": false, "components": [ { "label": "Investing entity name", "placeholder": "Full name of entity investing in the fund...", "tableView": true, "clearOnHide": false, "validate": { "required": true }, "key": "MID_LP_Name", "type": "textfield", "input": true }, { "label": "Trade Register Number", "tableView": true, "clearOnHide": false, "validate": { "required": true }, "key": "MID_LP_Number", "type": "textfield", "input": true }, { "label": "Tax Identification Number (TIN)", "tooltip": "Please provide the TIN specific to the entity's country of registration. For example, in The Netherlands this is the RSIN.", "tableView": true, "clearOnHide": false, "validate": { "required": true }, "key": "MID_LP_Tax_Number", "type": "textfield", "input": true }, { "label": "Legal form", "widget": "choicesjs", "tableView": true, "data": { "values": [ { "label": "Corporation (BV or NV)", "value": "corporation" }, { "label": "Other, namely", "value": "otherNamely" } ] }, "selectThreshold": 0.3, "validate": { "required": true }, "key": "legalStatusTypeOfEntity", "type": "select", "input": true }, { "label": "Other, namely", "hidden": true, "hideLabel": true, "tableView": true, "validate": { "required": true }, "key": "otherNamely", "conditional": { "show": true, "when": "legalStatusTypeOfEntity", "eq": "otherNamely" }, "type": "textfield", "input": true }, { "legend": "Contact information", "key": "fieldSet20", "type": "fieldset", "label": "Field Set", "input": false, "tableView": false, "components": [ { "html": "

This below contact details will be used for providing information related to the entity and will also be sent the capital calls.

", "label": "Content", "refreshOnChange": false, "key": "content27", "type": "content", "input": false, "tableView": false }, { "label": "Email", "tableView": true, "validate": { "required": true }, "key": "emailLP", "type": "email", "input": true }, { "label": "Phone number", "tableView": true, "validate": { "required": true }, "key": "phoneNumber", "type": "textfield", "input": true }, { "label": "Fax number", "tableView": true, "key": "faxNumber", "type": "textfield", "input": true }, { "label": "Registered address", "enableManualMode": true, "placeholder": "Start typing to see suggestions...", "tableView": false, "defaultValue": { "mode": "autocomplete", "address": {} }, "provider": "google", "validate": { "required": true }, "key": "legalentityadd", "attributes": { "autocomplete": "off" }, "type": "address", "providerOptions": { "params": { "autocompleteOptions": {}, "key": "AIzaSyCH3logzg7Af7tOUBznx4N_b-lHug5UoSs" } }, "switchToManualModeLabel": "Can't find the address? Enter it manually", "input": true, "components": [ { "label": "Address 1", "tableView": false, "key": "address1", "type": "textfield", "input": true, "customConditional": "show = _.get(instance, 'parent.manualMode', false);" }, { "label": "Address 2", "tableView": false, "key": "address2", "type": "textfield", "input": true, "customConditional": "show = _.get(instance, 'parent.manualMode', false);" }, { "label": "City", "tableView": false, "key": "city", "type": "textfield", "input": true, "customConditional": "show = _.get(instance, 'parent.manualMode', false);" }, { "label": "State", "tableView": false, "key": "state", "type": "textfield", "input": true, "customConditional": "show = _.get(instance, 'parent.manualMode', false);" }, { "label": "Country", "tableView": false, "key": "country", "type": "textfield", "input": true, "customConditional": "show = _.get(instance, 'parent.manualMode', false);" }, { "label": "Zip Code", "tableView": false, "key": "zip", "type": "textfield", "input": true, "customConditional": "show = _.get(instance, 'parent.manualMode', false);" } ] }, { "label": "Country of registration", "placeholder": "Please fill in the registered address above...", "disabled": true, "tableView": true, "redrawOn": "data", "calculateValue": "\r\nvalue = extractCountryName();\r\nfunction extractCountryName() {\r\n if (data && data.legalentityadd) {\r\n if (data.legalentityadd.mode === 'autocomplete') {\r\n if (data && data.legalentityadd.address && data.legalentityadd.address.address_components) {\r\n const ac = data.legalentityadd.address.address_components;\r\n const filtered = ac.filter(item => item.types.includes('country'));\r\n if(filtered.length>0) {\r\n ret = filtered[0].long_name;\r\n }\r\n }\r\n } else {\r\n const countryVariations = ['us', 'usa', 'us of a', 'united states', 'united states of america'];\r\n ret = data.legalentityadd.address.country;\r\n if (countryVariations.includes(ret.toLowerCase())) {\r\n ret = 'United States';\r\n }\r\n }\r\n }\r\n return ret;\r\n}", "key": "MID_LP_Country_Of_Registration", "type": "textfield", "input": true }, { "label": "Is the mailing address different than the above?", "optionsLabelPosition": "right", "inline": true, "tableView": false, "values": [ { "label": "Yes", "value": "yes", "shortcut": "" }, { "label": "No", "value": "no", "shortcut": "" } ], "validate": { "required": true }, "key": "mailingAddressDifferentLE", "type": "radio", "input": true }, { "title": "Mailing address", "collapsible": false, "hidden": true, "key": "panel1", "conditional": { "show": true, "when": "mailingAddressDifferentLE", "eq": "yes" }, "type": "panel", "label": "Mailing address", "input": false, "tableView": false, "components": [ { "label": "Address 1", "tableView": true, "validate": { "required": true }, "key": "legalPersonAddress4", "properties": { "populatedBy": "addressData", "valueKey": "Address" }, "type": "textfield", "input": true }, { "label": "Address 2", "tableView": true, "key": "legalPersonAddress5", "type": "textfield", "input": true }, { "label": "City", "tableView": true, "validate": { "required": true }, "key": "legalPersonCity2", "properties": { "populatedBy": "addressData", "valueKey": "City" }, "type": "textfield", "input": true }, { "label": "Zip code", "tableView": true, "validate": { "required": true }, "key": "legalPersonZipCode2", "properties": { "populatedBy": "addressData", "valueKey": "ZipCode" }, "type": "textfield", "input": true }, { "label": "Country", "widget": "choicesjs", "tableView": true, "dataSrc": "json", "data": { "json": [ { "value": "AF", "label": " Afghanistan" }, { "value": "AX", "label": " Åland Islands" }, { "value": "AL", "label": " Albania" }, { "value": "DZ", "label": " Algeria" }, { "value": "AS", "label": " American Samoa" }, { "value": "AD", "label": " Andorra" }, { "value": "AO", "label": " Angola" }, { "value": "AI", "label": " Anguilla" }, { "value": "AQ", "label": " Antarctica" }, { "value": "AG", "label": " Antigua and Barbuda" }, { "value": "AR", "label": " Argentina" }, { "value": "AM", "label": " Armenia" }, { "value": "AW", "label": " Aruba" }, { "value": "AU", "label": " Australia" }, { "value": "AT", "label": " Austria" }, { "value": "AZ", "label": " Azerbaijan" }, { "value": "BS", "label": " Bahamas" }, { "value": "BH", "label": " Bahrain" }, { "value": "BD", "label": " Bangladesh" }, { "value": "BB", "label": " Barbados" }, { "value": "BY", "label": " Belarus" }, { "value": "BE", "label": " Belgium" }, { "value": "BZ", "label": " Belize" }, { "value": "BJ", "label": " Benin" }, { "value": "BM", "label": " Bermuda" }, { "value": "BT", "label": " Bhutan" }, { "value": "BO", "label": " Bolivia (Plurinational State of)" }, { "value": "BQ", "label": " Bonaire, Sint Eustatius and Saba" }, { "value": "BA", "label": " Bosnia and Herzegovina" }, { "value": "BW", "label": " Botswana" }, { "value": "BV", "label": " Bouvet Island" }, { "value": "BR", "label": " Brazil" }, { "value": "IO", "label": " British Indian Ocean Territory" }, { "value": "BN", "label": " Brunei Darussalam" }, { "value": "BG", "label": " Bulgaria" }, { "value": "BF", "label": " Burkina Faso" }, { "value": "BI", "label": " Burundi" }, { "value": "CV", "label": " Cabo Verde" }, { "value": "KH", "label": " Cambodia" }, { "value": "CM", "label": " Cameroon" }, { "value": "CA", "label": " Canada" }, { "value": "KY", "label": " Cayman Islands" }, { "value": "CF", "label": " Central African Republic" }, { "value": "TD", "label": " Chad" }, { "value": "CL", "label": " Chile" }, { "value": "CN", "label": " China" }, { "value": "CX", "label": " Christmas Island" }, { "value": "CC", "label": " Cocos (Keeling) Islands" }, { "value": "CO", "label": " Colombia" }, { "value": "KM", "label": " Comoros" }, { "value": "CG", "label": " Congo" }, { "value": "CD", "label": " Congo, Democratic Republic of the" }, { "value": "CK", "label": " Cook Islands" }, { "value": "CR", "label": " Costa Rica" }, { "value": "CI", "label": " Côte d'Ivoire" }, { "value": "HR", "label": " Croatia" }, { "value": "CU", "label": " Cuba" }, { "value": "CW", "label": " Curaçao" }, { "value": "CY", "label": " Cyprus" }, { "value": "CZ", "label": " Czechia" }, { "value": "DK", "label": " Denmark" }, { "value": "DJ", "label": " Djibouti" }, { "value": "DM", "label": " Dominica" }, { "value": "DO", "label": " Dominican Republic" }, { "value": "EC", "label": " Ecuador" }, { "value": "EG", "label": " Egypt" }, { "value": "SV", "label": " El Salvador" }, { "value": "GQ", "label": " Equatorial Guinea" }, { "value": "ER", "label": " Eritrea" }, { "value": "EE", "label": " Estonia" }, { "value": "SZ", "label": " Eswatini" }, { "value": "ET", "label": " Ethiopia" }, { "value": "FK", "label": " Falkland Islands (Malvinas)" }, { "value": "FO", "label": " Faroe Islands" }, { "value": "FJ", "label": " Fiji" }, { "value": "FI", "label": " Finland" }, { "value": "FR", "label": " France" }, { "value": "GF", "label": " French Guiana" }, { "value": "PF", "label": " French Polynesia" }, { "value": "TF", "label": " French Southern Territories" }, { "value": "GA", "label": " Gabon" }, { "value": "GM", "label": " Gambia" }, { "value": "GE", "label": " Georgia" }, { "value": "DE", "label": " Germany" }, { "value": "GH", "label": " Ghana" }, { "value": "GI", "label": " Gibraltar" }, { "value": "GR", "label": " Greece" }, { "value": "GL", "label": " Greenland" }, { "value": "GD", "label": " Grenada" }, { "value": "GP", "label": " Guadeloupe" }, { "value": "GU", "label": " Guam" }, { "value": "GT", "label": " Guatemala" }, { "value": "GG", "label": " Guernsey" }, { "value": "GN", "label": " Guinea" }, { "value": "GW", "label": " Guinea-Bissau" }, { "value": "GY", "label": " Guyana" }, { "value": "HT", "label": " Haiti" }, { "value": "HM", "label": " Heard Island and McDonald Islands" }, { "value": "VA", "label": " Holy See" }, { "value": "HN", "label": " Honduras" }, { "value": "HK", "label": " Hong Kong" }, { "value": "HU", "label": " Hungary" }, { "value": "IS", "label": " Iceland" }, { "value": "IN", "label": " India" }, { "value": "ID", "label": " Indonesia" }, { "value": "IR", "label": " Iran (Islamic Republic of)" }, { "value": "IQ", "label": " Iraq" }, { "value": "IE", "label": " Ireland" }, { "value": "IM", "label": " Isle of Man" }, { "value": "IL", "label": " Israel" }, { "value": "IT", "label": " Italy" }, { "value": "JM", "label": " Jamaica" }, { "value": "JP", "label": " Japan" }, { "value": "JE", "label": " Jersey" }, { "value": "JO", "label": " Jordan" }, { "value": "KZ", "label": " Kazakhstan" }, { "value": "KE", "label": " Kenya" }, { "value": "KI", "label": " Kiribati" }, { "value": "KP", "label": " Korea (Democratic People's Republic of)" }, { "value": "KR", "label": " Korea, Republic of" }, { "value": "KW", "label": " Kuwait" }, { "value": "KG", "label": " Kyrgyzstan" }, { "value": "LA", "label": " Lao People's Democratic Republic" }, { "value": "LV", "label": " Latvia" }, { "value": "LB", "label": " Lebanon" }, { "value": "LS", "label": " Lesotho" }, { "value": "LR", "label": " Liberia" }, { "value": "LY", "label": " Libya" }, { "value": "LI", "label": " Liechtenstein" }, { "value": "LT", "label": " Lithuania" }, { "value": "LU", "label": " Luxembourg" }, { "value": "MO", "label": " Macao" }, { "value": "MG", "label": " Madagascar" }, { "value": "MW", "label": " Malawi" }, { "value": "MY", "label": " Malaysia" }, { "value": "MV", "label": " Maldives" }, { "value": "ML", "label": " Mali" }, { "value": "MT", "label": " Malta" }, { "value": "MH", "label": " Marshall Islands" }, { "value": "MQ", "label": " Martinique" }, { "value": "MR", "label": " Mauritania" }, { "value": "MU", "label": " Mauritius" }, { "value": "YT", "label": " Mayotte" }, { "value": "MX", "label": " Mexico" }, { "value": "FM", "label": " Micronesia (Federated States of)" }, { "value": "MD", "label": " Moldova, Republic of" }, { "value": "MC", "label": " Monaco" }, { "value": "MN", "label": " Mongolia" }, { "value": "ME", "label": " Montenegro" }, { "value": "MS", "label": " Montserrat" }, { "value": "MA", "label": " Morocco" }, { "value": "MZ", "label": " Mozambique" }, { "value": "MM", "label": " Myanmar" }, { "value": "NA", "label": " Namibia" }, { "value": "NR", "label": " Nauru" }, { "value": "NP", "label": " Nepal" }, { "value": "NL", "label": " Netherlands" }, { "value": "NC", "label": " New Caledonia" }, { "value": "NZ", "label": " New Zealand" }, { "value": "NI", "label": " Nicaragua" }, { "value": "NE", "label": " Niger" }, { "value": "NG", "label": " Nigeria" }, { "value": "NU", "label": " Niue" }, { "value": "NF", "label": " Norfolk Island" }, { "value": "MK", "label": " North Macedonia" }, { "value": "MP", "label": " Northern Mariana Islands" }, { "value": "NO", "label": " Norway" }, { "value": "OM", "label": " Oman" }, { "value": "PK", "label": " Pakistan" }, { "value": "PW", "label": " Palau" }, { "value": "PS", "label": " Palestine, State of" }, { "value": "PA", "label": " Panama" }, { "value": "PG", "label": " Papua New Guinea" }, { "value": "PY", "label": " Paraguay" }, { "value": "PE", "label": " Peru" }, { "value": "PH", "label": " Philippines" }, { "value": "PN", "label": " Pitcairn" }, { "value": "PL", "label": " Poland" }, { "value": "PT", "label": " Portugal" }, { "value": "PR", "label": " Puerto Rico" }, { "value": "QA", "label": " Qatar" }, { "value": "RE", "label": " Réunion" }, { "value": "RO", "label": " Romania" }, { "value": "RU", "label": " Russian Federation" }, { "value": "RW", "label": " Rwanda" }, { "value": "BL", "label": " Saint Barthélemy" }, { "value": "SH", "label": " Saint Helena, Ascension and Tristan da Cunha" }, { "value": "KN", "label": " Saint Kitts and Nevis" }, { "value": "LC", "label": " Saint Lucia" }, { "value": "MF", "label": " Saint Martin (French part)" }, { "value": "PM", "label": " Saint Pierre and Miquelon" }, { "value": "VC", "label": " Saint Vincent and the Grenadines" }, { "value": "WS", "label": " Samoa" }, { "value": "SM", "label": " San Marino" }, { "value": "ST", "label": " Sao Tome and Principe" }, { "value": "SA", "label": " Saudi Arabia" }, { "value": "SN", "label": " Senegal" }, { "value": "RS", "label": " Serbia" }, { "value": "SC", "label": " Seychelles" }, { "value": "SL", "label": " Sierra Leone" }, { "value": "SG", "label": " Singapore" }, { "value": "SX", "label": " Sint Maarten (Dutch part)" }, { "value": "SK", "label": " Slovakia" }, { "value": "SI", "label": " Slovenia" }, { "value": "SB", "label": " Solomon Islands" }, { "value": "SO", "label": " Somalia" }, { "value": "ZA", "label": " South Africa" }, { "value": "GS", "label": " South Georgia and the South Sandwich Islands" }, { "value": "SS", "label": " South Sudan" }, { "value": "ES", "label": " Spain" }, { "value": "LK", "label": " Sri Lanka" }, { "value": "SD", "label": " Sudan" }, { "value": "SR", "label": " Suriname" }, { "value": "SJ", "label": " Svalbard and Jan Mayen" }, { "value": "SE", "label": " Sweden" }, { "value": "CH", "label": " Switzerland" }, { "value": "SY", "label": " Syrian Arab Republic" }, { "value": "TW", "label": " Taiwan, Province of China" }, { "value": "TJ", "label": " Tajikistan" }, { "value": "TZ", "label": " Tanzania, United Republic of" }, { "value": "TH", "label": " Thailand" }, { "value": "TL", "label": " Timor-Leste" }, { "value": "TG", "label": " Togo" }, { "value": "TK", "label": " Tokelau" }, { "value": "TO", "label": " Tonga" }, { "value": "TT", "label": " Trinidad and Tobago" }, { "value": "TN", "label": " Tunisia" }, { "value": "TR", "label": " Turkey" }, { "value": "TM", "label": " Turkmenistan" }, { "value": "TC", "label": " Turks and Caicos Islands" }, { "value": "TV", "label": " Tuvalu" }, { "value": "UG", "label": " Uganda" }, { "value": "UA", "label": " Ukraine" }, { "value": "AE", "label": " United Arab Emirates" }, { "value": "GB", "label": " United Kingdom of Great Britain and Northern Ireland" }, { "value": "US", "label": " United States of America" }, { "value": "UM", "label": " United States Minor Outlying Islands" }, { "value": "UY", "label": " Uruguay" }, { "value": "UZ", "label": " Uzbekistan" }, { "value": "VU", "label": " Vanuatu" }, { "value": "VE", "label": " Venezuela (Bolivarian Republic of)" }, { "value": "VN", "label": " Viet Nam" }, { "value": "VG", "label": " Virgin Islands (British)" }, { "value": "VI", "label": " Virgin Islands (U.S.)" }, { "value": "WF", "label": " Wallis and Futuna" }, { "value": "EH", "label": " Western Sahara" }, { "value": "YE", "label": " Yemen" }, { "value": "ZM", "label": " Zambia" }, { "value": "ZW", "label": " Zimbabwe" } ] }, "valueProperty": "label", "selectThreshold": 0.3, "validate": { "required": true }, "key": "legalPersonCountry2", "properties": { "populatedBy": "addressData", "valueKey": "Country" }, "type": "select", "input": true } ] } ] }, { "legend": "Declaration of Ultimate Beneficial Owner(s) (UBO)", "key": "fieldSet21", "type": "fieldset", "label": "Field Set", "input": false, "tableView": false, "components": [ { "title": "What is a UBO or Pseudo-UBO? (expand for more info)", "collapsible": true, "key": "whatIsAnUboOrPseudoUboEmExpandForMoreInfoEm", "type": "panel", "label": "Panel", "input": false, "tableView": false, "components": [ { "html": "

An Ultimate Beneficial Owner (the UBO) is each natural person who ultimately owns or controls the Applicant, or the natural person for whose account a transaction or activity is conducted. 

In case of a company with a capital divided in shares (such as a limited liability company or a public company), a natural person is in any event considered a UBO in case she or he:

  1. is the ultimate owner of or has control over the Applicant through:

    - holding directly or indirectly more than 25% of the shares, voting rights or entitlement to distribution from the assets of a company or partnership, including profits, reserves and surplus after liquidation, of such Applicant, including holding bearer shares;

    - other means, including, for Dutch Entities the conditions for consolidation of annual accounts, as referred to in article 406 in conjunction with articles 24a, 24b and 24d of book 2 of the Dutch civil code.
     
  2. or if, after having exhausted all possible means, no natural person is identified in accordance with the criteria under (1) above all board members of the Applicant qualify as a UBO (the Pseudo-UBOs).
", "label": "Content", "refreshOnChange": false, "key": "content19", "type": "content", "input": false, "tableView": false } ], "collapsed": true }, { "label": "Where do you ({{data.MID_NP_First}} {{data.MID_NP_Last}}) work?", "tableView": true, "validate": { "required": true }, "key": "workingAt", "type": "textfield", "input": true }, { "label": "Are you ({{data.MID_NP_First}} {{data.MID_NP_Last}}) an Ultimate Beneficial Owner?", "optionsLabelPosition": "right", "tooltip": "An Ultimate Beneficial Owner (the UBO) is each natural person who ultimately owns or controls the Applicant, or the natural person for whose account a transaction or activity is conducted. (see the 'What is a UBO?' section above for more information)", "inline": true, "tableView": false, "values": [ { "label": "Yes", "value": "yes", "shortcut": "" }, { "label": "No", "value": "no", "shortcut": "" } ], "redrawOn": "data", "validate": { "required": true }, "key": "areYouUBO", "type": "radio", "input": true }, { "label": "Are there any UBOs?", "optionsLabelPosition": "right", "tooltip": "See the 'What is a UBO?' section above for more information. If there are no UBOs, then please fill in the Pseudo-UBO information in the fields below.", "inline": true, "hidden": true, "tableView": false, "values": [ { "label": "Yes", "value": "yes", "shortcut": "" }, { "label": "No", "value": "no", "shortcut": "" } ], "key": "areThereAnyUbOs", "conditional": { "show": true, "when": "areYouUBO", "eq": "no" }, "type": "radio", "input": true }, { "legend": "(Pseudo-) UBO Information", "hidden": true, "key": "fieldSet40", "customConditional": "show = false;\n\nif (data.areYouUBO == \"yes\" || data.areThereAnyUbOs == \"no\" || data.areThereAnyUbOs == \"yes\" ) {\n \n show = true;\n \n}", "type": "fieldset", "label": "(Pseudo-) UBO Information", "input": false, "tableView": false, "components": [ { "label": "First name of UBO", "tableView": true, "redrawOn": "areYouUBO", "calculateValue": "if (data.areYouUBO == \"yes\") {\n \n value = data.MID_NP_First;\n \n}", "validate": { "required": true }, "key": "firstNameOfUbo1", "type": "textfield", "input": true }, { "label": "Surname of UBO", "tableView": true, "redrawOn": "areYouUBO", "calculateValue": "if (data.areYouUBO == \"yes\") {\n \n value = data.MID_NP_Last;\n \n}", "validate": { "required": true }, "key": "surnameOfUbo1", "type": "textfield", "input": true }, { "label": "Date of birth of UBO", "format": "dd-MM-yyyy", "placeholder": "dd-mm-yyyy", "tableView": false, "enableMinDateInput": false, "datePicker": { "maxDate": "moment().add(0, 'days')", "disableWeekends": false, "disableWeekdays": false }, "enableMaxDateInput": true, "enableTime": false, "redrawOn": "areYouUBO", "validate": { "required": true }, "key": "dobOfUbo1", "type": "datetime", "input": true, "widget": { "type": "calendar", "displayInTimezone": "viewer", "locale": "en", "useLocaleSettings": false, "allowInput": true, "mode": "single", "enableTime": false, "noCalendar": false, "format": "dd-MM-yyyy", "hourIncrement": 1, "minuteIncrement": 1, "time_24hr": false, "minDate": null, "disableWeekends": false, "disableWeekdays": false, "maxDate": "moment().add(0, 'days')" } }, { "title": "UBO Address", "collapsible": false, "key": "panel5", "type": "panel", "label": "UBO Address", "input": false, "tableView": false, "components": [ { "label": "Address 1", "tableView": true, "validate": { "required": true }, "key": "add1UBO1", "properties": { "populatedBy": "addressData", "valueKey": "Address" }, "type": "textfield", "input": true }, { "label": "Address 2", "tableView": true, "key": "add2UBO1", "type": "textfield", "input": true }, { "label": "City", "tableView": true, "validate": { "required": true }, "key": "cityUBO1", "properties": { "populatedBy": "addressData", "valueKey": "City" }, "type": "textfield", "input": true }, { "label": "Zip code", "tableView": true, "validate": { "required": true }, "key": "zipUBO1", "properties": { "populatedBy": "addressData", "valueKey": "ZipCode" }, "type": "textfield", "input": true }, { "label": "Country", "widget": "choicesjs", "tableView": true, "dataSrc": "json", "data": { "json": [ { "value": "AF", "label": " Afghanistan" }, { "value": "AX", "label": " Åland Islands" }, { "value": "AL", "label": " Albania" }, { "value": "DZ", "label": " Algeria" }, { "value": "AS", "label": " American Samoa" }, { "value": "AD", "label": " Andorra" }, { "value": "AO", "label": " Angola" }, { "value": "AI", "label": " Anguilla" }, { "value": "AQ", "label": " Antarctica" }, { "value": "AG", "label": " Antigua and Barbuda" }, { "value": "AR", "label": " Argentina" }, { "value": "AM", "label": " Armenia" }, { "value": "AW", "label": " Aruba" }, { "value": "AU", "label": " Australia" }, { "value": "AT", "label": " Austria" }, { "value": "AZ", "label": " Azerbaijan" }, { "value": "BS", "label": " Bahamas" }, { "value": "BH", "label": " Bahrain" }, { "value": "BD", "label": " Bangladesh" }, { "value": "BB", "label": " Barbados" }, { "value": "BY", "label": " Belarus" }, { "value": "BE", "label": " Belgium" }, { "value": "BZ", "label": " Belize" }, { "value": "BJ", "label": " Benin" }, { "value": "BM", "label": " Bermuda" }, { "value": "BT", "label": " Bhutan" }, { "value": "BO", "label": " Bolivia (Plurinational State of)" }, { "value": "BQ", "label": " Bonaire, Sint Eustatius and Saba" }, { "value": "BA", "label": " Bosnia and Herzegovina" }, { "value": "BW", "label": " Botswana" }, { "value": "BV", "label": " Bouvet Island" }, { "value": "BR", "label": " Brazil" }, { "value": "IO", "label": " British Indian Ocean Territory" }, { "value": "BN", "label": " Brunei Darussalam" }, { "value": "BG", "label": " Bulgaria" }, { "value": "BF", "label": " Burkina Faso" }, { "value": "BI", "label": " Burundi" }, { "value": "CV", "label": " Cabo Verde" }, { "value": "KH", "label": " Cambodia" }, { "value": "CM", "label": " Cameroon" }, { "value": "CA", "label": " Canada" }, { "value": "KY", "label": " Cayman Islands" }, { "value": "CF", "label": " Central African Republic" }, { "value": "TD", "label": " Chad" }, { "value": "CL", "label": " Chile" }, { "value": "CN", "label": " China" }, { "value": "CX", "label": " Christmas Island" }, { "value": "CC", "label": " Cocos (Keeling) Islands" }, { "value": "CO", "label": " Colombia" }, { "value": "KM", "label": " Comoros" }, { "value": "CG", "label": " Congo" }, { "value": "CD", "label": " Congo, Democratic Republic of the" }, { "value": "CK", "label": " Cook Islands" }, { "value": "CR", "label": " Costa Rica" }, { "value": "CI", "label": " Côte d'Ivoire" }, { "value": "HR", "label": " Croatia" }, { "value": "CU", "label": " Cuba" }, { "value": "CW", "label": " Curaçao" }, { "value": "CY", "label": " Cyprus" }, { "value": "CZ", "label": " Czechia" }, { "value": "DK", "label": " Denmark" }, { "value": "DJ", "label": " Djibouti" }, { "value": "DM", "label": " Dominica" }, { "value": "DO", "label": " Dominican Republic" }, { "value": "EC", "label": " Ecuador" }, { "value": "EG", "label": " Egypt" }, { "value": "SV", "label": " El Salvador" }, { "value": "GQ", "label": " Equatorial Guinea" }, { "value": "ER", "label": " Eritrea" }, { "value": "EE", "label": " Estonia" }, { "value": "SZ", "label": " Eswatini" }, { "value": "ET", "label": " Ethiopia" }, { "value": "FK", "label": " Falkland Islands (Malvinas)" }, { "value": "FO", "label": " Faroe Islands" }, { "value": "FJ", "label": " Fiji" }, { "value": "FI", "label": " Finland" }, { "value": "FR", "label": " France" }, { "value": "GF", "label": " French Guiana" }, { "value": "PF", "label": " French Polynesia" }, { "value": "TF", "label": " French Southern Territories" }, { "value": "GA", "label": " Gabon" }, { "value": "GM", "label": " Gambia" }, { "value": "GE", "label": " Georgia" }, { "value": "DE", "label": " Germany" }, { "value": "GH", "label": " Ghana" }, { "value": "GI", "label": " Gibraltar" }, { "value": "GR", "label": " Greece" }, { "value": "GL", "label": " Greenland" }, { "value": "GD", "label": " Grenada" }, { "value": "GP", "label": " Guadeloupe" }, { "value": "GU", "label": " Guam" }, { "value": "GT", "label": " Guatemala" }, { "value": "GG", "label": " Guernsey" }, { "value": "GN", "label": " Guinea" }, { "value": "GW", "label": " Guinea-Bissau" }, { "value": "GY", "label": " Guyana" }, { "value": "HT", "label": " Haiti" }, { "value": "HM", "label": " Heard Island and McDonald Islands" }, { "value": "VA", "label": " Holy See" }, { "value": "HN", "label": " Honduras" }, { "value": "HK", "label": " Hong Kong" }, { "value": "HU", "label": " Hungary" }, { "value": "IS", "label": " Iceland" }, { "value": "IN", "label": " India" }, { "value": "ID", "label": " Indonesia" }, { "value": "IR", "label": " Iran (Islamic Republic of)" }, { "value": "IQ", "label": " Iraq" }, { "value": "IE", "label": " Ireland" }, { "value": "IM", "label": " Isle of Man" }, { "value": "IL", "label": " Israel" }, { "value": "IT", "label": " Italy" }, { "value": "JM", "label": " Jamaica" }, { "value": "JP", "label": " Japan" }, { "value": "JE", "label": " Jersey" }, { "value": "JO", "label": " Jordan" }, { "value": "KZ", "label": " Kazakhstan" }, { "value": "KE", "label": " Kenya" }, { "value": "KI", "label": " Kiribati" }, { "value": "KP", "label": " Korea (Democratic People's Republic of)" }, { "value": "KR", "label": " Korea, Republic of" }, { "value": "KW", "label": " Kuwait" }, { "value": "KG", "label": " Kyrgyzstan" }, { "value": "LA", "label": " Lao People's Democratic Republic" }, { "value": "LV", "label": " Latvia" }, { "value": "LB", "label": " Lebanon" }, { "value": "LS", "label": " Lesotho" }, { "value": "LR", "label": " Liberia" }, { "value": "LY", "label": " Libya" }, { "value": "LI", "label": " Liechtenstein" }, { "value": "LT", "label": " Lithuania" }, { "value": "LU", "label": " Luxembourg" }, { "value": "MO", "label": " Macao" }, { "value": "MG", "label": " Madagascar" }, { "value": "MW", "label": " Malawi" }, { "value": "MY", "label": " Malaysia" }, { "value": "MV", "label": " Maldives" }, { "value": "ML", "label": " Mali" }, { "value": "MT", "label": " Malta" }, { "value": "MH", "label": " Marshall Islands" }, { "value": "MQ", "label": " Martinique" }, { "value": "MR", "label": " Mauritania" }, { "value": "MU", "label": " Mauritius" }, { "value": "YT", "label": " Mayotte" }, { "value": "MX", "label": " Mexico" }, { "value": "FM", "label": " Micronesia (Federated States of)" }, { "value": "MD", "label": " Moldova, Republic of" }, { "value": "MC", "label": " Monaco" }, { "value": "MN", "label": " Mongolia" }, { "value": "ME", "label": " Montenegro" }, { "value": "MS", "label": " Montserrat" }, { "value": "MA", "label": " Morocco" }, { "value": "MZ", "label": " Mozambique" }, { "value": "MM", "label": " Myanmar" }, { "value": "NA", "label": " Namibia" }, { "value": "NR", "label": " Nauru" }, { "value": "NP", "label": " Nepal" }, { "value": "NL", "label": " Netherlands" }, { "value": "NC", "label": " New Caledonia" }, { "value": "NZ", "label": " New Zealand" }, { "value": "NI", "label": " Nicaragua" }, { "value": "NE", "label": " Niger" }, { "value": "NG", "label": " Nigeria" }, { "value": "NU", "label": " Niue" }, { "value": "NF", "label": " Norfolk Island" }, { "value": "MK", "label": " North Macedonia" }, { "value": "MP", "label": " Northern Mariana Islands" }, { "value": "NO", "label": " Norway" }, { "value": "OM", "label": " Oman" }, { "value": "PK", "label": " Pakistan" }, { "value": "PW", "label": " Palau" }, { "value": "PS", "label": " Palestine, State of" }, { "value": "PA", "label": " Panama" }, { "value": "PG", "label": " Papua New Guinea" }, { "value": "PY", "label": " Paraguay" }, { "value": "PE", "label": " Peru" }, { "value": "PH", "label": " Philippines" }, { "value": "PN", "label": " Pitcairn" }, { "value": "PL", "label": " Poland" }, { "value": "PT", "label": " Portugal" }, { "value": "PR", "label": " Puerto Rico" }, { "value": "QA", "label": " Qatar" }, { "value": "RE", "label": " Réunion" }, { "value": "RO", "label": " Romania" }, { "value": "RU", "label": " Russian Federation" }, { "value": "RW", "label": " Rwanda" }, { "value": "BL", "label": " Saint Barthélemy" }, { "value": "SH", "label": " Saint Helena, Ascension and Tristan da Cunha" }, { "value": "KN", "label": " Saint Kitts and Nevis" }, { "value": "LC", "label": " Saint Lucia" }, { "value": "MF", "label": " Saint Martin (French part)" }, { "value": "PM", "label": " Saint Pierre and Miquelon" }, { "value": "VC", "label": " Saint Vincent and the Grenadines" }, { "value": "WS", "label": " Samoa" }, { "value": "SM", "label": " San Marino" }, { "value": "ST", "label": " Sao Tome and Principe" }, { "value": "SA", "label": " Saudi Arabia" }, { "value": "SN", "label": " Senegal" }, { "value": "RS", "label": " Serbia" }, { "value": "SC", "label": " Seychelles" }, { "value": "SL", "label": " Sierra Leone" }, { "value": "SG", "label": " Singapore" }, { "value": "SX", "label": " Sint Maarten (Dutch part)" }, { "value": "SK", "label": " Slovakia" }, { "value": "SI", "label": " Slovenia" }, { "value": "SB", "label": " Solomon Islands" }, { "value": "SO", "label": " Somalia" }, { "value": "ZA", "label": " South Africa" }, { "value": "GS", "label": " South Georgia and the South Sandwich Islands" }, { "value": "SS", "label": " South Sudan" }, { "value": "ES", "label": " Spain" }, { "value": "LK", "label": " Sri Lanka" }, { "value": "SD", "label": " Sudan" }, { "value": "SR", "label": " Suriname" }, { "value": "SJ", "label": " Svalbard and Jan Mayen" }, { "value": "SE", "label": " Sweden" }, { "value": "CH", "label": " Switzerland" }, { "value": "SY", "label": " Syrian Arab Republic" }, { "value": "TW", "label": " Taiwan, Province of China" }, { "value": "TJ", "label": " Tajikistan" }, { "value": "TZ", "label": " Tanzania, United Republic of" }, { "value": "TH", "label": " Thailand" }, { "value": "TL", "label": " Timor-Leste" }, { "value": "TG", "label": " Togo" }, { "value": "TK", "label": " Tokelau" }, { "value": "TO", "label": " Tonga" }, { "value": "TT", "label": " Trinidad and Tobago" }, { "value": "TN", "label": " Tunisia" }, { "value": "TR", "label": " Turkey" }, { "value": "TM", "label": " Turkmenistan" }, { "value": "TC", "label": " Turks and Caicos Islands" }, { "value": "TV", "label": " Tuvalu" }, { "value": "UG", "label": " Uganda" }, { "value": "UA", "label": " Ukraine" }, { "value": "AE", "label": " United Arab Emirates" }, { "value": "GB", "label": " United Kingdom of Great Britain and Northern Ireland" }, { "value": "US", "label": " United States of America" }, { "value": "UM", "label": " United States Minor Outlying Islands" }, { "value": "UY", "label": " Uruguay" }, { "value": "UZ", "label": " Uzbekistan" }, { "value": "VU", "label": " Vanuatu" }, { "value": "VE", "label": " Venezuela (Bolivarian Republic of)" }, { "value": "VN", "label": " Viet Nam" }, { "value": "VG", "label": " Virgin Islands (British)" }, { "value": "VI", "label": " Virgin Islands (U.S.)" }, { "value": "WF", "label": " Wallis and Futuna" }, { "value": "EH", "label": " Western Sahara" }, { "value": "YE", "label": " Yemen" }, { "value": "ZM", "label": " Zambia" }, { "value": "ZW", "label": " Zimbabwe" } ] }, "valueProperty": "label", "selectThreshold": 0.3, "validate": { "required": true }, "key": "countryUBO1", "properties": { "populatedBy": "addressData", "valueKey": "Country" }, "type": "select", "input": true } ] }, { "title": "What is a Politically Exposed Person (PEP)?", "collapsible": true, "key": "whatIsAPoliticallyExposedPersonPep1", "type": "panel", "label": "Panel", "input": false, "tableView": false, "components": [ { "html": "

PEP shall mean a Person qualifying as Politically Exposed Person, being:

(i) persons who are:

(a) heads of state, government leaders, ministers, deputy ministers, state secretaries, 
(b) members of parliament or members of a similar legislative body, 
(c) members of the governing bodies of political parties, 
(d) members of supreme courts, constitutional courts, and other judicial courts who hand down judgments usually not open to appeal except in exceptional circumstances, 
(e) members of a court of audit or central bank directors, 
(f) ambassadors, consuls and high-ranking military officers, 
(g) directors, executives or members of supervisory committees of public enterprises, 
(h) directors, deputy directors and members of the board or equivalent function of an international organization, or an individual which ceased to perform the aforementioned functions in the last twelve (12) months;

(ii) of the Persons set forth under (i): direct family members, including spouses or legally equivalent partners, children and their spouses or partners, and parents; and

(iii) of the Persons set forth under (i) close associates: an individual of whom is known that he or she is the ultimate beneficiary of legal entities or constructions together with such Person set forth under (i), or has other close business relationships with the aforementioned Person, or an individual who is the sole legal beneficiary of a legal entity or construct which is knowingly created for the eventual benefit of such Person set forth under (i), provided that middle-ranking or more junior officials do not qualify a Politically Exposed Person under item (a) up to and including (h) above.

", "label": "Content", "refreshOnChange": false, "key": "content21", "type": "content", "input": false, "tableView": false } ], "collapsed": true }, { "label": "Is the UBO a Politically Exposed Person (PEP)?", "optionsLabelPosition": "right", "tooltip": "See the 'What is a Politically Exposed Person?' section above for more information.", "inline": true, "tableView": false, "values": [ { "label": "Yes", "value": "yes", "shortcut": "" }, { "label": "No", "value": "no", "shortcut": "" } ], "validate": { "required": true }, "key": "isPEPUBO1", "type": "radio", "input": true }, { "legend": "PEP Statement of the UBO", "hidden": true, "key": "fieldSet41", "conditional": { "show": true, "when": "isPEPUBO1", "eq": "yes" }, "type": "fieldset", "label": "PEP Statement of the UBO", "input": false, "tableView": false, "components": [ { "label": "I hereby declare that the UBO/Pseudo-UBO qualifies as a PEP because the following natural person holds a politically exposed position:", "optionsLabelPosition": "right", "inline": false, "tableView": false, "values": [ { "label": "the UBO/Pseudo UBO", "value": "a", "shortcut": "" }, { "label": "a family member ", "value": "b", "shortcut": "" }, { "label": "a close business associate ", "value": "c", "shortcut": "" } ], "key": "declarePEPUBO1", "type": "radio", "input": true }, { "label": "First name of PEP", "tableView": true, "calculateValue": "if (data.declarePEPUBO1 == \"a\") {\n \n value = data.firstNameOfUbo1;\n \n}", "validate": { "required": true }, "key": "firstNameOfPepUBO1", "type": "textfield", "input": true }, { "label": "Last name of PEP", "tableView": true, "calculateValue": "if (data.declarePEPUBO1 == \"a\") {\n \n value = data.surnameOfUbo1;\n \n}", "validate": { "required": true }, "key": "lastNameOfPepUBO1", "type": "textfield", "input": true }, { "label": "Position PEP", "tableView": true, "validate": { "required": true }, "key": "positionPepUBO1", "type": "textfield", "input": true }, { "label": "Date of birth of PEP", "format": "dd-MM-yyyy", "placeholder": "dd-mm-yyyy", "tableView": false, "enableMinDateInput": false, "datePicker": { "maxDate": "moment().add(0, 'days')", "disableWeekends": false, "disableWeekdays": false }, "enableMaxDateInput": true, "enableTime": false, "calculateValue": "if (data.declarePEPUBO1 == \"a\") {\n \n value = data.dobOfUbo1;\n \n}", "validate": { "required": true, "customMessage": "This needs to be filled in. This date will be auto-filled depending on your choices above. Please scroll up to see if any other date of birth information is missing, and complete those first" }, "key": "dobPEPUBO1", "type": "datetime", "input": true, "widget": { "type": "calendar", "displayInTimezone": "viewer", "locale": "en", "useLocaleSettings": false, "allowInput": true, "mode": "single", "enableTime": false, "noCalendar": false, "format": "dd-MM-yyyy", "hourIncrement": 1, "minuteIncrement": 1, "time_24hr": false, "minDate": null, "disableWeekends": false, "disableWeekdays": false, "maxDate": "moment().add(0, 'days')" } }, { "label": "Nationality / citizenship of PEP", "widget": "choicesjs", "tableView": true, "dataSrc": "json", "data": { "json": [ { "value": "AF", "label": " Afghanistan" }, { "value": "AX", "label": " Åland Islands" }, { "value": "AL", "label": " Albania" }, { "value": "DZ", "label": " Algeria" }, { "value": "AS", "label": " American Samoa" }, { "value": "AD", "label": " Andorra" }, { "value": "AO", "label": " Angola" }, { "value": "AI", "label": " Anguilla" }, { "value": "AQ", "label": " Antarctica" }, { "value": "AG", "label": " Antigua and Barbuda" }, { "value": "AR", "label": " Argentina" }, { "value": "AM", "label": " Armenia" }, { "value": "AW", "label": " Aruba" }, { "value": "AU", "label": " Australia" }, { "value": "AT", "label": " Austria" }, { "value": "AZ", "label": " Azerbaijan" }, { "value": "BS", "label": " Bahamas" }, { "value": "BH", "label": " Bahrain" }, { "value": "BD", "label": " Bangladesh" }, { "value": "BB", "label": " Barbados" }, { "value": "BY", "label": " Belarus" }, { "value": "BE", "label": " Belgium" }, { "value": "BZ", "label": " Belize" }, { "value": "BJ", "label": " Benin" }, { "value": "BM", "label": " Bermuda" }, { "value": "BT", "label": " Bhutan" }, { "value": "BO", "label": " Bolivia (Plurinational State of)" }, { "value": "BQ", "label": " Bonaire, Sint Eustatius and Saba" }, { "value": "BA", "label": " Bosnia and Herzegovina" }, { "value": "BW", "label": " Botswana" }, { "value": "BV", "label": " Bouvet Island" }, { "value": "BR", "label": " Brazil" }, { "value": "IO", "label": " British Indian Ocean Territory" }, { "value": "BN", "label": " Brunei Darussalam" }, { "value": "BG", "label": " Bulgaria" }, { "value": "BF", "label": " Burkina Faso" }, { "value": "BI", "label": " Burundi" }, { "value": "CV", "label": " Cabo Verde" }, { "value": "KH", "label": " Cambodia" }, { "value": "CM", "label": " Cameroon" }, { "value": "CA", "label": " Canada" }, { "value": "KY", "label": " Cayman Islands" }, { "value": "CF", "label": " Central African Republic" }, { "value": "TD", "label": " Chad" }, { "value": "CL", "label": " Chile" }, { "value": "CN", "label": " China" }, { "value": "CX", "label": " Christmas Island" }, { "value": "CC", "label": " Cocos (Keeling) Islands" }, { "value": "CO", "label": " Colombia" }, { "value": "KM", "label": " Comoros" }, { "value": "CG", "label": " Congo" }, { "value": "CD", "label": " Congo, Democratic Republic of the" }, { "value": "CK", "label": " Cook Islands" }, { "value": "CR", "label": " Costa Rica" }, { "value": "CI", "label": " Côte d'Ivoire" }, { "value": "HR", "label": " Croatia" }, { "value": "CU", "label": " Cuba" }, { "value": "CW", "label": " Curaçao" }, { "value": "CY", "label": " Cyprus" }, { "value": "CZ", "label": " Czechia" }, { "value": "DK", "label": " Denmark" }, { "value": "DJ", "label": " Djibouti" }, { "value": "DM", "label": " Dominica" }, { "value": "DO", "label": " Dominican Republic" }, { "value": "EC", "label": " Ecuador" }, { "value": "EG", "label": " Egypt" }, { "value": "SV", "label": " El Salvador" }, { "value": "GQ", "label": " Equatorial Guinea" }, { "value": "ER", "label": " Eritrea" }, { "value": "EE", "label": " Estonia" }, { "value": "SZ", "label": " Eswatini" }, { "value": "ET", "label": " Ethiopia" }, { "value": "FK", "label": " Falkland Islands (Malvinas)" }, { "value": "FO", "label": " Faroe Islands" }, { "value": "FJ", "label": " Fiji" }, { "value": "FI", "label": " Finland" }, { "value": "FR", "label": " France" }, { "value": "GF", "label": " French Guiana" }, { "value": "PF", "label": " French Polynesia" }, { "value": "TF", "label": " French Southern Territories" }, { "value": "GA", "label": " Gabon" }, { "value": "GM", "label": " Gambia" }, { "value": "GE", "label": " Georgia" }, { "value": "DE", "label": " Germany" }, { "value": "GH", "label": " Ghana" }, { "value": "GI", "label": " Gibraltar" }, { "value": "GR", "label": " Greece" }, { "value": "GL", "label": " Greenland" }, { "value": "GD", "label": " Grenada" }, { "value": "GP", "label": " Guadeloupe" }, { "value": "GU", "label": " Guam" }, { "value": "GT", "label": " Guatemala" }, { "value": "GG", "label": " Guernsey" }, { "value": "GN", "label": " Guinea" }, { "value": "GW", "label": " Guinea-Bissau" }, { "value": "GY", "label": " Guyana" }, { "value": "HT", "label": " Haiti" }, { "value": "HM", "label": " Heard Island and McDonald Islands" }, { "value": "VA", "label": " Holy See" }, { "value": "HN", "label": " Honduras" }, { "value": "HK", "label": " Hong Kong" }, { "value": "HU", "label": " Hungary" }, { "value": "IS", "label": " Iceland" }, { "value": "IN", "label": " India" }, { "value": "ID", "label": " Indonesia" }, { "value": "IR", "label": " Iran (Islamic Republic of)" }, { "value": "IQ", "label": " Iraq" }, { "value": "IE", "label": " Ireland" }, { "value": "IM", "label": " Isle of Man" }, { "value": "IL", "label": " Israel" }, { "value": "IT", "label": " Italy" }, { "value": "JM", "label": " Jamaica" }, { "value": "JP", "label": " Japan" }, { "value": "JE", "label": " Jersey" }, { "value": "JO", "label": " Jordan" }, { "value": "KZ", "label": " Kazakhstan" }, { "value": "KE", "label": " Kenya" }, { "value": "KI", "label": " Kiribati" }, { "value": "KP", "label": " Korea (Democratic People's Republic of)" }, { "value": "KR", "label": " Korea, Republic of" }, { "value": "KW", "label": " Kuwait" }, { "value": "KG", "label": " Kyrgyzstan" }, { "value": "LA", "label": " Lao People's Democratic Republic" }, { "value": "LV", "label": " Latvia" }, { "value": "LB", "label": " Lebanon" }, { "value": "LS", "label": " Lesotho" }, { "value": "LR", "label": " Liberia" }, { "value": "LY", "label": " Libya" }, { "value": "LI", "label": " Liechtenstein" }, { "value": "LT", "label": " Lithuania" }, { "value": "LU", "label": " Luxembourg" }, { "value": "MO", "label": " Macao" }, { "value": "MG", "label": " Madagascar" }, { "value": "MW", "label": " Malawi" }, { "value": "MY", "label": " Malaysia" }, { "value": "MV", "label": " Maldives" }, { "value": "ML", "label": " Mali" }, { "value": "MT", "label": " Malta" }, { "value": "MH", "label": " Marshall Islands" }, { "value": "MQ", "label": " Martinique" }, { "value": "MR", "label": " Mauritania" }, { "value": "MU", "label": " Mauritius" }, { "value": "YT", "label": " Mayotte" }, { "value": "MX", "label": " Mexico" }, { "value": "FM", "label": " Micronesia (Federated States of)" }, { "value": "MD", "label": " Moldova, Republic of" }, { "value": "MC", "label": " Monaco" }, { "value": "MN", "label": " Mongolia" }, { "value": "ME", "label": " Montenegro" }, { "value": "MS", "label": " Montserrat" }, { "value": "MA", "label": " Morocco" }, { "value": "MZ", "label": " Mozambique" }, { "value": "MM", "label": " Myanmar" }, { "value": "NA", "label": " Namibia" }, { "value": "NR", "label": " Nauru" }, { "value": "NP", "label": " Nepal" }, { "value": "NL", "label": " Netherlands" }, { "value": "NC", "label": " New Caledonia" }, { "value": "NZ", "label": " New Zealand" }, { "value": "NI", "label": " Nicaragua" }, { "value": "NE", "label": " Niger" }, { "value": "NG", "label": " Nigeria" }, { "value": "NU", "label": " Niue" }, { "value": "NF", "label": " Norfolk Island" }, { "value": "MK", "label": " North Macedonia" }, { "value": "MP", "label": " Northern Mariana Islands" }, { "value": "NO", "label": " Norway" }, { "value": "OM", "label": " Oman" }, { "value": "PK", "label": " Pakistan" }, { "value": "PW", "label": " Palau" }, { "value": "PS", "label": " Palestine, State of" }, { "value": "PA", "label": " Panama" }, { "value": "PG", "label": " Papua New Guinea" }, { "value": "PY", "label": " Paraguay" }, { "value": "PE", "label": " Peru" }, { "value": "PH", "label": " Philippines" }, { "value": "PN", "label": " Pitcairn" }, { "value": "PL", "label": " Poland" }, { "value": "PT", "label": " Portugal" }, { "value": "PR", "label": " Puerto Rico" }, { "value": "QA", "label": " Qatar" }, { "value": "RE", "label": " Réunion" }, { "value": "RO", "label": " Romania" }, { "value": "RU", "label": " Russian Federation" }, { "value": "RW", "label": " Rwanda" }, { "value": "BL", "label": " Saint Barthélemy" }, { "value": "SH", "label": " Saint Helena, Ascension and Tristan da Cunha" }, { "value": "KN", "label": " Saint Kitts and Nevis" }, { "value": "LC", "label": " Saint Lucia" }, { "value": "MF", "label": " Saint Martin (French part)" }, { "value": "PM", "label": " Saint Pierre and Miquelon" }, { "value": "VC", "label": " Saint Vincent and the Grenadines" }, { "value": "WS", "label": " Samoa" }, { "value": "SM", "label": " San Marino" }, { "value": "ST", "label": " Sao Tome and Principe" }, { "value": "SA", "label": " Saudi Arabia" }, { "value": "SN", "label": " Senegal" }, { "value": "RS", "label": " Serbia" }, { "value": "SC", "label": " Seychelles" }, { "value": "SL", "label": " Sierra Leone" }, { "value": "SG", "label": " Singapore" }, { "value": "SX", "label": " Sint Maarten (Dutch part)" }, { "value": "SK", "label": " Slovakia" }, { "value": "SI", "label": " Slovenia" }, { "value": "SB", "label": " Solomon Islands" }, { "value": "SO", "label": " Somalia" }, { "value": "ZA", "label": " South Africa" }, { "value": "GS", "label": " South Georgia and the South Sandwich Islands" }, { "value": "SS", "label": " South Sudan" }, { "value": "ES", "label": " Spain" }, { "value": "LK", "label": " Sri Lanka" }, { "value": "SD", "label": " Sudan" }, { "value": "SR", "label": " Suriname" }, { "value": "SJ", "label": " Svalbard and Jan Mayen" }, { "value": "SE", "label": " Sweden" }, { "value": "CH", "label": " Switzerland" }, { "value": "SY", "label": " Syrian Arab Republic" }, { "value": "TW", "label": " Taiwan, Province of China" }, { "value": "TJ", "label": " Tajikistan" }, { "value": "TZ", "label": " Tanzania, United Republic of" }, { "value": "TH", "label": " Thailand" }, { "value": "TL", "label": " Timor-Leste" }, { "value": "TG", "label": " Togo" }, { "value": "TK", "label": " Tokelau" }, { "value": "TO", "label": " Tonga" }, { "value": "TT", "label": " Trinidad and Tobago" }, { "value": "TN", "label": " Tunisia" }, { "value": "TR", "label": " Turkey" }, { "value": "TM", "label": " Turkmenistan" }, { "value": "TC", "label": " Turks and Caicos Islands" }, { "value": "TV", "label": " Tuvalu" }, { "value": "UG", "label": " Uganda" }, { "value": "UA", "label": " Ukraine" }, { "value": "AE", "label": " United Arab Emirates" }, { "value": "GB", "label": " United Kingdom of Great Britain and Northern Ireland" }, { "value": "US", "label": " United States of America" }, { "value": "UM", "label": " United States Minor Outlying Islands" }, { "value": "UY", "label": " Uruguay" }, { "value": "UZ", "label": " Uzbekistan" }, { "value": "VU", "label": " Vanuatu" }, { "value": "VE", "label": " Venezuela (Bolivarian Republic of)" }, { "value": "VN", "label": " Viet Nam" }, { "value": "VG", "label": " Virgin Islands (British)" }, { "value": "VI", "label": " Virgin Islands (U.S.)" }, { "value": "WF", "label": " Wallis and Futuna" }, { "value": "EH", "label": " Western Sahara" }, { "value": "YE", "label": " Yemen" }, { "value": "ZM", "label": " Zambia" }, { "value": "ZW", "label": " Zimbabwe" } ] }, "valueProperty": "value", "selectThreshold": 0.3, "customDefaultValue": "\n//value = \"AL\";\n//if (data.areYouAUsCitizen == \"yes\"){\n// \n// value = \"US\";\n//}\n", "validate": { "required": true }, "key": "nationalityCitizenshipPEPUBO1", "type": "select", "input": true } ] } ] }, { "label": "Would you like to add a second (Pseudo-)UBO?", "optionsLabelPosition": "right", "inline": true, "tableView": false, "values": [ { "label": "Yes", "value": "yes", "shortcut": "" }, { "label": "No", "value": "no", "shortcut": "" } ], "key": "howManyPseudoUbOsAreThere", "type": "radio", "input": true }, { "legend": "Second (Pseudo-) UBO Information", "hidden": true, "key": "fieldSet42", "conditional": { "show": true, "when": "howManyPseudoUbOsAreThere", "eq": "yes" }, "type": "fieldset", "label": "Field Set", "input": false, "tableView": false, "components": [ { "label": "First name of UBO", "tableView": true, "redrawOn": "areYouUBO", "validate": { "required": true }, "key": "firstNameOfUbo2", "type": "textfield", "input": true }, { "label": "Surname of UBO", "tableView": true, "redrawOn": "areYouUBO", "validate": { "required": true }, "key": "surnameOfUbo2", "type": "textfield", "input": true }, { "label": "Date of birth of UBO", "format": "dd-MM-yyyy", "placeholder": "dd-mm-yyyy", "tableView": false, "enableMinDateInput": false, "datePicker": { "maxDate": "moment().add(0, 'days')", "disableWeekends": false, "disableWeekdays": false }, "enableMaxDateInput": true, "enableTime": false, "redrawOn": "areYouUBO", "customDefaultValue": "if (data.areYouUBO == \"yes\") {\n \n value = data.MID_NP_DOB;\n \n}", "validate": { "required": true }, "key": "dobOfUbo2", "type": "datetime", "input": true, "widget": { "type": "calendar", "displayInTimezone": "viewer", "locale": "en", "useLocaleSettings": false, "allowInput": true, "mode": "single", "enableTime": false, "noCalendar": false, "format": "dd-MM-yyyy", "hourIncrement": 1, "minuteIncrement": 1, "time_24hr": false, "minDate": null, "disableWeekends": false, "disableWeekdays": false, "maxDate": "moment().add(0, 'days')" } }, { "title": "UBO Address", "collapsible": false, "key": "panel6", "type": "panel", "label": "Mailing address", "input": false, "tableView": false, "components": [ { "label": "Address 1", "tableView": true, "validate": { "required": true }, "key": "add1UBO2", "properties": { "populatedBy": "addressData", "valueKey": "Address" }, "type": "textfield", "input": true }, { "label": "Address 2", "tableView": true, "key": "add2UBO2", "type": "textfield", "input": true }, { "label": "City", "tableView": true, "validate": { "required": true }, "key": "cityUBO2", "properties": { "populatedBy": "addressData", "valueKey": "City" }, "type": "textfield", "input": true }, { "label": "Zip code", "tableView": true, "validate": { "required": true }, "key": "zipUBO2", "properties": { "populatedBy": "addressData", "valueKey": "ZipCode" }, "type": "textfield", "input": true }, { "label": "Country", "widget": "choicesjs", "tableView": true, "dataSrc": "json", "data": { "json": [ { "value": "AF", "label": " Afghanistan" }, { "value": "AX", "label": " Åland Islands" }, { "value": "AL", "label": " Albania" }, { "value": "DZ", "label": " Algeria" }, { "value": "AS", "label": " American Samoa" }, { "value": "AD", "label": " Andorra" }, { "value": "AO", "label": " Angola" }, { "value": "AI", "label": " Anguilla" }, { "value": "AQ", "label": " Antarctica" }, { "value": "AG", "label": " Antigua and Barbuda" }, { "value": "AR", "label": " Argentina" }, { "value": "AM", "label": " Armenia" }, { "value": "AW", "label": " Aruba" }, { "value": "AU", "label": " Australia" }, { "value": "AT", "label": " Austria" }, { "value": "AZ", "label": " Azerbaijan" }, { "value": "BS", "label": " Bahamas" }, { "value": "BH", "label": " Bahrain" }, { "value": "BD", "label": " Bangladesh" }, { "value": "BB", "label": " Barbados" }, { "value": "BY", "label": " Belarus" }, { "value": "BE", "label": " Belgium" }, { "value": "BZ", "label": " Belize" }, { "value": "BJ", "label": " Benin" }, { "value": "BM", "label": " Bermuda" }, { "value": "BT", "label": " Bhutan" }, { "value": "BO", "label": " Bolivia (Plurinational State of)" }, { "value": "BQ", "label": " Bonaire, Sint Eustatius and Saba" }, { "value": "BA", "label": " Bosnia and Herzegovina" }, { "value": "BW", "label": " Botswana" }, { "value": "BV", "label": " Bouvet Island" }, { "value": "BR", "label": " Brazil" }, { "value": "IO", "label": " British Indian Ocean Territory" }, { "value": "BN", "label": " Brunei Darussalam" }, { "value": "BG", "label": " Bulgaria" }, { "value": "BF", "label": " Burkina Faso" }, { "value": "BI", "label": " Burundi" }, { "value": "CV", "label": " Cabo Verde" }, { "value": "KH", "label": " Cambodia" }, { "value": "CM", "label": " Cameroon" }, { "value": "CA", "label": " Canada" }, { "value": "KY", "label": " Cayman Islands" }, { "value": "CF", "label": " Central African Republic" }, { "value": "TD", "label": " Chad" }, { "value": "CL", "label": " Chile" }, { "value": "CN", "label": " China" }, { "value": "CX", "label": " Christmas Island" }, { "value": "CC", "label": " Cocos (Keeling) Islands" }, { "value": "CO", "label": " Colombia" }, { "value": "KM", "label": " Comoros" }, { "value": "CG", "label": " Congo" }, { "value": "CD", "label": " Congo, Democratic Republic of the" }, { "value": "CK", "label": " Cook Islands" }, { "value": "CR", "label": " Costa Rica" }, { "value": "CI", "label": " Côte d'Ivoire" }, { "value": "HR", "label": " Croatia" }, { "value": "CU", "label": " Cuba" }, { "value": "CW", "label": " Curaçao" }, { "value": "CY", "label": " Cyprus" }, { "value": "CZ", "label": " Czechia" }, { "value": "DK", "label": " Denmark" }, { "value": "DJ", "label": " Djibouti" }, { "value": "DM", "label": " Dominica" }, { "value": "DO", "label": " Dominican Republic" }, { "value": "EC", "label": " Ecuador" }, { "value": "EG", "label": " Egypt" }, { "value": "SV", "label": " El Salvador" }, { "value": "GQ", "label": " Equatorial Guinea" }, { "value": "ER", "label": " Eritrea" }, { "value": "EE", "label": " Estonia" }, { "value": "SZ", "label": " Eswatini" }, { "value": "ET", "label": " Ethiopia" }, { "value": "FK", "label": " Falkland Islands (Malvinas)" }, { "value": "FO", "label": " Faroe Islands" }, { "value": "FJ", "label": " Fiji" }, { "value": "FI", "label": " Finland" }, { "value": "FR", "label": " France" }, { "value": "GF", "label": " French Guiana" }, { "value": "PF", "label": " French Polynesia" }, { "value": "TF", "label": " French Southern Territories" }, { "value": "GA", "label": " Gabon" }, { "value": "GM", "label": " Gambia" }, { "value": "GE", "label": " Georgia" }, { "value": "DE", "label": " Germany" }, { "value": "GH", "label": " Ghana" }, { "value": "GI", "label": " Gibraltar" }, { "value": "GR", "label": " Greece" }, { "value": "GL", "label": " Greenland" }, { "value": "GD", "label": " Grenada" }, { "value": "GP", "label": " Guadeloupe" }, { "value": "GU", "label": " Guam" }, { "value": "GT", "label": " Guatemala" }, { "value": "GG", "label": " Guernsey" }, { "value": "GN", "label": " Guinea" }, { "value": "GW", "label": " Guinea-Bissau" }, { "value": "GY", "label": " Guyana" }, { "value": "HT", "label": " Haiti" }, { "value": "HM", "label": " Heard Island and McDonald Islands" }, { "value": "VA", "label": " Holy See" }, { "value": "HN", "label": " Honduras" }, { "value": "HK", "label": " Hong Kong" }, { "value": "HU", "label": " Hungary" }, { "value": "IS", "label": " Iceland" }, { "value": "IN", "label": " India" }, { "value": "ID", "label": " Indonesia" }, { "value": "IR", "label": " Iran (Islamic Republic of)" }, { "value": "IQ", "label": " Iraq" }, { "value": "IE", "label": " Ireland" }, { "value": "IM", "label": " Isle of Man" }, { "value": "IL", "label": " Israel" }, { "value": "IT", "label": " Italy" }, { "value": "JM", "label": " Jamaica" }, { "value": "JP", "label": " Japan" }, { "value": "JE", "label": " Jersey" }, { "value": "JO", "label": " Jordan" }, { "value": "KZ", "label": " Kazakhstan" }, { "value": "KE", "label": " Kenya" }, { "value": "KI", "label": " Kiribati" }, { "value": "KP", "label": " Korea (Democratic People's Republic of)" }, { "value": "KR", "label": " Korea, Republic of" }, { "value": "KW", "label": " Kuwait" }, { "value": "KG", "label": " Kyrgyzstan" }, { "value": "LA", "label": " Lao People's Democratic Republic" }, { "value": "LV", "label": " Latvia" }, { "value": "LB", "label": " Lebanon" }, { "value": "LS", "label": " Lesotho" }, { "value": "LR", "label": " Liberia" }, { "value": "LY", "label": " Libya" }, { "value": "LI", "label": " Liechtenstein" }, { "value": "LT", "label": " Lithuania" }, { "value": "LU", "label": " Luxembourg" }, { "value": "MO", "label": " Macao" }, { "value": "MG", "label": " Madagascar" }, { "value": "MW", "label": " Malawi" }, { "value": "MY", "label": " Malaysia" }, { "value": "MV", "label": " Maldives" }, { "value": "ML", "label": " Mali" }, { "value": "MT", "label": " Malta" }, { "value": "MH", "label": " Marshall Islands" }, { "value": "MQ", "label": " Martinique" }, { "value": "MR", "label": " Mauritania" }, { "value": "MU", "label": " Mauritius" }, { "value": "YT", "label": " Mayotte" }, { "value": "MX", "label": " Mexico" }, { "value": "FM", "label": " Micronesia (Federated States of)" }, { "value": "MD", "label": " Moldova, Republic of" }, { "value": "MC", "label": " Monaco" }, { "value": "MN", "label": " Mongolia" }, { "value": "ME", "label": " Montenegro" }, { "value": "MS", "label": " Montserrat" }, { "value": "MA", "label": " Morocco" }, { "value": "MZ", "label": " Mozambique" }, { "value": "MM", "label": " Myanmar" }, { "value": "NA", "label": " Namibia" }, { "value": "NR", "label": " Nauru" }, { "value": "NP", "label": " Nepal" }, { "value": "NL", "label": " Netherlands" }, { "value": "NC", "label": " New Caledonia" }, { "value": "NZ", "label": " New Zealand" }, { "value": "NI", "label": " Nicaragua" }, { "value": "NE", "label": " Niger" }, { "value": "NG", "label": " Nigeria" }, { "value": "NU", "label": " Niue" }, { "value": "NF", "label": " Norfolk Island" }, { "value": "MK", "label": " North Macedonia" }, { "value": "MP", "label": " Northern Mariana Islands" }, { "value": "NO", "label": " Norway" }, { "value": "OM", "label": " Oman" }, { "value": "PK", "label": " Pakistan" }, { "value": "PW", "label": " Palau" }, { "value": "PS", "label": " Palestine, State of" }, { "value": "PA", "label": " Panama" }, { "value": "PG", "label": " Papua New Guinea" }, { "value": "PY", "label": " Paraguay" }, { "value": "PE", "label": " Peru" }, { "value": "PH", "label": " Philippines" }, { "value": "PN", "label": " Pitcairn" }, { "value": "PL", "label": " Poland" }, { "value": "PT", "label": " Portugal" }, { "value": "PR", "label": " Puerto Rico" }, { "value": "QA", "label": " Qatar" }, { "value": "RE", "label": " Réunion" }, { "value": "RO", "label": " Romania" }, { "value": "RU", "label": " Russian Federation" }, { "value": "RW", "label": " Rwanda" }, { "value": "BL", "label": " Saint Barthélemy" }, { "value": "SH", "label": " Saint Helena, Ascension and Tristan da Cunha" }, { "value": "KN", "label": " Saint Kitts and Nevis" }, { "value": "LC", "label": " Saint Lucia" }, { "value": "MF", "label": " Saint Martin (French part)" }, { "value": "PM", "label": " Saint Pierre and Miquelon" }, { "value": "VC", "label": " Saint Vincent and the Grenadines" }, { "value": "WS", "label": " Samoa" }, { "value": "SM", "label": " San Marino" }, { "value": "ST", "label": " Sao Tome and Principe" }, { "value": "SA", "label": " Saudi Arabia" }, { "value": "SN", "label": " Senegal" }, { "value": "RS", "label": " Serbia" }, { "value": "SC", "label": " Seychelles" }, { "value": "SL", "label": " Sierra Leone" }, { "value": "SG", "label": " Singapore" }, { "value": "SX", "label": " Sint Maarten (Dutch part)" }, { "value": "SK", "label": " Slovakia" }, { "value": "SI", "label": " Slovenia" }, { "value": "SB", "label": " Solomon Islands" }, { "value": "SO", "label": " Somalia" }, { "value": "ZA", "label": " South Africa" }, { "value": "GS", "label": " South Georgia and the South Sandwich Islands" }, { "value": "SS", "label": " South Sudan" }, { "value": "ES", "label": " Spain" }, { "value": "LK", "label": " Sri Lanka" }, { "value": "SD", "label": " Sudan" }, { "value": "SR", "label": " Suriname" }, { "value": "SJ", "label": " Svalbard and Jan Mayen" }, { "value": "SE", "label": " Sweden" }, { "value": "CH", "label": " Switzerland" }, { "value": "SY", "label": " Syrian Arab Republic" }, { "value": "TW", "label": " Taiwan, Province of China" }, { "value": "TJ", "label": " Tajikistan" }, { "value": "TZ", "label": " Tanzania, United Republic of" }, { "value": "TH", "label": " Thailand" }, { "value": "TL", "label": " Timor-Leste" }, { "value": "TG", "label": " Togo" }, { "value": "TK", "label": " Tokelau" }, { "value": "TO", "label": " Tonga" }, { "value": "TT", "label": " Trinidad and Tobago" }, { "value": "TN", "label": " Tunisia" }, { "value": "TR", "label": " Turkey" }, { "value": "TM", "label": " Turkmenistan" }, { "value": "TC", "label": " Turks and Caicos Islands" }, { "value": "TV", "label": " Tuvalu" }, { "value": "UG", "label": " Uganda" }, { "value": "UA", "label": " Ukraine" }, { "value": "AE", "label": " United Arab Emirates" }, { "value": "GB", "label": " United Kingdom of Great Britain and Northern Ireland" }, { "value": "US", "label": " United States of America" }, { "value": "UM", "label": " United States Minor Outlying Islands" }, { "value": "UY", "label": " Uruguay" }, { "value": "UZ", "label": " Uzbekistan" }, { "value": "VU", "label": " Vanuatu" }, { "value": "VE", "label": " Venezuela (Bolivarian Republic of)" }, { "value": "VN", "label": " Viet Nam" }, { "value": "VG", "label": " Virgin Islands (British)" }, { "value": "VI", "label": " Virgin Islands (U.S.)" }, { "value": "WF", "label": " Wallis and Futuna" }, { "value": "EH", "label": " Western Sahara" }, { "value": "YE", "label": " Yemen" }, { "value": "ZM", "label": " Zambia" }, { "value": "ZW", "label": " Zimbabwe" } ] }, "valueProperty": "label", "selectThreshold": 0.3, "validate": { "required": true }, "key": "countryUBO2", "properties": { "populatedBy": "addressData", "valueKey": "Country" }, "type": "select", "input": true } ] }, { "title": "What is a Politically Exposed Person (PEP)?", "collapsible": true, "key": "whatIsAPoliticallyExposedPersonPep2", "type": "panel", "label": "Panel", "input": false, "tableView": false, "components": [ { "html": "

PEP shall mean a Person qualifying as Politically Exposed Person, being:

(i) persons who are:

(a) heads of state, government leaders, ministers, deputy ministers, state secretaries, 
(b) members of parliament or members of a similar legislative body, 
(c) members of the governing bodies of political parties, 
(d) members of supreme courts, constitutional courts, and other judicial courts who hand down judgments usually not open to appeal except in exceptional circumstances, 
(e) members of a court of audit or central bank directors, 
(f) ambassadors, consuls and high-ranking military officers, 
(g) directors, executives or members of supervisory committees of public enterprises, 
(h) directors, deputy directors and members of the board or equivalent function of an international organization, or an individual which ceased to perform the aforementioned functions in the last twelve (12) months;

(ii) of the Persons set forth under (i): direct family members, including spouses or legally equivalent partners, children and their spouses or partners, and parents; and

(iii) of the Persons set forth under (i) close associates: an individual of whom is known that he or she is the ultimate beneficiary of legal entities or constructions together with such Person set forth under (i), or has other close business relationships with the aforementioned Person, or an individual who is the sole legal beneficiary of a legal entity or construct which is knowingly created for the eventual benefit of such Person set forth under (i), provided that middle-ranking or more junior officials do not qualify a Politically Exposed Person under item (a) up to and including (h) above.

", "label": "Content", "refreshOnChange": false, "key": "content22", "type": "content", "input": false, "tableView": false } ], "collapsed": true }, { "label": "Is this UBO a Politically Exposed Person (PEP)?", "optionsLabelPosition": "right", "tooltip": "See the 'What is a Politically Exposed Person?' section above for more information.", "inline": true, "tableView": false, "values": [ { "label": "Yes", "value": "yes", "shortcut": "" }, { "label": "No", "value": "no", "shortcut": "" } ], "validate": { "required": true }, "key": "isPEPUBO2", "type": "radio", "input": true }, { "legend": "PEP Statement of the second UBO", "hidden": true, "key": "fieldSet43", "conditional": { "show": true, "when": "isPEPUBO2", "eq": "yes" }, "type": "fieldset", "label": "PEP Statement of the UBO", "input": false, "tableView": false, "components": [ { "label": "I hereby declare that the UBO/Pseudo-UBO qualifies as a PEP because the following natural person holds a politically exposed position:", "optionsLabelPosition": "right", "inline": false, "tableView": false, "values": [ { "label": "the UBO/Pseudo UBO", "value": "a", "shortcut": "" }, { "label": "a family member ", "value": "b", "shortcut": "" }, { "label": "a close business associate ", "value": "c", "shortcut": "" } ], "key": "declarePEPUBO2", "type": "radio", "input": true }, { "label": "First name of PEP", "tableView": true, "calculateValue": "if (data.declarePEPUBO2 == \"a\") {\n \n value = data.firstNameOfUbo2;\n \n}", "validate": { "required": true }, "key": "firstNameOfPepUBO2", "type": "textfield", "input": true }, { "label": "Last name of PEP", "tableView": true, "calculateValue": "if (data.declarePEPUBO2 == \"a\") {\n \n value = data.surnameOfUbo2;\n \n}", "validate": { "required": true }, "key": "lastNameOfPepUBO2", "type": "textfield", "input": true }, { "label": "Position PEP", "tableView": true, "validate": { "required": true }, "key": "positionPepUBO2", "type": "textfield", "input": true }, { "label": "Date of birth of PEP", "format": "dd-MM-yyyy", "placeholder": "dd-mm-yyyy", "tableView": false, "enableMinDateInput": false, "datePicker": { "maxDate": "moment().add(0, 'days')", "disableWeekends": false, "disableWeekdays": false }, "enableMaxDateInput": true, "enableTime": false, "calculateValue": "if (data.declarePEPUBO2 == \"a\") {\n \n value = data.dobOfUbo2;\n \n}", "validate": { "required": true, "customMessage": "This needs to be filled in. This date will be auto-filled depending on your choices above. Please scroll up to see if any other date of birth information is missing, and complete those first" }, "key": "dobPEPUBO2", "type": "datetime", "input": true, "widget": { "type": "calendar", "displayInTimezone": "viewer", "locale": "en", "useLocaleSettings": false, "allowInput": true, "mode": "single", "enableTime": false, "noCalendar": false, "format": "dd-MM-yyyy", "hourIncrement": 1, "minuteIncrement": 1, "time_24hr": false, "minDate": null, "disableWeekends": false, "disableWeekdays": false, "maxDate": "moment().add(0, 'days')" } }, { "label": "Nationality / citizenship of PEP", "widget": "choicesjs", "tableView": true, "dataSrc": "json", "data": { "json": [ { "value": "AF", "label": " Afghanistan" }, { "value": "AX", "label": " Åland Islands" }, { "value": "AL", "label": " Albania" }, { "value": "DZ", "label": " Algeria" }, { "value": "AS", "label": " American Samoa" }, { "value": "AD", "label": " Andorra" }, { "value": "AO", "label": " Angola" }, { "value": "AI", "label": " Anguilla" }, { "value": "AQ", "label": " Antarctica" }, { "value": "AG", "label": " Antigua and Barbuda" }, { "value": "AR", "label": " Argentina" }, { "value": "AM", "label": " Armenia" }, { "value": "AW", "label": " Aruba" }, { "value": "AU", "label": " Australia" }, { "value": "AT", "label": " Austria" }, { "value": "AZ", "label": " Azerbaijan" }, { "value": "BS", "label": " Bahamas" }, { "value": "BH", "label": " Bahrain" }, { "value": "BD", "label": " Bangladesh" }, { "value": "BB", "label": " Barbados" }, { "value": "BY", "label": " Belarus" }, { "value": "BE", "label": " Belgium" }, { "value": "BZ", "label": " Belize" }, { "value": "BJ", "label": " Benin" }, { "value": "BM", "label": " Bermuda" }, { "value": "BT", "label": " Bhutan" }, { "value": "BO", "label": " Bolivia (Plurinational State of)" }, { "value": "BQ", "label": " Bonaire, Sint Eustatius and Saba" }, { "value": "BA", "label": " Bosnia and Herzegovina" }, { "value": "BW", "label": " Botswana" }, { "value": "BV", "label": " Bouvet Island" }, { "value": "BR", "label": " Brazil" }, { "value": "IO", "label": " British Indian Ocean Territory" }, { "value": "BN", "label": " Brunei Darussalam" }, { "value": "BG", "label": " Bulgaria" }, { "value": "BF", "label": " Burkina Faso" }, { "value": "BI", "label": " Burundi" }, { "value": "CV", "label": " Cabo Verde" }, { "value": "KH", "label": " Cambodia" }, { "value": "CM", "label": " Cameroon" }, { "value": "CA", "label": " Canada" }, { "value": "KY", "label": " Cayman Islands" }, { "value": "CF", "label": " Central African Republic" }, { "value": "TD", "label": " Chad" }, { "value": "CL", "label": " Chile" }, { "value": "CN", "label": " China" }, { "value": "CX", "label": " Christmas Island" }, { "value": "CC", "label": " Cocos (Keeling) Islands" }, { "value": "CO", "label": " Colombia" }, { "value": "KM", "label": " Comoros" }, { "value": "CG", "label": " Congo" }, { "value": "CD", "label": " Congo, Democratic Republic of the" }, { "value": "CK", "label": " Cook Islands" }, { "value": "CR", "label": " Costa Rica" }, { "value": "CI", "label": " Côte d'Ivoire" }, { "value": "HR", "label": " Croatia" }, { "value": "CU", "label": " Cuba" }, { "value": "CW", "label": " Curaçao" }, { "value": "CY", "label": " Cyprus" }, { "value": "CZ", "label": " Czechia" }, { "value": "DK", "label": " Denmark" }, { "value": "DJ", "label": " Djibouti" }, { "value": "DM", "label": " Dominica" }, { "value": "DO", "label": " Dominican Republic" }, { "value": "EC", "label": " Ecuador" }, { "value": "EG", "label": " Egypt" }, { "value": "SV", "label": " El Salvador" }, { "value": "GQ", "label": " Equatorial Guinea" }, { "value": "ER", "label": " Eritrea" }, { "value": "EE", "label": " Estonia" }, { "value": "SZ", "label": " Eswatini" }, { "value": "ET", "label": " Ethiopia" }, { "value": "FK", "label": " Falkland Islands (Malvinas)" }, { "value": "FO", "label": " Faroe Islands" }, { "value": "FJ", "label": " Fiji" }, { "value": "FI", "label": " Finland" }, { "value": "FR", "label": " France" }, { "value": "GF", "label": " French Guiana" }, { "value": "PF", "label": " French Polynesia" }, { "value": "TF", "label": " French Southern Territories" }, { "value": "GA", "label": " Gabon" }, { "value": "GM", "label": " Gambia" }, { "value": "GE", "label": " Georgia" }, { "value": "DE", "label": " Germany" }, { "value": "GH", "label": " Ghana" }, { "value": "GI", "label": " Gibraltar" }, { "value": "GR", "label": " Greece" }, { "value": "GL", "label": " Greenland" }, { "value": "GD", "label": " Grenada" }, { "value": "GP", "label": " Guadeloupe" }, { "value": "GU", "label": " Guam" }, { "value": "GT", "label": " Guatemala" }, { "value": "GG", "label": " Guernsey" }, { "value": "GN", "label": " Guinea" }, { "value": "GW", "label": " Guinea-Bissau" }, { "value": "GY", "label": " Guyana" }, { "value": "HT", "label": " Haiti" }, { "value": "HM", "label": " Heard Island and McDonald Islands" }, { "value": "VA", "label": " Holy See" }, { "value": "HN", "label": " Honduras" }, { "value": "HK", "label": " Hong Kong" }, { "value": "HU", "label": " Hungary" }, { "value": "IS", "label": " Iceland" }, { "value": "IN", "label": " India" }, { "value": "ID", "label": " Indonesia" }, { "value": "IR", "label": " Iran (Islamic Republic of)" }, { "value": "IQ", "label": " Iraq" }, { "value": "IE", "label": " Ireland" }, { "value": "IM", "label": " Isle of Man" }, { "value": "IL", "label": " Israel" }, { "value": "IT", "label": " Italy" }, { "value": "JM", "label": " Jamaica" }, { "value": "JP", "label": " Japan" }, { "value": "JE", "label": " Jersey" }, { "value": "JO", "label": " Jordan" }, { "value": "KZ", "label": " Kazakhstan" }, { "value": "KE", "label": " Kenya" }, { "value": "KI", "label": " Kiribati" }, { "value": "KP", "label": " Korea (Democratic People's Republic of)" }, { "value": "KR", "label": " Korea, Republic of" }, { "value": "KW", "label": " Kuwait" }, { "value": "KG", "label": " Kyrgyzstan" }, { "value": "LA", "label": " Lao People's Democratic Republic" }, { "value": "LV", "label": " Latvia" }, { "value": "LB", "label": " Lebanon" }, { "value": "LS", "label": " Lesotho" }, { "value": "LR", "label": " Liberia" }, { "value": "LY", "label": " Libya" }, { "value": "LI", "label": " Liechtenstein" }, { "value": "LT", "label": " Lithuania" }, { "value": "LU", "label": " Luxembourg" }, { "value": "MO", "label": " Macao" }, { "value": "MG", "label": " Madagascar" }, { "value": "MW", "label": " Malawi" }, { "value": "MY", "label": " Malaysia" }, { "value": "MV", "label": " Maldives" }, { "value": "ML", "label": " Mali" }, { "value": "MT", "label": " Malta" }, { "value": "MH", "label": " Marshall Islands" }, { "value": "MQ", "label": " Martinique" }, { "value": "MR", "label": " Mauritania" }, { "value": "MU", "label": " Mauritius" }, { "value": "YT", "label": " Mayotte" }, { "value": "MX", "label": " Mexico" }, { "value": "FM", "label": " Micronesia (Federated States of)" }, { "value": "MD", "label": " Moldova, Republic of" }, { "value": "MC", "label": " Monaco" }, { "value": "MN", "label": " Mongolia" }, { "value": "ME", "label": " Montenegro" }, { "value": "MS", "label": " Montserrat" }, { "value": "MA", "label": " Morocco" }, { "value": "MZ", "label": " Mozambique" }, { "value": "MM", "label": " Myanmar" }, { "value": "NA", "label": " Namibia" }, { "value": "NR", "label": " Nauru" }, { "value": "NP", "label": " Nepal" }, { "value": "NL", "label": " Netherlands" }, { "value": "NC", "label": " New Caledonia" }, { "value": "NZ", "label": " New Zealand" }, { "value": "NI", "label": " Nicaragua" }, { "value": "NE", "label": " Niger" }, { "value": "NG", "label": " Nigeria" }, { "value": "NU", "label": " Niue" }, { "value": "NF", "label": " Norfolk Island" }, { "value": "MK", "label": " North Macedonia" }, { "value": "MP", "label": " Northern Mariana Islands" }, { "value": "NO", "label": " Norway" }, { "value": "OM", "label": " Oman" }, { "value": "PK", "label": " Pakistan" }, { "value": "PW", "label": " Palau" }, { "value": "PS", "label": " Palestine, State of" }, { "value": "PA", "label": " Panama" }, { "value": "PG", "label": " Papua New Guinea" }, { "value": "PY", "label": " Paraguay" }, { "value": "PE", "label": " Peru" }, { "value": "PH", "label": " Philippines" }, { "value": "PN", "label": " Pitcairn" }, { "value": "PL", "label": " Poland" }, { "value": "PT", "label": " Portugal" }, { "value": "PR", "label": " Puerto Rico" }, { "value": "QA", "label": " Qatar" }, { "value": "RE", "label": " Réunion" }, { "value": "RO", "label": " Romania" }, { "value": "RU", "label": " Russian Federation" }, { "value": "RW", "label": " Rwanda" }, { "value": "BL", "label": " Saint Barthélemy" }, { "value": "SH", "label": " Saint Helena, Ascension and Tristan da Cunha" }, { "value": "KN", "label": " Saint Kitts and Nevis" }, { "value": "LC", "label": " Saint Lucia" }, { "value": "MF", "label": " Saint Martin (French part)" }, { "value": "PM", "label": " Saint Pierre and Miquelon" }, { "value": "VC", "label": " Saint Vincent and the Grenadines" }, { "value": "WS", "label": " Samoa" }, { "value": "SM", "label": " San Marino" }, { "value": "ST", "label": " Sao Tome and Principe" }, { "value": "SA", "label": " Saudi Arabia" }, { "value": "SN", "label": " Senegal" }, { "value": "RS", "label": " Serbia" }, { "value": "SC", "label": " Seychelles" }, { "value": "SL", "label": " Sierra Leone" }, { "value": "SG", "label": " Singapore" }, { "value": "SX", "label": " Sint Maarten (Dutch part)" }, { "value": "SK", "label": " Slovakia" }, { "value": "SI", "label": " Slovenia" }, { "value": "SB", "label": " Solomon Islands" }, { "value": "SO", "label": " Somalia" }, { "value": "ZA", "label": " South Africa" }, { "value": "GS", "label": " South Georgia and the South Sandwich Islands" }, { "value": "SS", "label": " South Sudan" }, { "value": "ES", "label": " Spain" }, { "value": "LK", "label": " Sri Lanka" }, { "value": "SD", "label": " Sudan" }, { "value": "SR", "label": " Suriname" }, { "value": "SJ", "label": " Svalbard and Jan Mayen" }, { "value": "SE", "label": " Sweden" }, { "value": "CH", "label": " Switzerland" }, { "value": "SY", "label": " Syrian Arab Republic" }, { "value": "TW", "label": " Taiwan, Province of China" }, { "value": "TJ", "label": " Tajikistan" }, { "value": "TZ", "label": " Tanzania, United Republic of" }, { "value": "TH", "label": " Thailand" }, { "value": "TL", "label": " Timor-Leste" }, { "value": "TG", "label": " Togo" }, { "value": "TK", "label": " Tokelau" }, { "value": "TO", "label": " Tonga" }, { "value": "TT", "label": " Trinidad and Tobago" }, { "value": "TN", "label": " Tunisia" }, { "value": "TR", "label": " Turkey" }, { "value": "TM", "label": " Turkmenistan" }, { "value": "TC", "label": " Turks and Caicos Islands" }, { "value": "TV", "label": " Tuvalu" }, { "value": "UG", "label": " Uganda" }, { "value": "UA", "label": " Ukraine" }, { "value": "AE", "label": " United Arab Emirates" }, { "value": "GB", "label": " United Kingdom of Great Britain and Northern Ireland" }, { "value": "US", "label": " United States of America" }, { "value": "UM", "label": " United States Minor Outlying Islands" }, { "value": "UY", "label": " Uruguay" }, { "value": "UZ", "label": " Uzbekistan" }, { "value": "VU", "label": " Vanuatu" }, { "value": "VE", "label": " Venezuela (Bolivarian Republic of)" }, { "value": "VN", "label": " Viet Nam" }, { "value": "VG", "label": " Virgin Islands (British)" }, { "value": "VI", "label": " Virgin Islands (U.S.)" }, { "value": "WF", "label": " Wallis and Futuna" }, { "value": "EH", "label": " Western Sahara" }, { "value": "YE", "label": " Yemen" }, { "value": "ZM", "label": " Zambia" }, { "value": "ZW", "label": " Zimbabwe" } ] }, "valueProperty": "value", "selectThreshold": 0.3, "customDefaultValue": "\n//value = \"AL\";\n//if (data.areYouAUsCitizen == \"yes\"){\n// \n// value = \"US\";\n//}\n", "validate": { "required": true }, "key": "nationalityCitizenshipPEPUBO2", "type": "select", "input": true } ] } ] } ] }, { "legend": "Source of wealth and/or funds", "key": "fieldSet44", "type": "fieldset", "label": "Field Set", "input": false, "tableView": false, "components": [ { "html": "

In compliance with the Dutch Act on Prevention of Money Laundering and Financing of Terrorism ('Wwft'), Trustmoore Fund Services Netherlands B.V. ('Trustmoore') is required to investigate the source of wealth and funds of its clients. In this respect, Trustmoore requests the undersigned (the Applicant) to complete this form and tick any applicable box. Please note that we may have additional questions following the information provided by the undersigned/applicant.

", "label": "Content", "refreshOnChange": false, "key": "content23", "type": "content", "input": false, "tableView": false }, { "label": "The total of the applicant's wealth is", "optionsLabelPosition": "right", "inline": false, "tableView": false, "values": [ { "label": "< €2,5 million", "value": "a", "shortcut": "" }, { "label": "between €2,5 million – € 10 million", "value": "b", "shortcut": "" }, { "label": "≥ € 10 million", "value": "c", "shortcut": "" } ], "validate": { "required": true, "customMessage": "This question requires an answer" }, "key": "totalWealthLP", "type": "radio", "input": true }, { "label": "The undersigned {{data.MID_NP_First}} {{data.MID_NP_Last}} acting on behalf of {{data.MID_LP_Name}}, hereby declares that their wealth is derived from:", "optionsLabelPosition": "right", "tableView": false, "defaultValue": { "privateSavingsObtainedFromIncomeThroughEmployment": false, "liquidReservesEmProvideAdditionalInfoBelowEm": false, "loanFromARelativeAffiliatedCompanyEmProvideAdditionalInfoBelowEm": false, "anEndowment": false, "anInheritance": false, "proceedsFromTheSaleEmProvideAdditionalInfoBelowEm": false, "dividendDistributionEmProvideAdditionalInfoBelowEm": false, "proceedsFromAnInsurancePolicyEmProvideAdditionalInfoBelowEm": false, "otherNamely": false, "a": false, "b": false, "c": false, "d": false, "e": false, "f": false, "g": false, "h": false, "other": false }, "values": [ { "label": "private savings obtained from income through employment;", "value": "a", "shortcut": "" }, { "label": "liquid reserves (provide additional info below)", "value": "b", "shortcut": "" }, { "label": "loan from a relative/ affiliated company (provide additional info below)", "value": "c", "shortcut": "" }, { "label": "an endowment", "value": "d", "shortcut": "" }, { "label": "an inheritance", "value": "e", "shortcut": "" }, { "label": "proceeds from the sale (provide additional info below)", "value": "f", "shortcut": "" }, { "label": "dividend distribution (provide additional info below)", "value": "g", "shortcut": "" }, { "label": "proceeds from an insurance policy (provide additional info below)", "value": "h", "shortcut": "" }, { "label": "other, namely...", "value": "other", "shortcut": "" } ], "validate": { "required": true, "minSelectedCount": 1 }, "minSelectedCountMessage": "You must select at least one option above", "key": "sourceOfWealthLP", "type": "selectboxes", "input": true, "inputType": "checkbox" }, { "label": "other sow/sof", "hidden": true, "hideLabel": true, "tableView": true, "key": "otherSowSofLP", "conditional": { "show": true, "when": "sourceOfWealthLP", "eq": "other" }, "type": "textfield", "input": true }, { "title": "Liquid reserves of...", "collapsible": false, "hidden": true, "key": "liquidReserves1", "conditional": { "show": true, "when": "sourceOfWealthLP", "eq": "b" }, "type": "panel", "label": "Liquid reserves of...", "input": false, "tableView": false, "components": [ { "label": "Name of the company", "tableView": true, "validate": { "required": true }, "key": "liquidNameLP", "type": "textfield", "input": true }, { "label": "Activities of the company", "tableView": true, "validate": { "required": true }, "key": "liquidActivitiesLP", "type": "textfield", "input": true } ] }, { "title": "Loan from an affiliated company...", "collapsible": false, "hidden": true, "key": "loanfromRelative1", "conditional": { "show": true, "when": "sourceOfWealthLP", "eq": "c" }, "type": "panel", "label": "Loan from an affiliated company...", "input": false, "tableView": false, "components": [ { "label": "Name of the company", "tableView": true, "validate": { "required": true }, "key": "loanNameLP", "type": "textfield", "input": true }, { "label": "Activities of the company", "tableView": true, "validate": { "required": true }, "key": "loanActivitiesLP", "type": "textfield", "input": true } ] }, { "title": "Proceeds from the sale of...", "collapsible": false, "hidden": true, "key": "proceedsfromSale1", "conditional": { "show": true, "when": "sourceOfWealthLP", "eq": "f" }, "type": "panel", "label": "Proceeds from the sale of...", "input": false, "tableView": false, "components": [ { "label": "Name of the company", "tableView": true, "validate": { "required": true }, "key": "saleNameLP", "type": "textfield", "input": true }, { "label": "Activities of the company", "tableView": true, "validate": { "required": true }, "key": "saleActivitiesLP", "type": "textfield", "input": true } ] }, { "title": "Dividend distribution of...", "collapsible": false, "hidden": true, "key": "dividendDistribution1", "conditional": { "show": true, "when": "sourceOfWealthLP", "eq": "g" }, "type": "panel", "label": "Dividend distribution of...", "input": false, "tableView": false, "components": [ { "label": "Name of the company", "tableView": true, "validate": { "required": true }, "key": "dividendNameLP", "type": "textfield", "input": true }, { "label": "Activities of the company", "tableView": true, "validate": { "required": true }, "key": "dividendActivitiesLP", "type": "textfield", "input": true } ] }, { "title": "Proceeds from an insurance policy on...", "collapsible": false, "hidden": true, "key": "insurancePolicy1", "conditional": { "show": true, "when": "sourceOfWealthLP", "eq": "h" }, "type": "panel", "label": "Proceeds from an insurance policy on...", "input": false, "tableView": false, "components": [ { "label": "Describe the policy", "tableView": true, "validate": { "required": true }, "key": "describeThePolicyLP", "type": "textfield", "input": true } ] } ] } ] }, { "legend": "Subscription Information", "key": "fieldSet17", "type": "fieldset", "label": "Field Set", "input": false, "tableView": false, "components": [ { "html": "

(the \"Applicant\") hereby unconditionally and irrevocably offers to subscribe for an Interest in the Fund with a Capital Commitment of:

", "label": "Content", "refreshOnChange": false, "key": "content6", "type": "content", "input": false, "tableView": false }, { "label": "Capital Commitment of the applicant:", "prefix": "€", "suffix": "total commitment", "hideLabel": true, "mask": false, "tableView": false, "delimiter": true, "requireDecimal": false, "inputFormat": "plain", "redrawOn": "numberOfOrdinaryUnits", "validate": { "required": true }, "errorLabel": "Please enter an amount", "key": "totalCommitment", "type": "number", "input": true }, { "label": "
Class of membership (this has been selected for you)
", "optionsLabelPosition": "right", "inline": false, "disabled": true, "tableView": false, "values": [ { "label": "Class A (for regular investors)", "value": "a", "shortcut": "" }, { "label": "Class B (only available to strategic relations of Waterland, as elected by Waterland)", "value": "b", "shortcut": "" } ], "key": "classOfMembership", "type": "radio", "input": true, "defaultValue": "b" }, { "label": "
The Applicant hereby declares, represents and warrants that
", "optionsLabelPosition": "right", "inline": false, "tableView": false, "values": [ { "label": "it will hold the Interest applied for by it for itself beneficially and not as a nominee for another person;", "value": "a", "shortcut": "" }, { "label": "it will hold the Interest applied for by it as nominee for another person (please provide details of the beneficial holder(s) (the Beneficial Holder) below);", "value": "b", "shortcut": "" } ], "key": "holdInterest", "type": "radio", "input": true }, { "label": "Name of Beneficial Holder", "hidden": true, "tableView": true, "validate": { "required": true }, "key": "beneficialHolderName", "conditional": { "show": true, "when": "holdInterest", "eq": "b" }, "type": "textfield", "input": true }, { "label": "Address of Beneficial Holder", "hidden": true, "tableView": true, "validate": { "required": true }, "key": "addressOfStrongBeneficialHolder", "conditional": { "show": true, "when": "holdInterest", "eq": "b" }, "type": "textfield", "input": true }, { "label": "
The Applicant also represents and warrants that
", "optionsLabelPosition": "right", "inline": false, "tableView": false, "values": [ { "label": "the Applicant does not act together with any other person investing in the Fund;", "value": "a", "shortcut": "" }, { "label": "the Applicant does act together with one or more other person(s) who are investing in the Fund...", "value": "b", "shortcut": "" } ], "key": "actTogether", "type": "radio", "input": true }, { "label": "with an aggregate capital commitment of", "prefix": "€", "hidden": true, "mask": false, "tableView": false, "delimiter": true, "requireDecimal": false, "inputFormat": "plain", "validate": { "required": true }, "key": "aggregateCapital", "conditional": { "show": true, "when": "actTogether", "eq": "b" }, "type": "number", "input": true }, { "label": "Please tick this box if the Applicant does not want to be introduced by Marktlink Investment Partners Management B.V. to Waterland Private Equity Investments B.V. or an affiliate thereof.", "tableView": false, "defaultValue": false, "key": "noIntroduction", "type": "checkbox", "input": true } ] }, { "legend": "Bank Account Information", "key": "fieldSet27", "type": "fieldset", "label": "Field Set", "input": false, "tableView": false, "components": [ { "label": "Name of bank", "tableView": true, "validate": { "required": true }, "key": "nameOfBank", "type": "textfield", "input": true }, { "label": "Account number", "tableView": true, "validate": { "required": true }, "key": "accountNumber", "type": "textfield", "input": true }, { "label": "Account holder", "tableView": true, "validate": { "required": true }, "key": "accountName", "type": "textfield", "input": true } ] }, { "hidden": true, "key": "fieldSet18", "conditional": { "show": true, "when": "chooseType", "eq": "legalPerson" }, "type": "fieldset", "label": "Field Set", "input": false, "tableView": false, "components": [ { "html": "

Please read the instructions below carefully before continuing with the form. 

PLEASE NOTE: The below sections require some knowledge of terms used for classifications under FATCA and CRS. Please refer to the glossary below for detailed descriptions of the terms.

", "label": "Content", "refreshOnChange": false, "key": "content8", "type": "content", "input": false, "tableView": false }, { "title": "Instructions for completion", "collapsible": true, "key": "instructionsForCompletion", "type": "panel", "label": "Panel", "input": false, "tableView": false, "components": [ { "label": "HTML", "attrs": [ { "attr": "", "value": "" } ], "content": "

\r\n INSTRUCTIONS FOR COMPLETION\r\n

\r\n

\r\n \r\n

\r\n

\r\n In the framework of the Foreign Account Tax Compliance Act (“FATCA”) and\r\n the Common Reporting Standard (“CRS”), we are required to collect and\r\n report to the competent national tax authority certain information about\r\n financial accounts held by some of our Account Holders, and more\r\n specifically where an Account Holder or its beneficial owner(s) fall(s)\r\n under the definition of a U.S. Person, or has a tax residence outside of\r\n the country in which the financial accounts are held.\r\n

\r\n

\r\n The information provided on these Forms as well as other financial\r\n information (e.g., the year-end depositary account balance, the total gross\r\n dividend amount received during the calendar year) may be reported on an\r\n annual basis to the competent national tax authority for transmission to\r\n the competent foreign tax authorities.\r\n

\r\n

\r\n For joint or multiple Account Holders, please complete a separate\r\n Self-Certification Form for each Account Holder.\r\n

\r\n

\r\n If you are completing the Self-Certification Form on behalf of the Account\r\n Holder(s), then you should indicate the capacity in which you have signed\r\n in Section VI. For example, you may be the custodian or nominee of an\r\n account on behalf of the account holder, or you may be completing the\r\n Self-Certification Form under a signatory authority or power of attorney.\r\n

\r\n

\r\n If you have any questions about this Self-Certification Form or defining\r\n your FATCA or CRS status, please speak to your tax adviser or local tax\r\n authority.\r\n

\r\n

\r\n For further information on CRS please refer to the OECD automatic exchange\r\n of information portal:\r\n \r\n www.oecd.org/tax/automatic-exchange\r\n \r\n

", "refreshOnChange": false, "key": "html1", "type": "htmlelement", "input": false, "tableView": false } ], "collapsed": true }, { "title": "Glossary of terms", "collapsible": true, "key": "glossaryOfTerms", "type": "panel", "label": "Panel", "input": false, "tableView": false, "components": [ { "label": "HTML", "attrs": [ { "attr": "", "value": "" } ], "content": "
\r\n

\r\n GLOSSARY\r\n

\r\n

\r\n \r\n

\r\n

\r\n Note: \r\n \r\n These are selected definitions provided to assist you with the\r\n completion of this Self-Certification Form.Further details can be\r\n found in the Directive 2014/107/EU of 9 December 2014 “as regards\r\n mandatory automatic exchange of information” and in the OECD\r\n Standard for Automatic Exchange of Financial Account Information\r\n (“OECD Common Reporting Standard, CRS”).\r\n \r\n

\r\n

\r\n \r\n

\r\n

\r\n “Account Holder”\r\n

\r\n

\r\n The “Account Holder” in [X] is the person listed or identified as the\r\n holder of the Debt or Equity Interest in [X]. This is regardless of\r\n whether such person is a flow-through Entity.\r\n

\r\n

\r\n A person, other than a Financial Institution, holding a Debt or Equity\r\n Interest in [X] for the benefit or account of another person as agent,\r\n custodian, nominee, signatory, investment advisor, or intermediary, is\r\n not treated as holding the account, and such other person is treated as\r\n holding the account.\r\n

\r\n

\r\n “Active NFE” – CRS definition\r\n

\r\n

\r\n An entity will be classified as Active NFE if it meets any of the\r\n following criteria:\r\n

\r\n

\r\n A. less than 50% of the NFE’s gross income for the preceding calendar\r\n year or other appropriate reporting period is passive income and less\r\n than 50% of the assets held by the NFE during the preceding calendar\r\n year or other appropriate reporting period are assets that produce or\r\n are held for the production of passive income;\r\n

\r\n

\r\n B. the stock of the NFE is regularly traded on an established\r\n securities market or the NFE is a Related Entity of an Entity the stock\r\n of which is regularly traded on an established security market;\r\n

\r\n

\r\n C. the NFE is a Governmental Entity, an International Organisation, a\r\n Central Bank, or an Entity wholly owned by one or more of the\r\n foregoing;\r\n

\r\n

\r\n D. substantially all of the activities of the NFE consist of holding\r\n (in whole or in part) the outstanding stock of, or providing financing\r\n and services to, one or more subsidiaries that engage in trades or\r\n businesses other than the business of a Financial Institution, except\r\n that an Entity does not qualify for this status if the Entity functions\r\n (or holds itself out) as an investment fund, such as a private equity\r\n fund, venture capital fund, leveraged buyout fund, or any investment\r\n vehicle whose purpose is to acquire or fund companies and then hold\r\n interests in those companies as capital assets for investment purposes;\r\n

\r\n

\r\n E. the NFE is not yet operating a business and has no prior operating\r\n history, (a “start-up NFE”) but is investing capital into assets with\r\n the intent to operate a business other than that of a Financial\r\n Institution, provided that the NFE does not qualify for this exception\r\n after the date that is 24 months after the date of the initial\r\n organisation of the NFE;\r\n

\r\n

\r\n F. the NFE was not a Financial Institution in the past five years and\r\n is in the process of liquidating its assets or is reorganising with the\r\n intent to continue or recommence operations in a business other than\r\n that of a Financial Institution;\r\n

\r\n

\r\n G. the NFE primarily engages in financing and hedging transactions\r\n with, or for, Related Entities that are not Financial Institutions, and\r\n does not provide financing or hedging services to any Entity that is\r\n not a Related Entity, provided that the group of any such Related\r\n Entities is primarily engaged in a business other than that of a\r\n Financial Institution; or\r\n

\r\n

\r\n H. the NFE meets all of the following requirements (a “non-profit\r\n NFE”):\r\n

\r\n

\r\n i. it is established and operated in its jurisdiction of residence\r\n exclusively for religious, charitable, scientific, artistic, cultural,\r\n athletic, or educational purposes; or it is established and operated\r\n inits jurisdiction of residence, and it is a professional organisation,\r\n business league, chamber of commerce, labour organisation, agricultural\r\n or horticultural organisation, civic league or an organisation operated\r\n exclusively for the promotion of social welfare;\r\n

\r\n

\r\n ii. it is exempt from income tax in its jurisdiction of residence;\r\n

\r\n

\r\n iii. it has no shareholders or members who have a proprietary or\r\n beneficial interest in its income or assets;\r\n

\r\n
\r\n
\r\n
\r\n

\r\n iv. the applicable laws of the NFE’s jurisdiction of residence or the\r\n NFE’s formation documents do not permit any income or assets of the NFE\r\n to be distributed to, or applied for the benefit of, a private person\r\n or non-charitable Entity other than pursuant to the conduct of the\r\n NFE’s charitable activities, or as payment of reasonable compensation\r\n for services rendered, or as payment representing the fair market value\r\n of property which the NFE has purchased; and\r\n

\r\n

\r\n v. the applicable laws of the NFE’s jurisdiction of residence or the\r\n NFE’s formation documents require that, upon the NFE’s liquidation or\r\n dissolution, all of its assets be distributed to a Governmental Entity\r\n or other non-profit organisation, or escheat to the government of the\r\n NFE’s jurisdiction of residence or any political subdivision.\r\n

\r\n

\r\n Active Non-Financial Foreign Entity (Active NFFE) – FATCA Definition\r\n

\r\n

\r\n The definition of an Active NFFE is similar to the definition of an\r\n Active NFE. Certain U.S. (organized) entities are excluded from the\r\n definition of an Active NFFE. Please refer to the applicable provisions\r\n for the differences.\r\n

\r\n

\r\n “Control”\r\n

\r\n

\r\n “Control” over an Entity is generally exercised by the natural\r\n person(s) who ultimately has a controlling ownership interest\r\n (typically on the basis of a certain percentage (e.g., 25%)) in the\r\n Entity. Where no natural person(s) exercises control through ownership\r\n interests, the Controlling Person(s) of the Entity will be the natural\r\n person(s) who exercises control of the Entity through other means.\r\n Where no natural person(s) is/are identified as exercising control of\r\n the Entity through ownership interests, then under the CRS the\r\n Reportable Person is deemed to be the natural person who hold the\r\n position of senior managing official.\r\n

\r\n

\r\n “Controlling Person(s)”\r\n

\r\n

\r\n “Controlling Persons” are the natural person(s) who exercise control\r\n over an entity. Where that entity is treated as a Passive Non-Financial\r\n Entity (“Passive NFE”) then a Financial Institution is required to\r\n determine whether or not these Controlling Persons are Reportable\r\n Persons. This definition corresponds to the term “beneficial owner”\r\n described in Recommendation 10 of the Financial Action Task Force\r\n Recommendations (as adopted in February 2012).\r\n

\r\n

\r\n In the case of a trust, the Controlling Person(s) are the settlor(s),\r\n the trustee(s), the protector(s) (if any), the beneficiary(ies) or\r\n class(es) of beneficiaries, or any other natural person(s) exercising\r\n ultimate effective control over the trust (including through a chain of\r\n control or ownership). Under the CRS the settlor(s), the trustee(s),\r\n the protector(s) (if any), and the beneficiary(ies) or class(es) of\r\n beneficiaries, are always treated as Controlling Persons of a trust,\r\n regardless of whether or not any of them exercises control over the\r\n activities ofthe trust.\r\n

\r\n

\r\n Where the settlor(s) of a trust is an Entity then the CRS requires\r\n Financial Institutions to also identify the Controlling Persons of the\r\n settlor(s) and when required report them as Controlling Persons of the\r\n trust.\r\n

\r\n

\r\n In the case of a legal arrangement other than a trust, “Controlling\r\n Person(s) means persons in equivalent or similar positions.\r\n

\r\n

\r\n “Financial Institution”\r\n

\r\n

\r\n The term “Financial Institution” means a “Custodial Institution”, a\r\n “Depository Institution”, an “Investment Entity”, or a “Specified\r\n Insurance Company”. Please see the relevant domestic guidance and the\r\n CRS for further classification definitions that apply to Financial\r\n Institutions.\r\n

\r\n
\r\n
\r\n
\r\n

\r\n “Investment Entity”\r\n

\r\n

\r\n The term “Investment Entity” includes two types of Entities:\r\n

\r\n

\r\n i. an Entity that primarily conducts as a business one or more of the\r\n following activities or operations for or on behalf of a customer:\r\n

\r\n

\r\n ii. trading in money market instruments (cheques, bills, certificates\r\n of deposit, derivatives, etc.); foreign exchange; exchange, interest\r\n rate and index instruments; transferable securities; or commodity\r\n futures trading;\r\n

\r\n

\r\n • individual and collective portfolio management; or\r\n

\r\n

\r\n • otherwise investing, administering, or managing Financial Assets or\r\n money on behalf of other persons. Such activities or operations do not\r\n include rendering non-binding investment advice to a customer.\r\n

\r\n

\r\n iii. The second type of “Investment Entity” (“Investment Entity managed\r\n by another Financial Institution”\r\n

\r\n

\r\n – as defined under §A(6)(b) of Section VIII of the CRS) is any Entity\r\n the gross income of which is primarily attributable to investing,\r\n reinvesting, or trading in Financial Assets where the Entity is managed\r\n by another Entity that is a Depository Institution, a Custodial\r\n Institution, a Specified Insurance Company, or the first type of\r\n Investment Entity.\r\n

\r\n

\r\n “Investment Entity managed by another Financial Institution”\r\n

\r\n

\r\n An Entity is “managed by” another Entity if the managing Entity\r\n performs, either directly or through another service provider on behalf\r\n of the managed Entity, any of the activities or operations described in\r\n clause (i) above in the definition of ‘Investment Entity’.\r\n

\r\n

\r\n An Entity only manages another Entity if it has discretionary authority\r\n to manage the other Entity’s assets (either in whole or part).\r\n

\r\n

\r\n “NFE”\r\n

\r\n

\r\n An “NFE” is any Entity that is not a Financial Institution.\r\n

\r\n

\r\n “Non-Participating Jurisdiction”\r\n

\r\n

\r\n A “Non-Participating Jurisdiction” means a jurisdiction with which no\r\n agreement is in place pursuant to which it will provide the information\r\n set out in the CRS.\r\n

\r\n

\r\n “Participating Jurisdiction Financial Institution”\r\n

\r\n

\r\n The term “Participating Jurisdiction Financial Institution means (i)\r\n any Financial Institution that is tax resident in a Participating\r\n Jurisdiction but excludes any branch of that Financial Institution that\r\n is located outside of that jurisdiction, and (ii) any branch of a\r\n Financial Institution that is not tax resident in a Participating\r\n Jurisdiction, if that branch is located in such Participating\r\n Jurisdiction.\r\n

\r\n

\r\n “Passive NFE” – CRS definition\r\n

\r\n

\r\n Under the CRS a “Passive NFE” means any: (i) NFE that is not an Active\r\n NFE; and (ii) Investment Entity asdefined under §A(6)(b) of Section\r\n VIII of the CRS resident in a Non-Participating Jurisdiction.\r\n

\r\n

\r\n Passive Non-Financial Foreign Entity (Passive NFFE) – FATCA definition\r\n

\r\n

\r\n A Passive NFFE is any entity that does not classify as:\r\n

\r\n

\r\n i. a financial institution; and\r\n

\r\n

\r\n ii. an Active NFFE\r\n

\r\n

\r\n This definition can slightly differ from jurisdiction to jurisdiction.\r\n You may want to seek independent professional advice if you are not\r\n sure whether you qualify as a Passive NFFE under FATCA.\r\n

\r\n
\r\n
\r\n
\r\n

\r\n “Related Entity”\r\n

\r\n

\r\n An Entity is a “Related Entity” of another Entity if either Entity\r\n controls the other Entity, or the two Entities are under common\r\n control. For this purpose, control includes direct or indirect\r\n ownership of more than 50% of the vote and value in an Entity.\r\n

\r\n

\r\n “Resident for tax purposes” / “Tax residency”\r\n

\r\n

\r\n Generally, an Entity will be resident for tax purposes in a\r\n jurisdiction if, under the laws of that jurisdiction (including tax\r\n conventions), it pays or should be paying tax therein by reason of his\r\n domicile, residence, placeof management or incorporation, or any other\r\n criterion of a similar nature, and not only from sources in that\r\n jurisdiction. Dual resident Entities may rely on the tiebreaker rules\r\n contained in tax conventions (if applicable)to solve cases of double\r\n residence for determining their residence for tax purposes. An Entity\r\n such as a partnership, limited liability partnership or similar legal\r\n arrangement that has no residence for tax purposes shall be treated as\r\n resident in the jurisdiction in which its place of effective management\r\n is situated. A trust is treated as resident where one or more of its\r\n trustees is resident.\r\n

\r\n

\r\n “TIN” (including “functional equivalent”)\r\n

\r\n

\r\n The term “TIN” means Taxpayer Identification Number or a functional\r\n equivalent in the absence of a TIN. A TIN is a unique combination of\r\n letters or numbers assigned by a jurisdiction to an individual or an\r\n Entity and used to identify the individual or Entity for the purposes\r\n of administering the tax laws of such jurisdiction.\r\n

\r\n

\r\n Some jurisdictions do not issue a TIN. However, these jurisdictions\r\n often utilise some other high integrity number with an equivalent level\r\n of identification (a “functional equivalent”). Examples of that type of\r\n number include, for Entities, a Business/ company registration\r\n code/number.\r\n

\r\n

\r\n U.S. Person\r\n

\r\n

\r\n The term ‘‘United States person’’ under FATCA means:\r\n

\r\n

\r\n • a citizen or resident of the United States;\r\n

\r\n

\r\n • a domestic partnership (partnership organized in the US);\r\n

\r\n

\r\n • a domestic corporation (corporation incorporated in the US);\r\n

\r\n

\r\n • any estate other than a foreign estate;\r\n

\r\n

\r\n • any trust if: a court within the United States is able to exercise\r\n primary supervision over the administration of the trust, and one or\r\n more United States persons have the authority to control all\r\n substantial decisions of the trust;\r\n

\r\n

\r\n • the United States government, a State or the District of Columbia\r\n (including any agency, instrumentality or political subdivision\r\n thereof).\r\n

\r\n

\r\n U.S. Person\r\n

\r\n

\r\n A client could be considered a US resident for tax purposes by virtue\r\n of the time spent in the US according to the substantial presence test.\r\n The test must be applied each year that the individual is in the US.\r\n

\r\n

\r\n • Students (F1,OPT, J1, Q Visas) are considered Non Resident Aliens for\r\n up to five years, and are exempted from the Substantial Presence Test\r\n for a period of five years.\r\n

\r\n

\r\n • Teacher, Researchers (J1, Q Visas) are considered Non Resident Aliens\r\n for up to two years, and are exempted from the Substantial Presence\r\n Test for a period of two years.\r\n

\r\n

\r\n • For the other H1B, L1, and other Visa holders.\r\n

\r\n
\r\n
\r\n

\r\n To meet the Substantial Presence Test, a foreign person must:\r\n

\r\n

\r\n • be physically present in the US for at least 31 days during the current\r\n year; and\r\n

\r\n

\r\n • be physically present 183 days during the 3 year period that includes the\r\n current year and the 2 years immediately before that, counting: (i) All the\r\n days the individual was present in the current year, and (ii) 1/3 of the\r\n days the individual was present in the year before the current year, and\r\n (iii) 1/6 of the days the individual was present in the year before last;\r\n

\r\n

\r\n • F and J student visa holders are to exclude 5 calendar years of presence\r\n for purposes of the substantial presence test. J non-student visa holders\r\n are to exclude 2 years.\r\n

\r\n

\r\n US Citizen\r\n

\r\n

\r\n The term “United States Citizen” means:\r\n

\r\n

\r\n • an individual born in the United States;\r\n

\r\n

\r\n • an individual whose parent is a U.S. citizen;\r\n

\r\n

\r\n • a former alien who has been naturalized as a U.S. citizen;\r\n

\r\n

\r\n • an individual born in Puerto Rico;\r\n

\r\n

\r\n • an individual born in Guam; or\r\n

\r\n

\r\n • an individual born in the U.S. Virgin Islands.\r\n

\r\n

\r\n Specified US person (Specified USP)\r\n

\r\n

\r\n A USP that is in scope for FATCA Reporting. Broadly speaking, can include\r\n any US individual (e.g. US citizen, resident, green card holder, etc.)\r\n and/or US entity (e.g. US corporation, partnership, etc.).\r\n

\r\n

\r\n Non-US Person\r\n

\r\n

\r\n The term ‘Non-United States person’ means all clients that do not fall\r\n under the formal definition of ‘‘United States person’’ under FATCA.\r\n

", "refreshOnChange": false, "key": "html", "type": "htmlelement", "input": false, "tableView": false } ], "collapsed": true } ] }, { "legend": "Personal Tax Details (compulsory)", "hidden": true, "key": "fieldSet6", "conditional": { "show": true, "when": "chooseType", "eq": "naturalPerson" }, "type": "fieldset", "label": "Personal Tax Details (compulsory)", "input": false, "tableView": false, "components": [ { "legend": "FATCA declaration", "key": "fieldSet7", "type": "fieldset", "label": "Field Set", "input": false, "tableView": false, "components": [ { "html": "

The following information allows us to fulfil our obligations to foreign tax requirements under the Foreign Account Tax Compliance Act (FATCA). If you have any questions regarding your status, please consult your tax or financial adviser.

If you may be taxable in the US, we are obliged to pass your details on to the Dutch tax authorities. The Dutch tax authorities will forward this information to the US tax authorities (IRS).

", "label": "Content", "refreshOnChange": false, "key": "content3", "type": "content", "input": false, "tableView": false }, { "label": "Are you a US citizen?", "optionsLabelPosition": "right", "inline": true, "tableView": false, "values": [ { "label": "Yes", "value": "yes", "shortcut": "" }, { "label": "No", "value": "no", "shortcut": "" } ], "validate": { "required": true }, "key": "areYouAUsCitizen", "type": "radio", "input": true }, { "label": "Are you a US tax resident?", "optionsLabelPosition": "right", "inline": true, "tableView": false, "values": [ { "label": "Yes", "value": "yes", "shortcut": "" }, { "label": "No", "value": "no", "shortcut": "" } ], "validate": { "required": true }, "key": "areYouAUsTaxResident", "type": "radio", "input": true }, { "label": "TINConditions", "calculateValue": "value = \"no\"\n\nif (data.areYouAUsCitizen == \"yes\") {\n \n value = \"yes\"\n \n}\n\nif (data.areYouAUsTaxResident == \"yes\") {\n \n value = \"yes\"\n \n}\n", "key": "tinConditions", "type": "hidden", "input": true, "tableView": false, "defaultValue": "no" }, { "label": "UploadfieldConditions", "calculateValue": "value = \"\"\n\n\nif (data.areYouAUsTaxResident == \"no\" & data.countryOfBirth == \"US\") {\n \n value = \"yes\"\n \n}\n", "key": "tinConditions1", "type": "hidden", "input": true, "tableView": false }, { "label": "Please provide your US Social Security Number (SSN) or US Individual Tax Identification Number (ITIN)", "hidden": true, "tableView": true, "validate": { "required": true }, "key": "ssnitin", "conditional": { "show": true, "when": "tinConditions", "eq": "yes" }, "type": "textfield", "input": true }, { "html": "

IMPORTANT: You have indicated that you are born in the United States, however are not considered a resident for tax purposes. In this case, you are required to provide us with your 'Renouncement of US Citizenship' issued to you by the relevant US state. You will be requested to provide a copy of this document by your service provider.

", "label": "Content", "refreshOnChange": false, "hidden": true, "key": "content2", "conditional": { "show": true, "when": "tinConditions1", "eq": "yes" }, "type": "content", "input": false, "tableView": false } ] }, { "legend": "Tax status", "key": "fieldSet8", "type": "fieldset", "label": "Field Set", "input": false, "tableView": false, "components": [ { "label": "Nationality / citizenship", "widget": "choicesjs", "disabled": true, "tableView": true, "dataSrc": "json", "data": { "json": [ { "value": "AF", "label": " Afghanistan" }, { "value": "AX", "label": " Åland Islands" }, { "value": "AL", "label": " Albania" }, { "value": "DZ", "label": " Algeria" }, { "value": "AS", "label": " American Samoa" }, { "value": "AD", "label": " Andorra" }, { "value": "AO", "label": " Angola" }, { "value": "AI", "label": " Anguilla" }, { "value": "AQ", "label": " Antarctica" }, { "value": "AG", "label": " Antigua and Barbuda" }, { "value": "AR", "label": " Argentina" }, { "value": "AM", "label": " Armenia" }, { "value": "AW", "label": " Aruba" }, { "value": "AU", "label": " Australia" }, { "value": "AT", "label": " Austria" }, { "value": "AZ", "label": " Azerbaijan" }, { "value": "BS", "label": " Bahamas" }, { "value": "BH", "label": " Bahrain" }, { "value": "BD", "label": " Bangladesh" }, { "value": "BB", "label": " Barbados" }, { "value": "BY", "label": " Belarus" }, { "value": "BE", "label": " Belgium" }, { "value": "BZ", "label": " Belize" }, { "value": "BJ", "label": " Benin" }, { "value": "BM", "label": " Bermuda" }, { "value": "BT", "label": " Bhutan" }, { "value": "BO", "label": " Bolivia (Plurinational State of)" }, { "value": "BQ", "label": " Bonaire, Sint Eustatius and Saba" }, { "value": "BA", "label": " Bosnia and Herzegovina" }, { "value": "BW", "label": " Botswana" }, { "value": "BV", "label": " Bouvet Island" }, { "value": "BR", "label": " Brazil" }, { "value": "IO", "label": " British Indian Ocean Territory" }, { "value": "BN", "label": " Brunei Darussalam" }, { "value": "BG", "label": " Bulgaria" }, { "value": "BF", "label": " Burkina Faso" }, { "value": "BI", "label": " Burundi" }, { "value": "CV", "label": " Cabo Verde" }, { "value": "KH", "label": " Cambodia" }, { "value": "CM", "label": " Cameroon" }, { "value": "CA", "label": " Canada" }, { "value": "KY", "label": " Cayman Islands" }, { "value": "CF", "label": " Central African Republic" }, { "value": "TD", "label": " Chad" }, { "value": "CL", "label": " Chile" }, { "value": "CN", "label": " China" }, { "value": "CX", "label": " Christmas Island" }, { "value": "CC", "label": " Cocos (Keeling) Islands" }, { "value": "CO", "label": " Colombia" }, { "value": "KM", "label": " Comoros" }, { "value": "CG", "label": " Congo" }, { "value": "CD", "label": " Congo, Democratic Republic of the" }, { "value": "CK", "label": " Cook Islands" }, { "value": "CR", "label": " Costa Rica" }, { "value": "CI", "label": " Côte d'Ivoire" }, { "value": "HR", "label": " Croatia" }, { "value": "CU", "label": " Cuba" }, { "value": "CW", "label": " Curaçao" }, { "value": "CY", "label": " Cyprus" }, { "value": "CZ", "label": " Czechia" }, { "value": "DK", "label": " Denmark" }, { "value": "DJ", "label": " Djibouti" }, { "value": "DM", "label": " Dominica" }, { "value": "DO", "label": " Dominican Republic" }, { "value": "EC", "label": " Ecuador" }, { "value": "EG", "label": " Egypt" }, { "value": "SV", "label": " El Salvador" }, { "value": "GQ", "label": " Equatorial Guinea" }, { "value": "ER", "label": " Eritrea" }, { "value": "EE", "label": " Estonia" }, { "value": "SZ", "label": " Eswatini" }, { "value": "ET", "label": " Ethiopia" }, { "value": "FK", "label": " Falkland Islands (Malvinas)" }, { "value": "FO", "label": " Faroe Islands" }, { "value": "FJ", "label": " Fiji" }, { "value": "FI", "label": " Finland" }, { "value": "FR", "label": " France" }, { "value": "GF", "label": " French Guiana" }, { "value": "PF", "label": " French Polynesia" }, { "value": "TF", "label": " French Southern Territories" }, { "value": "GA", "label": " Gabon" }, { "value": "GM", "label": " Gambia" }, { "value": "GE", "label": " Georgia" }, { "value": "DE", "label": " Germany" }, { "value": "GH", "label": " Ghana" }, { "value": "GI", "label": " Gibraltar" }, { "value": "GR", "label": " Greece" }, { "value": "GL", "label": " Greenland" }, { "value": "GD", "label": " Grenada" }, { "value": "GP", "label": " Guadeloupe" }, { "value": "GU", "label": " Guam" }, { "value": "GT", "label": " Guatemala" }, { "value": "GG", "label": " Guernsey" }, { "value": "GN", "label": " Guinea" }, { "value": "GW", "label": " Guinea-Bissau" }, { "value": "GY", "label": " Guyana" }, { "value": "HT", "label": " Haiti" }, { "value": "HM", "label": " Heard Island and McDonald Islands" }, { "value": "VA", "label": " Holy See" }, { "value": "HN", "label": " Honduras" }, { "value": "HK", "label": " Hong Kong" }, { "value": "HU", "label": " Hungary" }, { "value": "IS", "label": " Iceland" }, { "value": "IN", "label": " India" }, { "value": "ID", "label": " Indonesia" }, { "value": "IR", "label": " Iran (Islamic Republic of)" }, { "value": "IQ", "label": " Iraq" }, { "value": "IE", "label": " Ireland" }, { "value": "IM", "label": " Isle of Man" }, { "value": "IL", "label": " Israel" }, { "value": "IT", "label": " Italy" }, { "value": "JM", "label": " Jamaica" }, { "value": "JP", "label": " Japan" }, { "value": "JE", "label": " Jersey" }, { "value": "JO", "label": " Jordan" }, { "value": "KZ", "label": " Kazakhstan" }, { "value": "KE", "label": " Kenya" }, { "value": "KI", "label": " Kiribati" }, { "value": "KP", "label": " Korea (Democratic People's Republic of)" }, { "value": "KR", "label": " Korea, Republic of" }, { "value": "KW", "label": " Kuwait" }, { "value": "KG", "label": " Kyrgyzstan" }, { "value": "LA", "label": " Lao People's Democratic Republic" }, { "value": "LV", "label": " Latvia" }, { "value": "LB", "label": " Lebanon" }, { "value": "LS", "label": " Lesotho" }, { "value": "LR", "label": " Liberia" }, { "value": "LY", "label": " Libya" }, { "value": "LI", "label": " Liechtenstein" }, { "value": "LT", "label": " Lithuania" }, { "value": "LU", "label": " Luxembourg" }, { "value": "MO", "label": " Macao" }, { "value": "MG", "label": " Madagascar" }, { "value": "MW", "label": " Malawi" }, { "value": "MY", "label": " Malaysia" }, { "value": "MV", "label": " Maldives" }, { "value": "ML", "label": " Mali" }, { "value": "MT", "label": " Malta" }, { "value": "MH", "label": " Marshall Islands" }, { "value": "MQ", "label": " Martinique" }, { "value": "MR", "label": " Mauritania" }, { "value": "MU", "label": " Mauritius" }, { "value": "YT", "label": " Mayotte" }, { "value": "MX", "label": " Mexico" }, { "value": "FM", "label": " Micronesia (Federated States of)" }, { "value": "MD", "label": " Moldova, Republic of" }, { "value": "MC", "label": " Monaco" }, { "value": "MN", "label": " Mongolia" }, { "value": "ME", "label": " Montenegro" }, { "value": "MS", "label": " Montserrat" }, { "value": "MA", "label": " Morocco" }, { "value": "MZ", "label": " Mozambique" }, { "value": "MM", "label": " Myanmar" }, { "value": "NA", "label": " Namibia" }, { "value": "NR", "label": " Nauru" }, { "value": "NP", "label": " Nepal" }, { "value": "NL", "label": " Netherlands" }, { "value": "NC", "label": " New Caledonia" }, { "value": "NZ", "label": " New Zealand" }, { "value": "NI", "label": " Nicaragua" }, { "value": "NE", "label": " Niger" }, { "value": "NG", "label": " Nigeria" }, { "value": "NU", "label": " Niue" }, { "value": "NF", "label": " Norfolk Island" }, { "value": "MK", "label": " North Macedonia" }, { "value": "MP", "label": " Northern Mariana Islands" }, { "value": "NO", "label": " Norway" }, { "value": "OM", "label": " Oman" }, { "value": "PK", "label": " Pakistan" }, { "value": "PW", "label": " Palau" }, { "value": "PS", "label": " Palestine, State of" }, { "value": "PA", "label": " Panama" }, { "value": "PG", "label": " Papua New Guinea" }, { "value": "PY", "label": " Paraguay" }, { "value": "PE", "label": " Peru" }, { "value": "PH", "label": " Philippines" }, { "value": "PN", "label": " Pitcairn" }, { "value": "PL", "label": " Poland" }, { "value": "PT", "label": " Portugal" }, { "value": "PR", "label": " Puerto Rico" }, { "value": "QA", "label": " Qatar" }, { "value": "RE", "label": " Réunion" }, { "value": "RO", "label": " Romania" }, { "value": "RU", "label": " Russian Federation" }, { "value": "RW", "label": " Rwanda" }, { "value": "BL", "label": " Saint Barthélemy" }, { "value": "SH", "label": " Saint Helena, Ascension and Tristan da Cunha" }, { "value": "KN", "label": " Saint Kitts and Nevis" }, { "value": "LC", "label": " Saint Lucia" }, { "value": "MF", "label": " Saint Martin (French part)" }, { "value": "PM", "label": " Saint Pierre and Miquelon" }, { "value": "VC", "label": " Saint Vincent and the Grenadines" }, { "value": "WS", "label": " Samoa" }, { "value": "SM", "label": " San Marino" }, { "value": "ST", "label": " Sao Tome and Principe" }, { "value": "SA", "label": " Saudi Arabia" }, { "value": "SN", "label": " Senegal" }, { "value": "RS", "label": " Serbia" }, { "value": "SC", "label": " Seychelles" }, { "value": "SL", "label": " Sierra Leone" }, { "value": "SG", "label": " Singapore" }, { "value": "SX", "label": " Sint Maarten (Dutch part)" }, { "value": "SK", "label": " Slovakia" }, { "value": "SI", "label": " Slovenia" }, { "value": "SB", "label": " Solomon Islands" }, { "value": "SO", "label": " Somalia" }, { "value": "ZA", "label": " South Africa" }, { "value": "GS", "label": " South Georgia and the South Sandwich Islands" }, { "value": "SS", "label": " South Sudan" }, { "value": "ES", "label": " Spain" }, { "value": "LK", "label": " Sri Lanka" }, { "value": "SD", "label": " Sudan" }, { "value": "SR", "label": " Suriname" }, { "value": "SJ", "label": " Svalbard and Jan Mayen" }, { "value": "SE", "label": " Sweden" }, { "value": "CH", "label": " Switzerland" }, { "value": "SY", "label": " Syrian Arab Republic" }, { "value": "TW", "label": " Taiwan, Province of China" }, { "value": "TJ", "label": " Tajikistan" }, { "value": "TZ", "label": " Tanzania, United Republic of" }, { "value": "TH", "label": " Thailand" }, { "value": "TL", "label": " Timor-Leste" }, { "value": "TG", "label": " Togo" }, { "value": "TK", "label": " Tokelau" }, { "value": "TO", "label": " Tonga" }, { "value": "TT", "label": " Trinidad and Tobago" }, { "value": "TN", "label": " Tunisia" }, { "value": "TR", "label": " Turkey" }, { "value": "TM", "label": " Turkmenistan" }, { "value": "TC", "label": " Turks and Caicos Islands" }, { "value": "TV", "label": " Tuvalu" }, { "value": "UG", "label": " Uganda" }, { "value": "UA", "label": " Ukraine" }, { "value": "AE", "label": " United Arab Emirates" }, { "value": "GB", "label": " United Kingdom of Great Britain and Northern Ireland" }, { "value": "US", "label": " United States of America" }, { "value": "UM", "label": " United States Minor Outlying Islands" }, { "value": "UY", "label": " Uruguay" }, { "value": "UZ", "label": " Uzbekistan" }, { "value": "VU", "label": " Vanuatu" }, { "value": "VE", "label": " Venezuela (Bolivarian Republic of)" }, { "value": "VN", "label": " Viet Nam" }, { "value": "VG", "label": " Virgin Islands (British)" }, { "value": "VI", "label": " Virgin Islands (U.S.)" }, { "value": "WF", "label": " Wallis and Futuna" }, { "value": "EH", "label": " Western Sahara" }, { "value": "YE", "label": " Yemen" }, { "value": "ZM", "label": " Zambia" }, { "value": "ZW", "label": " Zimbabwe" } ] }, "valueProperty": "value", "selectThreshold": 0.3, "calculateValue": "if (data.areYouAUsCitizen == \"yes\"){\n \n value = \"US\"\n}\n\nelse {\n\nvalue = data.MID_NP_Nationality;\n\n}", "validate": { "customMessage": "This information is required. It is auto-filled based on your choice of nationality at the top of the form and/or your US FATCA tax payer status. Please complete the start of the form first" }, "key": "nationalityCitizenship", "type": "select", "input": true }, { "label": "Dual nationality (if applicable)", "widget": "choicesjs", "tableView": true, "dataSrc": "json", "data": { "json": [ { "value": "AF", "label": " Afghanistan" }, { "value": "AX", "label": " Åland Islands" }, { "value": "AL", "label": " Albania" }, { "value": "DZ", "label": " Algeria" }, { "value": "AS", "label": " American Samoa" }, { "value": "AD", "label": " Andorra" }, { "value": "AO", "label": " Angola" }, { "value": "AI", "label": " Anguilla" }, { "value": "AQ", "label": " Antarctica" }, { "value": "AG", "label": " Antigua and Barbuda" }, { "value": "AR", "label": " Argentina" }, { "value": "AM", "label": " Armenia" }, { "value": "AW", "label": " Aruba" }, { "value": "AU", "label": " Australia" }, { "value": "AT", "label": " Austria" }, { "value": "AZ", "label": " Azerbaijan" }, { "value": "BS", "label": " Bahamas" }, { "value": "BH", "label": " Bahrain" }, { "value": "BD", "label": " Bangladesh" }, { "value": "BB", "label": " Barbados" }, { "value": "BY", "label": " Belarus" }, { "value": "BE", "label": " Belgium" }, { "value": "BZ", "label": " Belize" }, { "value": "BJ", "label": " Benin" }, { "value": "BM", "label": " Bermuda" }, { "value": "BT", "label": " Bhutan" }, { "value": "BO", "label": " Bolivia (Plurinational State of)" }, { "value": "BQ", "label": " Bonaire, Sint Eustatius and Saba" }, { "value": "BA", "label": " Bosnia and Herzegovina" }, { "value": "BW", "label": " Botswana" }, { "value": "BV", "label": " Bouvet Island" }, { "value": "BR", "label": " Brazil" }, { "value": "IO", "label": " British Indian Ocean Territory" }, { "value": "BN", "label": " Brunei Darussalam" }, { "value": "BG", "label": " Bulgaria" }, { "value": "BF", "label": " Burkina Faso" }, { "value": "BI", "label": " Burundi" }, { "value": "CV", "label": " Cabo Verde" }, { "value": "KH", "label": " Cambodia" }, { "value": "CM", "label": " Cameroon" }, { "value": "CA", "label": " Canada" }, { "value": "KY", "label": " Cayman Islands" }, { "value": "CF", "label": " Central African Republic" }, { "value": "TD", "label": " Chad" }, { "value": "CL", "label": " Chile" }, { "value": "CN", "label": " China" }, { "value": "CX", "label": " Christmas Island" }, { "value": "CC", "label": " Cocos (Keeling) Islands" }, { "value": "CO", "label": " Colombia" }, { "value": "KM", "label": " Comoros" }, { "value": "CG", "label": " Congo" }, { "value": "CD", "label": " Congo, Democratic Republic of the" }, { "value": "CK", "label": " Cook Islands" }, { "value": "CR", "label": " Costa Rica" }, { "value": "CI", "label": " Côte d'Ivoire" }, { "value": "HR", "label": " Croatia" }, { "value": "CU", "label": " Cuba" }, { "value": "CW", "label": " Curaçao" }, { "value": "CY", "label": " Cyprus" }, { "value": "CZ", "label": " Czechia" }, { "value": "DK", "label": " Denmark" }, { "value": "DJ", "label": " Djibouti" }, { "value": "DM", "label": " Dominica" }, { "value": "DO", "label": " Dominican Republic" }, { "value": "EC", "label": " Ecuador" }, { "value": "EG", "label": " Egypt" }, { "value": "SV", "label": " El Salvador" }, { "value": "GQ", "label": " Equatorial Guinea" }, { "value": "ER", "label": " Eritrea" }, { "value": "EE", "label": " Estonia" }, { "value": "SZ", "label": " Eswatini" }, { "value": "ET", "label": " Ethiopia" }, { "value": "FK", "label": " Falkland Islands (Malvinas)" }, { "value": "FO", "label": " Faroe Islands" }, { "value": "FJ", "label": " Fiji" }, { "value": "FI", "label": " Finland" }, { "value": "FR", "label": " France" }, { "value": "GF", "label": " French Guiana" }, { "value": "PF", "label": " French Polynesia" }, { "value": "TF", "label": " French Southern Territories" }, { "value": "GA", "label": " Gabon" }, { "value": "GM", "label": " Gambia" }, { "value": "GE", "label": " Georgia" }, { "value": "DE", "label": " Germany" }, { "value": "GH", "label": " Ghana" }, { "value": "GI", "label": " Gibraltar" }, { "value": "GR", "label": " Greece" }, { "value": "GL", "label": " Greenland" }, { "value": "GD", "label": " Grenada" }, { "value": "GP", "label": " Guadeloupe" }, { "value": "GU", "label": " Guam" }, { "value": "GT", "label": " Guatemala" }, { "value": "GG", "label": " Guernsey" }, { "value": "GN", "label": " Guinea" }, { "value": "GW", "label": " Guinea-Bissau" }, { "value": "GY", "label": " Guyana" }, { "value": "HT", "label": " Haiti" }, { "value": "HM", "label": " Heard Island and McDonald Islands" }, { "value": "VA", "label": " Holy See" }, { "value": "HN", "label": " Honduras" }, { "value": "HK", "label": " Hong Kong" }, { "value": "HU", "label": " Hungary" }, { "value": "IS", "label": " Iceland" }, { "value": "IN", "label": " India" }, { "value": "ID", "label": " Indonesia" }, { "value": "IR", "label": " Iran (Islamic Republic of)" }, { "value": "IQ", "label": " Iraq" }, { "value": "IE", "label": " Ireland" }, { "value": "IM", "label": " Isle of Man" }, { "value": "IL", "label": " Israel" }, { "value": "IT", "label": " Italy" }, { "value": "JM", "label": " Jamaica" }, { "value": "JP", "label": " Japan" }, { "value": "JE", "label": " Jersey" }, { "value": "JO", "label": " Jordan" }, { "value": "KZ", "label": " Kazakhstan" }, { "value": "KE", "label": " Kenya" }, { "value": "KI", "label": " Kiribati" }, { "value": "KP", "label": " Korea (Democratic People's Republic of)" }, { "value": "KR", "label": " Korea, Republic of" }, { "value": "KW", "label": " Kuwait" }, { "value": "KG", "label": " Kyrgyzstan" }, { "value": "LA", "label": " Lao People's Democratic Republic" }, { "value": "LV", "label": " Latvia" }, { "value": "LB", "label": " Lebanon" }, { "value": "LS", "label": " Lesotho" }, { "value": "LR", "label": " Liberia" }, { "value": "LY", "label": " Libya" }, { "value": "LI", "label": " Liechtenstein" }, { "value": "LT", "label": " Lithuania" }, { "value": "LU", "label": " Luxembourg" }, { "value": "MO", "label": " Macao" }, { "value": "MG", "label": " Madagascar" }, { "value": "MW", "label": " Malawi" }, { "value": "MY", "label": " Malaysia" }, { "value": "MV", "label": " Maldives" }, { "value": "ML", "label": " Mali" }, { "value": "MT", "label": " Malta" }, { "value": "MH", "label": " Marshall Islands" }, { "value": "MQ", "label": " Martinique" }, { "value": "MR", "label": " Mauritania" }, { "value": "MU", "label": " Mauritius" }, { "value": "YT", "label": " Mayotte" }, { "value": "MX", "label": " Mexico" }, { "value": "FM", "label": " Micronesia (Federated States of)" }, { "value": "MD", "label": " Moldova, Republic of" }, { "value": "MC", "label": " Monaco" }, { "value": "MN", "label": " Mongolia" }, { "value": "ME", "label": " Montenegro" }, { "value": "MS", "label": " Montserrat" }, { "value": "MA", "label": " Morocco" }, { "value": "MZ", "label": " Mozambique" }, { "value": "MM", "label": " Myanmar" }, { "value": "NA", "label": " Namibia" }, { "value": "NR", "label": " Nauru" }, { "value": "NP", "label": " Nepal" }, { "value": "NL", "label": " Netherlands" }, { "value": "NC", "label": " New Caledonia" }, { "value": "NZ", "label": " New Zealand" }, { "value": "NI", "label": " Nicaragua" }, { "value": "NE", "label": " Niger" }, { "value": "NG", "label": " Nigeria" }, { "value": "NU", "label": " Niue" }, { "value": "NF", "label": " Norfolk Island" }, { "value": "MK", "label": " North Macedonia" }, { "value": "MP", "label": " Northern Mariana Islands" }, { "value": "NO", "label": " Norway" }, { "value": "OM", "label": " Oman" }, { "value": "PK", "label": " Pakistan" }, { "value": "PW", "label": " Palau" }, { "value": "PS", "label": " Palestine, State of" }, { "value": "PA", "label": " Panama" }, { "value": "PG", "label": " Papua New Guinea" }, { "value": "PY", "label": " Paraguay" }, { "value": "PE", "label": " Peru" }, { "value": "PH", "label": " Philippines" }, { "value": "PN", "label": " Pitcairn" }, { "value": "PL", "label": " Poland" }, { "value": "PT", "label": " Portugal" }, { "value": "PR", "label": " Puerto Rico" }, { "value": "QA", "label": " Qatar" }, { "value": "RE", "label": " Réunion" }, { "value": "RO", "label": " Romania" }, { "value": "RU", "label": " Russian Federation" }, { "value": "RW", "label": " Rwanda" }, { "value": "BL", "label": " Saint Barthélemy" }, { "value": "SH", "label": " Saint Helena, Ascension and Tristan da Cunha" }, { "value": "KN", "label": " Saint Kitts and Nevis" }, { "value": "LC", "label": " Saint Lucia" }, { "value": "MF", "label": " Saint Martin (French part)" }, { "value": "PM", "label": " Saint Pierre and Miquelon" }, { "value": "VC", "label": " Saint Vincent and the Grenadines" }, { "value": "WS", "label": " Samoa" }, { "value": "SM", "label": " San Marino" }, { "value": "ST", "label": " Sao Tome and Principe" }, { "value": "SA", "label": " Saudi Arabia" }, { "value": "SN", "label": " Senegal" }, { "value": "RS", "label": " Serbia" }, { "value": "SC", "label": " Seychelles" }, { "value": "SL", "label": " Sierra Leone" }, { "value": "SG", "label": " Singapore" }, { "value": "SX", "label": " Sint Maarten (Dutch part)" }, { "value": "SK", "label": " Slovakia" }, { "value": "SI", "label": " Slovenia" }, { "value": "SB", "label": " Solomon Islands" }, { "value": "SO", "label": " Somalia" }, { "value": "ZA", "label": " South Africa" }, { "value": "GS", "label": " South Georgia and the South Sandwich Islands" }, { "value": "SS", "label": " South Sudan" }, { "value": "ES", "label": " Spain" }, { "value": "LK", "label": " Sri Lanka" }, { "value": "SD", "label": " Sudan" }, { "value": "SR", "label": " Suriname" }, { "value": "SJ", "label": " Svalbard and Jan Mayen" }, { "value": "SE", "label": " Sweden" }, { "value": "CH", "label": " Switzerland" }, { "value": "SY", "label": " Syrian Arab Republic" }, { "value": "TW", "label": " Taiwan, Province of China" }, { "value": "TJ", "label": " Tajikistan" }, { "value": "TZ", "label": " Tanzania, United Republic of" }, { "value": "TH", "label": " Thailand" }, { "value": "TL", "label": " Timor-Leste" }, { "value": "TG", "label": " Togo" }, { "value": "TK", "label": " Tokelau" }, { "value": "TO", "label": " Tonga" }, { "value": "TT", "label": " Trinidad and Tobago" }, { "value": "TN", "label": " Tunisia" }, { "value": "TR", "label": " Turkey" }, { "value": "TM", "label": " Turkmenistan" }, { "value": "TC", "label": " Turks and Caicos Islands" }, { "value": "TV", "label": " Tuvalu" }, { "value": "UG", "label": " Uganda" }, { "value": "UA", "label": " Ukraine" }, { "value": "AE", "label": " United Arab Emirates" }, { "value": "GB", "label": " United Kingdom of Great Britain and Northern Ireland" }, { "value": "US", "label": " United States of America" }, { "value": "UM", "label": " United States Minor Outlying Islands" }, { "value": "UY", "label": " Uruguay" }, { "value": "UZ", "label": " Uzbekistan" }, { "value": "VU", "label": " Vanuatu" }, { "value": "VE", "label": " Venezuela (Bolivarian Republic of)" }, { "value": "VN", "label": " Viet Nam" }, { "value": "VG", "label": " Virgin Islands (British)" }, { "value": "VI", "label": " Virgin Islands (U.S.)" }, { "value": "WF", "label": " Wallis and Futuna" }, { "value": "EH", "label": " Western Sahara" }, { "value": "YE", "label": " Yemen" }, { "value": "ZM", "label": " Zambia" }, { "value": "ZW", "label": " Zimbabwe" } ] }, "selectThreshold": 0.3, "key": "dualNationality", "type": "select", "input": true }, { "label": "Primary country of residence for tax purposes", "widget": "choicesjs", "tableView": true, "dataSrc": "json", "data": { "json": [ { "value": "AF", "label": " Afghanistan" }, { "value": "AX", "label": " Åland Islands" }, { "value": "AL", "label": " Albania" }, { "value": "DZ", "label": " Algeria" }, { "value": "AS", "label": " American Samoa" }, { "value": "AD", "label": " Andorra" }, { "value": "AO", "label": " Angola" }, { "value": "AI", "label": " Anguilla" }, { "value": "AQ", "label": " Antarctica" }, { "value": "AG", "label": " Antigua and Barbuda" }, { "value": "AR", "label": " Argentina" }, { "value": "AM", "label": " Armenia" }, { "value": "AW", "label": " Aruba" }, { "value": "AU", "label": " Australia" }, { "value": "AT", "label": " Austria" }, { "value": "AZ", "label": " Azerbaijan" }, { "value": "BS", "label": " Bahamas" }, { "value": "BH", "label": " Bahrain" }, { "value": "BD", "label": " Bangladesh" }, { "value": "BB", "label": " Barbados" }, { "value": "BY", "label": " Belarus" }, { "value": "BE", "label": " Belgium" }, { "value": "BZ", "label": " Belize" }, { "value": "BJ", "label": " Benin" }, { "value": "BM", "label": " Bermuda" }, { "value": "BT", "label": " Bhutan" }, { "value": "BO", "label": " Bolivia (Plurinational State of)" }, { "value": "BQ", "label": " Bonaire, Sint Eustatius and Saba" }, { "value": "BA", "label": " Bosnia and Herzegovina" }, { "value": "BW", "label": " Botswana" }, { "value": "BV", "label": " Bouvet Island" }, { "value": "BR", "label": " Brazil" }, { "value": "IO", "label": " British Indian Ocean Territory" }, { "value": "BN", "label": " Brunei Darussalam" }, { "value": "BG", "label": " Bulgaria" }, { "value": "BF", "label": " Burkina Faso" }, { "value": "BI", "label": " Burundi" }, { "value": "CV", "label": " Cabo Verde" }, { "value": "KH", "label": " Cambodia" }, { "value": "CM", "label": " Cameroon" }, { "value": "CA", "label": " Canada" }, { "value": "KY", "label": " Cayman Islands" }, { "value": "CF", "label": " Central African Republic" }, { "value": "TD", "label": " Chad" }, { "value": "CL", "label": " Chile" }, { "value": "CN", "label": " China" }, { "value": "CX", "label": " Christmas Island" }, { "value": "CC", "label": " Cocos (Keeling) Islands" }, { "value": "CO", "label": " Colombia" }, { "value": "KM", "label": " Comoros" }, { "value": "CG", "label": " Congo" }, { "value": "CD", "label": " Congo, Democratic Republic of the" }, { "value": "CK", "label": " Cook Islands" }, { "value": "CR", "label": " Costa Rica" }, { "value": "CI", "label": " Côte d'Ivoire" }, { "value": "HR", "label": " Croatia" }, { "value": "CU", "label": " Cuba" }, { "value": "CW", "label": " Curaçao" }, { "value": "CY", "label": " Cyprus" }, { "value": "CZ", "label": " Czechia" }, { "value": "DK", "label": " Denmark" }, { "value": "DJ", "label": " Djibouti" }, { "value": "DM", "label": " Dominica" }, { "value": "DO", "label": " Dominican Republic" }, { "value": "EC", "label": " Ecuador" }, { "value": "EG", "label": " Egypt" }, { "value": "SV", "label": " El Salvador" }, { "value": "GQ", "label": " Equatorial Guinea" }, { "value": "ER", "label": " Eritrea" }, { "value": "EE", "label": " Estonia" }, { "value": "SZ", "label": " Eswatini" }, { "value": "ET", "label": " Ethiopia" }, { "value": "FK", "label": " Falkland Islands (Malvinas)" }, { "value": "FO", "label": " Faroe Islands" }, { "value": "FJ", "label": " Fiji" }, { "value": "FI", "label": " Finland" }, { "value": "FR", "label": " France" }, { "value": "GF", "label": " French Guiana" }, { "value": "PF", "label": " French Polynesia" }, { "value": "TF", "label": " French Southern Territories" }, { "value": "GA", "label": " Gabon" }, { "value": "GM", "label": " Gambia" }, { "value": "GE", "label": " Georgia" }, { "value": "DE", "label": " Germany" }, { "value": "GH", "label": " Ghana" }, { "value": "GI", "label": " Gibraltar" }, { "value": "GR", "label": " Greece" }, { "value": "GL", "label": " Greenland" }, { "value": "GD", "label": " Grenada" }, { "value": "GP", "label": " Guadeloupe" }, { "value": "GU", "label": " Guam" }, { "value": "GT", "label": " Guatemala" }, { "value": "GG", "label": " Guernsey" }, { "value": "GN", "label": " Guinea" }, { "value": "GW", "label": " Guinea-Bissau" }, { "value": "GY", "label": " Guyana" }, { "value": "HT", "label": " Haiti" }, { "value": "HM", "label": " Heard Island and McDonald Islands" }, { "value": "VA", "label": " Holy See" }, { "value": "HN", "label": " Honduras" }, { "value": "HK", "label": " Hong Kong" }, { "value": "HU", "label": " Hungary" }, { "value": "IS", "label": " Iceland" }, { "value": "IN", "label": " India" }, { "value": "ID", "label": " Indonesia" }, { "value": "IR", "label": " Iran (Islamic Republic of)" }, { "value": "IQ", "label": " Iraq" }, { "value": "IE", "label": " Ireland" }, { "value": "IM", "label": " Isle of Man" }, { "value": "IL", "label": " Israel" }, { "value": "IT", "label": " Italy" }, { "value": "JM", "label": " Jamaica" }, { "value": "JP", "label": " Japan" }, { "value": "JE", "label": " Jersey" }, { "value": "JO", "label": " Jordan" }, { "value": "KZ", "label": " Kazakhstan" }, { "value": "KE", "label": " Kenya" }, { "value": "KI", "label": " Kiribati" }, { "value": "KP", "label": " Korea (Democratic People's Republic of)" }, { "value": "KR", "label": " Korea, Republic of" }, { "value": "KW", "label": " Kuwait" }, { "value": "KG", "label": " Kyrgyzstan" }, { "value": "LA", "label": " Lao People's Democratic Republic" }, { "value": "LV", "label": " Latvia" }, { "value": "LB", "label": " Lebanon" }, { "value": "LS", "label": " Lesotho" }, { "value": "LR", "label": " Liberia" }, { "value": "LY", "label": " Libya" }, { "value": "LI", "label": " Liechtenstein" }, { "value": "LT", "label": " Lithuania" }, { "value": "LU", "label": " Luxembourg" }, { "value": "MO", "label": " Macao" }, { "value": "MG", "label": " Madagascar" }, { "value": "MW", "label": " Malawi" }, { "value": "MY", "label": " Malaysia" }, { "value": "MV", "label": " Maldives" }, { "value": "ML", "label": " Mali" }, { "value": "MT", "label": " Malta" }, { "value": "MH", "label": " Marshall Islands" }, { "value": "MQ", "label": " Martinique" }, { "value": "MR", "label": " Mauritania" }, { "value": "MU", "label": " Mauritius" }, { "value": "YT", "label": " Mayotte" }, { "value": "MX", "label": " Mexico" }, { "value": "FM", "label": " Micronesia (Federated States of)" }, { "value": "MD", "label": " Moldova, Republic of" }, { "value": "MC", "label": " Monaco" }, { "value": "MN", "label": " Mongolia" }, { "value": "ME", "label": " Montenegro" }, { "value": "MS", "label": " Montserrat" }, { "value": "MA", "label": " Morocco" }, { "value": "MZ", "label": " Mozambique" }, { "value": "MM", "label": " Myanmar" }, { "value": "NA", "label": " Namibia" }, { "value": "NR", "label": " Nauru" }, { "value": "NP", "label": " Nepal" }, { "value": "NL", "label": " Netherlands" }, { "value": "NC", "label": " New Caledonia" }, { "value": "NZ", "label": " New Zealand" }, { "value": "NI", "label": " Nicaragua" }, { "value": "NE", "label": " Niger" }, { "value": "NG", "label": " Nigeria" }, { "value": "NU", "label": " Niue" }, { "value": "NF", "label": " Norfolk Island" }, { "value": "MK", "label": " North Macedonia" }, { "value": "MP", "label": " Northern Mariana Islands" }, { "value": "NO", "label": " Norway" }, { "value": "OM", "label": " Oman" }, { "value": "PK", "label": " Pakistan" }, { "value": "PW", "label": " Palau" }, { "value": "PS", "label": " Palestine, State of" }, { "value": "PA", "label": " Panama" }, { "value": "PG", "label": " Papua New Guinea" }, { "value": "PY", "label": " Paraguay" }, { "value": "PE", "label": " Peru" }, { "value": "PH", "label": " Philippines" }, { "value": "PN", "label": " Pitcairn" }, { "value": "PL", "label": " Poland" }, { "value": "PT", "label": " Portugal" }, { "value": "PR", "label": " Puerto Rico" }, { "value": "QA", "label": " Qatar" }, { "value": "RE", "label": " Réunion" }, { "value": "RO", "label": " Romania" }, { "value": "RU", "label": " Russian Federation" }, { "value": "RW", "label": " Rwanda" }, { "value": "BL", "label": " Saint Barthélemy" }, { "value": "SH", "label": " Saint Helena, Ascension and Tristan da Cunha" }, { "value": "KN", "label": " Saint Kitts and Nevis" }, { "value": "LC", "label": " Saint Lucia" }, { "value": "MF", "label": " Saint Martin (French part)" }, { "value": "PM", "label": " Saint Pierre and Miquelon" }, { "value": "VC", "label": " Saint Vincent and the Grenadines" }, { "value": "WS", "label": " Samoa" }, { "value": "SM", 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Additional country (tax payer)
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"value": "NZ", "label": " New Zealand" }, { "value": "NI", "label": " Nicaragua" }, { "value": "NE", "label": " Niger" }, { "value": "NG", "label": " Nigeria" }, { "value": "NU", "label": " Niue" }, { "value": "NF", "label": " Norfolk Island" }, { "value": "MK", "label": " North Macedonia" }, { "value": "MP", "label": " Northern Mariana Islands" }, { "value": "NO", "label": " Norway" }, { "value": "OM", "label": " Oman" }, { "value": "PK", "label": " Pakistan" }, { "value": "PW", "label": " Palau" }, { "value": "PS", "label": " Palestine, State of" }, { "value": "PA", "label": " Panama" }, { "value": "PG", "label": " Papua New Guinea" }, { "value": "PY", "label": " Paraguay" }, { "value": "PE", "label": " Peru" }, { "value": "PH", "label": " Philippines" }, { "value": "PN", "label": " Pitcairn" }, { "value": "PL", "label": " Poland" }, { "value": "PT", "label": " Portugal" }, { "value": "PR", "label": " Puerto Rico" }, { "value": "QA", "label": " Qatar" }, { "value": "RE", "label": " Réunion" }, { "value": "RO", "label": " Romania" }, { "value": "RU", "label": " Russian Federation" }, { "value": "RW", "label": " Rwanda" }, { "value": "BL", "label": " Saint Barthélemy" }, { "value": "SH", "label": " Saint Helena, Ascension and Tristan da Cunha" }, { "value": "KN", "label": " Saint Kitts and Nevis" }, { "value": "LC", "label": " Saint Lucia" }, { "value": "MF", "label": " Saint Martin (French part)" }, { "value": "PM", "label": " Saint Pierre and Miquelon" }, { "value": "VC", "label": " Saint Vincent and the Grenadines" }, { "value": "WS", "label": " Samoa" }, { "value": "SM", "label": " San Marino" }, { "value": "ST", "label": " Sao Tome and Principe" }, { "value": "SA", "label": " Saudi Arabia" }, { "value": "SN", "label": " Senegal" }, { "value": "RS", "label": " Serbia" }, { "value": "SC", "label": " Seychelles" }, { "value": "SL", "label": " Sierra Leone" }, { "value": "SG", "label": " Singapore" }, { "value": "SX", "label": " Sint Maarten (Dutch part)" }, { "value": "SK", "label": " Slovakia" }, { "value": "SI", "label": " Slovenia" }, { "value": "SB", "label": " Solomon Islands" }, { "value": "SO", "label": " Somalia" }, { "value": "ZA", "label": " South Africa" }, { "value": "GS", "label": " South Georgia and the South Sandwich Islands" }, { "value": "SS", "label": " South Sudan" }, { "value": "ES", "label": " Spain" }, { "value": "LK", "label": " Sri Lanka" }, { "value": "SD", "label": " Sudan" }, { "value": "SR", "label": " Suriname" }, { "value": "SJ", "label": " Svalbard and Jan Mayen" }, { "value": "SE", "label": " Sweden" }, { "value": "CH", "label": " Switzerland" }, { "value": "SY", "label": " Syrian Arab Republic" }, { "value": "TW", "label": " Taiwan, Province of China" }, { "value": "TJ", "label": " Tajikistan" }, { "value": "TZ", "label": " Tanzania, United Republic of" }, { "value": "TH", "label": " Thailand" }, { "value": "TL", "label": " Timor-Leste" }, { "value": "TG", "label": " Togo" }, { "value": "TK", "label": " Tokelau" }, { "value": "TO", "label": " Tonga" }, { "value": "TT", "label": " Trinidad and Tobago" }, { "value": "TN", "label": " Tunisia" }, { "value": "TR", "label": " Turkey" }, { "value": "TM", "label": " Turkmenistan" }, { "value": "TC", "label": " Turks and Caicos Islands" }, { "value": "TV", "label": " Tuvalu" }, { "value": "UG", "label": " Uganda" }, { "value": "UA", "label": " Ukraine" }, { "value": "AE", "label": " United Arab Emirates" }, { "value": "GB", "label": " United Kingdom of Great Britain and Northern Ireland" }, { "value": "US", "label": " United States of America" }, { "value": "UM", "label": " United States Minor Outlying Islands" }, { "value": "UY", "label": " Uruguay" }, { "value": "UZ", "label": " Uzbekistan" }, { "value": "VU", "label": " Vanuatu" }, { "value": "VE", "label": " Venezuela (Bolivarian Republic of)" }, { "value": "VN", "label": " Viet Nam" }, { "value": "VG", "label": " Virgin Islands (British)" }, { "value": "VI", "label": " Virgin Islands (U.S.)" }, { "value": "WF", "label": " Wallis and Futuna" }, { "value": "EH", "label": " Western Sahara" }, { "value": "YE", "label": " Yemen" }, { "value": "ZM", "label": " Zambia" }, { "value": "ZW", "label": " Zimbabwe" } ] }, "valueProperty": "label", "selectThreshold": 0.3, "validate": { "required": true }, "key": "countryOfTaxResidence1", "type": "select", "input": true }, { "label": "Do you have a Tax Identification Number in {{data.countryOfTaxResidence1}}?", "optionsLabelPosition": "right", "inline": true, "hidden": true, "tableView": false, "values": [ { "label": "Yes", "value": "yes", "shortcut": "" }, { "label": "No", "value": "no", "shortcut": "" } ], "validate": { "required": true }, "key": "tinpresent2", "customConditional": "show = data.countryOfTaxResidence1", "type": "radio", "input": true }, { "label": "Tax Identification Number in {{data.countryOfTaxResidence1}}", "tooltip": "Please note that your local TIN might have a different abbreviation. Please consult the OECD list of accepted TINs per country", "hidden": true, "tableView": true, "validate": { "required": true }, "key": "taxIdentificationNumber1", "conditional": { "show": true, "when": "tinpresent2", "eq": "yes" }, "type": "textfield", "input": true }, { "label": "Reason for Tax Identification Number not being applicable", "hidden": true, "tableView": true, "validate": { "required": true }, "key": "reasonTaxNumberNotApplicable1", "conditional": { "show": true, "when": "tinpresent2", "eq": "no" }, "type": "textfield", "input": true } ] }, { "legend": "
Tax payer country 3
", "hidden": true, "key": "fieldSet11", "customConditional": "show = data.addtaxcountries >= 3;", "type": "fieldset", "label": "
Additional country (tax payer)
", "input": false, "tableView": false, "components": [ { "label": "Country of tax residence", "widget": "choicesjs", "tableView": true, "dataSrc": "json", "data": { "json": [ { "value": "AF", "label": " Afghanistan" }, { "value": "AX", "label": " Åland Islands" }, { "value": "AL", "label": " Albania" }, { "value": "DZ", "label": " Algeria" }, { "value": "AS", "label": " American Samoa" }, { "value": "AD", "label": " Andorra" }, { "value": "AO", "label": " Angola" }, { "value": "AI", "label": " Anguilla" }, { "value": "AQ", "label": " Antarctica" }, { "value": "AG", "label": " Antigua and Barbuda" }, { "value": "AR", "label": " Argentina" }, { "value": "AM", "label": " Armenia" }, { "value": "AW", "label": " Aruba" }, { "value": "AU", "label": " Australia" }, { "value": "AT", "label": " Austria" }, { "value": "AZ", "label": " Azerbaijan" }, { "value": "BS", "label": " Bahamas" }, { "value": "BH", "label": " Bahrain" }, { "value": "BD", "label": " Bangladesh" }, { "value": "BB", "label": " Barbados" }, { "value": "BY", "label": " Belarus" }, { "value": "BE", "label": " Belgium" }, { "value": "BZ", "label": " Belize" }, { "value": "BJ", "label": " Benin" }, { "value": "BM", "label": " Bermuda" }, { "value": "BT", "label": " Bhutan" }, { "value": "BO", "label": " Bolivia (Plurinational State of)" }, { "value": "BQ", "label": " Bonaire, Sint Eustatius and Saba" }, { "value": "BA", "label": " Bosnia and Herzegovina" }, { "value": "BW", "label": " Botswana" }, { "value": "BV", "label": " Bouvet Island" }, { "value": "BR", "label": " Brazil" }, { "value": "IO", "label": " British Indian Ocean Territory" }, { "value": "BN", "label": " Brunei Darussalam" }, { "value": "BG", "label": " Bulgaria" }, { "value": "BF", "label": " Burkina Faso" }, { "value": "BI", "label": " Burundi" }, { "value": "CV", "label": " Cabo Verde" }, { "value": "KH", "label": " Cambodia" }, { "value": "CM", "label": " Cameroon" }, { "value": "CA", "label": " Canada" }, { "value": "KY", "label": " Cayman Islands" }, { "value": "CF", "label": " Central African Republic" }, { "value": "TD", "label": " Chad" }, { "value": "CL", "label": " Chile" }, { "value": "CN", "label": " China" }, { "value": "CX", "label": " Christmas Island" }, { "value": "CC", "label": " Cocos (Keeling) Islands" }, { "value": "CO", "label": " Colombia" }, { "value": "KM", "label": " Comoros" }, { "value": "CG", "label": " Congo" }, { "value": "CD", "label": " Congo, Democratic Republic of the" }, { "value": "CK", "label": " Cook Islands" }, { "value": "CR", "label": " Costa Rica" }, { "value": "CI", "label": " Côte d'Ivoire" }, { "value": "HR", "label": " Croatia" }, { "value": "CU", "label": " Cuba" }, { "value": "CW", "label": " Curaçao" }, { "value": "CY", "label": " Cyprus" }, { "value": "CZ", "label": " Czechia" }, { "value": "DK", "label": " Denmark" }, { "value": "DJ", "label": " Djibouti" }, { "value": "DM", "label": " Dominica" }, { "value": "DO", "label": " Dominican Republic" }, { "value": "EC", "label": " Ecuador" }, { "value": "EG", "label": " Egypt" }, { "value": "SV", "label": " El Salvador" }, { "value": "GQ", "label": " Equatorial Guinea" }, { "value": "ER", "label": " Eritrea" }, { "value": "EE", "label": " Estonia" }, { "value": "SZ", "label": " Eswatini" }, { "value": "ET", "label": " Ethiopia" }, { "value": "FK", "label": " Falkland Islands (Malvinas)" }, { "value": "FO", "label": " Faroe Islands" }, { "value": "FJ", "label": " Fiji" }, { "value": "FI", "label": " Finland" }, { "value": "FR", "label": " France" }, { "value": "GF", "label": " French Guiana" }, { "value": "PF", "label": " French Polynesia" }, { "value": "TF", "label": " French Southern Territories" }, { "value": "GA", "label": " Gabon" }, { "value": "GM", "label": " Gambia" }, { "value": "GE", "label": " Georgia" }, { "value": "DE", "label": " Germany" }, { "value": "GH", "label": " Ghana" }, { "value": "GI", "label": " Gibraltar" }, { "value": "GR", "label": " Greece" }, { "value": "GL", "label": " Greenland" }, { "value": "GD", "label": " Grenada" }, { "value": "GP", "label": " Guadeloupe" }, { "value": "GU", "label": " Guam" }, { "value": "GT", "label": " Guatemala" }, { "value": "GG", "label": " Guernsey" }, { "value": "GN", "label": " Guinea" }, { "value": "GW", "label": " Guinea-Bissau" }, { "value": "GY", "label": " Guyana" }, { "value": "HT", "label": " Haiti" }, { "value": "HM", "label": " Heard Island and McDonald Islands" }, { "value": "VA", "label": " Holy See" }, { "value": "HN", "label": " Honduras" }, { "value": "HK", "label": " Hong Kong" }, { "value": "HU", "label": " Hungary" }, { "value": "IS", "label": " Iceland" }, { "value": "IN", "label": " India" }, { "value": "ID", "label": " Indonesia" }, { "value": "IR", "label": " Iran (Islamic Republic of)" }, { "value": "IQ", "label": " Iraq" }, { "value": "IE", "label": " Ireland" }, { "value": "IM", "label": " Isle of Man" }, { "value": "IL", "label": " Israel" }, { "value": "IT", "label": " Italy" }, { "value": "JM", "label": " Jamaica" }, { "value": "JP", "label": " Japan" }, { "value": "JE", "label": " Jersey" }, { "value": "JO", "label": " Jordan" }, { "value": "KZ", "label": " Kazakhstan" }, { "value": "KE", "label": " Kenya" }, { "value": "KI", "label": " Kiribati" }, { "value": "KP", "label": " Korea (Democratic People's Republic of)" }, { "value": "KR", "label": " Korea, Republic of" }, { "value": "KW", "label": " Kuwait" }, { "value": "KG", "label": " Kyrgyzstan" }, { "value": "LA", "label": " Lao People's Democratic Republic" }, { "value": "LV", "label": " Latvia" }, { "value": "LB", "label": " Lebanon" }, { "value": "LS", "label": " Lesotho" }, { "value": "LR", "label": " Liberia" }, { "value": "LY", "label": " Libya" }, { "value": "LI", "label": " Liechtenstein" }, { "value": "LT", "label": " Lithuania" }, { "value": "LU", "label": " Luxembourg" }, { "value": "MO", "label": " Macao" }, { "value": "MG", "label": " Madagascar" }, { "value": "MW", "label": " Malawi" }, { "value": "MY", "label": " Malaysia" }, { "value": "MV", "label": " Maldives" }, { "value": "ML", "label": " Mali" }, { "value": "MT", "label": " Malta" }, { "value": "MH", "label": " Marshall Islands" }, { "value": "MQ", "label": " Martinique" }, { "value": "MR", "label": " Mauritania" }, { "value": "MU", "label": " Mauritius" }, { "value": "YT", "label": " Mayotte" }, { "value": "MX", "label": " Mexico" }, { "value": "FM", "label": " Micronesia (Federated States of)" }, { "value": "MD", "label": " Moldova, Republic of" }, { "value": "MC", "label": " Monaco" }, { "value": "MN", "label": " Mongolia" }, { "value": "ME", "label": " Montenegro" }, { "value": "MS", "label": " Montserrat" }, { "value": "MA", "label": " Morocco" }, { "value": "MZ", "label": " Mozambique" }, { "value": "MM", "label": " Myanmar" }, { "value": "NA", "label": " Namibia" }, { "value": "NR", "label": " Nauru" }, { "value": "NP", "label": " Nepal" }, { "value": "NL", "label": " Netherlands" }, { "value": "NC", "label": " New Caledonia" }, { "value": "NZ", "label": " New Zealand" }, { "value": "NI", "label": " Nicaragua" }, { "value": "NE", "label": " Niger" }, { "value": "NG", "label": " Nigeria" }, { "value": "NU", "label": " Niue" }, { "value": "NF", "label": " Norfolk Island" }, { "value": "MK", "label": " North Macedonia" }, { "value": "MP", "label": " Northern Mariana Islands" }, { "value": "NO", "label": " Norway" }, { "value": "OM", "label": " Oman" }, { "value": "PK", "label": " Pakistan" }, { "value": "PW", "label": " Palau" }, { "value": "PS", "label": " Palestine, State of" }, { "value": "PA", "label": " Panama" }, { "value": "PG", "label": " Papua New Guinea" }, { "value": "PY", "label": " Paraguay" }, { "value": "PE", "label": " Peru" }, { "value": "PH", "label": " Philippines" }, { "value": "PN", "label": " Pitcairn" }, { "value": "PL", "label": " Poland" }, { "value": "PT", "label": " Portugal" }, { "value": "PR", "label": " Puerto Rico" }, { "value": "QA", "label": " Qatar" }, { "value": "RE", "label": " Réunion" }, { "value": "RO", "label": " Romania" }, { "value": "RU", "label": " Russian Federation" }, { "value": "RW", "label": " Rwanda" }, { "value": "BL", "label": " Saint Barthélemy" }, { "value": "SH", "label": " Saint Helena, Ascension and Tristan da Cunha" }, { "value": "KN", "label": " Saint Kitts and Nevis" }, { "value": "LC", "label": " Saint Lucia" }, { "value": "MF", "label": " Saint Martin (French part)" }, { "value": "PM", "label": " Saint Pierre and Miquelon" }, { "value": "VC", "label": " Saint Vincent and the Grenadines" }, { "value": "WS", "label": " Samoa" }, { "value": "SM", "label": " San Marino" }, { "value": "ST", "label": " Sao Tome and Principe" }, { "value": "SA", "label": " Saudi Arabia" }, { "value": "SN", "label": " Senegal" }, { "value": "RS", "label": " Serbia" }, { "value": "SC", "label": " Seychelles" }, { "value": "SL", "label": " Sierra Leone" }, { "value": "SG", "label": " Singapore" }, { "value": "SX", "label": " Sint Maarten (Dutch part)" }, { "value": "SK", "label": " Slovakia" }, { "value": "SI", "label": " Slovenia" }, { "value": "SB", "label": " Solomon Islands" }, { "value": "SO", "label": " Somalia" }, { "value": "ZA", "label": " South Africa" }, { "value": "GS", "label": " South Georgia and the South Sandwich Islands" }, { "value": "SS", "label": " South Sudan" }, { "value": "ES", "label": " Spain" }, { "value": "LK", "label": " Sri Lanka" }, { "value": "SD", "label": " Sudan" }, { "value": "SR", "label": " Suriname" }, { "value": "SJ", "label": " Svalbard and Jan Mayen" }, { "value": "SE", "label": " Sweden" }, { "value": "CH", "label": " Switzerland" }, { "value": "SY", "label": " Syrian Arab Republic" }, { "value": "TW", "label": " Taiwan, Province of China" }, { "value": "TJ", "label": " Tajikistan" }, { "value": "TZ", "label": " Tanzania, United Republic of" }, { "value": "TH", "label": " Thailand" }, { "value": "TL", "label": " Timor-Leste" }, { "value": "TG", "label": " Togo" }, { "value": "TK", "label": " Tokelau" }, { "value": "TO", "label": " Tonga" }, { "value": "TT", "label": " Trinidad and Tobago" }, { "value": "TN", "label": " Tunisia" }, { "value": "TR", "label": " Turkey" }, { "value": "TM", "label": " Turkmenistan" }, { "value": "TC", "label": " Turks and Caicos Islands" }, { "value": "TV", "label": " Tuvalu" }, { "value": "UG", "label": " Uganda" }, { "value": "UA", "label": " Ukraine" }, { "value": "AE", "label": " United Arab Emirates" }, { "value": "GB", "label": " United Kingdom of Great Britain and Northern Ireland" }, { "value": "US", "label": " United States of America" }, { "value": "UM", "label": " United States Minor Outlying Islands" }, { "value": "UY", "label": " Uruguay" }, { "value": "UZ", "label": " Uzbekistan" }, { "value": "VU", "label": " Vanuatu" }, { "value": "VE", "label": " Venezuela (Bolivarian Republic of)" }, { "value": "VN", "label": " Viet Nam" }, { "value": "VG", "label": " Virgin Islands (British)" }, { "value": "VI", "label": " Virgin Islands (U.S.)" }, { "value": "WF", "label": " Wallis and Futuna" }, { "value": "EH", "label": " Western Sahara" }, { "value": "YE", "label": " Yemen" }, { "value": "ZM", "label": " Zambia" }, { "value": "ZW", "label": " Zimbabwe" } ] }, "valueProperty": "label", "selectThreshold": 0.3, "validate": { "required": true }, "key": "countryOfTaxResidence2", "type": "select", "input": true }, { "label": "Do you have a Tax Identification Number in {{data.countryOfTaxResidence2}}?", "optionsLabelPosition": "right", "inline": true, "hidden": true, "tableView": false, "values": [ { "label": "Yes", "value": "yes", "shortcut": "" }, { "label": "No", "value": "no", "shortcut": "" } ], "validate": { "required": true }, "key": "tinpresent3", "customConditional": "show = data.countryOfTaxResidence2", "type": "radio", "input": true }, { "label": "Tax Identification Number in {{data.countryOfTaxResidence2}}", "tooltip": "Please note that your local TIN might have a different abbreviation. Please consult the OECD list of accepted TINs per country", "hidden": true, "tableView": true, "validate": { "required": true }, "key": "taxIdentificationNumber2", "conditional": { "show": true, "when": "tinpresent3", "eq": "yes" }, "type": "textfield", "input": true }, { "label": "Reason for Tax Identification Number not being applicable", "hidden": true, "tableView": true, "validate": { "required": true }, "key": "reasonTaxNumberNotApplicable2", "conditional": { "show": true, "when": "tinpresent3", "eq": "no" }, "type": "textfield", "input": true } ] }, { "label": "(HIDDEN - OLD US TAX QUESTION) Confirmation of US tax status - Please tick as appropriate:", "optionsLabelPosition": "right", "inline": false, "hidden": true, "tableView": false, "values": [ { "label": "I confirm that I am a US citizen or resident in the US for tax purposes (green card holder or resident under the substantial presence test) ", "value": "yes", "shortcut": "" }, { "label": "I confirm that I am not a US person for US tax purposes. I am not a US citizen or green card holder, and I am not a resident in the US for tax purposes.", "value": "no", "shortcut": "" }, { "label": "I confirm that I was born in the US (or a US territory) but am no longer a US citizen as I have voluntary surrendered my citizenship as evidenced by the attached documents.", "value": "surrender", "shortcut": "" } ], "validate": { "required": true }, "key": "confirmUSTax", "type": "radio", "input": true } ] } ] } ] }, { "legend": "Entity Tax Details (compulsory)", "hidden": true, "key": "entityTaxDetails", "conditional": { "show": true, "when": "chooseType", "eq": "legalPerson" }, "type": "fieldset", "label": "Entity Tax Details (compulsory)", "input": false, "tableView": false, "components": [ { "label": "Is the investor a tax payer or tax exempt?", "optionsLabelPosition": "right", "inline": true, "tableView": false, "values": [ { "label": "Tax payer", "value": "taxPayer", "shortcut": "" }, { "label": "Tax exempt", "value": "taxExempt", "shortcut": "" } ], "validate": { "required": true }, "key": "taxPayerOrTaxExemptLP", "type": "radio", "input": true }, { "label": "VBI status", "optionsLabelPosition": "right", "tooltip": "VBI (vrijgestelde beleggingsinstelling) status: for Dutch resident NV (naamloze vennootschap) and FGR (fonds voor gemene rekening) (or foreign comparable legal forms) investors who filed a request for VBI status with the Dutch tax authorities.", "inline": true, "tableView": false, "values": [ { "label": "Yes", "value": "yes", "shortcut": "" }, { "label": "No", "value": "no", "shortcut": "" } ], "validate": { "required": true }, "key": "VBIStatusLP", "type": "radio", "input": true }, { "label": "The Applicant represents and warrants that", "optionsLabelPosition": "right", "tooltip": "Tax transparent\r\nA tax transparent entity (or 'flow through' entity) is a legal entity where income 'flows through' to investors or owners. The income of the entity is actually treated as the income of the investors or owners and therefore in principle taxable at the level of the investors or owners. Common types of are general partnerships, limited partnerships and limited liability partnerships.\r\n\r\n \r\nDoes not qualify as a transparent entity (tax opaque)\r\nThe income of the entity is taxable at the level of the entity itself. The owners (shareholders) are only taxable for example when the profit is distributed.", "inline": false, "tableView": false, "values": [ { "label": "it qualifies as a tax transparent entity in its country of establishment", "value": "taxTransparent", "shortcut": "" }, { "label": "it does not qualify as a tax transparent entity in its country of establishment (tax opaque)", "value": "taxOpaque", "shortcut": "" } ], "validate": { "required": true }, "key": "taxTransparent", "type": "radio", "input": true }, { "legend": "FATCA declaration", "key": "fieldSet13", "type": "fieldset", "label": "Field Set", "input": false, "tableView": false, "components": [ { "html": "

The following information allows us to fulfil our obligations to foreign tax requirements under the Foreign Account Tax Compliance Act (FATCA). If you have any questions regarding your status, please consult your tax or financial adviser.

If the entity may be taxable in the US, we are obliged to pass the details on to the Dutch tax authorities. The Dutch tax authorities will forward this information to the US tax authorities (IRS). 

", "label": "Content", "refreshOnChange": false, "key": "content4", "type": "content", "input": false, "tableView": false }, { "label": "Is the entity a US tax resident?", "optionsLabelPosition": "right", "inline": true, "tableView": false, "values": [ { "label": "Yes", "value": "yes", "shortcut": "" }, { "label": "No", "value": "no", "shortcut": "" } ], "validate": { "required": true }, "key": "isEntityAUsTaxResident", "type": "radio", "input": true }, { "label": "EntityTINConditions", "calculateValue": "value = \"\"\n\nif (data.MID_LP_Country_Of_Registration == \"United States\") {\n \n value = \"yes\"\n \n}\n\nif (data.isEntityAUsTaxResident == \"yes\") {\n \n value = \"yes\"\n \n}\n", "key": "entityTinConditions", "type": "hidden", "input": true, "tableView": false }, { "label": "Please provide the entity's US Tax Identification Number (TIN)", "hidden": true, "tableView": true, "validate": { "required": true }, "key": "entitytin", "conditional": { "show": true, "when": "entityTinConditions", "eq": "yes" }, "type": "textfield", "input": true } ] }, { "legend": "Entity Classification under FATCA and CRS", "tooltip": "The information provided in this section is for FATCA/CRS purposes.", "key": "fieldSet5", "type": "fieldset", "label": "Entity Classification under FATCA", "input": false, "tableView": false, "components": [ { "title": "The below questions will help determine your entity's classification", "tooltip": "Please refer to the Glossary of Terms (by scrolling up in this form) for clarification on the different terms used within this section.", "collapsible": false, "key": "financialInstitutionsUnderFatca", "type": "panel", "label": "Panel", "input": false, "tableView": false, "components": [ { "label": "Is the Entity a Financial Institution under FATCA or CRS?", "optionsLabelPosition": "right", "tooltip": "Non-Financial Institutions are non-financial sector related entities such as: personal holding company, management company, etc.).", "inline": true, "tableView": false, "values": [ { "label": "Yes", "value": "yes", "shortcut": "" }, { "label": "No", "value": "no", "shortcut": "" } ], "validate": { "required": true }, "key": "isTheEntityAFinancialInstitutionUnderFatca", "type": "radio", "input": true }, { "label": "Please explain what type of 'Financial Institution' the entity is ", "description": " Please provide as much information as possible, including the entity's GIIN if available or reasons why a GIIN is not available. You might be requested to provide additional information.", "autoExpand": false, "hidden": true, "tableView": true, "validate": { "required": true }, "key": "financialInstitutionExplanation", "conditional": { "show": true, "when": "isTheEntityAFinancialInstitutionUnderFatca", "eq": "yes" }, "type": "textarea", "input": true }, { "label": "Does less than 50% of the gross income of the entity qualify as passive income in the preceding calendar year?", "optionsLabelPosition": "right", "tooltip": "Passive income is the proportion of gross income that consists of, amongst others, dividends, interest, income equivalent to interest, annuities, rent, royalties etc.", "inline": true, "hidden": true, "tableView": false, "values": [ { "label": "Yes", "value": "yes", "shortcut": "" }, { "label": "No", "value": "no", "shortcut": "" } ], "validate": { "required": true }, "key": "grossIncome", "conditional": { "show": true, "when": "isTheEntityAFinancialInstitutionUnderFatca", "eq": "no" }, "type": "radio", "input": true }, { "html": "

The entity is therefore a Passive Non-Financial Foreign Entity under FATCA

", "label": "Content", "refreshOnChange": false, "hidden": true, "key": "content26", "conditional": { "show": true, "when": "grossIncome", "eq": "no" }, "type": "content", "input": false, "tableView": false }, { "label": "The Entity is not a Financial Institution nor a Passive NF(F)E, please choose one of the below types", "optionsLabelPosition": "right", "inline": false, "hidden": true, "tableView": false, "values": [ { "label": "Active Non-Financial (Foreign) Foreign Entity", "value": "active", "shortcut": "" }, { "label": "The Entity is a U.S. Person, but not a Specified U.S. Person", "value": "theEntityIsAUSPersonButNotASpecifiedUSPerson", "shortcut": "" }, { "label": "A withholding foreign partnership or a withholding foreign trust pursuant to relevant U.S. Treasury Regulations", "value": "withholding", "shortcut": "" } ], "validate": { "required": true }, "key": "nonFinancialnstitution", "conditional": { "show": true, "when": "grossIncome", "eq": "yes" }, "type": "radio", "input": true }, { "label": "Which type of Active Non-Financial (Foreign) Entity is the entity?", "optionsLabelPosition": "right", "inline": false, "hidden": true, "tableView": false, "values": [ { "label": " a corporation, the stock of which is regularly traded on an established securities market.", "value": "aCorporationTheStockOfWhichIsRegularlyTradedOnAnEstablishedSecuritiesMarket", "shortcut": "" }, { "label": "a corporation which is a related entity of such a corporation", "value": "aCorporationWhichIsARelatedEntityOfSuchACorporation", "shortcut": "" }, { "label": "a Government Entity or Central Bank", "value": "aGovernmentEntityOrCentralBank", "shortcut": "" }, { "label": "an International Organisation", "value": "anInternationalOrganisation", "shortcut": "" }, { "label": "other than any of the above (for example a start-up NFE or a non-profit NFE)", "value": "otherThanAnyOfTheAboveForExampleAStartUpNfeOrANonProfitNfe", "shortcut": "" } ], "validate": { "required": true }, "key": "TypeOfActiveNonFinancialEntity", "conditional": { "show": true, "when": "nonFinancialnstitution", "eq": "active" }, "type": "radio", "input": true }, { "label": "Name of the established securities market on which the corporation is regularly traded", "hidden": true, "tableView": true, "validate": { "required": true }, "key": "SecuritiesMarket", "conditional": { "show": true, "when": "TypeOfActiveNonFinancialEntity", "eq": "aCorporationTheStockOfWhichIsRegularlyTradedOnAnEstablishedSecuritiesMarket" }, "type": "textfield", "input": true }, { "label": "Name of the regularly traded corporation that the entity identified above is a Related entity of", "hidden": true, "tableView": true, "validate": { "required": true }, "key": "RelatedEntity", "conditional": { "show": true, "when": "TypeOfActiveNonFinancialEntity", "eq": "aCorporationWhichIsARelatedEntityOfSuchACorporation" }, "type": "textfield", "input": true } ] } ] }, { "legend": "Foreign entity information", "hidden": true, "key": "fieldSet14", "customConditional": "if (MID_LP_Country_Of_Registration !== \"US\") {\n \n show = true;\n \n}", "type": "fieldset", "label": "Foreign entity information", "input": false, "tableView": false, "components": [ { "html": "

You indicated the entity is registered in {{data.MID_LP_Country_Of_Registration}}

", "label": "Content", "refreshOnChange": true, "key": "content1", "customConditional": "show = checkcountryofregistration ()\n\nfunction checkcountryofregistration () {\n if (data.countryOfRegistration !== 'United States'){\n \n\n \n return true;\n \n\n \n }\n else {\n \n return false;\n \n }\n}\n", "type": "content", "input": false, "tableView": false }, { "label": "Do you have a Tax Identification Number (TIN or RSIN) in {{data.MID_LP_Country_Of_Registration}} ?", "optionsLabelPosition": "right", "inline": true, "tableView": false, "defaultValue": "yes", "values": [ { "label": "Yes", "value": "yes", "shortcut": "" }, { "label": "No", "value": "no", "shortcut": "" } ], "redrawOn": "data", "validate": { "required": true }, "key": "entitytinavailable", "customConditional": "show = checkcountryofregistration ()\n\nfunction checkcountryofregistration () {\n if (data.countryOfRegistration !== 'United States'){\n \n\n \n return true;\n \n\n \n }\n else {\n \n return false;\n \n }\n}\n", "type": "radio", "input": true }, { "label": "Entity Tax Identification Number (TIN or RSIN) in {{data.MID_LP_Country_Of_Registration}}", "tooltip": "Please note that your local TIN might have a different abbreviation. Please consult the OECD list of accepted TINs per country", "tableView": true, "redrawOn": "data", "clearOnHide": false, "calculateValue": "if (data.entityTinConditions == \"yes\"){\n \n value = data.entitytin;\n \n}\n\nelse {\n \n value = data.MID_LP_Tax_Number;\n \n}", "allowCalculateOverride": true, "validate": { "required": true }, "key": "individualTaxIdentificationNumberTin1", "customConditional": "show = checkcountryofregistration ()\n\nfunction checkcountryofregistration () {\n if (data.countryOfRegistration !== 'United States'){\n \n if (data.entitytinavailable == \"yes\") {\n \n return true;\n \n }\n \n }\n else {\n \n return false;\n \n }\n}\n", "type": "textfield", "input": true }, { "label": "Reason for Tax Identification Number not being applicable", "tableView": true, "validate": { "required": true }, "key": "reasonForTaxIdentificationNumberNotBeingApplicable", "customConditional": "show = checkcountryofregistration ()\n\nfunction checkcountryofregistration () {\n if (data.countryOfRegistration !== 'United States of America'){\n \n if (data.entitytinavailable == \"no\") {\n \n return true;\n \n }\n \n }\n else {\n \n return false;\n \n }\n}\n", "type": "textfield", "input": true }, { "label": "Is the entity a registered tax payer in any country other than the country of registration?", "optionsLabelPosition": "right", "inline": true, "tableView": false, "values": [ { "label": "Yes", "value": "yes", "shortcut": "" }, { "label": "No", "value": "no", "shortcut": "" } ], "validate": { "required": true }, "key": "areYouARegisteredTaxPayerOfAnyCountryOtherThanYourPrimaryCountryOfResidence1", "type": "radio", "input": true }, { "label": "In how many additional countries is the entity a tax payer?", "widget": "choicesjs", "hidden": true, "tableView": true, "data": { "values": [ { "label": "1", "value": "1" }, { "label": "2", "value": "2" }, { "label": "3", "value": "3" } ] }, "selectThreshold": 0.3, "validate": { "required": true }, "key": "addtaxcountriesentity", "conditional": { "show": true, "when": "areYouARegisteredTaxPayerOfAnyCountryOtherThanYourPrimaryCountryOfResidence1", "eq": "yes" }, "type": "select", "input": true }, { "legend": "
Additional country (tax payer)
", "hidden": true, "key": "fieldSet12", "customConditional": "show = data.addtaxcountriesentity >= 1;", "type": "fieldset", "label": "
Additional country (tax payer)
", "input": false, "tableView": false, "components": [ { "label": "Country of tax residence", "widget": "choicesjs", "tableView": true, "dataSrc": "json", "data": { "json": [ { "value": "AF", "label": " Afghanistan" }, { "value": "AX", "label": " Åland Islands" }, { "value": "AL", "label": " Albania" }, { "value": "DZ", "label": " Algeria" }, { "value": "AS", "label": " American Samoa" }, { "value": "AD", "label": " Andorra" }, { "value": "AO", "label": " Angola" }, { "value": "AI", "label": " Anguilla" }, { "value": "AQ", "label": " Antarctica" }, { "value": "AG", "label": " Antigua and Barbuda" }, { "value": "AR", "label": " Argentina" }, { "value": "AM", "label": " Armenia" }, { "value": "AW", "label": " Aruba" }, { "value": "AU", "label": " Australia" }, { "value": "AT", "label": " Austria" }, { "value": "AZ", "label": " Azerbaijan" }, { "value": "BS", "label": " Bahamas" }, { "value": "BH", "label": " Bahrain" }, { "value": "BD", "label": " Bangladesh" }, { "value": "BB", "label": " Barbados" }, { "value": "BY", "label": " Belarus" }, { "value": "BE", "label": " Belgium" }, { "value": "BZ", "label": " Belize" }, { "value": "BJ", "label": " Benin" }, { "value": "BM", "label": " Bermuda" }, { "value": "BT", "label": " Bhutan" }, { "value": "BO", "label": " Bolivia (Plurinational State of)" }, { "value": "BQ", "label": " Bonaire, Sint Eustatius and Saba" }, { "value": "BA", "label": " Bosnia and Herzegovina" }, { "value": "BW", "label": " Botswana" }, { "value": "BV", "label": " Bouvet Island" }, { "value": "BR", "label": " Brazil" }, { "value": "IO", "label": " British Indian Ocean Territory" }, { "value": "BN", "label": " Brunei Darussalam" }, { "value": "BG", "label": " Bulgaria" }, { "value": "BF", "label": " Burkina Faso" }, { "value": "BI", "label": " Burundi" }, { "value": "CV", "label": " Cabo Verde" }, { "value": "KH", "label": " Cambodia" }, { "value": "CM", "label": " Cameroon" }, { "value": "CA", "label": " Canada" }, { "value": "KY", "label": " Cayman Islands" }, { "value": "CF", "label": " Central African Republic" }, { "value": "TD", "label": " Chad" }, { "value": "CL", "label": " Chile" }, { "value": "CN", "label": " China" }, { "value": "CX", "label": " Christmas Island" }, { "value": "CC", "label": " Cocos (Keeling) Islands" }, { "value": "CO", "label": " Colombia" }, { "value": "KM", "label": " Comoros" }, { "value": "CG", "label": " Congo" }, { "value": "CD", "label": " Congo, Democratic Republic of the" }, { "value": "CK", "label": " Cook Islands" }, { "value": "CR", "label": " Costa Rica" }, { "value": "CI", "label": " Côte d'Ivoire" }, { "value": "HR", "label": " Croatia" }, { "value": "CU", "label": " Cuba" }, { "value": "CW", "label": " Curaçao" }, { "value": "CY", "label": " Cyprus" }, { "value": "CZ", "label": " Czechia" }, { "value": "DK", "label": " Denmark" }, { "value": "DJ", "label": " Djibouti" }, { "value": "DM", "label": " Dominica" }, { "value": "DO", "label": " Dominican Republic" }, { "value": "EC", "label": " Ecuador" }, { "value": "EG", "label": " Egypt" }, { "value": "SV", "label": " El Salvador" }, { "value": "GQ", "label": " Equatorial Guinea" }, { "value": "ER", "label": " Eritrea" }, { "value": "EE", "label": " Estonia" }, { "value": "SZ", "label": " Eswatini" }, { "value": "ET", "label": " Ethiopia" }, { "value": "FK", "label": " Falkland Islands (Malvinas)" }, { "value": "FO", "label": " Faroe Islands" }, { "value": "FJ", "label": " Fiji" }, { "value": "FI", "label": " Finland" }, { "value": "FR", "label": " France" }, { "value": "GF", "label": " French Guiana" }, { "value": "PF", "label": " French Polynesia" }, { "value": "TF", "label": " French Southern Territories" }, { "value": "GA", "label": " Gabon" }, { "value": "GM", "label": " Gambia" }, { "value": "GE", "label": " Georgia" }, { "value": "DE", "label": " Germany" }, { "value": "GH", "label": " Ghana" }, { "value": "GI", "label": " Gibraltar" }, { "value": "GR", "label": " Greece" }, { "value": "GL", "label": " Greenland" }, { "value": "GD", "label": " Grenada" }, { "value": "GP", "label": " Guadeloupe" }, { "value": "GU", "label": " Guam" }, { "value": "GT", "label": " Guatemala" }, { "value": "GG", "label": " Guernsey" }, { "value": "GN", "label": " Guinea" }, { "value": "GW", "label": " Guinea-Bissau" }, { "value": "GY", "label": " Guyana" }, { "value": "HT", "label": " Haiti" }, { "value": "HM", "label": " Heard Island and McDonald Islands" }, { "value": "VA", "label": " Holy See" }, { "value": "HN", "label": " Honduras" }, { "value": "HK", "label": " Hong Kong" }, { "value": "HU", "label": " Hungary" }, { "value": "IS", "label": " Iceland" }, { "value": "IN", "label": " India" }, { "value": "ID", "label": " Indonesia" }, { "value": "IR", "label": " Iran (Islamic Republic of)" }, { "value": "IQ", "label": " Iraq" }, { "value": "IE", "label": " Ireland" }, { "value": "IM", "label": " Isle of Man" }, { "value": "IL", "label": " Israel" }, { "value": "IT", "label": " Italy" }, { "value": "JM", "label": " Jamaica" }, { "value": "JP", "label": " Japan" }, { "value": "JE", "label": " Jersey" }, { "value": "JO", "label": " Jordan" }, { "value": "KZ", "label": " Kazakhstan" }, { "value": "KE", "label": " Kenya" }, { "value": "KI", "label": " Kiribati" }, { "value": "KP", "label": " Korea (Democratic People's Republic of)" }, { "value": "KR", "label": " Korea, Republic of" }, { "value": "KW", "label": " Kuwait" }, { "value": "KG", "label": " Kyrgyzstan" }, { "value": "LA", "label": " Lao People's Democratic Republic" }, { "value": "LV", "label": " Latvia" }, { "value": "LB", "label": " Lebanon" }, { "value": "LS", "label": " Lesotho" }, { "value": "LR", "label": " Liberia" }, { "value": "LY", "label": " Libya" }, { "value": "LI", "label": " Liechtenstein" }, { "value": "LT", "label": " Lithuania" }, { "value": "LU", "label": " Luxembourg" }, { "value": "MO", "label": " Macao" }, { "value": "MG", "label": " Madagascar" }, { "value": "MW", "label": " Malawi" }, { "value": "MY", "label": " Malaysia" }, { "value": "MV", "label": " Maldives" }, { "value": "ML", "label": " Mali" }, { "value": "MT", "label": " Malta" }, { "value": "MH", "label": " Marshall Islands" }, { "value": "MQ", "label": " Martinique" }, { "value": "MR", "label": " Mauritania" }, { "value": "MU", "label": " Mauritius" }, { "value": "YT", "label": " Mayotte" }, { "value": "MX", "label": " Mexico" }, { "value": "FM", "label": " Micronesia (Federated States of)" }, { "value": "MD", "label": " Moldova, Republic of" }, { "value": "MC", "label": " Monaco" }, { "value": "MN", "label": " Mongolia" }, { "value": "ME", "label": " Montenegro" }, { "value": "MS", "label": " Montserrat" }, { "value": "MA", "label": " Morocco" }, { "value": "MZ", "label": " Mozambique" }, { "value": "MM", "label": " Myanmar" }, { "value": "NA", "label": " Namibia" }, { "value": "NR", "label": " Nauru" }, { "value": "NP", "label": " Nepal" }, { "value": "NL", "label": " Netherlands" }, { "value": "NC", "label": " New Caledonia" }, { "value": "NZ", "label": " New Zealand" }, { "value": "NI", "label": " Nicaragua" }, { "value": "NE", "label": " Niger" }, { "value": "NG", "label": " Nigeria" }, { "value": "NU", "label": " Niue" }, { "value": "NF", "label": " Norfolk Island" }, { "value": "MK", "label": " North Macedonia" }, { "value": "MP", "label": " Northern Mariana Islands" }, { "value": "NO", "label": " Norway" }, { "value": "OM", "label": " Oman" }, { "value": "PK", "label": " Pakistan" }, { "value": "PW", "label": " Palau" }, { "value": "PS", "label": " Palestine, State of" }, { "value": "PA", "label": " Panama" }, { "value": "PG", "label": " Papua New Guinea" }, { "value": "PY", "label": " Paraguay" }, { "value": "PE", "label": " Peru" }, { "value": "PH", "label": " Philippines" }, { "value": "PN", "label": " Pitcairn" }, { "value": "PL", "label": " Poland" }, { "value": "PT", "label": " Portugal" }, { "value": "PR", "label": " Puerto Rico" }, { "value": "QA", "label": " Qatar" }, { "value": "RE", "label": " Réunion" }, { "value": "RO", "label": " Romania" }, { "value": "RU", "label": " Russian Federation" }, { "value": "RW", "label": " Rwanda" }, { "value": "BL", "label": " Saint Barthélemy" }, { "value": "SH", "label": " Saint Helena, Ascension and Tristan da Cunha" }, { "value": "KN", "label": " Saint Kitts and Nevis" }, { "value": "LC", "label": " Saint Lucia" }, { "value": "MF", "label": " Saint Martin (French part)" }, { "value": "PM", "label": " Saint Pierre and Miquelon" }, { "value": "VC", "label": " Saint Vincent and the Grenadines" }, { "value": "WS", "label": " Samoa" }, { "value": "SM", "label": " San Marino" }, { "value": "ST", "label": " Sao Tome and Principe" }, { "value": "SA", "label": " Saudi Arabia" }, { "value": "SN", "label": " Senegal" }, { "value": "RS", "label": " Serbia" }, { "value": "SC", "label": " Seychelles" }, { "value": "SL", "label": " Sierra Leone" }, { "value": "SG", "label": " Singapore" }, { "value": "SX", "label": " Sint Maarten (Dutch part)" }, { "value": "SK", "label": " Slovakia" }, { "value": "SI", "label": " Slovenia" }, { "value": "SB", "label": " Solomon Islands" }, { "value": "SO", "label": " Somalia" }, { "value": "ZA", "label": " South Africa" }, { "value": "GS", "label": " South Georgia and the South Sandwich Islands" }, { "value": "SS", "label": " South Sudan" }, { "value": "ES", "label": " Spain" }, { "value": "LK", "label": " Sri Lanka" }, { "value": "SD", "label": " Sudan" }, { "value": "SR", "label": " Suriname" }, { "value": "SJ", "label": " Svalbard and Jan Mayen" }, { "value": "SE", "label": " Sweden" }, { "value": "CH", "label": " Switzerland" }, { "value": "SY", "label": " Syrian Arab Republic" }, { "value": "TW", "label": " Taiwan, Province of China" }, { "value": "TJ", "label": " Tajikistan" }, { "value": "TZ", "label": " Tanzania, United Republic of" }, { "value": "TH", "label": " Thailand" }, { "value": "TL", "label": " Timor-Leste" }, { "value": "TG", "label": " Togo" }, { "value": "TK", "label": " Tokelau" }, { "value": "TO", "label": " Tonga" }, { "value": "TT", "label": " Trinidad and Tobago" }, { "value": "TN", "label": " Tunisia" }, { "value": "TR", "label": " Turkey" }, { "value": "TM", "label": " Turkmenistan" }, { "value": "TC", "label": " Turks and Caicos Islands" }, { "value": "TV", "label": " Tuvalu" }, { "value": "UG", "label": " Uganda" }, { "value": "UA", "label": " Ukraine" }, { "value": "AE", "label": " United Arab Emirates" }, { "value": "GB", "label": " United Kingdom of Great Britain and Northern Ireland" }, { "value": "US", "label": " United States of America" }, { "value": "UM", "label": " United States Minor Outlying Islands" }, { "value": "UY", "label": " Uruguay" }, { "value": "UZ", "label": " Uzbekistan" }, { "value": "VU", "label": " Vanuatu" }, { "value": "VE", "label": " Venezuela (Bolivarian Republic of)" }, { "value": "VN", "label": " Viet Nam" }, { "value": "VG", "label": " Virgin Islands (British)" }, { "value": "VI", "label": " Virgin Islands 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Please consult the OECD list of accepted TINs per country", "hidden": true, "tableView": true, "validate": { "required": true }, "key": "taxIdentificationNumber6", "conditional": { "show": true, "when": "tinpresent5", "eq": "yes" }, "type": "textfield", "input": true }, { "label": "Reason for Tax Identification Number not being applicable", "hidden": true, "tableView": true, "validate": { "required": true }, "key": "reasonTaxNumberNotApplicable6", "conditional": { "show": true, "when": "tinpresent5", "eq": "no" }, "type": "textfield", "input": true } ] }, { "legend": "
Additional country 2 (tax payer)
", "hidden": true, "key": "fieldSet15", "customConditional": "show = data.addtaxcountriesentity >= 2;", "type": "fieldset", "label": "
Additional country (tax payer)
", "input": false, "tableView": false, "components": [ { "label": "Country of tax residence", "widget": "choicesjs", "tableView": true, "dataSrc": "json", "data": { "json": [ { "value": "AF", "label": " Afghanistan" }, { "value": "AX", "label": " Åland Islands" }, { "value": "AL", "label": " Albania" }, { "value": "DZ", "label": " Algeria" }, { "value": "AS", "label": " American Samoa" }, { "value": "AD", "label": " Andorra" }, { "value": "AO", "label": " Angola" }, { "value": "AI", "label": " Anguilla" }, { "value": "AQ", "label": " Antarctica" }, { "value": "AG", "label": " Antigua and Barbuda" }, { "value": "AR", "label": " Argentina" }, { "value": "AM", "label": " Armenia" }, { "value": "AW", "label": " Aruba" }, { "value": "AU", "label": " Australia" }, { "value": "AT", "label": " Austria" }, { "value": "AZ", "label": " Azerbaijan" }, { "value": "BS", "label": " Bahamas" }, { "value": "BH", "label": " Bahrain" }, { "value": "BD", "label": " Bangladesh" }, { "value": "BB", "label": " Barbados" }, { "value": "BY", "label": " Belarus" }, { "value": "BE", "label": " Belgium" }, { "value": "BZ", "label": " Belize" }, { "value": "BJ", "label": " Benin" }, { "value": "BM", "label": " Bermuda" }, { "value": "BT", "label": " Bhutan" }, { "value": "BO", "label": " Bolivia (Plurinational State of)" }, { "value": "BQ", "label": " Bonaire, Sint Eustatius and Saba" }, { "value": "BA", "label": " Bosnia and Herzegovina" }, { "value": "BW", "label": " Botswana" }, { "value": "BV", "label": " Bouvet Island" }, { "value": "BR", "label": " Brazil" }, { "value": "IO", "label": " British Indian Ocean Territory" }, { "value": "BN", "label": " Brunei Darussalam" }, { "value": "BG", "label": " Bulgaria" }, { "value": "BF", "label": " Burkina Faso" }, { "value": "BI", "label": " Burundi" }, { "value": "CV", "label": " Cabo Verde" }, { "value": "KH", "label": " Cambodia" }, { "value": "CM", "label": " Cameroon" }, { "value": "CA", "label": " Canada" }, { "value": "KY", "label": " Cayman Islands" }, { "value": "CF", "label": " Central African Republic" }, { "value": "TD", "label": " Chad" }, { "value": "CL", "label": " Chile" }, { "value": "CN", "label": " China" }, { "value": "CX", "label": " Christmas Island" }, { "value": "CC", "label": " Cocos (Keeling) Islands" }, { "value": "CO", "label": " Colombia" }, { "value": "KM", "label": " Comoros" }, { "value": "CG", "label": " Congo" }, { "value": "CD", "label": " Congo, Democratic Republic of the" }, { "value": "CK", "label": " Cook Islands" }, { "value": "CR", "label": " Costa Rica" }, { "value": "CI", "label": " Côte d'Ivoire" }, { "value": "HR", "label": " Croatia" }, { "value": "CU", "label": " Cuba" }, { "value": "CW", "label": " Curaçao" }, { "value": "CY", "label": " Cyprus" }, { "value": "CZ", "label": " Czechia" }, { "value": "DK", "label": " Denmark" }, { "value": "DJ", "label": " Djibouti" }, { "value": "DM", "label": " Dominica" }, { "value": "DO", "label": " Dominican Republic" }, { "value": "EC", "label": " Ecuador" }, { "value": "EG", "label": " Egypt" }, { "value": "SV", "label": " El Salvador" }, { "value": "GQ", "label": " Equatorial Guinea" }, { "value": "ER", "label": " Eritrea" }, { "value": "EE", "label": " Estonia" }, { "value": "SZ", "label": " Eswatini" }, { "value": "ET", "label": " Ethiopia" }, { "value": "FK", "label": " Falkland Islands (Malvinas)" }, { "value": "FO", "label": " Faroe Islands" }, { "value": "FJ", "label": " Fiji" }, { "value": "FI", "label": " Finland" }, { "value": "FR", "label": " France" }, { "value": "GF", "label": " French Guiana" }, { "value": "PF", "label": " French Polynesia" }, { "value": "TF", "label": " French Southern Territories" }, { "value": "GA", "label": " Gabon" }, { "value": "GM", "label": " Gambia" }, { "value": "GE", "label": " Georgia" }, { "value": "DE", "label": " Germany" }, { "value": "GH", "label": " Ghana" }, { "value": "GI", "label": " Gibraltar" }, { "value": "GR", "label": " Greece" }, { "value": "GL", "label": " Greenland" }, { "value": "GD", "label": " Grenada" }, { "value": "GP", "label": " Guadeloupe" }, { "value": "GU", "label": " Guam" }, { "value": "GT", "label": " Guatemala" }, { "value": "GG", "label": " Guernsey" }, { "value": "GN", "label": " Guinea" }, { "value": "GW", "label": " Guinea-Bissau" }, { "value": "GY", "label": " Guyana" }, { "value": "HT", "label": " Haiti" }, { "value": "HM", "label": " Heard Island and McDonald Islands" }, { "value": "VA", "label": " Holy See" }, { "value": "HN", "label": " Honduras" }, { "value": "HK", "label": " Hong Kong" }, { "value": "HU", "label": " Hungary" }, { "value": "IS", "label": " Iceland" }, { "value": "IN", "label": " India" }, { "value": "ID", "label": " Indonesia" }, { "value": "IR", "label": " Iran (Islamic Republic of)" }, { "value": "IQ", "label": " Iraq" }, { "value": "IE", "label": " Ireland" }, { "value": "IM", "label": " Isle of Man" }, { "value": "IL", "label": " Israel" }, { "value": "IT", "label": " Italy" }, { "value": "JM", "label": " Jamaica" }, { "value": "JP", "label": " Japan" }, { "value": "JE", "label": " Jersey" }, { "value": "JO", "label": " Jordan" }, { "value": "KZ", "label": " Kazakhstan" }, { "value": "KE", "label": " Kenya" }, { "value": "KI", "label": " Kiribati" }, { "value": "KP", "label": " Korea (Democratic People's Republic of)" }, { "value": "KR", "label": " Korea, Republic of" }, { "value": "KW", "label": " Kuwait" }, { "value": "KG", "label": " Kyrgyzstan" }, { "value": "LA", "label": " Lao People's Democratic Republic" }, { "value": "LV", "label": " Latvia" }, { "value": "LB", "label": " Lebanon" }, { "value": "LS", "label": " Lesotho" }, { "value": "LR", "label": " Liberia" }, { "value": "LY", "label": " Libya" }, { "value": "LI", "label": " Liechtenstein" }, { "value": "LT", "label": " Lithuania" }, { "value": "LU", "label": " Luxembourg" }, { "value": "MO", "label": " Macao" }, { "value": "MG", "label": " Madagascar" }, { "value": "MW", "label": " Malawi" }, { "value": "MY", "label": " Malaysia" }, { "value": "MV", "label": " Maldives" }, { "value": "ML", "label": " Mali" }, { "value": "MT", "label": " Malta" }, { "value": "MH", "label": " Marshall Islands" }, { "value": "MQ", "label": " Martinique" }, { "value": "MR", "label": " Mauritania" }, { "value": "MU", "label": " Mauritius" }, { "value": "YT", "label": " Mayotte" }, { "value": "MX", "label": " Mexico" }, { "value": "FM", "label": " Micronesia (Federated States of)" }, { "value": "MD", "label": " Moldova, Republic of" }, { "value": "MC", "label": " Monaco" }, { "value": "MN", "label": " Mongolia" }, { "value": "ME", "label": " Montenegro" }, { "value": "MS", "label": " Montserrat" }, { "value": "MA", "label": " Morocco" }, { "value": "MZ", "label": " Mozambique" }, { "value": "MM", "label": " Myanmar" }, { "value": "NA", "label": " Namibia" }, { "value": "NR", "label": " Nauru" }, { "value": "NP", "label": " Nepal" }, { "value": "NL", "label": " Netherlands" }, { "value": "NC", "label": " New Caledonia" }, { "value": "NZ", "label": " New Zealand" }, { "value": "NI", "label": " Nicaragua" }, { "value": "NE", "label": " Niger" }, { "value": "NG", "label": " Nigeria" }, { "value": "NU", "label": " Niue" }, { "value": "NF", "label": " Norfolk Island" }, { "value": "MK", "label": " North Macedonia" }, { "value": "MP", "label": " Northern Mariana Islands" }, { "value": "NO", "label": " Norway" }, { "value": "OM", "label": " Oman" }, { "value": "PK", "label": " Pakistan" }, { "value": "PW", "label": " Palau" }, { "value": "PS", "label": " Palestine, State of" }, { "value": "PA", "label": " Panama" }, { "value": "PG", "label": " Papua New Guinea" }, { "value": "PY", "label": " Paraguay" }, { "value": "PE", "label": " Peru" }, { "value": "PH", "label": " Philippines" }, { "value": "PN", "label": " Pitcairn" }, { "value": "PL", "label": " Poland" }, { "value": "PT", "label": " Portugal" }, { "value": "PR", "label": " Puerto Rico" }, { "value": "QA", "label": " Qatar" }, { "value": "RE", "label": " Réunion" }, { "value": "RO", "label": " Romania" }, { "value": "RU", "label": " Russian Federation" }, { "value": "RW", "label": " Rwanda" }, { "value": "BL", "label": " Saint Barthélemy" }, { "value": "SH", "label": " Saint Helena, Ascension and Tristan da Cunha" }, { "value": "KN", "label": " Saint Kitts and Nevis" }, { "value": "LC", "label": " Saint Lucia" }, { "value": "MF", "label": " Saint Martin (French part)" }, { "value": "PM", "label": " Saint Pierre and Miquelon" }, { "value": "VC", "label": " Saint Vincent and the Grenadines" }, { "value": "WS", "label": " Samoa" }, { "value": "SM", "label": " San Marino" }, { "value": "ST", "label": " Sao Tome and Principe" }, { "value": "SA", "label": " Saudi Arabia" }, { "value": "SN", "label": " Senegal" }, { "value": "RS", "label": " Serbia" }, { "value": "SC", "label": " Seychelles" }, { "value": "SL", "label": " Sierra Leone" }, { "value": "SG", "label": " Singapore" }, { "value": "SX", "label": " Sint Maarten (Dutch part)" }, { "value": "SK", "label": " Slovakia" }, { "value": "SI", "label": " Slovenia" }, { "value": "SB", "label": " Solomon Islands" }, { "value": "SO", "label": " Somalia" }, { "value": "ZA", "label": " South Africa" }, { "value": "GS", "label": " South Georgia and the South Sandwich Islands" }, { "value": "SS", "label": " South Sudan" }, { "value": "ES", "label": " Spain" }, { "value": "LK", "label": " Sri Lanka" }, { "value": "SD", "label": " Sudan" }, { "value": "SR", "label": " Suriname" }, { "value": "SJ", "label": " Svalbard and Jan Mayen" }, { "value": "SE", "label": " Sweden" }, { "value": "CH", "label": " Switzerland" }, { "value": "SY", "label": " Syrian Arab Republic" }, { "value": "TW", "label": " Taiwan, Province of China" }, { "value": "TJ", "label": " Tajikistan" }, { "value": "TZ", "label": " Tanzania, United Republic of" }, { "value": "TH", "label": " Thailand" }, { "value": "TL", "label": " Timor-Leste" }, { "value": "TG", "label": " Togo" }, { "value": "TK", "label": " Tokelau" }, { "value": "TO", "label": " Tonga" }, { "value": "TT", "label": " Trinidad and Tobago" }, { "value": "TN", "label": " Tunisia" }, { "value": "TR", "label": " Turkey" }, { "value": "TM", "label": " Turkmenistan" }, { "value": "TC", "label": " Turks and Caicos Islands" }, { "value": "TV", "label": " Tuvalu" }, { "value": "UG", "label": " Uganda" }, { "value": "UA", "label": " Ukraine" }, { "value": "AE", "label": " United Arab Emirates" }, { "value": "GB", "label": " United Kingdom of Great Britain and Northern Ireland" }, { "value": "US", "label": " United States of America" }, { "value": "UM", "label": " United States Minor Outlying Islands" }, { "value": "UY", "label": " Uruguay" }, { "value": "UZ", "label": " Uzbekistan" }, { "value": "VU", "label": " Vanuatu" }, { "value": "VE", "label": " Venezuela (Bolivarian Republic of)" }, { "value": "VN", "label": " Viet Nam" }, { "value": "VG", "label": " Virgin Islands (British)" }, { "value": "VI", "label": " Virgin Islands (U.S.)" }, { "value": "WF", "label": " Wallis and Futuna" }, { "value": "EH", "label": " Western Sahara" }, { "value": "YE", "label": " Yemen" }, { "value": "ZM", "label": " Zambia" }, { "value": "ZW", "label": " Zimbabwe" } ] }, "valueProperty": "label", "selectThreshold": 0.3, "validate": { "required": true }, "key": "countryOfTaxResidence7", "type": "select", "input": true }, { "label": "Do you have a Tax Identification Number in {{data.countryOfTaxResidence7}}?", "optionsLabelPosition": "right", "inline": true, "hidden": true, "tableView": false, "values": [ { "label": "Yes", "value": "yes", "shortcut": "" }, { "label": "No", "value": "no", "shortcut": "" } ], "validate": { "required": true }, "key": "tinpresent6", "customConditional": "show = data.countryOfTaxResidence7", "type": "radio", "input": true }, { "label": "Tax Identification Number in {{data.countryOfTaxResidence7}}", "tooltip": "Please note that your local TIN might have a different abbreviation. Please consult the OECD list of accepted TINs per country", "hidden": true, "tableView": true, "validate": { "required": true }, "key": "taxIdentificationNumber7", "conditional": { "show": true, "when": "tinpresent6", "eq": "yes" }, "type": "textfield", "input": true }, { "label": "Reason for Tax Identification Number not being applicable", "hidden": true, "tableView": true, "validate": { "required": true }, "key": "reasonTaxNumberNotApplicable7", "conditional": { "show": true, "when": "tinpresent6", "eq": "no" }, "type": "textfield", "input": true } ] }, { "legend": "
Additional country 3 (tax payer)
", "hidden": true, "key": "fieldSet16", "customConditional": "show = data.addtaxcountriesentity >= 3;", "type": "fieldset", "label": "
Additional country (tax payer)
", "input": false, "tableView": false, "components": [ { "label": "Country of tax residence", "widget": "choicesjs", "tableView": true, "dataSrc": "json", "data": { "json": [ { "value": "AF", "label": " Afghanistan" }, { "value": "AX", "label": " Åland Islands" }, { "value": "AL", "label": " Albania" }, { "value": "DZ", "label": " Algeria" }, { "value": "AS", "label": " American Samoa" }, { "value": "AD", "label": " Andorra" }, { "value": "AO", "label": " Angola" }, { "value": "AI", "label": " Anguilla" }, { "value": "AQ", "label": " Antarctica" }, { "value": "AG", "label": " Antigua and Barbuda" }, { "value": "AR", "label": " Argentina" }, { "value": "AM", "label": " Armenia" }, { "value": "AW", "label": " Aruba" }, { "value": "AU", "label": " Australia" }, { "value": "AT", "label": " Austria" }, { "value": "AZ", "label": " Azerbaijan" }, { "value": "BS", "label": " Bahamas" }, { "value": "BH", "label": " Bahrain" }, { "value": "BD", "label": " Bangladesh" }, { "value": "BB", "label": " Barbados" }, { "value": "BY", "label": " Belarus" }, { "value": "BE", "label": " Belgium" }, { "value": "BZ", "label": " Belize" }, { "value": "BJ", "label": " Benin" }, { "value": "BM", "label": " Bermuda" }, { "value": "BT", "label": " Bhutan" }, { "value": "BO", "label": " Bolivia (Plurinational State of)" }, { "value": "BQ", "label": " Bonaire, Sint Eustatius and Saba" }, { "value": "BA", "label": " Bosnia and Herzegovina" }, { "value": "BW", "label": " Botswana" }, { "value": "BV", "label": " Bouvet Island" }, { "value": "BR", "label": " Brazil" }, { "value": "IO", "label": " British Indian Ocean Territory" }, { "value": "BN", "label": " Brunei Darussalam" }, { "value": "BG", "label": " Bulgaria" }, { "value": "BF", "label": " Burkina Faso" }, { "value": "BI", "label": " Burundi" }, { "value": "CV", "label": " Cabo Verde" }, { "value": "KH", "label": " Cambodia" }, { "value": "CM", "label": " Cameroon" }, { "value": "CA", "label": " Canada" }, { "value": "KY", "label": " Cayman Islands" }, { "value": "CF", "label": " Central African Republic" }, { "value": "TD", "label": " Chad" }, { "value": "CL", "label": " Chile" }, { "value": "CN", "label": " China" }, { "value": "CX", "label": " Christmas Island" }, { "value": "CC", "label": " Cocos (Keeling) Islands" }, { "value": "CO", "label": " Colombia" }, { "value": "KM", "label": " Comoros" }, { "value": "CG", "label": " Congo" }, { "value": "CD", "label": " Congo, Democratic Republic of the" }, { "value": "CK", "label": " Cook Islands" }, { "value": "CR", "label": " Costa Rica" }, { "value": "CI", "label": " Côte d'Ivoire" }, { "value": "HR", "label": " Croatia" }, { "value": "CU", "label": " Cuba" }, { "value": "CW", "label": " Curaçao" }, { "value": "CY", "label": " Cyprus" }, { "value": "CZ", "label": " Czechia" }, { "value": "DK", "label": " Denmark" }, { "value": "DJ", "label": " Djibouti" }, { "value": "DM", "label": " Dominica" }, { "value": "DO", "label": " Dominican Republic" }, { "value": "EC", "label": " Ecuador" }, { "value": "EG", "label": " Egypt" }, { "value": "SV", "label": " El Salvador" }, { "value": "GQ", "label": " Equatorial Guinea" }, { "value": "ER", "label": " Eritrea" }, { "value": "EE", "label": " Estonia" }, { "value": "SZ", "label": " Eswatini" }, { "value": "ET", "label": " Ethiopia" }, { "value": "FK", "label": " Falkland Islands (Malvinas)" }, { "value": "FO", "label": " Faroe Islands" }, { "value": "FJ", "label": " Fiji" }, { "value": "FI", "label": " Finland" }, { "value": "FR", "label": " France" }, { "value": "GF", "label": " French Guiana" }, { "value": "PF", "label": " French Polynesia" }, { "value": "TF", "label": " French Southern Territories" }, { "value": "GA", "label": " Gabon" }, { "value": "GM", "label": " Gambia" }, { "value": "GE", "label": " Georgia" }, { "value": "DE", "label": " Germany" }, { "value": "GH", "label": " Ghana" }, { "value": "GI", "label": " Gibraltar" }, { "value": "GR", "label": " Greece" }, { "value": "GL", "label": " Greenland" }, { "value": "GD", "label": " Grenada" }, { "value": "GP", "label": " Guadeloupe" }, { "value": "GU", "label": " Guam" }, { "value": "GT", "label": " Guatemala" }, { "value": "GG", "label": " Guernsey" }, { "value": "GN", "label": " Guinea" }, { "value": "GW", "label": " Guinea-Bissau" }, { "value": "GY", "label": " Guyana" }, { "value": "HT", "label": " Haiti" }, { "value": "HM", "label": " Heard Island and McDonald Islands" }, { "value": "VA", "label": " Holy See" }, { "value": "HN", "label": " Honduras" }, { "value": "HK", "label": " Hong Kong" }, { "value": "HU", "label": " Hungary" }, { "value": "IS", "label": " Iceland" }, { "value": "IN", "label": " India" }, { "value": "ID", "label": " Indonesia" }, { "value": "IR", "label": " Iran (Islamic Republic of)" }, { "value": "IQ", "label": " Iraq" }, { "value": "IE", "label": " Ireland" }, { "value": "IM", "label": " Isle of Man" }, { "value": "IL", "label": " Israel" }, { "value": "IT", "label": " Italy" }, { "value": "JM", "label": " Jamaica" }, { "value": "JP", "label": " Japan" }, { "value": "JE", "label": " Jersey" }, { "value": "JO", "label": " Jordan" }, { "value": "KZ", "label": " Kazakhstan" }, { "value": "KE", "label": " Kenya" }, { "value": "KI", "label": " Kiribati" }, { "value": "KP", "label": " Korea (Democratic People's Republic of)" }, { "value": "KR", "label": " Korea, Republic of" }, { "value": "KW", "label": " Kuwait" }, { "value": "KG", "label": " Kyrgyzstan" }, { "value": "LA", "label": " Lao People's Democratic Republic" }, { "value": "LV", "label": " Latvia" }, { "value": "LB", "label": " Lebanon" }, { "value": "LS", "label": " Lesotho" }, { "value": "LR", "label": " Liberia" }, { "value": "LY", "label": " Libya" }, { "value": "LI", "label": " Liechtenstein" }, { "value": "LT", "label": " Lithuania" }, { "value": "LU", "label": " Luxembourg" }, { "value": "MO", "label": " Macao" }, { "value": "MG", "label": " Madagascar" }, { "value": "MW", "label": " Malawi" }, { "value": "MY", "label": " Malaysia" }, { "value": "MV", "label": " Maldives" }, { "value": "ML", "label": " Mali" }, { "value": "MT", "label": " Malta" }, { "value": "MH", "label": " Marshall Islands" }, { "value": "MQ", "label": " Martinique" }, { "value": "MR", "label": " Mauritania" }, { "value": "MU", "label": " Mauritius" }, { "value": "YT", "label": " Mayotte" }, { "value": "MX", "label": " Mexico" }, { "value": "FM", "label": " Micronesia (Federated States of)" }, { "value": "MD", "label": " Moldova, Republic of" }, { "value": "MC", "label": " Monaco" }, { "value": "MN", "label": " Mongolia" }, { "value": "ME", "label": " Montenegro" }, { "value": "MS", "label": " Montserrat" }, { "value": "MA", "label": " Morocco" }, { "value": "MZ", "label": " Mozambique" }, { "value": "MM", "label": " Myanmar" }, { "value": "NA", "label": " Namibia" }, { "value": "NR", "label": " Nauru" }, { "value": "NP", "label": " Nepal" }, { "value": "NL", "label": " Netherlands" }, { "value": "NC", "label": " New Caledonia" }, { "value": "NZ", "label": " New Zealand" }, { "value": "NI", "label": " Nicaragua" }, { "value": "NE", "label": " Niger" }, { "value": "NG", "label": " Nigeria" }, { "value": "NU", "label": " Niue" }, { "value": "NF", "label": " Norfolk Island" }, { "value": "MK", "label": " North Macedonia" }, { "value": "MP", "label": " Northern Mariana Islands" }, { "value": "NO", "label": " Norway" }, { "value": "OM", "label": " Oman" }, { "value": "PK", "label": " Pakistan" }, { "value": "PW", "label": " Palau" }, { "value": "PS", "label": " Palestine, State of" }, { "value": "PA", "label": " Panama" }, { "value": "PG", "label": " Papua New Guinea" }, { "value": "PY", "label": " Paraguay" }, { "value": "PE", "label": " Peru" }, { "value": "PH", "label": " Philippines" }, { "value": "PN", "label": " Pitcairn" }, { "value": "PL", "label": " Poland" }, { "value": "PT", "label": " Portugal" }, { "value": "PR", "label": " Puerto Rico" }, { "value": "QA", "label": " Qatar" }, { "value": "RE", "label": " Réunion" }, { "value": "RO", "label": " Romania" }, { "value": "RU", "label": " Russian Federation" }, { "value": "RW", "label": " Rwanda" }, { "value": "BL", "label": " Saint Barthélemy" }, { "value": "SH", "label": " Saint Helena, Ascension and Tristan da Cunha" }, { "value": "KN", "label": " Saint Kitts and Nevis" }, { "value": "LC", "label": " Saint Lucia" }, { "value": "MF", "label": " Saint Martin (French part)" }, { "value": "PM", "label": " Saint Pierre and Miquelon" }, { "value": "VC", "label": " Saint Vincent and the Grenadines" }, { "value": "WS", "label": " Samoa" }, { "value": "SM", "label": " San Marino" }, { "value": "ST", "label": " Sao Tome and Principe" }, { "value": "SA", "label": " Saudi Arabia" }, { "value": "SN", "label": " Senegal" }, { "value": "RS", "label": " Serbia" }, { "value": "SC", "label": " Seychelles" }, { "value": "SL", "label": " Sierra Leone" }, { "value": "SG", "label": " Singapore" }, { "value": "SX", "label": " Sint Maarten (Dutch part)" }, { "value": "SK", "label": " Slovakia" }, { "value": "SI", "label": " Slovenia" }, { "value": "SB", "label": " Solomon Islands" }, { "value": "SO", "label": " Somalia" }, { "value": "ZA", "label": " South Africa" }, { "value": "GS", "label": " South Georgia and the South Sandwich Islands" }, { "value": "SS", "label": " South Sudan" }, { "value": "ES", "label": " Spain" }, { "value": "LK", "label": " Sri Lanka" }, { "value": "SD", "label": " Sudan" }, { "value": "SR", "label": " Suriname" }, { "value": "SJ", "label": " Svalbard and Jan Mayen" }, { "value": "SE", "label": " Sweden" }, { "value": "CH", "label": " Switzerland" }, { "value": "SY", "label": " Syrian Arab Republic" }, { "value": "TW", "label": " Taiwan, Province of China" }, { "value": "TJ", "label": " Tajikistan" }, { "value": "TZ", "label": " Tanzania, United Republic of" }, { "value": "TH", "label": " Thailand" }, { "value": "TL", "label": " Timor-Leste" }, { "value": "TG", "label": " Togo" }, { "value": "TK", "label": " Tokelau" }, { "value": "TO", "label": " Tonga" }, { "value": "TT", "label": " Trinidad and Tobago" }, { "value": "TN", "label": " Tunisia" }, { "value": "TR", "label": " Turkey" }, { "value": "TM", "label": " Turkmenistan" }, { "value": "TC", "label": " Turks and Caicos Islands" }, { "value": "TV", "label": " Tuvalu" }, { "value": "UG", "label": " Uganda" }, { "value": "UA", "label": " Ukraine" }, { "value": "AE", "label": " United Arab Emirates" }, { "value": "GB", "label": " United Kingdom of Great Britain and Northern Ireland" }, { "value": "US", "label": " United States of America" }, { "value": "UM", "label": " United States Minor Outlying Islands" }, { "value": "UY", "label": " Uruguay" }, { "value": "UZ", "label": " Uzbekistan" }, { "value": "VU", "label": " Vanuatu" }, { "value": "VE", "label": " Venezuela (Bolivarian Republic of)" }, { "value": "VN", "label": " Viet Nam" }, { "value": "VG", "label": " Virgin Islands (British)" }, { "value": "VI", "label": " Virgin Islands (U.S.)" }, { "value": "WF", "label": " Wallis and Futuna" }, { "value": "EH", "label": " Western Sahara" }, { "value": "YE", "label": " Yemen" }, { "value": "ZM", "label": " Zambia" }, { "value": "ZW", "label": " Zimbabwe" } ] }, "valueProperty": "label", "selectThreshold": 0.3, "validate": { "required": true }, "key": "countryOfTaxResidence8", "type": "select", "input": true }, { "label": "Do you have a Tax Identification Number in {{data.countryOfTaxResidence8}}?", "optionsLabelPosition": "right", "inline": true, "hidden": true, "tableView": false, "values": [ { "label": "Yes", "value": "yes", "shortcut": "" }, { "label": "No", "value": "no", "shortcut": "" } ], "validate": { "required": true }, "key": "tinpresent7", "customConditional": "show = data.countryOfTaxResidence8", "type": "radio", "input": true }, { "label": "Tax Identification Number in {{data.countryOfTaxResidence8}}", "tooltip": "Please note that your local TIN might have a different abbreviation. Please consult the OECD list of accepted TINs per country", "hidden": true, "tableView": true, "validate": { "required": true }, "key": "taxIdentificationNumber8", "conditional": { "show": true, "when": "tinpresent7", "eq": "yes" }, "type": "textfield", "input": true }, { "label": "Reason for Tax Identification Number not being applicable", "hidden": true, "tableView": true, "validate": { "required": true }, "key": "reasonTaxNumberNotApplicable8", "conditional": { "show": true, "when": "tinpresent7", "eq": "no" }, "type": "textfield", "input": true } ] } ] }, { "legend": "Choosing controlling persons", "tooltip": "You have indicated that the Entity is a Passive Non-Financial (Foreign) Entity under FATCA and/or CRS. You need to first choose which UBO is a Controlling Person, and then add each additional controlling person in the section below.", "hidden": true, "key": "fieldSet45", "customConditional": "result = \"\"\n\nif (data.grossIncome == \"no\") {\n \n result = true;\n return result;\n \n}\n\n\nshow = result;", "type": "fieldset", "label": "Choosing controlling persons", "input": false, "tableView": false, "components": [ { "html": "

Select which (if any) of the UBO(s) are also Controlling Persons:
(see the definition of  'Controlling Persons' in the glossary of terms section above)

", "label": "Content", "refreshOnChange": false, "key": "content29", "type": "content", "input": false, "tableView": false }, { "label": "UBO 1: {{data.firstNameOfUbo1}} {{data.surnameOfUbo1}}", "hidden": true, "tableView": false, "defaultValue": false, "redrawOn": "data", "key": "isUBO1Controlling", "customConditional": "show = false;\n\nif (data.firstNameOfUbo1 || data.surnameOfUbo1) {\n \n show = true;\n}", "type": "checkbox", "input": true }, { "label": "UBO 2: {{data.firstNameOfUbo2}} {{data.surnameOfUbo2}}", "hidden": true, "tableView": false, "defaultValue": false, "redrawOn": "data", "key": "isUBO2Controlling", "customConditional": "show = false;\n\nif (data.firstNameOfUbo2 || data.surnameOfUbo2) {\n \n show = true;\n}", "type": "checkbox", "input": true }, { "label": "Are there any other or additional Controlling Persons?", "optionsLabelPosition": "right", "inline": true, "tableView": false, "values": [ { "label": "Yes", "value": "yes", "shortcut": "" }, { "label": "No", "value": "no", "shortcut": "" } ], "key": "areThereAnyAdditionalControllingPersons", "type": "radio", "input": true }, { "html": "

PLEASE NOTE:
You have not chosen any Controlling Persons. You must either choose one or more UBOs as Controlling Persons above and/or add other Controlling Persons. 

", "label": "Content", "refreshOnChange": false, "hidden": true, "key": "content28", "customConditional": "show = false;\n\nif (!data.isUBO1Controlling || !data.isUBO2Controlling) {\n \n if (data.areThereAnyAdditionalControllingPersons == \"no\") {\n \n show = true;\n }\n \n \n}", "type": "content", "input": false, "tableView": false } ] }, { "legend": "Adding controlling persons", "tooltip": "You have indicated that the Entity is a Passive Non-Financial (Foreign) Entity under FATCA and/or CRS. You need to add each controlling person in the section below.", "hidden": true, "key": "fieldSet26", "conditional": { "show": true, "when": "areThereAnyAdditionalControllingPersons", "eq": "yes" }, "type": "fieldset", "label": "Adding controlling persons", "input": false, "tableView": false, "components": [ { "label": "How many controlling persons would you like to add?", "tableView": true, "data": { "values": [ { "label": "1", "value": "1" }, { "label": "2", "value": "2" }, { "label": "3", "value": "3" }, { "label": "", "value": "" } ] }, "selectThreshold": 0.3, "key": "howManyControllingPersonsWouldYouLikeToAdd", "type": "select", "input": true }, { "legend": "Controlling Person 1", "hidden": true, "key": "fieldSet28", "customConditional": "show = data.howManyControllingPersonsWouldYouLikeToAdd >= 1;", "type": "fieldset", "label": "Controlling Person 1", "input": false, "tableView": false, "components": [ { "label": "First name(s)", "tableView": true, "validate": { "required": true }, "key": "First_CP1", "type": "textfield", "input": true }, { "label": "Family Name or Surname(s)", "tableView": true, "validate": { "required": true }, "key": "Last_CP1", "type": "textfield", "input": true }, { "label": "Place of birth", "tableView": true, "validate": { "required": true }, "key": "cityOfBirth_CP1", "type": "textfield", "input": true }, { "label": "Date of birth", "format": "dd-MM-yyyy", "placeholder": "dd-mm-yyyy", "tableView": false, "enableMinDateInput": false, "datePicker": { "maxDate": "moment().add(0, 'days')", "disableWeekends": false, "disableWeekdays": false }, "enableMaxDateInput": true, "enableTime": false, "validate": { "required": true }, "key": "dob_CP1", "type": "datetime", "input": true, "widget": { "type": "calendar", "displayInTimezone": "viewer", "locale": "en", "useLocaleSettings": false, "allowInput": true, "mode": "single", "enableTime": false, "noCalendar": false, "format": "dd-MM-yyyy", "hourIncrement": 1, "minuteIncrement": 1, "time_24hr": false, "minDate": null, "disableWeekends": false, "disableWeekdays": false, "maxDate": "moment().add(0, 'days')" } }, { "label": "Country of birth", "widget": "choicesjs", "tableView": true, "dataSrc": "json", "data": { "json": [ { "value": "AF", "label": " Afghanistan" }, { "value": "AX", "label": " Åland Islands" }, { "value": "AL", "label": " Albania" }, { "value": "DZ", "label": " Algeria" }, { "value": "AS", "label": " American Samoa" }, { "value": "AD", "label": " Andorra" }, { "value": "AO", "label": " Angola" }, { "value": "AI", "label": " Anguilla" }, { "value": "AQ", "label": " Antarctica" }, { "value": "AG", "label": " Antigua and Barbuda" }, { "value": "AR", "label": " Argentina" }, { "value": "AM", "label": " Armenia" }, { "value": "AW", "label": " Aruba" }, { "value": "AU", "label": " Australia" }, { "value": "AT", "label": " Austria" }, { "value": "AZ", "label": " Azerbaijan" }, { "value": "BS", "label": " Bahamas" }, { "value": "BH", "label": " Bahrain" }, { "value": "BD", "label": " Bangladesh" }, { "value": "BB", "label": " Barbados" }, { "value": "BY", "label": " Belarus" }, { "value": "BE", "label": " Belgium" }, { "value": "BZ", "label": " Belize" }, { "value": "BJ", "label": " Benin" }, { "value": "BM", "label": " Bermuda" }, { "value": "BT", "label": " Bhutan" }, { "value": "BO", "label": " Bolivia (Plurinational State of)" }, { "value": "BQ", "label": " Bonaire, Sint Eustatius and Saba" }, { "value": "BA", "label": " Bosnia and Herzegovina" }, { "value": "BW", "label": " Botswana" }, { "value": "BV", "label": " Bouvet Island" }, { "value": "BR", "label": " Brazil" }, { "value": "IO", "label": " British Indian Ocean Territory" }, { "value": "BN", "label": " Brunei Darussalam" }, { "value": "BG", "label": " Bulgaria" }, { "value": "BF", "label": " Burkina Faso" }, { "value": "BI", "label": " Burundi" }, { "value": "CV", "label": " Cabo Verde" }, { "value": "KH", "label": " Cambodia" }, { "value": "CM", "label": " Cameroon" }, { "value": "CA", "label": " Canada" }, { "value": "KY", "label": " Cayman Islands" }, { "value": "CF", "label": " Central African Republic" }, { "value": "TD", "label": " Chad" }, { "value": "CL", "label": " Chile" }, { "value": "CN", "label": " China" }, { "value": "CX", "label": " Christmas Island" }, { "value": "CC", "label": " Cocos (Keeling) Islands" }, { "value": "CO", "label": " Colombia" }, { "value": "KM", "label": " Comoros" }, { "value": "CG", "label": " Congo" }, { "value": "CD", "label": " Congo, Democratic Republic of the" }, { "value": "CK", "label": " Cook Islands" }, { "value": "CR", "label": " Costa Rica" }, { "value": "CI", "label": " Côte d'Ivoire" }, { "value": "HR", "label": " Croatia" }, { "value": "CU", "label": " Cuba" }, { "value": "CW", "label": " Curaçao" }, { "value": "CY", "label": " Cyprus" }, { "value": "CZ", "label": " Czechia" }, { "value": "DK", "label": " Denmark" }, { "value": "DJ", "label": " Djibouti" }, { "value": "DM", "label": " Dominica" }, { "value": "DO", "label": " Dominican Republic" }, { "value": "EC", "label": " Ecuador" }, { "value": "EG", "label": " Egypt" }, { "value": "SV", "label": " El Salvador" }, { "value": "GQ", "label": " Equatorial Guinea" }, { "value": "ER", "label": " Eritrea" }, { "value": "EE", "label": " Estonia" }, { "value": "SZ", "label": " Eswatini" }, { "value": "ET", "label": " Ethiopia" }, { "value": "FK", "label": " Falkland Islands (Malvinas)" }, { "value": "FO", "label": " Faroe Islands" }, { "value": "FJ", "label": " Fiji" }, { "value": "FI", "label": " Finland" }, { "value": "FR", "label": " France" }, { "value": "GF", "label": " French Guiana" }, { "value": "PF", "label": " French Polynesia" }, { "value": "TF", "label": " French Southern Territories" }, { "value": "GA", "label": " Gabon" }, { "value": "GM", "label": " Gambia" }, { "value": "GE", "label": " Georgia" }, { "value": "DE", "label": " Germany" }, { "value": "GH", "label": " Ghana" }, { "value": "GI", "label": " Gibraltar" }, { "value": "GR", "label": " Greece" }, { "value": "GL", "label": " Greenland" }, { "value": "GD", "label": " Grenada" }, { "value": "GP", "label": " Guadeloupe" }, { "value": "GU", "label": " Guam" }, { "value": "GT", "label": " Guatemala" }, { "value": "GG", "label": " Guernsey" }, { "value": "GN", "label": " Guinea" }, { "value": "GW", "label": " Guinea-Bissau" }, { "value": "GY", "label": " Guyana" }, { "value": "HT", "label": " Haiti" }, { "value": "HM", "label": " Heard Island and McDonald Islands" }, { "value": "VA", "label": " Holy See" }, { "value": "HN", "label": " Honduras" }, { "value": "HK", "label": " Hong Kong" }, { "value": "HU", "label": " Hungary" }, { "value": "IS", "label": " Iceland" }, { "value": "IN", "label": " India" }, { "value": "ID", "label": " Indonesia" }, { "value": "IR", "label": " Iran (Islamic Republic of)" }, { "value": "IQ", "label": " Iraq" }, { "value": "IE", "label": " Ireland" }, { "value": "IM", "label": " Isle of Man" }, { "value": "IL", "label": " Israel" }, { "value": "IT", "label": " Italy" }, { "value": "JM", "label": " Jamaica" }, { "value": "JP", "label": " Japan" }, { "value": "JE", "label": " Jersey" }, { "value": "JO", "label": " Jordan" }, { "value": "KZ", "label": " Kazakhstan" }, { "value": "KE", "label": " Kenya" }, { "value": "KI", "label": " Kiribati" }, { "value": "KP", "label": " Korea (Democratic People's Republic of)" }, { "value": "KR", "label": " Korea, Republic of" }, { "value": "KW", "label": " Kuwait" }, { "value": "KG", "label": " Kyrgyzstan" }, { "value": "LA", "label": " Lao People's Democratic Republic" }, { "value": "LV", "label": " Latvia" }, { "value": "LB", "label": " Lebanon" }, { "value": "LS", "label": " Lesotho" }, { "value": "LR", "label": " Liberia" }, { "value": "LY", "label": " Libya" }, { "value": "LI", "label": " Liechtenstein" }, { "value": "LT", "label": " Lithuania" }, { "value": "LU", "label": " Luxembourg" }, { "value": "MO", "label": " Macao" }, { "value": "MG", "label": " Madagascar" }, { 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"value": "QA", "label": " Qatar" }, { "value": "RE", "label": " Réunion" }, { "value": "RO", "label": " Romania" }, { "value": "RU", "label": " Russian Federation" }, { "value": "RW", "label": " Rwanda" }, { "value": "BL", "label": " Saint Barthélemy" }, { "value": "SH", "label": " Saint Helena, Ascension and Tristan da Cunha" }, { "value": "KN", "label": " Saint Kitts and Nevis" }, { "value": "LC", "label": " Saint Lucia" }, { "value": "MF", "label": " Saint Martin (French part)" }, { "value": "PM", "label": " Saint Pierre and Miquelon" }, { "value": "VC", "label": " Saint Vincent and the Grenadines" }, { "value": "WS", "label": " Samoa" }, { "value": "SM", "label": " San Marino" }, { "value": "ST", "label": " Sao Tome and Principe" }, { "value": "SA", "label": " Saudi Arabia" }, { "value": "SN", "label": " Senegal" }, { "value": "RS", "label": " Serbia" }, { "value": "SC", "label": " Seychelles" }, { "value": "SL", "label": " Sierra Leone" }, { "value": "SG", "label": " Singapore" }, { "value": "SX", "label": " Sint Maarten (Dutch part)" }, { "value": "SK", "label": " Slovakia" }, { "value": "SI", "label": " Slovenia" }, { "value": "SB", "label": " Solomon Islands" }, { "value": "SO", "label": " Somalia" }, { "value": "ZA", "label": " South Africa" }, { "value": "GS", "label": " South Georgia and the South Sandwich Islands" }, { "value": "SS", "label": " South Sudan" }, { "value": "ES", "label": " Spain" }, { "value": "LK", "label": " Sri Lanka" }, { "value": "SD", "label": " Sudan" }, { "value": "SR", "label": " Suriname" }, { "value": "SJ", "label": " Svalbard and Jan Mayen" }, { "value": "SE", "label": " Sweden" }, { "value": "CH", "label": " Switzerland" }, { "value": "SY", "label": " Syrian Arab Republic" }, { "value": "TW", "label": " Taiwan, Province of China" }, { "value": "TJ", "label": " Tajikistan" }, { "value": "TZ", "label": " Tanzania, United Republic of" }, { "value": "TH", "label": " Thailand" }, { "value": "TL", "label": " Timor-Leste" }, { "value": "TG", "label": " Togo" }, { "value": "TK", "label": " Tokelau" }, { "value": "TO", "label": " Tonga" }, { "value": "TT", "label": " Trinidad and Tobago" }, { "value": "TN", "label": " Tunisia" }, { "value": "TR", "label": " Turkey" }, { "value": "TM", "label": " Turkmenistan" }, { "value": "TC", "label": " Turks and Caicos Islands" }, { "value": "TV", "label": " Tuvalu" }, { "value": "UG", "label": " Uganda" }, { "value": "UA", "label": " Ukraine" }, { "value": "AE", "label": " United Arab Emirates" }, { "value": "GB", "label": " United Kingdom of Great Britain and Northern Ireland" }, { "value": "US", "label": " United States of America" }, { "value": "UM", "label": " United States Minor Outlying Islands" }, { "value": "UY", "label": " Uruguay" }, { "value": "UZ", "label": " Uzbekistan" }, { "value": "VU", "label": " Vanuatu" }, { "value": "VE", "label": " Venezuela (Bolivarian Republic of)" }, { "value": "VN", "label": " Viet Nam" }, { "value": "VG", "label": " Virgin Islands (British)" }, { "value": "VI", "label": " Virgin Islands (U.S.)" }, { "value": "WF", "label": " Wallis and Futuna" }, { "value": "EH", "label": " Western Sahara" }, { "value": "YE", "label": " Yemen" }, { "value": "ZM", "label": " Zambia" }, { "value": "ZW", "label": " Zimbabwe" } ] }, "valueProperty": "value", "selectThreshold": 0.3, "customDefaultValue": "if (data.areYouAUsCitizen == \"yes\"){\n \n value = \"US\"\n}", "validate": { "required": true }, "key": "countryOfBirth_CP1", "type": "select", "input": true }, { "html": "

Current residential address

", "label": "Content", "refreshOnChange": false, "key": "content7", "type": "content", "input": false, "tableView": false }, { "label": "Address 1", "tableView": true, "validate": { "required": true }, "key": "address1_CP1", "properties": { "populatedBy": "addressData", "valueKey": "Address" }, "type": "textfield", "input": true }, { "label": "Address 2", "tableView": true, "key": "address2_CP1", "type": "textfield", "input": true }, { "label": "City", "tableView": true, "validate": { "required": true }, "key": "city_CP1", "properties": { "populatedBy": "addressData", "valueKey": "City" }, "type": "textfield", "input": true }, { "label": "Zip code", "tableView": true, "validate": { "required": true }, "key": "zip_CP1", "properties": { "populatedBy": "addressData", "valueKey": "ZipCode" }, "type": "textfield", "input": true }, { "label": "Country", "widget": "choicesjs", "tableView": true, "dataSrc": "json", "data": { "json": [ { "value": "AF", "label": " Afghanistan" }, { "value": "AX", "label": " Åland Islands" }, { "value": "AL", "label": " Albania" }, { "value": "DZ", "label": " Algeria" }, { "value": "AS", "label": " American Samoa" }, { "value": "AD", "label": " Andorra" }, { "value": "AO", "label": " Angola" }, { "value": "AI", "label": " Anguilla" }, { "value": "AQ", "label": " Antarctica" }, { "value": "AG", "label": " Antigua and Barbuda" }, { "value": "AR", "label": " Argentina" }, { "value": "AM", "label": " Armenia" }, { "value": "AW", "label": " Aruba" }, { "value": "AU", "label": " Australia" }, { "value": "AT", "label": " Austria" }, { "value": "AZ", "label": " Azerbaijan" }, { "value": "BS", "label": " Bahamas" }, { "value": "BH", "label": " Bahrain" }, { "value": "BD", "label": " Bangladesh" }, { "value": "BB", "label": " Barbados" }, { "value": "BY", "label": " Belarus" }, { "value": "BE", "label": " Belgium" }, { "value": "BZ", "label": " Belize" }, { "value": "BJ", "label": " Benin" }, { "value": "BM", "label": " Bermuda" }, { "value": "BT", "label": " Bhutan" }, { "value": "BO", "label": " Bolivia (Plurinational State of)" }, { "value": "BQ", "label": " Bonaire, Sint Eustatius and Saba" }, { "value": "BA", "label": " Bosnia and Herzegovina" }, { "value": "BW", "label": " Botswana" }, { "value": "BV", "label": " Bouvet Island" }, { "value": "BR", "label": " Brazil" }, { "value": "IO", "label": " British Indian Ocean Territory" }, { "value": "BN", "label": " Brunei Darussalam" }, { "value": "BG", "label": " Bulgaria" }, { "value": "BF", "label": " Burkina Faso" }, { "value": "BI", "label": " Burundi" }, { "value": "CV", "label": " Cabo Verde" }, { "value": "KH", "label": " Cambodia" }, { "value": "CM", "label": " Cameroon" }, { "value": "CA", "label": " Canada" }, { "value": "KY", "label": " Cayman Islands" }, { "value": "CF", "label": " Central African Republic" }, { "value": "TD", "label": " Chad" }, { "value": "CL", "label": " Chile" }, { "value": "CN", "label": " China" }, { "value": "CX", "label": " Christmas Island" }, { "value": "CC", "label": " Cocos (Keeling) Islands" }, { "value": "CO", "label": " Colombia" }, { "value": "KM", "label": " Comoros" }, { "value": "CG", "label": " Congo" }, { "value": "CD", "label": " Congo, Democratic Republic of the" }, { "value": "CK", "label": " Cook Islands" }, { "value": "CR", "label": " Costa Rica" }, { "value": "CI", "label": " Côte d'Ivoire" }, { "value": "HR", "label": " Croatia" }, { "value": "CU", "label": " Cuba" }, { "value": "CW", "label": " Curaçao" }, { "value": "CY", "label": " Cyprus" }, { "value": "CZ", "label": " Czechia" }, { "value": "DK", "label": " Denmark" }, { "value": "DJ", "label": " Djibouti" }, { "value": "DM", "label": " Dominica" }, { "value": "DO", "label": " Dominican Republic" }, { "value": "EC", "label": " Ecuador" }, { "value": "EG", "label": " Egypt" }, { "value": "SV", "label": " El Salvador" }, { "value": "GQ", "label": " Equatorial Guinea" }, { "value": "ER", "label": " Eritrea" }, { "value": "EE", "label": " Estonia" }, { "value": "SZ", "label": " Eswatini" }, { "value": "ET", "label": " Ethiopia" }, { "value": "FK", "label": " Falkland Islands (Malvinas)" }, { "value": "FO", "label": " Faroe Islands" }, { "value": "FJ", "label": " Fiji" }, { "value": "FI", "label": " Finland" }, { "value": "FR", "label": " France" }, { "value": "GF", "label": " French Guiana" }, { "value": "PF", "label": " French Polynesia" }, { "value": "TF", "label": " French Southern Territories" }, { "value": "GA", "label": " Gabon" }, { "value": "GM", "label": " Gambia" }, { "value": "GE", "label": " Georgia" }, { "value": "DE", "label": " Germany" }, { "value": "GH", "label": " Ghana" }, { "value": "GI", "label": " Gibraltar" }, { "value": "GR", "label": " Greece" }, { "value": "GL", "label": " Greenland" }, { "value": "GD", "label": " Grenada" }, { "value": "GP", "label": " Guadeloupe" }, { "value": "GU", "label": " Guam" }, { "value": "GT", "label": " Guatemala" }, { "value": "GG", "label": " Guernsey" }, { "value": "GN", "label": " Guinea" }, { "value": "GW", "label": " Guinea-Bissau" }, { "value": "GY", "label": " Guyana" }, { "value": "HT", "label": " Haiti" }, { "value": "HM", "label": " Heard Island and McDonald Islands" }, { "value": "VA", "label": " Holy See" }, { "value": "HN", "label": " Honduras" }, { "value": "HK", "label": " Hong Kong" }, { "value": "HU", "label": " Hungary" }, { "value": "IS", "label": " Iceland" }, { "value": "IN", "label": " India" }, { "value": "ID", "label": " Indonesia" }, { "value": "IR", "label": " Iran (Islamic Republic of)" }, { "value": "IQ", "label": " Iraq" }, { "value": "IE", "label": " Ireland" }, { "value": "IM", "label": " Isle of Man" }, { "value": "IL", "label": " Israel" }, { "value": "IT", "label": " Italy" }, { "value": "JM", "label": " Jamaica" }, { "value": "JP", "label": " Japan" }, { "value": "JE", "label": " Jersey" }, { "value": "JO", "label": " Jordan" }, { "value": "KZ", "label": " Kazakhstan" }, { "value": "KE", "label": " Kenya" }, { "value": "KI", "label": " Kiribati" }, { "value": "KP", "label": " Korea (Democratic People's Republic of)" }, { "value": "KR", "label": " Korea, Republic of" }, { "value": "KW", "label": " Kuwait" }, { "value": "KG", "label": " Kyrgyzstan" }, { "value": "LA", "label": " Lao People's Democratic Republic" }, { "value": "LV", "label": " Latvia" }, { "value": "LB", "label": " Lebanon" }, { "value": "LS", "label": " Lesotho" }, { "value": "LR", "label": " Liberia" }, { "value": "LY", "label": " Libya" }, { "value": "LI", "label": " Liechtenstein" }, { "value": "LT", "label": " Lithuania" }, { "value": "LU", "label": " Luxembourg" }, { "value": "MO", "label": " Macao" }, { "value": "MG", "label": " Madagascar" }, { "value": "MW", "label": " Malawi" }, { "value": "MY", "label": " Malaysia" }, { "value": "MV", "label": " Maldives" }, { "value": "ML", "label": " Mali" }, { "value": "MT", "label": " Malta" }, { "value": "MH", "label": " Marshall Islands" }, { "value": "MQ", "label": " Martinique" }, { "value": "MR", "label": " Mauritania" }, { "value": "MU", "label": " Mauritius" }, { "value": "YT", "label": " Mayotte" }, { "value": "MX", "label": " Mexico" }, { "value": "FM", "label": " Micronesia (Federated States of)" }, { "value": "MD", "label": " Moldova, Republic of" }, { "value": "MC", "label": " Monaco" }, { "value": "MN", "label": " Mongolia" }, { "value": "ME", "label": " Montenegro" }, { "value": "MS", "label": " Montserrat" }, { "value": "MA", "label": " Morocco" }, { "value": "MZ", "label": " Mozambique" }, { "value": "MM", "label": " Myanmar" }, { "value": "NA", "label": " Namibia" }, { "value": "NR", "label": " Nauru" }, { "value": "NP", "label": " Nepal" }, { "value": "NL", "label": " Netherlands" }, { "value": "NC", "label": " New Caledonia" }, { "value": "NZ", "label": " New Zealand" }, { "value": "NI", "label": " Nicaragua" }, { "value": "NE", "label": " Niger" }, { "value": "NG", "label": " Nigeria" }, { "value": "NU", "label": " Niue" }, { "value": "NF", "label": " Norfolk Island" }, { "value": "MK", "label": " North Macedonia" }, { "value": "MP", "label": " Northern Mariana Islands" }, { "value": "NO", "label": " Norway" }, { "value": "OM", "label": " Oman" }, { "value": "PK", "label": " Pakistan" }, { "value": "PW", "label": " Palau" }, { "value": "PS", "label": " Palestine, State of" }, { "value": "PA", "label": " Panama" }, { "value": "PG", "label": " Papua New Guinea" }, { "value": "PY", "label": " Paraguay" }, { "value": "PE", "label": " Peru" }, { "value": "PH", "label": " Philippines" }, { "value": "PN", "label": " Pitcairn" }, { "value": "PL", "label": " Poland" }, { "value": "PT", "label": " Portugal" }, { "value": "PR", "label": " Puerto Rico" }, { "value": "QA", "label": " Qatar" }, { "value": "RE", "label": " Réunion" }, { "value": "RO", "label": " Romania" }, { "value": "RU", "label": " Russian Federation" }, { "value": "RW", "label": " Rwanda" }, { "value": "BL", "label": " Saint Barthélemy" }, { "value": "SH", "label": " Saint Helena, Ascension and Tristan da Cunha" }, { "value": "KN", "label": " Saint Kitts and Nevis" }, { "value": "LC", "label": " Saint Lucia" }, { "value": "MF", "label": " Saint Martin (French part)" }, { "value": "PM", "label": " Saint Pierre and Miquelon" }, { "value": "VC", "label": " Saint Vincent and the Grenadines" }, { "value": "WS", "label": " Samoa" }, { "value": "SM", "label": " San Marino" }, { "value": "ST", "label": " Sao Tome and Principe" }, { "value": "SA", "label": " Saudi Arabia" }, { "value": "SN", "label": " Senegal" }, { "value": "RS", "label": " Serbia" }, { "value": "SC", "label": " Seychelles" }, { "value": "SL", "label": " Sierra Leone" }, { "value": "SG", "label": " Singapore" }, { "value": "SX", "label": " Sint Maarten (Dutch part)" }, { "value": "SK", "label": " Slovakia" }, { "value": "SI", "label": " Slovenia" }, { "value": "SB", "label": " Solomon Islands" }, { "value": "SO", "label": " Somalia" }, { "value": "ZA", "label": " South Africa" }, { "value": "GS", "label": " South Georgia and the South Sandwich Islands" }, { "value": "SS", "label": " South Sudan" }, { "value": "ES", "label": " Spain" }, { "value": "LK", "label": " Sri Lanka" }, { "value": "SD", "label": " Sudan" }, { "value": "SR", "label": " Suriname" }, { "value": "SJ", "label": " Svalbard and Jan Mayen" }, { "value": "SE", "label": " Sweden" }, { "value": "CH", "label": " Switzerland" }, { "value": "SY", "label": " Syrian Arab Republic" }, { "value": "TW", "label": " Taiwan, Province of China" }, { "value": "TJ", "label": " Tajikistan" }, { "value": "TZ", "label": " Tanzania, United Republic of" }, { "value": "TH", "label": " Thailand" }, { "value": "TL", "label": " Timor-Leste" }, { "value": "TG", "label": " Togo" }, { "value": "TK", "label": " Tokelau" }, { "value": "TO", "label": " Tonga" }, { "value": "TT", "label": " Trinidad and Tobago" }, { "value": "TN", "label": " Tunisia" }, { "value": "TR", "label": " Turkey" }, { "value": "TM", "label": " Turkmenistan" }, { "value": "TC", "label": " Turks and Caicos Islands" }, { "value": "TV", "label": " Tuvalu" }, { "value": "UG", "label": " Uganda" }, { "value": "UA", "label": " Ukraine" }, { "value": "AE", "label": " United Arab Emirates" }, { "value": "GB", "label": " United Kingdom of Great Britain and Northern Ireland" }, { "value": "US", "label": " United States of America" }, { "value": "UM", "label": " United States Minor Outlying Islands" }, { "value": "UY", "label": " Uruguay" }, { "value": "UZ", "label": " Uzbekistan" }, { "value": "VU", "label": " Vanuatu" }, { "value": "VE", "label": " Venezuela (Bolivarian Republic of)" }, { "value": "VN", "label": " Viet Nam" }, { "value": "VG", "label": " Virgin Islands (British)" }, { "value": "VI", "label": " Virgin Islands (U.S.)" }, { "value": "WF", "label": " Wallis and Futuna" }, { "value": "EH", "label": " Western Sahara" }, { "value": "YE", "label": " Yemen" }, { "value": "ZM", "label": " Zambia" }, { "value": "ZW", "label": " Zimbabwe" } ] }, "valueProperty": "label", "selectThreshold": 0.3, "validate": { "required": true }, "key": "country_CP1", "properties": { "populatedBy": "addressData", "valueKey": "Country" }, "type": "select", "input": true }, { "label": "Is the mailing address different than the above?", "optionsLabelPosition": "right", "inline": true, "tableView": false, "values": [ { "label": "Yes", "value": "yes", "shortcut": "" }, { "label": "No", "value": "no", "shortcut": "" } ], "validate": { "required": true }, "key": "mailingAddressDifferent_CP1", "type": "radio", "input": true }, { "title": "Mailing address", "collapsible": false, "hidden": true, "key": "panel2", "conditional": { "show": true, "when": "mailingAddressDifferent_CP1", "eq": "yes" }, "type": "panel", "label": "Mailing address", "input": false, "tableView": false, "components": [ { "label": "Address 1", "tableView": true, "validate": { "required": true }, "key": "mailingaddress1_CP1", "properties": { "populatedBy": "addressData", "valueKey": "Address" }, "type": "textfield", "input": true }, { "label": "Address 2", "tableView": true, "key": "mailingaddress2_CP1", "type": "textfield", "input": true }, { "label": "City", "tableView": true, "validate": { "required": true }, "key": "mailingcity_CP1", "properties": { "populatedBy": "addressData", "valueKey": "City" }, "type": "textfield", "input": true }, { "label": "Zip code", "tableView": true, "validate": { "required": true }, "key": "mailingzip_CP1", "properties": { "populatedBy": "addressData", "valueKey": "ZipCode" }, "type": "textfield", "input": true }, { "label": "Country", "widget": "choicesjs", "tableView": true, "dataSrc": "json", "data": { "json": [ { "value": "AF", "label": " Afghanistan" }, { "value": "AX", "label": " Åland Islands" }, { "value": "AL", "label": " Albania" }, { "value": "DZ", "label": " Algeria" }, { "value": "AS", "label": " American Samoa" }, { "value": "AD", "label": " Andorra" }, { "value": "AO", "label": " Angola" }, { "value": "AI", "label": " Anguilla" }, { "value": "AQ", "label": " Antarctica" }, { "value": "AG", "label": " Antigua and Barbuda" }, { "value": "AR", "label": " Argentina" }, { "value": "AM", "label": " Armenia" }, { "value": "AW", "label": " Aruba" }, { "value": "AU", "label": " Australia" }, { "value": "AT", "label": " Austria" }, { "value": "AZ", "label": " Azerbaijan" }, { "value": "BS", "label": " Bahamas" }, { "value": "BH", "label": " Bahrain" }, { "value": "BD", "label": " Bangladesh" }, { "value": "BB", "label": " Barbados" }, { "value": "BY", "label": " Belarus" }, { "value": "BE", "label": " Belgium" }, { "value": "BZ", "label": " Belize" }, { "value": "BJ", "label": " Benin" }, { "value": "BM", "label": " Bermuda" }, { "value": "BT", "label": " Bhutan" }, { "value": "BO", "label": " Bolivia (Plurinational State of)" }, { "value": "BQ", "label": " Bonaire, Sint Eustatius and Saba" }, { "value": "BA", "label": " Bosnia and Herzegovina" }, { "value": "BW", "label": " Botswana" }, { "value": "BV", "label": " Bouvet Island" }, { "value": "BR", "label": " Brazil" }, { "value": "IO", "label": " British Indian Ocean Territory" }, { "value": "BN", "label": " Brunei Darussalam" }, { "value": "BG", "label": " Bulgaria" }, { "value": "BF", "label": " Burkina Faso" }, { "value": "BI", "label": " Burundi" }, { "value": "CV", "label": " Cabo Verde" }, { "value": "KH", "label": " Cambodia" }, { "value": "CM", "label": " Cameroon" }, { "value": "CA", "label": " Canada" }, { "value": "KY", "label": " Cayman Islands" }, { "value": "CF", "label": " Central African Republic" }, { "value": "TD", "label": " Chad" }, { "value": "CL", "label": " Chile" }, { "value": "CN", "label": " China" }, { "value": "CX", "label": " Christmas Island" }, { "value": "CC", "label": " Cocos (Keeling) Islands" }, { "value": "CO", "label": " Colombia" }, { "value": "KM", "label": " Comoros" }, { "value": "CG", "label": " Congo" }, { "value": "CD", "label": " Congo, Democratic Republic of the" }, { "value": "CK", "label": " Cook Islands" }, { "value": "CR", "label": " Costa Rica" }, { "value": "CI", "label": " Côte d'Ivoire" }, { "value": "HR", "label": " Croatia" }, { "value": "CU", "label": " Cuba" }, { "value": "CW", "label": " Curaçao" }, { "value": "CY", "label": " Cyprus" }, { "value": "CZ", "label": " Czechia" }, { "value": "DK", "label": " Denmark" }, { "value": "DJ", "label": " Djibouti" }, { "value": "DM", "label": " Dominica" }, { "value": "DO", "label": " Dominican Republic" }, { "value": "EC", "label": " Ecuador" }, { "value": "EG", "label": " Egypt" }, { "value": "SV", "label": " El Salvador" }, { "value": "GQ", "label": " Equatorial Guinea" }, { "value": "ER", "label": " Eritrea" }, { "value": "EE", "label": " Estonia" }, { "value": "SZ", "label": " Eswatini" }, { "value": "ET", "label": " Ethiopia" }, { "value": "FK", "label": " Falkland Islands (Malvinas)" }, { "value": "FO", "label": " Faroe Islands" }, { "value": "FJ", "label": " Fiji" }, { "value": "FI", "label": " Finland" }, { "value": "FR", "label": " France" }, { "value": "GF", "label": " French Guiana" }, { "value": "PF", "label": " French Polynesia" }, { "value": "TF", "label": " French Southern Territories" }, { "value": "GA", "label": " Gabon" }, { "value": "GM", "label": " Gambia" }, { "value": "GE", "label": " Georgia" }, { "value": "DE", "label": " Germany" }, { "value": "GH", "label": " Ghana" }, { "value": "GI", "label": " Gibraltar" }, { "value": "GR", "label": " Greece" }, { "value": "GL", "label": " Greenland" }, { "value": "GD", "label": " Grenada" }, { "value": "GP", "label": " Guadeloupe" }, { "value": "GU", "label": " Guam" }, { "value": "GT", "label": " Guatemala" }, { "value": "GG", "label": " Guernsey" }, { "value": "GN", "label": " Guinea" }, { "value": "GW", "label": " Guinea-Bissau" }, { "value": "GY", "label": " Guyana" }, { "value": "HT", "label": " Haiti" }, { "value": "HM", "label": " Heard Island and McDonald Islands" }, { "value": "VA", "label": " Holy See" }, { "value": "HN", "label": " Honduras" }, { "value": "HK", "label": " Hong Kong" }, { "value": "HU", "label": " Hungary" }, { "value": "IS", "label": " Iceland" }, { "value": "IN", "label": " India" }, { "value": "ID", "label": " Indonesia" }, { "value": "IR", "label": " Iran (Islamic Republic of)" }, { "value": "IQ", "label": " Iraq" }, { "value": "IE", "label": " Ireland" }, { "value": "IM", "label": " Isle of Man" }, { "value": "IL", "label": " Israel" }, { "value": "IT", "label": " Italy" }, { "value": "JM", "label": " Jamaica" }, { "value": "JP", "label": " Japan" }, { "value": "JE", "label": " Jersey" }, { "value": "JO", "label": " Jordan" }, { "value": "KZ", "label": " Kazakhstan" }, { "value": "KE", "label": " Kenya" }, { "value": "KI", "label": " Kiribati" }, { "value": "KP", "label": " Korea (Democratic People's Republic of)" }, { "value": "KR", "label": " Korea, Republic of" }, { "value": "KW", "label": " Kuwait" }, { "value": "KG", "label": " Kyrgyzstan" }, { "value": "LA", "label": " Lao People's Democratic Republic" }, { "value": "LV", "label": " Latvia" }, { "value": "LB", "label": " Lebanon" }, { "value": "LS", "label": " Lesotho" }, { "value": "LR", "label": " Liberia" }, { "value": "LY", "label": " Libya" }, { "value": "LI", "label": " Liechtenstein" }, { "value": "LT", "label": " Lithuania" }, { "value": "LU", "label": " Luxembourg" }, { "value": "MO", "label": " Macao" }, { "value": "MG", "label": " Madagascar" }, { "value": "MW", "label": " Malawi" }, { "value": "MY", "label": " Malaysia" }, { "value": "MV", "label": " Maldives" }, { "value": "ML", "label": " Mali" }, { "value": "MT", "label": " Malta" }, { "value": "MH", "label": " Marshall Islands" }, { "value": "MQ", "label": " Martinique" }, { "value": "MR", "label": " Mauritania" }, { "value": "MU", "label": " Mauritius" }, { "value": "YT", "label": " Mayotte" }, { "value": "MX", "label": " Mexico" }, { "value": "FM", "label": " Micronesia (Federated States of)" }, { "value": "MD", "label": " Moldova, Republic of" }, { "value": "MC", "label": " Monaco" }, { "value": "MN", "label": " Mongolia" }, { "value": "ME", "label": " Montenegro" }, { "value": "MS", "label": " Montserrat" }, { "value": "MA", "label": " Morocco" }, { "value": "MZ", "label": " Mozambique" }, { "value": "MM", "label": " Myanmar" }, { "value": "NA", "label": " Namibia" }, { "value": "NR", "label": " Nauru" }, { "value": "NP", "label": " Nepal" }, { "value": "NL", "label": " Netherlands" }, { "value": "NC", "label": " New Caledonia" }, { "value": "NZ", "label": " New Zealand" }, { "value": "NI", "label": " Nicaragua" }, { "value": "NE", "label": " Niger" }, { "value": "NG", "label": " Nigeria" }, { "value": "NU", "label": " Niue" }, { "value": "NF", "label": " Norfolk Island" }, { "value": "MK", "label": " North Macedonia" }, { "value": "MP", "label": " Northern Mariana Islands" }, { "value": "NO", "label": " Norway" }, { "value": "OM", "label": " Oman" }, { "value": "PK", "label": " Pakistan" }, { "value": "PW", "label": " Palau" }, { "value": "PS", "label": " Palestine, State of" }, { "value": "PA", "label": " Panama" }, { "value": "PG", "label": " Papua New Guinea" }, { "value": "PY", "label": " Paraguay" }, { "value": "PE", "label": " Peru" }, { "value": "PH", "label": " Philippines" }, { "value": "PN", "label": " Pitcairn" }, { "value": "PL", "label": " Poland" }, { "value": "PT", "label": " Portugal" }, { "value": "PR", "label": " Puerto Rico" }, { "value": "QA", "label": " Qatar" }, { "value": "RE", "label": " Réunion" }, { "value": "RO", "label": " Romania" }, { "value": "RU", "label": " Russian Federation" }, { "value": "RW", "label": " Rwanda" }, { "value": "BL", "label": " Saint Barthélemy" }, { "value": "SH", "label": " Saint Helena, Ascension and Tristan da Cunha" }, { "value": "KN", "label": " Saint Kitts and Nevis" }, { "value": "LC", "label": " Saint Lucia" }, { "value": "MF", "label": " Saint Martin (French part)" }, { "value": "PM", "label": " Saint Pierre and Miquelon" }, { "value": "VC", "label": " Saint Vincent and the Grenadines" }, { "value": "WS", "label": " Samoa" }, { "value": "SM", "label": " San Marino" }, { "value": "ST", "label": " Sao Tome and Principe" }, { "value": "SA", "label": " Saudi Arabia" }, { "value": "SN", "label": " Senegal" }, { "value": "RS", "label": " Serbia" }, { "value": "SC", "label": " Seychelles" }, { "value": "SL", "label": " Sierra Leone" }, { "value": "SG", "label": " Singapore" }, { "value": "SX", "label": " Sint Maarten (Dutch part)" }, { "value": "SK", "label": " Slovakia" }, { "value": "SI", "label": " Slovenia" }, { "value": "SB", "label": " Solomon Islands" }, { "value": "SO", "label": " Somalia" }, { "value": "ZA", "label": " South Africa" }, { "value": "GS", "label": " South Georgia and the South Sandwich Islands" }, { "value": "SS", "label": " South Sudan" }, { "value": "ES", "label": " Spain" }, { "value": "LK", "label": " Sri Lanka" }, { "value": "SD", "label": " Sudan" }, { "value": "SR", "label": " Suriname" }, { "value": "SJ", "label": " Svalbard and Jan Mayen" }, { "value": "SE", "label": " Sweden" }, { "value": "CH", "label": " Switzerland" }, { "value": "SY", "label": " Syrian Arab Republic" }, { "value": "TW", "label": " Taiwan, Province of China" }, { "value": "TJ", "label": " Tajikistan" }, { "value": "TZ", "label": " Tanzania, United Republic of" }, { "value": "TH", "label": " Thailand" }, { "value": "TL", "label": " Timor-Leste" }, { "value": "TG", "label": " Togo" }, { "value": "TK", "label": " Tokelau" }, { "value": "TO", "label": " Tonga" }, { "value": "TT", "label": " Trinidad and Tobago" }, { "value": "TN", "label": " Tunisia" }, { "value": "TR", "label": " Turkey" }, { "value": "TM", "label": " Turkmenistan" }, { "value": "TC", "label": " Turks and Caicos Islands" }, { "value": "TV", "label": " Tuvalu" }, { "value": "UG", "label": " Uganda" }, { "value": "UA", "label": " Ukraine" }, { "value": "AE", "label": " United Arab Emirates" }, { "value": "GB", "label": " United Kingdom of Great Britain and Northern Ireland" }, { "value": "US", "label": " United States of America" }, { "value": "UM", "label": " United States Minor Outlying Islands" }, { "value": "UY", "label": " Uruguay" }, { "value": "UZ", "label": " Uzbekistan" }, { "value": "VU", "label": " Vanuatu" }, { "value": "VE", "label": " Venezuela (Bolivarian Republic of)" }, { "value": "VN", "label": " Viet Nam" }, { "value": "VG", "label": " Virgin Islands (British)" }, { "value": "VI", "label": " Virgin Islands (U.S.)" }, { "value": "WF", "label": " Wallis and Futuna" }, { "value": "EH", "label": " Western Sahara" }, { "value": "YE", "label": " Yemen" }, { "value": "ZM", "label": " Zambia" }, { "value": "ZW", "label": " Zimbabwe" } ] }, "valueProperty": "label", "selectThreshold": 0.3, "validate": { "required": true }, "key": "mailingcountry_CP1", "properties": { "populatedBy": "addressData", "valueKey": "Country" }, "type": "select", "input": true } ] }, { "html": "

Legal name of the relevant Investor entity (i.e. the Account Holder) of which you are a Controlling Person, including type.

For more information, please scroll up and consult the definition of 'Account Holder' and 'Controlling Person' in the Glossary of Terms at the start of the FATCA/CRS section of this form.

", "label": "Content", "refreshOnChange": false, "key": "content11", "type": "content", "input": false, "tableView": false }, { "label": "Legal entity ('Account Holder')", "disabled": true, "tableView": true, "redrawOn": "data", "calculateValue": "value = data.MID_LP_Name;", "key": "legalEntity1_CP1", "type": "textfield", "input": true }, { "label": "Type of Controlling Person for entity above", "tableView": true, "data": { "values": [ { "label": "Control by ownership (legal person)", "value": "controlByOwnershipLegalPerson" }, { "label": "Control by other means (legal person)", "value": "controlByOtherMeansLegalPerson" }, { "label": "Senior managing officer (legal person)", "value": "seniorManagingOfficerLegalPerson" }, { "label": "Settlor (trust)", "value": "settlorTrust" }, { "label": "Trustee (trust)", "value": "trusteeTrust" }, { "label": "Protector (trust)", "value": "protectorTrust" }, { "label": "Beneficiary (trust)", "value": "beneficiaryTrust" }, { "label": "Other (trust)", "value": "otherTrust" }, { "label": "Settlor-equivalent (non-trust)", "value": "settlorEquivalentNonTrust" }, { "label": "Trustee-equivalent (non-trust)", "value": "trusteeEquivalentNonTrust" }, { "label": "Protector-equivalent (non-trust)", "value": "protectorEquivalentNonTrust" }, { "label": "Beneficiary-equivalent (non-trust)", "value": "beneficiaryEquivalentNonTrust" }, { "label": "Other-equivalent (non-trust)", "value": "otherEquivalentNonTrust" } ] }, "selectThreshold": 0.3, "key": "typeOfControllingPersonForEntity1_CP1", "type": "select", "input": true }, { "html": "

FATCA / CRS Declarations

", "label": "Content", "refreshOnChange": false, "key": "content12", "type": "content", "input": false, "tableView": false }, { "label": "Confirmation of US tax status - Please tick as appropriate:", "optionsLabelPosition": "right", "inline": false, "tableView": false, "values": [ { "label": "I confirm that I am a US citizen or resident in the US for tax purposes (green card holder or resident under the substantial presence test) ", "value": "yes", "shortcut": "" }, { "label": "I confirm that I am not a US person for US tax purposes. I am not a US citizen or green card holder, and I am not a resident in the US for tax purposes.", "value": "no", "shortcut": "" }, { "label": "I confirm that I was born in the US (or a US territory) but am no longer a US citizen as I have voluntary surrendered my citizenship as evidenced by the attached documents.", "value": "surrender", "shortcut": "" } ], "validate": { "required": true }, "key": "confirmUSTax_CP1", "type": "radio", "input": true }, { "label": "Please provide your US Social Security Number (SSN) or US Individual Tax Identification Number (ITIN)", "hidden": true, "tableView": true, "validate": { "required": true }, "key": "ssnitin_CP1", "conditional": { "show": true, "when": "confirmUSTax_CP1", "eq": "yes" }, "type": "textfield", "input": true }, { "label": "In how many countries are you a tax payer?", "widget": "choicesjs", "tableView": true, "data": { "values": [ { "label": "1", "value": "1" }, { "label": "2", "value": "2" }, { "label": "3", "value": "3" } ] }, "selectThreshold": 0.3, "validate": { "required": true }, "key": "addtaxcountries_CP1", "type": "select", "input": true }, { "legend": "
Tax payer country 1
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Tax payer country 1
", "input": false, "tableView": false, "components": [ { "label": "Country of tax residence", "widget": "choicesjs", "tableView": true, "dataSrc": "json", "data": { "json": [ { "value": "AF", "label": " Afghanistan" }, { "value": "AX", "label": " Åland Islands" }, { "value": "AL", "label": " Albania" }, { "value": "DZ", "label": " Algeria" }, { "value": "AS", "label": " American Samoa" }, { "value": "AD", "label": " Andorra" }, { "value": "AO", "label": " Angola" }, { "value": "AI", "label": " Anguilla" }, { "value": "AQ", "label": " Antarctica" }, { "value": "AG", "label": " Antigua and Barbuda" }, { "value": "AR", "label": " Argentina" }, { "value": "AM", "label": " Armenia" }, { "value": "AW", "label": " Aruba" }, { "value": "AU", "label": " Australia" }, { "value": "AT", "label": " Austria" }, { "value": "AZ", "label": " Azerbaijan" }, { "value": "BS", "label": " Bahamas" }, { "value": "BH", "label": " Bahrain" }, { "value": "BD", "label": " Bangladesh" }, { "value": "BB", "label": " Barbados" }, { "value": "BY", "label": " Belarus" }, { "value": "BE", "label": " Belgium" }, { "value": "BZ", "label": " Belize" }, { "value": "BJ", "label": " Benin" }, { "value": "BM", "label": " Bermuda" }, { "value": "BT", "label": " Bhutan" }, { "value": "BO", "label": " Bolivia (Plurinational State of)" }, { "value": "BQ", "label": " Bonaire, Sint Eustatius and Saba" }, { "value": "BA", "label": " Bosnia and Herzegovina" }, { "value": "BW", "label": " Botswana" }, { "value": "BV", "label": " Bouvet Island" }, { "value": "BR", "label": " Brazil" }, { "value": "IO", "label": " British Indian Ocean Territory" }, { "value": "BN", "label": " Brunei Darussalam" }, { "value": "BG", "label": " Bulgaria" }, { "value": "BF", "label": " Burkina Faso" }, { "value": "BI", "label": " Burundi" }, { "value": "CV", "label": " Cabo Verde" }, { "value": "KH", "label": " Cambodia" }, { "value": "CM", "label": " Cameroon" }, { "value": "CA", "label": " Canada" }, { "value": "KY", "label": " Cayman Islands" }, { "value": "CF", "label": " Central African Republic" }, { "value": "TD", "label": " Chad" }, { "value": "CL", "label": " Chile" }, { "value": "CN", "label": " China" }, { "value": "CX", "label": " Christmas Island" }, { "value": "CC", "label": " Cocos (Keeling) Islands" }, { "value": "CO", "label": " Colombia" }, { "value": "KM", "label": " Comoros" }, { "value": "CG", "label": " Congo" }, { "value": "CD", "label": " Congo, Democratic Republic of the" }, { "value": "CK", "label": " Cook Islands" }, { "value": "CR", "label": " Costa Rica" }, { "value": "CI", "label": " Côte d'Ivoire" }, { "value": "HR", "label": " Croatia" }, { "value": "CU", "label": " Cuba" }, { "value": "CW", "label": " Curaçao" }, { "value": "CY", "label": " Cyprus" }, { "value": "CZ", "label": " Czechia" }, { "value": "DK", "label": " Denmark" }, { "value": "DJ", "label": " Djibouti" }, { "value": "DM", "label": " Dominica" }, { "value": "DO", "label": " Dominican Republic" }, { "value": "EC", "label": " Ecuador" }, { "value": "EG", "label": " Egypt" }, { "value": "SV", "label": " El Salvador" }, { "value": "GQ", "label": " Equatorial Guinea" }, { "value": "ER", "label": " Eritrea" }, { "value": "EE", "label": " Estonia" }, { "value": "SZ", "label": " Eswatini" }, { "value": "ET", "label": " Ethiopia" }, { "value": "FK", "label": " Falkland Islands (Malvinas)" }, { "value": "FO", "label": " Faroe Islands" }, { "value": "FJ", "label": " Fiji" }, { "value": "FI", "label": " Finland" }, { "value": "FR", "label": " France" }, { "value": "GF", "label": " French Guiana" }, { "value": "PF", "label": " French Polynesia" }, { "value": "TF", "label": " French Southern Territories" }, { "value": "GA", "label": " Gabon" }, { "value": "GM", "label": " Gambia" }, { "value": "GE", "label": " Georgia" }, { "value": "DE", "label": " Germany" }, { "value": "GH", "label": " Ghana" }, { "value": "GI", "label": " Gibraltar" }, { "value": "GR", "label": " Greece" }, { "value": "GL", "label": " Greenland" }, { "value": "GD", "label": " Grenada" }, { "value": "GP", "label": " Guadeloupe" }, { "value": "GU", "label": " Guam" }, { "value": "GT", "label": " Guatemala" }, { "value": "GG", "label": " Guernsey" }, { "value": "GN", "label": " Guinea" }, { "value": "GW", "label": " Guinea-Bissau" }, { "value": "GY", "label": " Guyana" }, { "value": "HT", "label": " Haiti" }, { "value": "HM", "label": " Heard Island and McDonald Islands" }, { "value": "VA", "label": " Holy See" }, { "value": "HN", "label": " Honduras" }, { "value": "HK", "label": " Hong Kong" }, { "value": "HU", "label": " Hungary" }, { "value": "IS", "label": " Iceland" }, { "value": "IN", "label": " India" }, { "value": "ID", "label": " Indonesia" }, { "value": "IR", "label": " Iran (Islamic Republic of)" }, { "value": "IQ", "label": " Iraq" }, { "value": "IE", "label": " Ireland" }, { "value": "IM", "label": " Isle of Man" }, { "value": "IL", "label": " Israel" }, { "value": "IT", "label": " Italy" }, { "value": "JM", "label": " Jamaica" }, { "value": "JP", "label": " Japan" }, { "value": "JE", "label": " Jersey" }, { "value": "JO", "label": " Jordan" }, { "value": "KZ", "label": " Kazakhstan" }, { "value": "KE", "label": " Kenya" }, { "value": "KI", "label": " Kiribati" }, { "value": "KP", "label": " Korea (Democratic People's Republic of)" }, { "value": "KR", "label": " Korea, Republic of" }, { "value": "KW", "label": " Kuwait" }, { "value": "KG", "label": " Kyrgyzstan" }, { "value": "LA", "label": " Lao People's Democratic Republic" }, { "value": "LV", "label": " Latvia" }, { "value": "LB", "label": " Lebanon" }, { "value": "LS", "label": " Lesotho" }, { "value": "LR", "label": " Liberia" }, { "value": "LY", "label": " Libya" }, { "value": "LI", "label": " Liechtenstein" }, { "value": "LT", "label": " Lithuania" }, { "value": "LU", "label": " Luxembourg" }, { "value": "MO", "label": " Macao" }, { "value": "MG", "label": " Madagascar" }, { "value": "MW", "label": " Malawi" }, { "value": "MY", "label": " Malaysia" }, { "value": "MV", "label": " Maldives" }, { "value": "ML", "label": " Mali" }, { "value": "MT", "label": " Malta" }, { "value": "MH", "label": " Marshall Islands" }, { "value": "MQ", "label": " Martinique" }, { "value": "MR", "label": " Mauritania" }, { "value": "MU", "label": " Mauritius" }, { "value": "YT", "label": " Mayotte" }, { "value": "MX", "label": " Mexico" }, { "value": "FM", "label": " Micronesia (Federated States of)" }, { "value": "MD", "label": " Moldova, Republic of" }, { "value": "MC", "label": " Monaco" }, { "value": "MN", "label": " Mongolia" }, { "value": "ME", "label": " Montenegro" }, { "value": "MS", "label": " Montserrat" }, { "value": "MA", "label": " Morocco" }, { "value": "MZ", "label": " Mozambique" }, { "value": "MM", "label": " Myanmar" }, { "value": "NA", "label": " Namibia" }, { "value": "NR", "label": " Nauru" }, { "value": "NP", "label": " Nepal" }, { "value": "NL", "label": " Netherlands" }, { "value": "NC", "label": " New Caledonia" }, { "value": "NZ", "label": " New Zealand" }, { "value": "NI", "label": " Nicaragua" }, { "value": "NE", "label": " Niger" }, { "value": "NG", "label": " Nigeria" }, { "value": "NU", "label": " Niue" }, { "value": "NF", "label": " Norfolk Island" }, { "value": "MK", "label": " North Macedonia" }, { "value": "MP", "label": " Northern Mariana Islands" }, { "value": "NO", "label": " Norway" }, { "value": "OM", "label": " Oman" }, { "value": "PK", "label": " Pakistan" }, { "value": "PW", "label": " Palau" }, { "value": "PS", "label": " Palestine, State of" }, { "value": "PA", "label": " Panama" }, { "value": "PG", "label": " Papua New Guinea" }, { "value": "PY", "label": " Paraguay" }, { "value": "PE", "label": " Peru" }, { "value": "PH", "label": " Philippines" }, { "value": "PN", "label": " Pitcairn" }, { "value": "PL", "label": " Poland" }, { "value": "PT", "label": " Portugal" }, { "value": "PR", "label": " Puerto Rico" }, { "value": "QA", "label": " Qatar" }, { "value": "RE", "label": " Réunion" }, { "value": "RO", "label": " Romania" }, { "value": "RU", "label": " Russian Federation" }, { "value": "RW", "label": " Rwanda" }, { "value": "BL", "label": " Saint Barthélemy" }, { "value": "SH", "label": " Saint Helena, Ascension and Tristan da Cunha" }, { "value": "KN", "label": " Saint Kitts and Nevis" }, { "value": "LC", "label": " Saint Lucia" }, { "value": "MF", "label": " Saint Martin (French part)" }, { "value": "PM", "label": " Saint Pierre and Miquelon" }, { "value": "VC", "label": " Saint Vincent and the Grenadines" }, { "value": "WS", "label": " Samoa" }, { "value": "SM", "label": " San Marino" }, { "value": "ST", "label": " Sao Tome and Principe" }, { "value": "SA", "label": " Saudi Arabia" }, { "value": "SN", "label": " Senegal" }, { "value": "RS", "label": " Serbia" }, { "value": "SC", "label": " Seychelles" }, { "value": "SL", "label": " Sierra Leone" }, { "value": "SG", "label": " Singapore" }, { "value": "SX", "label": " Sint Maarten (Dutch part)" }, { "value": "SK", "label": " Slovakia" }, { "value": "SI", "label": " Slovenia" }, { "value": "SB", "label": " Solomon Islands" }, { "value": "SO", "label": " Somalia" }, { "value": "ZA", "label": " South Africa" }, { "value": "GS", "label": " South Georgia and the South Sandwich Islands" }, { "value": "SS", "label": " South Sudan" }, { "value": "ES", "label": " Spain" }, { "value": "LK", "label": " Sri Lanka" }, { "value": "SD", "label": " Sudan" }, { "value": "SR", "label": " Suriname" }, { "value": "SJ", "label": " Svalbard and Jan Mayen" }, { "value": "SE", "label": " Sweden" }, { "value": "CH", "label": " Switzerland" }, { "value": "SY", "label": " Syrian Arab Republic" }, { "value": "TW", "label": " Taiwan, Province of China" }, { "value": "TJ", "label": " Tajikistan" }, { "value": "TZ", "label": " Tanzania, United Republic of" }, { "value": "TH", "label": " Thailand" }, { "value": "TL", "label": " Timor-Leste" }, { "value": "TG", "label": " Togo" }, { "value": "TK", "label": " Tokelau" }, { "value": "TO", "label": " Tonga" }, { "value": "TT", "label": " Trinidad and Tobago" }, { "value": "TN", "label": " Tunisia" }, { "value": "TR", "label": " Turkey" }, { "value": "TM", "label": " Turkmenistan" }, { "value": "TC", "label": " Turks and Caicos Islands" }, { "value": "TV", "label": " Tuvalu" }, { "value": "UG", "label": " Uganda" }, { "value": "UA", "label": " Ukraine" }, { "value": "AE", "label": " United Arab Emirates" }, { "value": "GB", "label": " United Kingdom of Great Britain and Northern Ireland" }, { "value": "US", "label": " United States of America" }, { "value": "UM", "label": " United States Minor Outlying Islands" }, { "value": "UY", "label": " Uruguay" }, { "value": "UZ", "label": " Uzbekistan" }, { "value": "VU", "label": " Vanuatu" }, { "value": "VE", "label": " Venezuela (Bolivarian Republic of)" }, { "value": "VN", "label": " Viet Nam" }, { "value": "VG", "label": " Virgin Islands (British)" }, { "value": "VI", "label": " Virgin Islands (U.S.)" }, { "value": "WF", "label": " Wallis and Futuna" }, { "value": "EH", "label": " Western Sahara" }, { "value": "YE", "label": " Yemen" }, { "value": "ZM", "label": " Zambia" }, { "value": "ZW", "label": " Zimbabwe" } ] }, "valueProperty": "label", "selectThreshold": 0.3, "validate": { "required": true }, "key": "countryOfTaxResidence1_CP1", "type": "select", "input": true }, { "label": "Do you have a Tax Identification Number in {{data.countryOfTaxResidence1_CP1}}?", "optionsLabelPosition": "right", "inline": true, "hidden": true, "tableView": false, "values": [ { "label": "Yes", "value": "yes", "shortcut": "" }, { "label": "No", "value": "no", "shortcut": "" } ], "redrawOn": "data", "validate": { "required": true }, "key": "tinpresent1_CP1", "customConditional": "show = data.countryOfTaxResidence1_CP1", "type": "radio", "input": true }, { "label": "Tax Identification Number in {{data.countryOfTaxResidence1_CP1}}", "tooltip": "Please note that your local TIN might have a 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Please consult the OECD list of accepted TINs per country", "hidden": true, "tableView": true, "validate": { "required": true }, "key": "taxIdentificationNumber3", "conditional": { "show": true, "when": "tinpresent1_CP1", "eq": "yes" }, "type": "textfield", "input": true }, { "label": "Reason for Tax Identification Number not being applicable", "hidden": true, "tableView": true, "validate": { "required": true }, "key": "reasonTaxNumberNotApplicable1_CP1", "conditional": { "show": true, "when": "tinpresent1_CP1", "eq": "no" }, "type": "textfield", "input": true } ] }, { "legend": "
Tax payer country 2
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" Barbados" }, { "value": "BY", "label": " Belarus" }, { "value": "BE", "label": " Belgium" }, { "value": "BZ", "label": " Belize" }, { "value": "BJ", "label": " Benin" }, { "value": "BM", "label": " Bermuda" }, { "value": "BT", "label": " Bhutan" }, { "value": "BO", "label": " Bolivia (Plurinational State of)" }, { "value": "BQ", "label": " Bonaire, Sint Eustatius and Saba" }, { "value": "BA", "label": " Bosnia and Herzegovina" }, { "value": "BW", "label": " Botswana" }, { "value": "BV", "label": " Bouvet Island" }, { "value": "BR", "label": " Brazil" }, { "value": "IO", "label": " British Indian Ocean Territory" }, { "value": "BN", "label": " Brunei Darussalam" }, { "value": "BG", "label": " Bulgaria" }, { "value": "BF", "label": " Burkina Faso" }, { "value": "BI", "label": " Burundi" }, { "value": "CV", "label": " Cabo Verde" }, { "value": "KH", "label": " Cambodia" }, { "value": "CM", "label": " Cameroon" }, { "value": "CA", "label": " Canada" }, { "value": "KY", "label": " Cayman Islands" }, { "value": "CF", "label": " Central African Republic" }, { "value": "TD", "label": " Chad" }, { "value": "CL", "label": " Chile" }, { "value": "CN", "label": " China" }, { "value": "CX", "label": " Christmas Island" }, { "value": "CC", "label": " Cocos (Keeling) Islands" }, { "value": "CO", "label": " Colombia" }, { "value": "KM", "label": " Comoros" }, { "value": "CG", "label": " Congo" }, { "value": "CD", "label": " Congo, Democratic Republic of the" }, { "value": "CK", "label": " Cook Islands" }, { "value": "CR", "label": " Costa Rica" }, { "value": "CI", "label": " Côte d'Ivoire" }, { "value": "HR", "label": " Croatia" }, { "value": "CU", "label": " Cuba" }, { "value": "CW", "label": " Curaçao" }, { "value": "CY", "label": " Cyprus" }, { "value": "CZ", "label": " Czechia" }, { "value": "DK", "label": " Denmark" }, { "value": "DJ", "label": " Djibouti" }, { "value": "DM", "label": " Dominica" }, { "value": "DO", "label": " Dominican Republic" }, { "value": "EC", "label": " Ecuador" }, { "value": "EG", "label": " Egypt" }, { "value": "SV", "label": " El Salvador" }, { "value": "GQ", "label": " Equatorial Guinea" }, { "value": "ER", "label": " Eritrea" }, { "value": "EE", "label": " Estonia" }, { "value": "SZ", "label": " Eswatini" }, { "value": "ET", "label": " Ethiopia" }, { "value": "FK", "label": " Falkland Islands (Malvinas)" }, { "value": "FO", "label": " Faroe Islands" }, { "value": "FJ", "label": " Fiji" }, { "value": "FI", "label": " Finland" }, { "value": "FR", "label": " France" }, { "value": "GF", "label": " French Guiana" }, { "value": "PF", "label": " French Polynesia" }, { "value": "TF", "label": " French Southern Territories" }, { "value": "GA", "label": " Gabon" }, { "value": "GM", "label": " Gambia" }, { "value": "GE", "label": " Georgia" }, { "value": "DE", "label": " Germany" }, { "value": "GH", "label": " Ghana" }, { "value": "GI", "label": " Gibraltar" }, { "value": "GR", "label": " Greece" }, { "value": "GL", "label": " Greenland" }, { "value": "GD", "label": " Grenada" }, { "value": "GP", "label": " Guadeloupe" }, { "value": "GU", "label": " Guam" }, { "value": "GT", "label": " Guatemala" }, { "value": "GG", "label": " Guernsey" }, { "value": "GN", "label": " Guinea" }, { "value": "GW", "label": " Guinea-Bissau" }, { "value": "GY", "label": " Guyana" }, { "value": "HT", "label": " Haiti" }, { "value": "HM", "label": " Heard Island and McDonald Islands" }, { "value": "VA", "label": " Holy See" }, { "value": "HN", "label": " Honduras" }, { "value": "HK", "label": " Hong Kong" }, { "value": "HU", "label": " Hungary" }, { "value": "IS", "label": " Iceland" }, { "value": "IN", "label": " India" }, { "value": "ID", "label": " Indonesia" }, { "value": "IR", "label": " Iran (Islamic Republic of)" }, { "value": "IQ", "label": " Iraq" }, { "value": "IE", "label": " Ireland" }, { "value": "IM", "label": " Isle of Man" }, { "value": "IL", "label": " Israel" }, { "value": "IT", "label": " Italy" }, { "value": "JM", "label": " Jamaica" }, { "value": "JP", "label": " Japan" }, { "value": "JE", "label": " Jersey" }, { "value": "JO", "label": " Jordan" }, { "value": "KZ", "label": " Kazakhstan" }, { "value": "KE", "label": " Kenya" }, { "value": "KI", "label": " Kiribati" }, { "value": "KP", "label": " Korea (Democratic People's Republic of)" }, { "value": "KR", "label": " Korea, Republic of" }, { "value": "KW", "label": " Kuwait" }, { "value": "KG", "label": " Kyrgyzstan" }, { "value": "LA", "label": " Lao People's Democratic Republic" }, { "value": "LV", "label": " Latvia" }, { "value": "LB", "label": " Lebanon" }, { "value": "LS", "label": " Lesotho" }, { "value": "LR", "label": " Liberia" }, { "value": "LY", "label": " Libya" }, { "value": "LI", "label": " Liechtenstein" }, { "value": "LT", "label": " Lithuania" }, { "value": "LU", "label": " Luxembourg" }, { "value": "MO", "label": " Macao" }, { "value": "MG", "label": " Madagascar" }, { "value": "MW", "label": " Malawi" }, { "value": "MY", "label": " Malaysia" }, { "value": "MV", "label": " Maldives" }, { "value": "ML", "label": " Mali" }, { "value": "MT", "label": " Malta" }, { "value": "MH", "label": " Marshall Islands" }, { "value": "MQ", "label": " Martinique" }, { "value": "MR", "label": " Mauritania" }, { "value": "MU", "label": " Mauritius" }, { "value": "YT", "label": " Mayotte" }, { "value": "MX", "label": " Mexico" }, { "value": "FM", "label": " Micronesia (Federated States of)" }, { "value": "MD", "label": " Moldova, Republic of" }, { "value": "MC", "label": " Monaco" }, { "value": "MN", "label": " Mongolia" }, { "value": "ME", "label": " Montenegro" }, { "value": "MS", "label": " Montserrat" }, { "value": "MA", "label": " Morocco" }, { "value": "MZ", "label": " Mozambique" }, { "value": "MM", "label": " Myanmar" }, { "value": "NA", "label": " Namibia" }, { "value": "NR", "label": " Nauru" }, { "value": "NP", "label": " Nepal" }, { "value": "NL", "label": " Netherlands" }, { "value": "NC", "label": " New Caledonia" }, { "value": "NZ", "label": " New Zealand" }, { "value": "NI", "label": " Nicaragua" }, { "value": "NE", "label": " Niger" }, { "value": "NG", "label": " Nigeria" }, { "value": "NU", "label": " Niue" }, { "value": "NF", "label": " Norfolk Island" }, { "value": "MK", "label": " North Macedonia" }, { "value": "MP", "label": " Northern Mariana Islands" }, { "value": "NO", "label": " Norway" }, { "value": "OM", "label": " Oman" }, { "value": "PK", "label": " Pakistan" }, { "value": "PW", "label": " Palau" }, { "value": "PS", "label": " Palestine, State of" }, { "value": "PA", "label": " Panama" }, { "value": "PG", "label": " Papua New Guinea" }, { "value": "PY", "label": " Paraguay" }, { "value": "PE", "label": " Peru" }, { "value": "PH", "label": " Philippines" }, { "value": "PN", "label": " Pitcairn" }, { "value": "PL", "label": " Poland" }, { "value": "PT", "label": " Portugal" }, { "value": "PR", "label": " Puerto Rico" }, { "value": "QA", "label": " Qatar" }, { "value": "RE", "label": " Réunion" }, { "value": "RO", "label": " Romania" }, { "value": "RU", "label": " Russian Federation" }, { "value": "RW", "label": " Rwanda" }, { "value": "BL", "label": " Saint Barthélemy" }, { "value": "SH", "label": " Saint Helena, Ascension and Tristan da Cunha" }, { "value": "KN", "label": " Saint Kitts and Nevis" }, { "value": "LC", "label": " Saint Lucia" }, { "value": "MF", "label": " Saint Martin (French part)" }, { "value": "PM", "label": " Saint Pierre and Miquelon" }, { "value": "VC", "label": " Saint Vincent and the Grenadines" }, { "value": "WS", "label": " Samoa" }, { "value": "SM", "label": " San Marino" }, { "value": "ST", "label": " Sao Tome and Principe" }, { "value": "SA", "label": " Saudi Arabia" }, { "value": "SN", "label": " Senegal" }, { "value": "RS", "label": " Serbia" }, { "value": "SC", "label": " Seychelles" }, { "value": "SL", "label": " Sierra Leone" }, { "value": "SG", "label": " Singapore" }, { "value": "SX", "label": " Sint Maarten (Dutch part)" }, { 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Tax payer country 3
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Tax payer country 3
", "input": false, "tableView": false, "components": [ { "label": "Country of tax residence", "widget": "choicesjs", "tableView": true, "dataSrc": "json", "data": { "json": [ { "value": "AF", "label": " Afghanistan" }, { "value": "AX", "label": " Åland Islands" }, { "value": "AL", "label": " Albania" }, { "value": "DZ", "label": " Algeria" }, { "value": "AS", "label": " American Samoa" }, { "value": "AD", "label": " Andorra" }, { "value": "AO", "label": " Angola" }, { "value": "AI", "label": " Anguilla" }, { "value": "AQ", "label": " Antarctica" }, { "value": "AG", "label": " Antigua and Barbuda" }, { "value": "AR", "label": " Argentina" }, { "value": "AM", "label": " Armenia" }, { "value": "AW", "label": " Aruba" }, { "value": "AU", "label": " Australia" }, { "value": "AT", "label": " Austria" }, { "value": "AZ", "label": " Azerbaijan" }, { "value": "BS", "label": " Bahamas" }, { "value": "BH", "label": " Bahrain" }, { "value": "BD", "label": " Bangladesh" }, { "value": "BB", "label": " Barbados" }, { "value": "BY", "label": " Belarus" }, { "value": "BE", "label": " Belgium" }, { "value": "BZ", "label": " Belize" }, { "value": "BJ", "label": " Benin" }, { "value": "BM", "label": " Bermuda" }, { "value": "BT", "label": " Bhutan" }, { "value": "BO", "label": " Bolivia (Plurinational State of)" }, { "value": "BQ", "label": " Bonaire, Sint Eustatius and Saba" }, { "value": "BA", "label": " Bosnia and Herzegovina" }, { "value": "BW", "label": " Botswana" }, { "value": "BV", "label": " Bouvet Island" }, { "value": "BR", "label": " Brazil" }, { "value": "IO", "label": " British Indian Ocean Territory" }, { "value": "BN", "label": " Brunei Darussalam" }, { "value": "BG", "label": " Bulgaria" }, { "value": "BF", "label": " Burkina Faso" }, { "value": "BI", "label": " Burundi" }, { "value": "CV", "label": " Cabo Verde" }, { "value": "KH", "label": " Cambodia" }, { "value": "CM", "label": " Cameroon" }, { "value": "CA", "label": " Canada" }, { "value": "KY", "label": " Cayman Islands" }, { "value": "CF", "label": " Central African Republic" }, { "value": "TD", "label": " Chad" }, { "value": "CL", "label": " Chile" }, { "value": "CN", "label": " China" }, { "value": "CX", "label": " Christmas Island" }, { "value": "CC", "label": " Cocos (Keeling) Islands" }, { "value": "CO", "label": " Colombia" }, { "value": "KM", "label": " Comoros" }, { "value": "CG", "label": " Congo" }, { "value": "CD", "label": " Congo, Democratic Republic of the" }, { "value": "CK", "label": " Cook Islands" }, { "value": "CR", "label": " Costa Rica" }, { "value": "CI", "label": " Côte d'Ivoire" }, { "value": "HR", "label": " Croatia" }, { "value": "CU", "label": " Cuba" }, { "value": "CW", "label": " Curaçao" }, { "value": "CY", "label": " Cyprus" }, { "value": "CZ", "label": " Czechia" }, { "value": "DK", "label": " Denmark" }, { "value": "DJ", "label": " Djibouti" }, { "value": "DM", "label": " Dominica" }, { "value": "DO", "label": " Dominican Republic" }, { "value": "EC", "label": " Ecuador" }, { "value": "EG", "label": " Egypt" }, { "value": "SV", "label": " El Salvador" }, { "value": "GQ", "label": " Equatorial Guinea" }, { "value": "ER", "label": " Eritrea" }, { "value": "EE", "label": " Estonia" }, { "value": "SZ", "label": " Eswatini" }, { "value": "ET", "label": " Ethiopia" }, { "value": "FK", "label": " Falkland Islands (Malvinas)" }, { "value": "FO", "label": " Faroe Islands" }, { "value": "FJ", "label": " Fiji" }, { "value": "FI", "label": " Finland" }, { "value": "FR", "label": " France" }, { "value": "GF", "label": " French Guiana" }, { "value": "PF", "label": " French Polynesia" }, { "value": "TF", "label": " French Southern Territories" }, { "value": "GA", "label": " Gabon" }, { "value": "GM", "label": " Gambia" }, { "value": "GE", "label": " Georgia" }, { "value": "DE", "label": " Germany" }, { "value": "GH", "label": " Ghana" }, { "value": "GI", "label": " Gibraltar" }, { "value": "GR", "label": " Greece" }, { "value": "GL", "label": " Greenland" }, { "value": "GD", "label": " Grenada" }, { "value": "GP", "label": " Guadeloupe" }, { "value": "GU", "label": " Guam" }, { "value": "GT", "label": " Guatemala" }, { "value": "GG", "label": " Guernsey" }, { "value": "GN", "label": " Guinea" }, { "value": "GW", "label": " Guinea-Bissau" }, { "value": "GY", "label": " Guyana" }, { "value": "HT", "label": " Haiti" }, { "value": "HM", "label": " Heard Island and McDonald Islands" }, { "value": "VA", "label": " Holy See" }, { "value": "HN", "label": " Honduras" }, { "value": "HK", "label": " Hong Kong" }, { "value": "HU", "label": " Hungary" }, { "value": "IS", "label": " Iceland" }, { "value": "IN", "label": " India" }, { "value": "ID", "label": " Indonesia" }, { "value": "IR", "label": " Iran (Islamic Republic of)" }, { "value": "IQ", "label": " Iraq" }, { "value": "IE", "label": " Ireland" }, { "value": "IM", "label": " Isle of Man" }, { "value": "IL", "label": " Israel" }, { "value": "IT", "label": " Italy" }, { "value": "JM", "label": " Jamaica" }, { "value": "JP", "label": " Japan" }, { "value": "JE", "label": " Jersey" }, { "value": "JO", "label": " Jordan" }, { "value": "KZ", "label": " Kazakhstan" }, { "value": "KE", "label": " Kenya" }, { "value": "KI", "label": " Kiribati" }, { "value": "KP", "label": " Korea (Democratic People's Republic of)" }, { "value": "KR", "label": " Korea, Republic of" }, { "value": "KW", "label": " Kuwait" }, { "value": "KG", "label": " Kyrgyzstan" }, { "value": "LA", "label": " Lao People's Democratic Republic" }, { "value": "LV", "label": " Latvia" }, { "value": "LB", "label": " Lebanon" }, { "value": "LS", "label": " Lesotho" }, { "value": "LR", "label": " Liberia" }, { "value": "LY", "label": " Libya" }, { "value": "LI", "label": " Liechtenstein" }, { "value": "LT", "label": " Lithuania" }, { "value": "LU", "label": " Luxembourg" }, { "value": "MO", "label": " Macao" }, { "value": "MG", "label": " Madagascar" }, { "value": "MW", "label": " Malawi" }, { "value": "MY", "label": " Malaysia" }, { "value": "MV", "label": " Maldives" }, { "value": "ML", "label": " Mali" }, { "value": "MT", "label": " Malta" }, { "value": "MH", "label": " Marshall Islands" }, { "value": "MQ", "label": " Martinique" }, { "value": "MR", "label": " Mauritania" }, { "value": "MU", "label": " Mauritius" }, { "value": "YT", "label": " Mayotte" }, { "value": "MX", "label": " Mexico" }, { "value": "FM", "label": " Micronesia (Federated States of)" }, { "value": "MD", "label": " Moldova, Republic of" }, { "value": "MC", "label": " Monaco" }, { "value": "MN", "label": " Mongolia" }, { "value": "ME", "label": " Montenegro" }, { "value": "MS", "label": " Montserrat" }, { "value": "MA", "label": " Morocco" }, { "value": "MZ", "label": " Mozambique" }, { "value": "MM", "label": " Myanmar" }, { "value": "NA", "label": " Namibia" }, { "value": "NR", "label": " Nauru" }, { "value": "NP", "label": " Nepal" }, { "value": "NL", "label": " Netherlands" }, { "value": "NC", "label": " New Caledonia" }, { "value": "NZ", "label": " New Zealand" }, { "value": "NI", "label": " Nicaragua" }, { "value": "NE", "label": " Niger" }, { "value": "NG", "label": " Nigeria" }, { "value": "NU", "label": " Niue" }, { "value": "NF", "label": " Norfolk Island" }, { "value": "MK", "label": " North Macedonia" }, { "value": "MP", "label": " Northern Mariana Islands" }, { "value": "NO", "label": " Norway" }, { "value": "OM", "label": " Oman" }, { "value": "PK", "label": " Pakistan" }, { "value": "PW", "label": " Palau" }, { "value": "PS", "label": " Palestine, State of" }, { "value": "PA", "label": " Panama" }, { "value": "PG", "label": " Papua New Guinea" }, { "value": "PY", "label": " Paraguay" }, { "value": "PE", "label": " Peru" }, { "value": "PH", "label": " Philippines" }, { "value": "PN", "label": " Pitcairn" }, { "value": "PL", "label": " Poland" }, { "value": "PT", "label": " Portugal" }, { "value": "PR", "label": " Puerto Rico" }, { "value": "QA", "label": " Qatar" }, { "value": "RE", "label": " Réunion" }, { "value": "RO", "label": " Romania" }, { "value": "RU", "label": " Russian Federation" }, { "value": "RW", "label": " Rwanda" }, { "value": "BL", "label": " Saint Barthélemy" }, { "value": "SH", "label": " Saint Helena, Ascension and Tristan da Cunha" }, { "value": "KN", "label": " Saint Kitts and Nevis" }, { "value": "LC", "label": " Saint Lucia" }, { "value": "MF", "label": " Saint Martin (French part)" }, { "value": "PM", "label": " Saint Pierre and Miquelon" }, { "value": "VC", "label": " Saint Vincent and the Grenadines" }, { "value": "WS", "label": " Samoa" }, { "value": "SM", "label": " San Marino" }, { "value": "ST", "label": " Sao Tome and Principe" }, { "value": "SA", "label": " Saudi Arabia" }, { "value": "SN", "label": " Senegal" }, { "value": "RS", "label": " Serbia" }, { "value": "SC", "label": " Seychelles" }, { "value": "SL", "label": " Sierra Leone" }, { "value": "SG", "label": " Singapore" }, { "value": "SX", "label": " Sint Maarten (Dutch part)" }, { "value": "SK", "label": " Slovakia" }, { "value": "SI", "label": " Slovenia" }, { "value": "SB", "label": " Solomon Islands" }, { "value": "SO", "label": " Somalia" }, { "value": "ZA", "label": " South Africa" }, { "value": "GS", "label": " South Georgia and the South Sandwich Islands" }, { "value": "SS", "label": " South Sudan" }, { "value": "ES", "label": " Spain" }, { "value": "LK", "label": " Sri Lanka" }, { "value": "SD", "label": " Sudan" }, { "value": "SR", "label": " Suriname" }, { "value": "SJ", "label": " Svalbard and Jan Mayen" }, { "value": "SE", "label": " Sweden" }, { "value": "CH", "label": " Switzerland" }, { "value": "SY", "label": " Syrian Arab Republic" }, { "value": "TW", "label": " Taiwan, Province of China" }, { "value": "TJ", "label": " Tajikistan" }, { "value": "TZ", "label": " Tanzania, United Republic of" }, { "value": "TH", "label": " Thailand" }, { "value": "TL", "label": " Timor-Leste" }, { "value": "TG", "label": " Togo" }, { "value": "TK", "label": " 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"value": "MR", "label": " Mauritania" }, { "value": "MU", "label": " Mauritius" }, { "value": "YT", "label": " Mayotte" }, { "value": "MX", "label": " Mexico" }, { "value": "FM", "label": " Micronesia (Federated States of)" }, { "value": "MD", "label": " Moldova, Republic of" }, { "value": "MC", "label": " Monaco" }, { "value": "MN", "label": " Mongolia" }, { "value": "ME", "label": " Montenegro" }, { "value": "MS", "label": " Montserrat" }, { "value": "MA", "label": " Morocco" }, { "value": "MZ", "label": " Mozambique" }, { "value": "MM", "label": " Myanmar" }, { "value": "NA", "label": " Namibia" }, { "value": "NR", "label": " Nauru" }, { "value": "NP", "label": " Nepal" }, { "value": "NL", "label": " Netherlands" }, { "value": "NC", "label": " New Caledonia" }, { "value": "NZ", "label": " New Zealand" }, { "value": "NI", "label": " Nicaragua" }, { "value": "NE", "label": " Niger" }, { "value": "NG", "label": " Nigeria" }, { "value": "NU", "label": " Niue" }, { "value": "NF", 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"value": "GS", "label": " South Georgia and the South Sandwich Islands" }, { "value": "SS", "label": " South Sudan" }, { "value": "ES", "label": " Spain" }, { "value": "LK", "label": " Sri Lanka" }, { "value": "SD", "label": " Sudan" }, { "value": "SR", "label": " Suriname" }, { "value": "SJ", "label": " Svalbard and Jan Mayen" }, { "value": "SE", "label": " Sweden" }, { "value": "CH", "label": " Switzerland" }, { "value": "SY", "label": " Syrian Arab Republic" }, { "value": "TW", "label": " Taiwan, Province of China" }, { "value": "TJ", "label": " Tajikistan" }, { "value": "TZ", "label": " Tanzania, United Republic of" }, { "value": "TH", "label": " Thailand" }, { "value": "TL", "label": " Timor-Leste" }, { "value": "TG", "label": " Togo" }, { "value": "TK", "label": " Tokelau" }, { "value": "TO", "label": " Tonga" }, { "value": "TT", "label": " Trinidad and Tobago" }, { "value": "TN", "label": " Tunisia" }, { "value": "TR", "label": " Turkey" }, { "value": "TM", "label": " 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Botswana" }, { "value": "BV", "label": " Bouvet Island" }, { "value": "BR", "label": " Brazil" }, { "value": "IO", "label": " British Indian Ocean Territory" }, { "value": "BN", "label": " Brunei Darussalam" }, { "value": "BG", "label": " Bulgaria" }, { "value": "BF", "label": " Burkina Faso" }, { "value": "BI", "label": " Burundi" }, { "value": "CV", "label": " Cabo Verde" }, { "value": "KH", "label": " Cambodia" }, { "value": "CM", "label": " Cameroon" }, { "value": "CA", "label": " Canada" }, { "value": "KY", "label": " Cayman Islands" }, { "value": "CF", "label": " Central African Republic" }, { "value": "TD", "label": " Chad" }, { "value": "CL", "label": " Chile" }, { "value": "CN", "label": " China" }, { "value": "CX", "label": " Christmas Island" }, { "value": "CC", "label": " Cocos (Keeling) Islands" }, { "value": "CO", "label": " Colombia" }, { "value": "KM", "label": " Comoros" }, { "value": "CG", "label": " Congo" }, { "value": "CD", "label": " Congo, Democratic Republic of the" }, { "value": "CK", "label": " Cook Islands" }, { "value": "CR", "label": " Costa Rica" }, { "value": "CI", "label": " Côte d'Ivoire" }, { "value": "HR", "label": " Croatia" }, { "value": "CU", "label": " Cuba" }, { "value": "CW", "label": " Curaçao" }, { "value": "CY", "label": " Cyprus" }, { "value": "CZ", "label": " Czechia" }, { "value": "DK", "label": " Denmark" }, { "value": "DJ", "label": " Djibouti" }, { "value": "DM", "label": " Dominica" }, { "value": "DO", "label": " Dominican Republic" }, { "value": "EC", "label": " Ecuador" }, { "value": "EG", "label": " Egypt" }, { "value": "SV", "label": " El Salvador" }, { "value": "GQ", "label": " Equatorial Guinea" }, { "value": "ER", "label": " Eritrea" }, { "value": "EE", "label": " Estonia" }, { "value": "SZ", "label": " Eswatini" }, { "value": "ET", "label": " Ethiopia" }, { "value": "FK", "label": " Falkland Islands (Malvinas)" }, { "value": "FO", "label": " Faroe Islands" }, { "value": "FJ", "label": " Fiji" }, { "value": "FI", "label": " Finland" }, { "value": "FR", "label": " France" }, { "value": "GF", "label": " French Guiana" }, { "value": "PF", "label": " French Polynesia" }, { "value": "TF", "label": " French Southern Territories" }, { "value": "GA", "label": " Gabon" }, { "value": "GM", "label": " Gambia" }, { "value": "GE", "label": " Georgia" }, { "value": "DE", "label": " Germany" }, { "value": "GH", "label": " Ghana" }, { "value": "GI", "label": " Gibraltar" }, { "value": "GR", "label": " Greece" }, { "value": "GL", "label": " Greenland" }, { "value": "GD", "label": " Grenada" }, { "value": "GP", "label": " Guadeloupe" }, { "value": "GU", "label": " Guam" }, { "value": "GT", "label": " Guatemala" }, { "value": "GG", "label": " Guernsey" }, { "value": "GN", "label": " Guinea" }, { "value": "GW", "label": " Guinea-Bissau" }, { "value": "GY", "label": " Guyana" }, { "value": "HT", "label": " Haiti" }, { "value": "HM", "label": " Heard Island and McDonald Islands" }, { "value": "VA", "label": " Holy See" }, { "value": "HN", "label": " Honduras" }, { "value": "HK", "label": " Hong Kong" }, { "value": "HU", "label": " Hungary" }, { "value": "IS", "label": " Iceland" }, { "value": "IN", "label": " India" }, { "value": "ID", "label": " Indonesia" }, { "value": "IR", "label": " Iran (Islamic Republic of)" }, { "value": "IQ", "label": " Iraq" }, { "value": "IE", "label": " Ireland" }, { "value": "IM", "label": " Isle of Man" }, { "value": "IL", "label": " Israel" }, { "value": "IT", "label": " Italy" }, { "value": "JM", "label": " Jamaica" }, { "value": "JP", "label": " Japan" }, { "value": "JE", "label": " Jersey" }, { "value": "JO", "label": " Jordan" }, { "value": "KZ", "label": " Kazakhstan" }, { "value": "KE", "label": " Kenya" }, { "value": "KI", "label": " Kiribati" }, { "value": "KP", "label": " Korea (Democratic People's Republic of)" }, { "value": "KR", "label": " Korea, Republic of" }, { "value": "KW", "label": " Kuwait" }, { "value": "KG", "label": " Kyrgyzstan" }, { 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"MD", "label": " Moldova, Republic of" }, { "value": "MC", "label": " Monaco" }, { "value": "MN", "label": " Mongolia" }, { "value": "ME", "label": " Montenegro" }, { "value": "MS", "label": " Montserrat" }, { "value": "MA", "label": " Morocco" }, { "value": "MZ", "label": " Mozambique" }, { "value": "MM", "label": " Myanmar" }, { "value": "NA", "label": " Namibia" }, { "value": "NR", "label": " Nauru" }, { "value": "NP", "label": " Nepal" }, { "value": "NL", "label": " Netherlands" }, { "value": "NC", "label": " New Caledonia" }, { "value": "NZ", "label": " New Zealand" }, { "value": "NI", "label": " Nicaragua" }, { "value": "NE", "label": " Niger" }, { "value": "NG", "label": " Nigeria" }, { "value": "NU", "label": " Niue" }, { "value": "NF", "label": " Norfolk Island" }, { "value": "MK", "label": " North Macedonia" }, { "value": "MP", "label": " Northern Mariana Islands" }, { "value": "NO", "label": " Norway" }, { "value": "OM", "label": " Oman" }, { "value": "PK", "label": " 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"html": "

Legal name of the relevant Investor entity (i.e. the Account Holder) of which you are a Controlling Person, including type.

For more information, please scroll up and consult the definition of 'Account Holder' and 'Controlling Person' in the Glossary of Terms at the start of the FATCA/CRS section of this form.

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FATCA / CRS Declarations

", "label": "Content", "refreshOnChange": false, "key": "content15", "type": "content", "input": false, "tableView": false }, { "label": "Confirmation of US tax status - Please tick as appropriate:", "optionsLabelPosition": "right", "inline": false, "tableView": false, "values": [ { "label": "I confirm that I am a US citizen or resident in the US for tax purposes (green card holder or resident under the substantial presence test) ", "value": "yes", "shortcut": "" }, { "label": "I confirm that I am not a US person for US tax purposes. I am not a US citizen or green card holder, and I am not a resident in the US for tax purposes.", "value": "no", "shortcut": "" }, { "label": "I confirm that I was born in the US (or a US territory) but am no longer a US citizen as I have voluntary surrendered my citizenship as evidenced by the attached documents.", "value": "surrender", "shortcut": "" } ], "validate": { "required": true }, "key": "confirmUSTax_CP2", "type": "radio", "input": true }, { "label": "Please provide your US Social Security Number (SSN) or US Individual Tax Identification Number (ITIN)", "hidden": true, "tableView": true, "validate": { "required": true }, "key": "ssnitin_CP2", "conditional": { "show": true, "when": "confirmUSTax_CP2", "eq": "yes" }, "type": "textfield", "input": true }, { "label": "In how many countries are you a tax payer?", "widget": "choicesjs", "tableView": true, "data": { "values": [ { "label": "1", "value": "1" }, { "label": "2", "value": "2" }, { "label": "3", "value": "3" } ] }, "selectThreshold": 0.3, "validate": { "required": true }, "key": "addtaxcountries_CP2", "type": "select", "input": true }, { "legend": "
Tax payer country 1
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Tax payer country 1
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" Ecuador" }, { "value": "EG", "label": " Egypt" }, { "value": "SV", "label": " El Salvador" }, { "value": "GQ", "label": " Equatorial Guinea" }, { "value": "ER", "label": " Eritrea" }, { "value": "EE", "label": " Estonia" }, { "value": "SZ", "label": " Eswatini" }, { "value": "ET", "label": " Ethiopia" }, { "value": "FK", "label": " Falkland Islands (Malvinas)" }, { "value": "FO", "label": " Faroe Islands" }, { "value": "FJ", "label": " Fiji" }, { "value": "FI", "label": " Finland" }, { "value": "FR", "label": " France" }, { "value": "GF", "label": " French Guiana" }, { "value": "PF", "label": " French Polynesia" }, { "value": "TF", "label": " French Southern Territories" }, { "value": "GA", "label": " Gabon" }, { "value": "GM", "label": " Gambia" }, { "value": "GE", "label": " Georgia" }, { "value": "DE", "label": " Germany" }, { "value": "GH", "label": " Ghana" }, { "value": "GI", "label": " Gibraltar" }, { "value": "GR", "label": " Greece" }, { "value": "GL", "label": " Greenland" }, { "value": "GD", "label": " Grenada" }, { "value": "GP", "label": " Guadeloupe" }, { "value": "GU", "label": " Guam" }, { "value": "GT", "label": " Guatemala" }, { "value": "GG", "label": " Guernsey" }, { "value": "GN", "label": " Guinea" }, { "value": "GW", "label": " Guinea-Bissau" }, { "value": "GY", "label": " Guyana" }, { "value": "HT", "label": " Haiti" }, { "value": "HM", "label": " Heard Island and McDonald Islands" }, { "value": "VA", "label": " Holy See" }, { "value": "HN", "label": " Honduras" }, { "value": "HK", "label": " Hong Kong" }, { "value": "HU", "label": " Hungary" }, { "value": "IS", "label": " Iceland" }, { "value": "IN", "label": " India" }, { "value": "ID", "label": " Indonesia" }, { "value": "IR", "label": " Iran (Islamic Republic of)" }, { "value": "IQ", "label": " Iraq" }, { "value": "IE", "label": " Ireland" }, { "value": "IM", "label": " Isle of Man" }, { "value": "IL", "label": " Israel" }, { "value": "IT", "label": " Italy" }, { "value": "JM", "label": " Jamaica" }, { "value": "JP", "label": " Japan" }, { "value": "JE", "label": " Jersey" }, { "value": "JO", "label": " Jordan" }, { "value": "KZ", "label": " Kazakhstan" }, { "value": "KE", "label": " Kenya" }, { "value": "KI", "label": " Kiribati" }, { "value": "KP", "label": " Korea (Democratic People's Republic of)" }, { "value": "KR", "label": " Korea, Republic of" }, { "value": "KW", "label": " Kuwait" }, { "value": "KG", "label": " Kyrgyzstan" }, { "value": "LA", "label": " Lao People's Democratic Republic" }, { "value": "LV", "label": " Latvia" }, { "value": "LB", "label": " Lebanon" }, { "value": "LS", "label": " Lesotho" }, { "value": "LR", "label": " Liberia" }, { "value": "LY", "label": " Libya" }, { "value": "LI", "label": " Liechtenstein" }, { "value": "LT", "label": " Lithuania" }, { "value": "LU", "label": " Luxembourg" }, { "value": "MO", "label": " Macao" }, { "value": "MG", "label": " Madagascar" }, { "value": "MW", "label": " Malawi" }, { "value": "MY", "label": " Malaysia" }, { "value": "MV", "label": " Maldives" }, { "value": "ML", "label": " Mali" }, { "value": "MT", "label": " Malta" }, { "value": "MH", "label": " Marshall Islands" }, { "value": "MQ", "label": " Martinique" }, { "value": "MR", "label": " Mauritania" }, { "value": "MU", "label": " Mauritius" }, { "value": "YT", "label": " Mayotte" }, { "value": "MX", "label": " Mexico" }, { "value": "FM", "label": " Micronesia (Federated States of)" }, { "value": "MD", "label": " Moldova, Republic of" }, { "value": "MC", "label": " Monaco" }, { "value": "MN", "label": " Mongolia" }, { "value": "ME", "label": " Montenegro" }, { "value": "MS", "label": " Montserrat" }, { "value": "MA", "label": " Morocco" }, { "value": "MZ", "label": " Mozambique" }, { "value": "MM", "label": " Myanmar" }, { "value": "NA", "label": " Namibia" }, { "value": "NR", "label": " Nauru" }, { "value": "NP", "label": " Nepal" }, { "value": "NL", "label": " Netherlands" }, { "value": "NC", "label": " New Caledonia" }, { "value": "NZ", "label": " New Zealand" }, { "value": "NI", "label": " Nicaragua" }, { "value": "NE", "label": " Niger" }, { "value": "NG", "label": " Nigeria" }, { "value": "NU", "label": " Niue" }, { "value": "NF", "label": " Norfolk Island" }, { "value": "MK", "label": " North Macedonia" }, { "value": "MP", "label": " Northern Mariana Islands" }, { "value": "NO", "label": " Norway" }, { "value": "OM", "label": " Oman" }, { "value": "PK", "label": " Pakistan" }, { "value": "PW", "label": " Palau" }, { "value": "PS", "label": " Palestine, State of" }, { "value": "PA", "label": " Panama" }, { "value": "PG", "label": " Papua New Guinea" }, { "value": "PY", "label": " Paraguay" }, { "value": "PE", "label": " Peru" }, { "value": "PH", "label": " Philippines" }, { "value": "PN", "label": " Pitcairn" }, { "value": "PL", "label": " Poland" }, { "value": "PT", "label": " Portugal" }, { "value": "PR", "label": " Puerto Rico" }, { "value": "QA", "label": " Qatar" }, { "value": "RE", "label": " Réunion" }, { "value": "RO", "label": " Romania" }, { "value": "RU", "label": " Russian Federation" }, { "value": "RW", "label": " Rwanda" }, { "value": "BL", "label": " Saint Barthélemy" }, { "value": "SH", "label": " Saint Helena, Ascension and Tristan da Cunha" }, { "value": "KN", "label": " Saint Kitts and Nevis" }, { "value": "LC", "label": " Saint Lucia" }, { "value": "MF", "label": " Saint Martin (French part)" }, { "value": "PM", "label": " Saint Pierre and Miquelon" }, { "value": "VC", "label": " Saint Vincent and the Grenadines" }, { "value": "WS", "label": " Samoa" }, { "value": "SM", "label": " San Marino" }, { "value": "ST", "label": " Sao Tome and Principe" }, { "value": "SA", "label": " Saudi Arabia" }, { "value": "SN", "label": " Senegal" }, { "value": "RS", "label": " Serbia" }, { "value": "SC", "label": " Seychelles" }, { "value": "SL", "label": " Sierra Leone" }, { "value": "SG", "label": " Singapore" }, { "value": "SX", "label": " Sint Maarten (Dutch part)" }, { "value": "SK", "label": " Slovakia" }, { "value": "SI", "label": " Slovenia" }, { "value": "SB", "label": " Solomon Islands" }, { "value": "SO", "label": " Somalia" }, { "value": "ZA", "label": " South Africa" }, { "value": "GS", "label": " South Georgia and the South Sandwich Islands" }, { "value": "SS", "label": " South Sudan" }, { "value": "ES", "label": " Spain" }, { "value": "LK", "label": " Sri Lanka" }, { "value": "SD", "label": " Sudan" }, { "value": "SR", "label": " Suriname" }, { "value": "SJ", "label": " Svalbard and Jan Mayen" }, { "value": "SE", "label": " Sweden" }, { "value": "CH", "label": " Switzerland" }, { "value": "SY", "label": " Syrian Arab Republic" }, { "value": "TW", "label": " Taiwan, Province of China" }, { "value": "TJ", "label": " Tajikistan" }, { "value": "TZ", "label": " Tanzania, United Republic of" }, { "value": "TH", "label": " Thailand" }, { "value": "TL", "label": " Timor-Leste" }, { "value": "TG", "label": " Togo" }, { "value": "TK", "label": " Tokelau" }, { "value": "TO", "label": " Tonga" }, { "value": "TT", "label": " Trinidad and Tobago" }, { "value": "TN", "label": " Tunisia" }, { "value": "TR", "label": " Turkey" }, { "value": "TM", "label": " Turkmenistan" }, { "value": "TC", "label": " Turks and Caicos Islands" }, { "value": "TV", "label": " Tuvalu" }, { "value": "UG", "label": " Uganda" }, { "value": "UA", "label": " Ukraine" }, { "value": "AE", "label": " United Arab Emirates" }, { "value": "GB", "label": " United Kingdom of Great Britain and Northern Ireland" }, { "value": "US", "label": " United States of America" }, { "value": "UM", "label": " United States Minor Outlying Islands" }, { "value": "UY", "label": " Uruguay" }, { "value": "UZ", "label": " Uzbekistan" }, { "value": "VU", "label": " Vanuatu" }, { "value": "VE", "label": " Venezuela (Bolivarian Republic of)" }, { "value": "VN", "label": " Viet Nam" }, { "value": "VG", "label": " Virgin Islands (British)" }, { "value": "VI", "label": " Virgin Islands (U.S.)" }, { "value": "WF", "label": " Wallis and Futuna" }, { "value": "EH", "label": " Western Sahara" }, { "value": "YE", "label": " Yemen" }, { "value": "ZM", "label": " Zambia" }, { "value": "ZW", "label": " Zimbabwe" } ] }, "valueProperty": "label", "selectThreshold": 0.3, "validate": { "required": true }, "key": "countryOfTaxResidence1_CP2", "type": "select", "input": true }, { "label": "Do you have a Tax Identification Number in {{data.countryOfTaxResidence1_CP2}}?", "optionsLabelPosition": "right", "inline": true, "hidden": true, "tableView": false, "values": [ { "label": "Yes", "value": "yes", "shortcut": "" }, { "label": "No", "value": "no", "shortcut": "" } ], "redrawOn": "data", "validate": { "required": true }, "key": "tinpresent1_CP2", "customConditional": "show = data.countryOfTaxResidence1_CP2", "type": "radio", "input": true }, { "label": "Tax Identification Number in {{data.countryOfTaxResidence1_CP2}}", "tooltip": "Please note that your local TIN might have a different abbreviation. Please consult the OECD list of accepted TINs per country", "hidden": true, "tableView": true, "redrawOn": "data", "validate": { "required": true }, "key": "taxIdentificationNumber4", "customConditional": "show = tinpresent1_CP2 == \"yes\"", "type": "textfield", "input": true }, { "label": "Reason for Tax Identification Number not being applicable", "hidden": true, "tableView": true, "redrawOn": "data", "validate": { "required": true }, "key": "reasonTaxNumberNotApplicable1_CP2", "customConditional": "show = tinpresent1_CP2 == \"no\"", "type": "textfield", "input": true } ] }, { "legend": "
Tax payer country 2
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Tax payer country 2
", "input": false, "tableView": false, "components": [ { "label": "Country of tax residence", "widget": "choicesjs", "tableView": true, "dataSrc": "json", "data": { "json": [ { "value": "AF", "label": " Afghanistan" }, { "value": "AX", "label": " Åland Islands" }, { "value": "AL", "label": " Albania" }, { "value": "DZ", "label": " Algeria" }, { "value": "AS", "label": " American Samoa" }, { "value": "AD", "label": " Andorra" }, { "value": "AO", "label": " Angola" }, { "value": "AI", "label": " Anguilla" }, { "value": "AQ", "label": " Antarctica" }, { "value": "AG", "label": " Antigua and Barbuda" }, { "value": "AR", "label": " Argentina" }, { "value": "AM", "label": " Armenia" }, { "value": "AW", "label": " Aruba" }, { "value": "AU", "label": " Australia" }, { "value": "AT", "label": " Austria" }, { "value": "AZ", "label": " Azerbaijan" }, { "value": "BS", "label": " Bahamas" }, { "value": "BH", "label": " Bahrain" }, { "value": "BD", "label": " Bangladesh" }, { "value": "BB", "label": " Barbados" }, { "value": "BY", "label": " Belarus" }, { "value": "BE", "label": " Belgium" }, { "value": "BZ", "label": " Belize" }, { "value": "BJ", "label": " Benin" }, { "value": "BM", "label": " Bermuda" }, { "value": "BT", "label": " Bhutan" }, { "value": "BO", "label": " Bolivia (Plurinational State of)" }, { "value": "BQ", "label": " Bonaire, Sint Eustatius and Saba" }, { "value": "BA", "label": " Bosnia and Herzegovina" }, { "value": "BW", "label": " Botswana" }, { "value": "BV", "label": " Bouvet Island" }, { "value": "BR", "label": " Brazil" }, { "value": "IO", "label": " British Indian Ocean Territory" }, { "value": "BN", "label": " Brunei Darussalam" }, { "value": "BG", "label": " Bulgaria" }, { "value": "BF", "label": " Burkina Faso" }, { "value": "BI", "label": " Burundi" }, { "value": "CV", "label": " Cabo Verde" }, { "value": "KH", "label": " Cambodia" }, { "value": "CM", "label": " Cameroon" }, { "value": "CA", "label": " Canada" }, { "value": "KY", "label": " Cayman Islands" }, { "value": "CF", "label": " Central African Republic" }, { "value": "TD", "label": " Chad" }, { "value": "CL", "label": " Chile" }, { "value": "CN", "label": " China" }, { "value": "CX", "label": " Christmas Island" }, { "value": "CC", "label": " Cocos (Keeling) Islands" }, { "value": "CO", "label": " Colombia" }, { "value": "KM", "label": " Comoros" }, { "value": "CG", "label": " Congo" }, { "value": "CD", "label": " Congo, Democratic Republic of the" }, { "value": "CK", "label": " Cook Islands" }, { "value": "CR", "label": " Costa Rica" }, { "value": "CI", "label": " Côte d'Ivoire" }, { "value": "HR", "label": " Croatia" }, { "value": "CU", "label": " Cuba" }, { "value": "CW", "label": " Curaçao" }, { "value": "CY", "label": " Cyprus" }, { "value": "CZ", "label": " Czechia" }, { "value": "DK", "label": " Denmark" }, { "value": "DJ", "label": " Djibouti" }, { "value": "DM", "label": " Dominica" }, { "value": "DO", "label": " Dominican Republic" }, { "value": "EC", "label": " Ecuador" }, { "value": "EG", "label": " Egypt" }, { "value": "SV", "label": " El Salvador" }, { "value": "GQ", "label": " Equatorial Guinea" }, { "value": "ER", "label": " Eritrea" }, { "value": "EE", "label": " Estonia" }, { "value": "SZ", "label": " Eswatini" }, { "value": "ET", "label": " Ethiopia" }, { "value": "FK", "label": " Falkland Islands (Malvinas)" }, { "value": "FO", "label": " Faroe Islands" }, { "value": "FJ", "label": " Fiji" }, { "value": "FI", "label": " Finland" }, { "value": "FR", "label": " France" }, { "value": "GF", "label": " French Guiana" }, { "value": "PF", "label": " French Polynesia" }, { "value": "TF", "label": " French Southern Territories" }, { "value": "GA", "label": " Gabon" }, { "value": "GM", "label": " Gambia" }, { "value": "GE", "label": " Georgia" }, { "value": "DE", "label": " Germany" }, { "value": "GH", "label": " Ghana" }, { "value": "GI", "label": " Gibraltar" }, { "value": "GR", "label": " Greece" }, { "value": "GL", "label": " Greenland" }, { "value": "GD", "label": " Grenada" }, { "value": "GP", "label": " Guadeloupe" }, { "value": "GU", "label": " Guam" }, { "value": "GT", "label": " Guatemala" }, { "value": "GG", "label": " Guernsey" }, { "value": "GN", "label": " Guinea" }, { "value": "GW", "label": " Guinea-Bissau" }, { "value": "GY", "label": " Guyana" }, { "value": "HT", "label": " Haiti" }, { "value": "HM", "label": " Heard Island and McDonald Islands" }, { "value": "VA", "label": " Holy See" }, { "value": "HN", "label": " Honduras" }, { "value": "HK", "label": " Hong Kong" }, { "value": "HU", "label": " Hungary" }, { "value": "IS", "label": " Iceland" }, { "value": "IN", "label": " India" }, { "value": "ID", "label": " Indonesia" }, { "value": "IR", "label": " Iran (Islamic Republic of)" }, { "value": "IQ", "label": " Iraq" }, { "value": "IE", "label": " Ireland" }, { "value": "IM", "label": " Isle of Man" }, { "value": "IL", "label": " Israel" }, { "value": "IT", "label": " Italy" }, { "value": "JM", "label": " Jamaica" }, { "value": "JP", "label": " Japan" }, { "value": "JE", "label": " Jersey" }, { "value": "JO", "label": " Jordan" }, { "value": "KZ", "label": " Kazakhstan" }, { "value": "KE", "label": " Kenya" }, { "value": "KI", "label": " Kiribati" }, { "value": "KP", "label": " Korea (Democratic People's Republic of)" }, { "value": "KR", "label": " Korea, Republic of" }, { "value": "KW", "label": " Kuwait" }, { "value": "KG", "label": " Kyrgyzstan" }, { "value": "LA", "label": " Lao People's Democratic Republic" }, { "value": "LV", "label": " Latvia" }, { "value": "LB", "label": " Lebanon" }, { "value": "LS", "label": " Lesotho" }, { "value": "LR", "label": " Liberia" }, { "value": "LY", "label": " Libya" }, { "value": "LI", "label": " Liechtenstein" }, { "value": "LT", "label": " Lithuania" }, { "value": "LU", "label": " Luxembourg" }, { "value": "MO", "label": " Macao" }, { "value": "MG", "label": " Madagascar" }, { "value": "MW", "label": " Malawi" }, { "value": "MY", "label": " Malaysia" }, { "value": "MV", "label": " Maldives" }, { "value": "ML", "label": " Mali" }, { "value": "MT", "label": " Malta" }, { "value": "MH", "label": " Marshall Islands" }, { "value": "MQ", "label": " Martinique" }, { "value": "MR", "label": " Mauritania" }, { "value": "MU", "label": " Mauritius" }, { "value": "YT", "label": " Mayotte" }, { "value": "MX", "label": " Mexico" }, { "value": "FM", "label": " Micronesia (Federated States of)" }, { "value": "MD", "label": " Moldova, Republic of" }, { "value": "MC", "label": " Monaco" }, { "value": "MN", "label": " Mongolia" }, { "value": "ME", "label": " Montenegro" }, { "value": "MS", "label": " Montserrat" }, { "value": "MA", "label": " Morocco" }, { "value": "MZ", "label": " Mozambique" }, { "value": "MM", "label": " Myanmar" }, { "value": "NA", "label": " Namibia" }, { "value": "NR", "label": " Nauru" }, { "value": "NP", "label": " Nepal" }, { "value": "NL", "label": " Netherlands" }, { "value": "NC", "label": " New Caledonia" }, { "value": "NZ", "label": " New Zealand" }, { "value": "NI", "label": " Nicaragua" }, { "value": "NE", "label": " Niger" }, { "value": "NG", "label": " Nigeria" }, { "value": "NU", "label": " Niue" }, { "value": "NF", "label": " Norfolk Island" }, { "value": "MK", "label": " North Macedonia" }, { "value": "MP", "label": " Northern Mariana Islands" }, { "value": "NO", "label": " Norway" }, { "value": "OM", "label": " Oman" }, { "value": "PK", "label": " Pakistan" }, { "value": "PW", "label": " Palau" }, { "value": "PS", "label": " Palestine, State of" }, { "value": "PA", "label": " Panama" }, { "value": "PG", "label": " Papua New Guinea" }, { "value": "PY", "label": " Paraguay" }, { "value": "PE", "label": " Peru" }, { "value": "PH", "label": " Philippines" }, { "value": "PN", "label": " Pitcairn" }, { "value": "PL", "label": " Poland" }, { "value": "PT", "label": " Portugal" }, { "value": "PR", "label": " Puerto Rico" }, { "value": "QA", "label": " Qatar" }, { "value": "RE", "label": " 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"Address" }, "type": "textfield", "input": true }, { "label": "Address 2", "tableView": true, "key": "mailingaddress2_CP3", "type": "textfield", "input": true }, { "label": "City", "tableView": true, "validate": { "required": true }, "key": "mailingcity_CP3", "properties": { "populatedBy": "addressData", "valueKey": "City" }, "type": "textfield", "input": true }, { "label": "Zip code", "tableView": true, "validate": { "required": true }, "key": "mailingzip_CP3", "properties": { "populatedBy": "addressData", "valueKey": "ZipCode" }, "type": "textfield", "input": true }, { "label": "Country", "widget": "choicesjs", "tableView": true, "dataSrc": "json", "data": { "json": [ { "value": "AF", "label": " Afghanistan" }, { "value": "AX", "label": " Åland Islands" }, { "value": "AL", "label": " Albania" }, { "value": "DZ", "label": " Algeria" }, { "value": "AS", "label": " American Samoa" }, { "value": "AD", "label": " Andorra" }, { "value": "AO", "label": " Angola" }, { "value": "AI", "label": " Anguilla" }, { "value": "AQ", "label": " Antarctica" }, { "value": "AG", "label": " Antigua and Barbuda" }, { "value": "AR", "label": " Argentina" }, { "value": "AM", "label": " Armenia" }, { "value": "AW", "label": " Aruba" }, { "value": "AU", "label": " Australia" }, { "value": "AT", "label": " Austria" }, { "value": "AZ", "label": " Azerbaijan" }, { "value": "BS", "label": " Bahamas" }, { "value": "BH", "label": " Bahrain" }, { "value": "BD", "label": " Bangladesh" }, { "value": "BB", "label": " Barbados" }, { "value": "BY", "label": " Belarus" }, { "value": "BE", "label": " Belgium" }, { "value": "BZ", "label": " Belize" }, { "value": "BJ", "label": " Benin" }, { "value": "BM", "label": " Bermuda" }, { "value": "BT", "label": " Bhutan" }, { "value": "BO", "label": " Bolivia (Plurinational State of)" }, { "value": "BQ", "label": " Bonaire, Sint Eustatius and Saba" }, { "value": "BA", "label": " Bosnia and Herzegovina" }, { "value": "BW", "label": " Botswana" }, { "value": "BV", "label": " Bouvet Island" }, { "value": "BR", "label": " Brazil" }, { "value": "IO", "label": " British Indian Ocean Territory" }, { "value": "BN", "label": " Brunei Darussalam" }, { "value": "BG", "label": " Bulgaria" }, { "value": "BF", "label": " Burkina Faso" }, { "value": "BI", "label": " Burundi" }, { "value": "CV", "label": " Cabo Verde" }, { "value": "KH", "label": " Cambodia" }, { "value": "CM", "label": " Cameroon" }, { "value": "CA", "label": " Canada" }, { "value": "KY", "label": " Cayman Islands" }, { "value": "CF", "label": " Central African Republic" }, { "value": "TD", "label": " Chad" }, { "value": "CL", "label": " Chile" }, { "value": "CN", "label": " China" }, { "value": "CX", "label": " Christmas Island" }, { "value": "CC", "label": " Cocos (Keeling) Islands" }, { "value": "CO", "label": " Colombia" }, { "value": "KM", "label": " Comoros" }, { "value": "CG", "label": " Congo" }, { "value": "CD", "label": " Congo, Democratic Republic of the" }, { "value": "CK", "label": " Cook Islands" }, { "value": "CR", "label": " Costa Rica" }, { "value": "CI", "label": " Côte d'Ivoire" }, { "value": "HR", "label": " Croatia" }, { "value": "CU", "label": " Cuba" }, { "value": "CW", "label": " Curaçao" }, { "value": "CY", "label": " Cyprus" }, { "value": "CZ", "label": " Czechia" }, { "value": "DK", "label": " Denmark" }, { "value": "DJ", "label": " Djibouti" }, { "value": "DM", "label": " Dominica" }, { "value": "DO", "label": " Dominican Republic" }, { "value": "EC", "label": " Ecuador" }, { "value": "EG", "label": " Egypt" }, { "value": "SV", "label": " El Salvador" }, { "value": "GQ", "label": " Equatorial Guinea" }, { "value": "ER", "label": " Eritrea" }, { "value": "EE", "label": " Estonia" }, { "value": "SZ", "label": " Eswatini" }, { "value": "ET", "label": " Ethiopia" }, { "value": "FK", "label": " Falkland Islands (Malvinas)" }, { "value": "FO", "label": " Faroe Islands" }, { "value": "FJ", "label": " Fiji" }, { "value": "FI", "label": " Finland" }, { "value": "FR", "label": " France" }, { "value": "GF", "label": " French Guiana" }, { "value": "PF", "label": " French Polynesia" }, { "value": "TF", "label": " French Southern Territories" }, { "value": "GA", "label": " Gabon" }, { "value": "GM", "label": " Gambia" }, { "value": "GE", "label": " Georgia" }, { "value": "DE", "label": " Germany" }, { "value": "GH", "label": " Ghana" }, { "value": "GI", "label": " Gibraltar" }, { "value": "GR", "label": " Greece" }, { "value": "GL", "label": " Greenland" }, { "value": "GD", "label": " Grenada" }, { "value": "GP", "label": " Guadeloupe" }, { "value": "GU", "label": " Guam" }, { "value": "GT", "label": " Guatemala" }, { "value": "GG", "label": " Guernsey" }, { "value": "GN", "label": " Guinea" }, { "value": "GW", "label": " Guinea-Bissau" }, { "value": "GY", "label": " Guyana" }, { "value": "HT", "label": " Haiti" }, { "value": "HM", "label": " Heard Island and McDonald Islands" }, { "value": "VA", "label": " Holy See" }, { "value": "HN", "label": " Honduras" }, { "value": "HK", "label": " Hong Kong" }, { "value": "HU", "label": " Hungary" }, { "value": "IS", "label": " Iceland" }, { "value": "IN", "label": " India" }, { "value": "ID", "label": " Indonesia" }, { "value": "IR", "label": " Iran (Islamic Republic of)" }, { "value": "IQ", "label": " Iraq" }, { "value": "IE", "label": " Ireland" }, { "value": "IM", "label": " Isle of Man" }, { "value": "IL", "label": " Israel" }, { "value": "IT", "label": " Italy" }, { "value": "JM", "label": " Jamaica" }, { "value": "JP", "label": " Japan" }, { "value": "JE", "label": " Jersey" }, { "value": "JO", "label": " Jordan" }, { "value": "KZ", "label": " Kazakhstan" }, { "value": "KE", "label": " Kenya" }, { "value": "KI", "label": " Kiribati" }, { "value": "KP", "label": " Korea (Democratic People's Republic of)" }, { "value": "KR", "label": " Korea, Republic of" }, { "value": "KW", "label": " Kuwait" }, { "value": "KG", "label": " Kyrgyzstan" }, { "value": "LA", "label": " Lao People's Democratic Republic" }, { "value": "LV", "label": " Latvia" }, { "value": "LB", "label": " Lebanon" }, { "value": "LS", "label": " Lesotho" }, { "value": "LR", "label": " Liberia" }, { "value": "LY", "label": " Libya" }, { "value": "LI", "label": " Liechtenstein" }, { "value": "LT", "label": " Lithuania" }, { "value": "LU", "label": " Luxembourg" }, { "value": "MO", "label": " Macao" }, { "value": "MG", "label": " Madagascar" }, { "value": "MW", "label": " Malawi" }, { "value": "MY", "label": " Malaysia" }, { "value": "MV", "label": " Maldives" }, { "value": "ML", "label": " Mali" }, { "value": "MT", "label": " Malta" }, { "value": "MH", "label": " Marshall Islands" }, { "value": "MQ", "label": " Martinique" }, { "value": "MR", "label": " Mauritania" }, { "value": "MU", "label": " Mauritius" }, { "value": "YT", "label": " Mayotte" }, { "value": "MX", "label": " Mexico" }, { "value": "FM", "label": " Micronesia (Federated States of)" }, { "value": "MD", "label": " Moldova, Republic of" }, { "value": "MC", "label": " Monaco" }, { "value": "MN", "label": " Mongolia" }, { "value": "ME", "label": " Montenegro" }, { "value": "MS", "label": " Montserrat" }, { "value": "MA", "label": " Morocco" }, { "value": "MZ", "label": " Mozambique" }, { "value": "MM", "label": " Myanmar" }, { "value": "NA", "label": " Namibia" }, { "value": "NR", "label": " Nauru" }, { "value": "NP", "label": " Nepal" }, { "value": "NL", "label": " Netherlands" }, { "value": "NC", "label": " New Caledonia" }, { "value": "NZ", "label": " New Zealand" }, { "value": "NI", "label": " Nicaragua" }, { "value": "NE", "label": " Niger" }, { "value": "NG", "label": " Nigeria" }, { "value": "NU", "label": " Niue" }, { "value": "NF", "label": " Norfolk Island" }, { "value": "MK", "label": " North Macedonia" }, { "value": "MP", "label": " Northern Mariana Islands" }, { "value": "NO", "label": " Norway" }, { "value": "OM", "label": " Oman" }, { "value": "PK", "label": " Pakistan" }, { "value": "PW", "label": " Palau" }, { "value": "PS", "label": " Palestine, State of" }, { "value": "PA", "label": " Panama" }, { "value": "PG", "label": " Papua New Guinea" }, { "value": "PY", "label": " Paraguay" }, { "value": "PE", "label": " Peru" }, { "value": "PH", "label": " Philippines" }, { "value": "PN", "label": " Pitcairn" }, { "value": "PL", "label": " Poland" }, { "value": "PT", "label": " Portugal" }, { "value": "PR", "label": " Puerto Rico" }, { "value": "QA", "label": " Qatar" }, { "value": "RE", "label": " Réunion" }, { "value": "RO", "label": " Romania" }, { "value": "RU", "label": " Russian Federation" }, { "value": "RW", "label": " Rwanda" }, { "value": "BL", "label": " Saint Barthélemy" }, { "value": "SH", "label": " Saint Helena, Ascension and Tristan da Cunha" }, { "value": "KN", "label": " Saint Kitts and Nevis" }, { "value": "LC", "label": " Saint Lucia" }, { "value": "MF", "label": " Saint Martin (French part)" }, { "value": "PM", "label": " Saint Pierre and Miquelon" }, { "value": "VC", "label": " Saint Vincent and the Grenadines" }, { "value": "WS", "label": " Samoa" }, { "value": "SM", "label": " San Marino" }, { "value": "ST", "label": " Sao Tome and Principe" }, { "value": "SA", "label": " Saudi Arabia" }, { "value": "SN", "label": " Senegal" }, { "value": "RS", "label": " Serbia" }, { "value": "SC", "label": " Seychelles" }, { "value": "SL", "label": " Sierra Leone" }, { "value": "SG", "label": " Singapore" }, { "value": "SX", "label": " Sint Maarten (Dutch part)" }, { "value": "SK", "label": " Slovakia" }, { "value": "SI", "label": " Slovenia" }, { "value": "SB", "label": " Solomon Islands" }, { "value": "SO", "label": " Somalia" }, { "value": "ZA", "label": " South Africa" }, { "value": "GS", "label": " South Georgia and the South Sandwich Islands" }, { "value": "SS", "label": " South Sudan" }, { "value": "ES", "label": " Spain" }, { "value": "LK", "label": " Sri Lanka" }, { "value": "SD", "label": " Sudan" }, { "value": "SR", "label": " Suriname" }, { "value": "SJ", "label": " Svalbard and Jan Mayen" }, { "value": "SE", "label": " Sweden" }, { "value": "CH", "label": " Switzerland" }, { "value": "SY", "label": " Syrian Arab Republic" }, { "value": "TW", "label": " Taiwan, Province of China" }, { "value": "TJ", "label": " Tajikistan" }, { "value": "TZ", "label": " Tanzania, United Republic of" }, { "value": "TH", "label": " Thailand" }, { "value": "TL", "label": " Timor-Leste" }, { "value": "TG", "label": " Togo" }, { "value": "TK", "label": " Tokelau" }, { "value": "TO", "label": " Tonga" }, { "value": "TT", "label": " Trinidad and Tobago" }, { "value": "TN", "label": " Tunisia" }, { "value": "TR", "label": " Turkey" }, { "value": "TM", "label": " Turkmenistan" }, { "value": "TC", "label": " Turks and Caicos Islands" }, { "value": "TV", "label": " Tuvalu" }, { "value": "UG", "label": " Uganda" }, { "value": "UA", "label": " Ukraine" }, { "value": "AE", "label": " United Arab Emirates" }, { "value": "GB", "label": " United Kingdom of Great Britain and Northern Ireland" }, { "value": "US", "label": " United States of America" }, { "value": "UM", "label": " United States Minor Outlying Islands" }, { "value": "UY", "label": " Uruguay" }, { "value": "UZ", "label": " Uzbekistan" }, { "value": "VU", "label": " Vanuatu" }, { "value": "VE", "label": " Venezuela (Bolivarian Republic of)" }, { "value": "VN", "label": " Viet Nam" }, { "value": "VG", "label": " Virgin Islands (British)" }, { "value": "VI", "label": " Virgin Islands (U.S.)" }, { "value": "WF", "label": " Wallis and Futuna" }, { "value": "EH", "label": " Western Sahara" }, { "value": "YE", "label": " Yemen" }, { "value": "ZM", "label": " Zambia" }, { "value": "ZW", "label": " Zimbabwe" } ] }, "valueProperty": "label", "selectThreshold": 0.3, "validate": { "required": true }, "key": "mailingcountry_CP3", "properties": { "populatedBy": "addressData", "valueKey": "Country" }, "type": "select", "input": true } ] }, { "html": "

Legal name of the relevant Investor entity (i.e. the Account Holder) of which you are a Controlling Person, including type.

For more information, please scroll up and consult the definition of 'Account Holder' and 'Controlling Person' in the Glossary of Terms at the start of the FATCA/CRS section of this form.

", "label": "Content", "refreshOnChange": false, "key": "content17", "type": "content", "input": false, "tableView": false }, { "label": "Legal entity ('Account Holder')", "disabled": true, "tableView": true, "redrawOn": "data", "calculateValue": "value = data.MID_LP_Name;", "key": "legalEntity1_CP3", "type": "textfield", "input": true }, { "label": "Type of Controlling Person for above entity", "tableView": true, "data": { "values": [ { "label": "Control by ownership (legal person)", "value": "controlByOwnershipLegalPerson" }, { "label": "Control by other means (legal person)", "value": "controlByOtherMeansLegalPerson" }, { "label": "Senior managing officer (legal person)", "value": "seniorManagingOfficerLegalPerson" }, { "label": "Settlor (trust)", "value": "settlorTrust" }, { "label": "Trustee (trust)", "value": "trusteeTrust" }, { "label": "Protector (trust)", "value": "protectorTrust" }, { "label": "Beneficiary (trust)", "value": "beneficiaryTrust" }, { "label": "Other (trust)", "value": "otherTrust" }, { "label": "Settlor-equivalent (non-trust)", "value": "settlorEquivalentNonTrust" }, { "label": "Trustee-equivalent (non-trust)", "value": "trusteeEquivalentNonTrust" }, { "label": "Protector-equivalent (non-trust)", "value": "protectorEquivalentNonTrust" }, { "label": "Beneficiary-equivalent (non-trust)", "value": "beneficiaryEquivalentNonTrust" }, { "label": "Other-equivalent (non-trust)", "value": "otherEquivalentNonTrust" } ] }, "selectThreshold": 0.3, "key": "typeOfControllingPersonForEntity1_CP3", "type": "select", "input": true }, { "html": "

FATCA / CRS Declarations

", "label": "Content", "refreshOnChange": false, "key": "content18", "type": "content", "input": false, "tableView": false }, { "label": "Confirmation of US tax status - Please tick as appropriate:", "optionsLabelPosition": "right", "inline": false, "tableView": false, "values": [ { "label": "I confirm that I am a US citizen or resident in the US for tax purposes (green card holder or resident under the substantial presence test) ", "value": "yes", "shortcut": "" }, { "label": "I confirm that I am not a US person for US tax purposes. I am not a US citizen or green card holder, and I am not a resident in the US for tax purposes.", "value": "no", "shortcut": "" }, { "label": "I confirm that I was born in the US (or a US territory) but am no longer a US citizen as I have voluntary surrendered my citizenship as evidenced by the attached documents.", "value": "surrender", "shortcut": "" } ], "validate": { "required": true }, "key": "confirmUSTax_CP3", "type": "radio", "input": true }, { "label": "Please provide your US Social Security Number (SSN) or US Individual Tax Identification Number (ITIN)", "hidden": true, "tableView": true, "validate": { "required": true }, "key": "ssnitin_CP3", "conditional": { "show": true, "when": "confirmUSTax_CP3", "eq": "yes" }, "type": "textfield", "input": true }, { "label": "In how many countries are you a tax payer?", "widget": "choicesjs", "tableView": true, "data": { "values": [ { "label": "1", "value": "1" }, { "label": "2", "value": "2" }, { "label": "3", "value": "3" } ] }, "selectThreshold": 0.3, "validate": { "required": true }, "key": "addtaxcountries_CP3", "type": "select", "input": true }, { "legend": "
Tax payer country 1
", "hidden": true, "key": "fieldSet37", "customConditional": "show = data.addtaxcountries_CP3 >= 1;", "type": "fieldset", "label": "
Tax payer country 1
", "input": false, "tableView": false, "components": [ { "label": "Country of tax residence", "widget": "choicesjs", "tableView": true, "dataSrc": "json", "data": { "json": [ { "value": "AF", "label": " Afghanistan" }, { "value": "AX", "label": " Åland Islands" }, { "value": "AL", "label": " Albania" }, { "value": "DZ", "label": " Algeria" }, { "value": "AS", "label": " American Samoa" }, { "value": "AD", "label": " Andorra" }, { "value": "AO", "label": " Angola" }, { "value": "AI", "label": " Anguilla" }, { "value": "AQ", "label": " Antarctica" }, { "value": "AG", "label": " Antigua and Barbuda" }, { "value": "AR", "label": " Argentina" }, { "value": "AM", "label": " Armenia" }, { "value": "AW", "label": " Aruba" }, { "value": "AU", "label": " Australia" }, { "value": "AT", "label": " Austria" }, { "value": "AZ", "label": " Azerbaijan" }, { "value": "BS", "label": " Bahamas" }, { "value": "BH", "label": " Bahrain" }, { "value": "BD", "label": " Bangladesh" }, { "value": "BB", "label": " Barbados" }, { "value": "BY", "label": " Belarus" }, { "value": "BE", "label": " Belgium" }, { "value": "BZ", "label": " Belize" }, { "value": "BJ", "label": " Benin" }, { "value": "BM", "label": " Bermuda" }, { "value": "BT", "label": " Bhutan" }, { "value": "BO", "label": " Bolivia (Plurinational State of)" }, { "value": "BQ", "label": " Bonaire, Sint Eustatius and Saba" }, { "value": "BA", "label": " Bosnia and Herzegovina" }, { "value": "BW", "label": " Botswana" }, { "value": "BV", "label": " Bouvet Island" }, { "value": "BR", "label": " Brazil" }, { "value": "IO", "label": " British Indian Ocean Territory" }, { "value": "BN", "label": " Brunei Darussalam" }, { "value": "BG", "label": " Bulgaria" }, { "value": "BF", "label": " Burkina Faso" }, { "value": "BI", "label": " Burundi" }, { "value": "CV", "label": " Cabo Verde" }, { "value": "KH", "label": " Cambodia" }, { "value": "CM", "label": " Cameroon" }, { "value": "CA", "label": " Canada" }, { "value": "KY", "label": " Cayman Islands" }, { "value": "CF", "label": " Central African Republic" }, { "value": "TD", "label": " Chad" }, { "value": "CL", "label": " Chile" }, { "value": "CN", "label": " China" }, { "value": "CX", "label": " Christmas Island" }, { "value": "CC", "label": " Cocos (Keeling) Islands" }, { "value": "CO", "label": " Colombia" }, { "value": "KM", "label": " Comoros" }, { "value": "CG", "label": " Congo" }, { "value": "CD", "label": " Congo, Democratic Republic of the" }, { "value": "CK", "label": " Cook Islands" }, { "value": "CR", "label": " Costa Rica" }, { "value": "CI", "label": " Côte d'Ivoire" }, { "value": "HR", "label": " Croatia" }, { "value": "CU", "label": " Cuba" }, { "value": "CW", "label": " Curaçao" }, { "value": "CY", "label": " Cyprus" }, { "value": "CZ", "label": " Czechia" }, { "value": "DK", "label": " Denmark" }, { "value": "DJ", "label": " Djibouti" }, { "value": "DM", "label": " Dominica" }, { "value": "DO", "label": " Dominican Republic" }, { "value": "EC", "label": " Ecuador" }, { "value": "EG", "label": " Egypt" }, { "value": "SV", "label": " El Salvador" }, { "value": "GQ", "label": " Equatorial Guinea" }, { "value": "ER", "label": " Eritrea" }, { "value": "EE", "label": " Estonia" }, { "value": "SZ", "label": " Eswatini" }, { "value": "ET", "label": " Ethiopia" }, { "value": "FK", "label": " Falkland Islands (Malvinas)" }, { "value": "FO", "label": " Faroe Islands" }, { "value": "FJ", "label": " Fiji" }, { "value": "FI", "label": " Finland" }, { "value": "FR", "label": " France" }, { "value": "GF", "label": " French Guiana" }, { "value": "PF", "label": " French Polynesia" }, { "value": "TF", "label": " French Southern Territories" }, { "value": "GA", "label": " Gabon" }, { "value": "GM", "label": " Gambia" }, { "value": "GE", "label": " Georgia" }, { "value": "DE", "label": " Germany" }, { "value": "GH", "label": " Ghana" }, { "value": "GI", "label": " Gibraltar" }, { "value": "GR", "label": " Greece" }, { "value": "GL", "label": " Greenland" }, { "value": "GD", "label": " Grenada" }, { "value": "GP", "label": " Guadeloupe" }, { "value": "GU", "label": " Guam" }, { "value": "GT", "label": " Guatemala" }, { "value": "GG", "label": " Guernsey" }, { "value": "GN", "label": " Guinea" }, { "value": "GW", "label": " Guinea-Bissau" }, { "value": "GY", "label": " Guyana" }, { "value": "HT", "label": " Haiti" }, { "value": "HM", "label": " Heard Island and McDonald Islands" }, { "value": "VA", "label": " Holy See" }, { "value": "HN", "label": " Honduras" }, { "value": "HK", "label": " Hong Kong" }, { "value": "HU", "label": " Hungary" }, { "value": "IS", "label": " Iceland" }, { "value": "IN", "label": " India" }, { "value": "ID", "label": " Indonesia" }, { "value": "IR", "label": " Iran (Islamic Republic of)" }, { "value": "IQ", "label": " Iraq" }, { "value": "IE", "label": " Ireland" }, { "value": "IM", "label": " Isle of Man" }, { "value": "IL", "label": " Israel" }, { "value": "IT", "label": " Italy" }, { "value": "JM", "label": 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Malaysia" }, { "value": "MV", "label": " Maldives" }, { "value": "ML", "label": " Mali" }, { "value": "MT", "label": " Malta" }, { "value": "MH", "label": " Marshall Islands" }, { "value": "MQ", "label": " Martinique" }, { "value": "MR", "label": " Mauritania" }, { "value": "MU", "label": " Mauritius" }, { "value": "YT", "label": " Mayotte" }, { "value": "MX", "label": " Mexico" }, { "value": "FM", "label": " Micronesia (Federated States of)" }, { "value": "MD", "label": " Moldova, Republic of" }, { "value": "MC", "label": " Monaco" }, { "value": "MN", "label": " Mongolia" }, { "value": "ME", "label": " Montenegro" }, { "value": "MS", "label": " Montserrat" }, { "value": "MA", "label": " Morocco" }, { "value": "MZ", "label": " Mozambique" }, { "value": "MM", "label": " Myanmar" }, { "value": "NA", "label": " Namibia" }, { "value": "NR", "label": " Nauru" }, { "value": "NP", "label": " Nepal" }, { "value": "NL", "label": " Netherlands" }, { "value": "NC", "label": " New Caledonia" }, { "value": "NZ", "label": " New Zealand" }, { "value": "NI", "label": " Nicaragua" }, { "value": "NE", "label": " Niger" }, { "value": "NG", "label": " Nigeria" }, { "value": "NU", "label": " Niue" }, { "value": "NF", "label": " Norfolk Island" }, { "value": "MK", "label": " North Macedonia" }, { "value": "MP", "label": " Northern Mariana Islands" }, { "value": "NO", "label": " Norway" }, { "value": "OM", "label": " Oman" }, { "value": "PK", "label": " Pakistan" }, { "value": "PW", "label": " Palau" }, { "value": "PS", "label": " Palestine, State of" }, { "value": "PA", "label": " Panama" }, { "value": "PG", "label": " Papua New Guinea" }, { "value": "PY", "label": " Paraguay" }, { "value": "PE", "label": " Peru" }, { "value": "PH", "label": " Philippines" }, { "value": "PN", "label": " Pitcairn" }, { "value": "PL", "label": " Poland" }, { "value": "PT", "label": " Portugal" }, { "value": "PR", "label": " Puerto Rico" }, { "value": "QA", "label": " Qatar" }, { "value": "RE", "label": " 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"value": "SK", "label": " Slovakia" }, { "value": "SI", "label": " Slovenia" }, { "value": "SB", "label": " Solomon Islands" }, { "value": "SO", "label": " Somalia" }, { "value": "ZA", "label": " South Africa" }, { "value": "GS", "label": " South Georgia and the South Sandwich Islands" }, { "value": "SS", "label": " South Sudan" }, { "value": "ES", "label": " Spain" }, { "value": "LK", "label": " Sri Lanka" }, { "value": "SD", "label": " Sudan" }, { "value": "SR", "label": " Suriname" }, { "value": "SJ", "label": " Svalbard and Jan Mayen" }, { "value": "SE", "label": " Sweden" }, { "value": "CH", "label": " Switzerland" }, { "value": "SY", "label": " Syrian Arab Republic" }, { "value": "TW", "label": " Taiwan, Province of China" }, { "value": "TJ", "label": " Tajikistan" }, { "value": "TZ", "label": " Tanzania, United Republic of" }, { "value": "TH", "label": " Thailand" }, { "value": "TL", "label": " Timor-Leste" }, { "value": "TG", "label": " Togo" }, { "value": "TK", "label": " 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Please consult the OECD list of accepted TINs per country", "hidden": true, "tableView": true, "validate": { "required": true }, "key": "taxIdentificationNumber10", "customConditional": "show = (tinpresent1_CP3 == \"yes\");", "type": "textfield", "input": true }, { "label": "Reason for Tax Identification Number not being applicable", "hidden": true, "tableView": true, "validate": { "required": true }, "key": "reasonTaxNumberNotApplicable1_CP3", "customConditional": "show = (tinpresent1_CP3 == \"no\");", "type": "textfield", "input": true } ] }, { "legend": "
Tax payer country 2
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Tax payer country 2
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Islands" }, { "value": "CF", "label": " Central African Republic" }, { "value": "TD", "label": " Chad" }, { "value": "CL", "label": " Chile" }, { "value": "CN", "label": " China" }, { "value": "CX", "label": " Christmas Island" }, { "value": "CC", "label": " Cocos (Keeling) Islands" }, { "value": "CO", "label": " Colombia" }, { "value": "KM", "label": " Comoros" }, { "value": "CG", "label": " Congo" }, { "value": "CD", "label": " Congo, Democratic Republic of the" }, { "value": "CK", "label": " Cook Islands" }, { "value": "CR", "label": " Costa Rica" }, { "value": "CI", "label": " Côte d'Ivoire" }, { "value": "HR", "label": " Croatia" }, { "value": "CU", "label": " Cuba" }, { "value": "CW", "label": " Curaçao" }, { "value": "CY", "label": " Cyprus" }, { "value": "CZ", "label": " Czechia" }, { "value": "DK", "label": " Denmark" }, { "value": "DJ", "label": " Djibouti" }, { "value": "DM", "label": " Dominica" }, { "value": "DO", "label": " Dominican Republic" }, { "value": "EC", "label": " Ecuador" }, { "value": "EG", "label": " Egypt" }, { "value": "SV", "label": " El Salvador" }, { "value": "GQ", "label": " Equatorial Guinea" }, { "value": "ER", "label": " Eritrea" }, { "value": "EE", "label": " Estonia" }, { "value": "SZ", "label": " Eswatini" }, { "value": "ET", "label": " Ethiopia" }, { "value": "FK", "label": " Falkland Islands (Malvinas)" }, { "value": "FO", "label": " Faroe Islands" }, { "value": "FJ", "label": " Fiji" }, { "value": "FI", "label": " Finland" }, { "value": "FR", "label": " France" }, { "value": "GF", "label": " French Guiana" }, { "value": "PF", "label": " French Polynesia" }, { "value": "TF", "label": " French Southern Territories" }, { "value": "GA", "label": " Gabon" }, { "value": "GM", "label": " Gambia" }, { "value": "GE", "label": " Georgia" }, { "value": "DE", "label": " Germany" }, { "value": "GH", "label": " Ghana" }, { "value": "GI", "label": " Gibraltar" }, { "value": "GR", "label": " Greece" }, { "value": "GL", "label": " Greenland" }, { "value": "GD", "label": " Grenada" }, { "value": "GP", "label": " Guadeloupe" }, { "value": "GU", "label": " Guam" }, { "value": "GT", "label": " Guatemala" }, { "value": "GG", "label": " Guernsey" }, { "value": "GN", "label": " Guinea" }, { "value": "GW", "label": " Guinea-Bissau" }, { "value": "GY", "label": " Guyana" }, { "value": "HT", "label": " Haiti" }, { "value": "HM", "label": " Heard Island and McDonald Islands" }, { "value": "VA", "label": " Holy See" }, { "value": "HN", "label": " Honduras" }, { "value": "HK", "label": " Hong Kong" }, { "value": "HU", "label": " Hungary" }, { "value": "IS", "label": " Iceland" }, { "value": "IN", "label": " India" }, { "value": "ID", "label": " Indonesia" }, { "value": "IR", "label": " Iran (Islamic Republic of)" }, { "value": "IQ", "label": " Iraq" }, { "value": "IE", "label": " Ireland" }, { "value": "IM", "label": " Isle of Man" }, { "value": "IL", "label": " Israel" }, { "value": "IT", "label": " Italy" }, { "value": "JM", "label": 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"value": "NZ", "label": " New Zealand" }, { "value": "NI", "label": " Nicaragua" }, { "value": "NE", "label": " Niger" }, { "value": "NG", "label": " Nigeria" }, { "value": "NU", "label": " Niue" }, { "value": "NF", "label": " Norfolk Island" }, { "value": "MK", "label": " North Macedonia" }, { "value": "MP", "label": " Northern Mariana Islands" }, { "value": "NO", "label": " Norway" }, { "value": "OM", "label": " Oman" }, { "value": "PK", "label": " Pakistan" }, { "value": "PW", "label": " Palau" }, { "value": "PS", "label": " Palestine, State of" }, { "value": "PA", "label": " Panama" }, { "value": "PG", "label": " Papua New Guinea" }, { "value": "PY", "label": " Paraguay" }, { "value": "PE", "label": " Peru" }, { "value": "PH", "label": " Philippines" }, { "value": "PN", "label": " Pitcairn" }, { "value": "PL", "label": " Poland" }, { "value": "PT", "label": " Portugal" }, { "value": "PR", "label": " Puerto Rico" }, { "value": "QA", "label": " Qatar" }, { "value": "RE", "label": " 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"value": "SK", "label": " Slovakia" }, { "value": "SI", "label": " Slovenia" }, { "value": "SB", "label": " Solomon Islands" }, { "value": "SO", "label": " Somalia" }, { "value": "ZA", "label": " South Africa" }, { "value": "GS", "label": " South Georgia and the South Sandwich Islands" }, { "value": "SS", "label": " South Sudan" }, { "value": "ES", "label": " Spain" }, { "value": "LK", "label": " Sri Lanka" }, { "value": "SD", "label": " Sudan" }, { "value": "SR", "label": " Suriname" }, { "value": "SJ", "label": " Svalbard and Jan Mayen" }, { "value": "SE", "label": " Sweden" }, { "value": "CH", "label": " Switzerland" }, { "value": "SY", "label": " Syrian Arab Republic" }, { "value": "TW", "label": " Taiwan, Province of China" }, { "value": "TJ", "label": " Tajikistan" }, { "value": "TZ", "label": " Tanzania, United Republic of" }, { "value": "TH", "label": " Thailand" }, { "value": "TL", "label": " Timor-Leste" }, { "value": "TG", "label": " Togo" }, { "value": "TK", "label": " 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Tax payer country 3
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