Ezugi N.V.
CGA/2025/850/1298
In ProgressCustomer
- Contact
- Tiago miguel Santos luis
- tlewis@evolution.com
- Company
- Ezugi N.V.
Review Timeline
DFDesiree Francisco (CGA User 6)
AAAnton Axiaq (AAX)
MMMarilisa Mathew (CGA User 1)
AAAnton Axiaq (AAX)
MMMarilisa Mathew (CGA User 1)
AAAnton Axiaq (AAX)
MMMarilisa Mathew (CGA User 1)
AAAnton Axiaq (AAX)
AAAnton Axiaq (AAX)
HSHilary Stewart Jones (HSJ)
HSHilary Stewart Jones (HSJ)
MMMarilisa Mathew (CGA User 1)
KMKevin Mallia (KM)
Compliance Checklists
Phase 1Critical48 items
The information in questions 13 - 17 must match that of the portal administrator. Also, the email address in question 18 must be that of the portal administrator as registered in the portal. Please correct the information in questions 13 - 18 and resubmit the form.
The information in questions 13 - 17 must match that of the portal administrator. Also, the email address in question 18 must be that of the portal administrator as registered in the portal. Please correct the information in questions 13 - 18 and resubmit the form.
Please note that a local managing director (in Curaçao) must be appointed and appear on the Curaçao Chamber of Commerce excerpt. Currently, the excerpt shows that the local representative (RudLuc Directors N.V.) is a proxy holder, not a managing director. This must be updated with the Curaçao Chamber of Commerce.
Please note that a local managing director (in Curaçao) must be appointed and appear on the Curaçao Chamber of Commerce excerpt. Currently, the excerpt shows that the local representative (RudLuc Directors N.V.) is a proxy holder, not a managing director. This must be updated with the Curaçao Chamber of Commerce.
Please note that registration with goAML is a requirement. Once the registration with goAML has been completed, kindly check 'Yes' for question 10 and resubmit the form.
<p>Please note that registration with goAML is a requirement. Once the registration with goAML has been completed, kindly check 'Yes' for question 10 and resubmit the form.</p><p><b><u>UPDATE</u></b></p><p>Please note that the reply to question 10 is still missing. Please check 'Yes' for question 10 and resubmit the form. </p>
[Sarah Cathalina-Labbe - 08-05-2026 15:54]
Applicant reply: Uploaded
Kindly remove the name 'Tommy Lewis' and use only his legal name on the form.
Kindly remove the name 'Tommy Lewis' and use only his legal name on the form.
Please submit an updated company structure that shows the names of the UBOs and is signed by the local managing director.
<p>Please submit an updated company structure that shows the names of the UBOs which hold 10% more of shares or voting rights</p><p><b><u>UPDATED</u></b></p><p>The updated company structure showing the names of the UBOs holding 10% or more of shares and voting rights was uploaded in the Share Ledger section. Please upload this document in the Company Structure section. </p>
[Sarah Cathalina-Labbe - 08-05-2026 16:00]
Applicant reply: Uploaded
Please upload a certified copy of the share ledger for Evolution Malta Holding Limited.
Please upload a certified copy of the share ledger for Evolution Malta Holding Limited.
[Sarah Cathalina-Labbe - 08-05-2026 16:17]
Please upload a certified copy of the share ledger for Evolution Gaming Group AB.
<p>Please upload an official certified copy of the share ledger for Evolution Gaming Group AB showing the shareholders/investors who own more than 10%. Furthermore, all shareholders owning 10%, whether individual or corporate entities are required to submit the relevant enclosures (PHDF and/or corporate documents)</p>
Please provide a certified copy of the directors list of Evolution Malta Holding Limited.
Please provide a certified copy of the directors list of Evolution Malta Holding Limited.
[Sarah Cathalina-Labbe - 13-05-2026 15:05]
Please upload a certified copy of the Articles of Incorporation of Evolution Malta Holding Limited.
Please upload a certified copy of the Articles of Incorporation of Evolution Malta Holding Limited.
[Sarah Cathalina-Labbe - 13-05-2026 15:04]
Please upload a certified copy of the Articles of Incorporation of Evolution Gaming Group AB.
Please upload a certified copy of the Articles of Incorporation of Evolution Gaming Group AB.
In the management structure, please update the name of the compliance officer to his legal name as on his passport.
<p>In the management structure, please update the name of the compliance officer to his legal name as on his passport.</p><p><b><u>UPDATED</u></b></p><p>Please include a more detailed 3-year financial forecast in the business plan. </p>
[Sarah Cathalina-Labbe - 08-05-2026 16:40]
Applicant reply: Amended
Please note that the proof of goAML registration is missing. Kindly submit a screenshot of the admin page when logged in to the goAML portal. To do this, log in to the goAML portal, click Admin, select Active Organizations and take a screenshot of the page. Please upload the screenshot in the Extra Documentation section.
Please note that the proof of goAML registration is missing. Kindly submit a screenshot of the admin page when logged in to the goAML portal. To do this, log in to the goAML portal, click Admin, select Active Organizations and take a screenshot of the page. Please upload the screenshot in the Extra Documentation section.
Please submit the signed financial accounts of Ezugi N.V. for 2023 and 2024.
Please submit the signed financial accounts of Ezugi N.V. for 2023 and 2024.
The Declaration of Good Standing of Ezugi N.V. was not provided. Kindly submit the requested Declaration of Good Standing (verzoek verklaring betalingsgedrag) in the Extra Documentation section and name the file Declaration of Good Standing. Please note that the Declaration of Good Standing must be the document issued by the Tax Authorities and have the stamp of 'ontvanger' and the 'invorderaar' and it must be certified as a true copy. If the document is not in English, a certified English translation must also be submitted together with the original document.
<p>The Declaration of Good Standing of Ezugi N.V. was not provided. Kindly submit the requested Declaration of Good Standing (verzoek verklaring betalingsgedrag) in the Extra Documentation section and name the file Declaration of Good Standing. Please note that the Declaration of Good Standing must be the document issued by the Tax Authorities and have the stamp of 'ontvanger' and the 'invorderaar' and it must be certified as a true copy. If the document is not in English, a certified English translation must also be submitted together with the original document.</p><p><b><u>UPDATE</u></b></p><p>The COC excerpt cannot be accepted for this requirement. Please submit the official Declaration of Good Standing document issued by the tax authorities as instructed above.</p>
Please note that the Personal History Disclosure Form cannot be accepted as it is the old version of the GCB form. Please upload the new CGA version of the Personal History Disclosure SHORT form available on the CGA website.
<p>Please note that the Personal History Disclosure Form cannot be accepted as it is the old version of the GCB form. </p><p><b>Please upload the new CGA version of the Personal History Disclosure <u>SHORT</u> form available on the CGA website.</b></p>
In question 27, please select all involvements with the applicant company that apply. In the portal, Martin Carlesund is listed as the managing director, UBO, CEO, and founder. All roles must be indicated in question 27. If the information in the portal is no longer accurate, please remove any roles that no longer apply.
In question 27, please select all involvements with the applicant company that apply. In the portal, Martin Carlesund is listed as the managing director, UBO, CEO, and founder. All roles must be indicated in question 27. If the information in the portal is no longer accurate, please remove any roles that no longer apply.
Please upload all six pages of the 'extract of the population register' document. The document must be certified as a true copy.
Please upload all six pages of the 'extract of the population register' document. The document must be certified as a true copy.
Please provide additional supporting evidence of source of wealth. Kindly note that all documents submitted must be certified as a true copy. If the document is not in English, an English translation (certified by the translator) must also be submitted.
<p>Please provide additional supporting evidence of source of wealth. </p><p>Kindly note that all documents submitted must be certified as a true copy. If the document is not in English, an English translation (certified by the translator) must also be submitted.</p>
Please provide proof of the employment as stated in questions 34 - 39 of the Personal History Disclosure Form. Kindly note that all documents submitted must be certified as a true copy. If the document is not in English, an English translation (certified by the translator) must also be submitted.
<p>Please provide proof of the employment as stated in questions 34 - 39 of the Personal History Disclosure Form. </p><p>Kindly note that all documents submitted must be certified as a true copy. If the document is not in English, an English translation (certified by the translator) must also be submitted.</p>
In question 27, please select all involvements with the applicant company that apply. In the portal, Pal Von Bahr is listed as the managing director and UBO. All roles must be indicated in question 27. If the information in the portal is no longer accurate, please remove any roles that no longer apply.
In question 27, please select all involvements with the applicant company that apply. In the portal, Pal Von Bahr is listed as the managing director and UBO. All roles must be indicated in question 27. If the information in the portal is no longer accurate, please remove any roles that no longer apply.
Please upload the complete 'extract of the population register' (all six pages) as was uploaded previously. The document must be certified as a true copy with the certification no more than six months old.
Please upload the complete 'extract of the population register' (all six pages) as was uploaded previously. The document must be certified as a true copy with the certification no more than six months old.
Please provide additional supporting evidence of source of wealth. Kindly note that all documents submitted must be certified as a true copy. If the document is not in English, an English translation (certified by the translator) must also be submitted.
Please provide additional supporting evidence of source of wealth. Kindly note that all documents submitted must be certified as a true copy. If the document is not in English, an English translation (certified by the translator) must also be submitted.
Please provide proof of the employment as stated in questions 34 - 39 of the Personal History Disclosure Form. Kindly note that all documents submitted must be certified as a true copy. If the document is not in English, an English translation (certified by the translator) must also be submitted.
Please provide proof of the employment as stated in questions 34 - 39 of the Personal History Disclosure Form. Kindly note that all documents submitted must be certified as a true copy. If the document is not in English, an English translation (certified by the translator) must also be submitted.
Please confirm the start date for the Head of Compliance position at Evolution Malta Limited. In question 36, the start date is 05/2021. In question 40, the start date is 05/2024. Please correct the information where necessary and resubmit the form. Also, if any of the companies listed in question 40 are gaming companies, please check the corresponding box on the right-hand side of the page.
<p>Please confirm the start date for the Head of Compliance position at Evolution Malta Limited. In question 36, the start date is 05/2021. In question 40, the start date is 05/2024. Please correct the information where necessary and resubmit the form. </p><p>Also, if any of the companies listed in question 40 are gaming companies, please check the corresponding box on the right-hand side of the page.</p>
Please note that the certification as a true copy on the birth certificate is not dated. Kindly upload a certified copy of the birth certificate with a certification no older than six months.
Please note that the certification as a true copy on the birth certificate is not dated. Kindly upload a certified copy of the birth certificate with a certification no older than six months.
Please note that the document uploaded is a bank statement and cannot be accepted as the bank reference letter. Please upload a bank reference letter issued within the last six months and certified as a true copy.
Please note that the document uploaded is a bank statement and cannot be accepted as the bank reference letter. Please upload a bank reference letter issued within the last six months and certified as a true copy.
Please note that the letter of engagement must be signed by both the compliance officer and the managing director. Please upload a letter of engagement signed by both the compliance officer and the managing director.
Please note that the letter of engagement must be signed by both the compliance officer and the managing director. Please upload a letter of engagement signed by both the compliance officer and the managing director.
Please upload the CV of Tiago Luis in the Letter of Engagement section.
Please upload the CV of Tiago Luis in the Letter of Engagement section.
Please add Kfir Kugler to the portal and upload the Personal History Disclosure Form and all enclosures.
Please add Kfir Kugler to the portal and upload the Personal History Disclosure Form and all enclosures.
Please add Laurentiu Neagu to the portal and upload the Personal History Disclosure Form and all enclosures.
<p>Please add Laurentiu Neagu to the portal and upload the Personal History Disclosure Form and all enclosures.</p><p><b><u>UPDATE</u></b></p><p>Please upload the Personal History Disclosure Form and all enclosures (with the exception of source of wealth).</p>
[Sarah Cathalina-Labbe - 13-05-2026 17:11]
Please add Ben Zairi to the portal and upload the Personal History Disclosure Form and all enclosures.
Please add Ben Zairi to the portal and upload the Personal History Disclosure Form and all enclosures.
Please add all directors of Evolution Malta Holding Limited to the portal and upload the Personal History Disclosure form and all enclosures.
Please add all directors of Evolution Malta Holding Limited to the portal and upload the Personal History Disclosure form and all enclosures.
Please add all directors of Evolution Gaming Group AB to the portal and upload the Personal History Disclosure form and all enclosures.
Please add all directors of Evolution Gaming Group AB to the portal and upload the Personal History Disclosure form and all enclosures.
The passport number for Rudsel Lucas entered in question 13 on the Supplier License Application Form does not match the number on the passport currently on file. If Rusdel Lucas has obtained a new passport, please upload a certified copy of the new passport in the base application, QPA/2024/00516. Otherwise, the passport number in question 13 on the Supplier License Application Form must be corrected.
<p>The passport number for Rudsel Lucas entered in question 13 on the Supplier License Application Form does not match the number on the passport currently on file. </p><p><b>If Rusdel Lucas has obtained a new passport, please upload a certified copy of the new passport in the <u>base application QPA/2024/00516</u>. </b></p><p><u>Otherwise</u>, the passport number in question 13 on the Supplier License Application Form must be corrected.</p>
Please note that the information entered in question 12 does not match the information provided in the updated business plan. Please list all individuals holding key positions (even if the role is held by a UBO, for example CEO/CTO, etc.). It is also mandatory to list a compliance officer in question 12.1. It is not necessary to list the managing directors. Please correct the information in question 12.1 and resubmit the form.
Please note that the information entered in question 12 does not match the information provided in the updated business plan. Please list all individuals holding key positions (even if the role is held by a UBO, for example CEO/CTO, etc.). It is also mandatory to list a compliance officer in question 12.1. It is not necessary to list the managing directors. Please correct the information in question 12.1 and resubmit the form.
[Sarah Cathalina-Labbe - 08-05-2026 15:54]
Please submit a certified copy of the share ledger for JovB Investments AB.
Please submit a certified copy of the share ledger for JovB Investments AB.
Please upload the completed Personal History Disclosure Form and all enclosures (with the exception of source of wealth) for Gilad Ami.
Please upload the completed Personal History Disclosure Form and all enclosures (with the exception of source of wealth) for Gilad Ami.
[Sarah Cathalina-Labbe - 11-05-2026 19:36]
In question 29, it is indicated that Martin Carlesund and Pal von Bahr are involved as a key person in another gaming license currently operating in Curaçao, IEG - International e-Gaming. Please provide more information about this, including the entity name is it is registered with the Curaçao Chamber of Commerce.
In question 29, it is indicated that Martin Carlesund and Pal von Bahr are involved as a key person in another gaming license currently operating in Curaçao, IEG - International e-Gaming. Please provide more information about this, including the entity name is it is registered with the Curaçao Chamber of Commerce.
[Sarah Cathalina-Labbe - 11-05-2026 12:44]
Since question 30.1 has been completed, 'Yes' must be selected for question 30. Please check 'Yes' for question 30 and resubmit the form.
Since question 30.1 has been completed, 'Yes' must be selected for question 30. Please check 'Yes' for question 30 and resubmit the form.
[Sarah Cathalina-Labbe - 11-05-2026 16:49]
On the previous Personal History Disclosure Form submitted, a response was entered for question 30.1 regarding involvement as a key person in other gaming licenses in other jurisdictions ("Isle of Man - Gaming Supplier License"). However, on the most recent Personal History Disclosure Form submitted, question 30.1 was left blank. Please clarify whether Tiago Luis has any involvement as a key person with other gaming licenses in other jurisdictions.
On the previous Personal History Disclosure Form submitted, a response was entered for question 30.1 regarding involvement as a key person in other gaming licenses in other jurisdictions ("Isle of Man - Gaming Supplier License"). However, on the most recent Personal History Disclosure Form submitted, question 30.1 was left blank. Please clarify whether Tiago Luis has any involvement as a key person with other gaming licenses in other jurisdictions.
Please upload a certified copy of the criminal record issued within the last six months. If the criminal record is not in English, an English translation (certified by the translator) must be submitted together with the original document. Please upload these documents in the base application QPA/2024/00516.
<p>Please upload a <u>certified</u> copy of the criminal record <u>issued within the last six months</u>. If the criminal record is not in English, <u>an English translation</u> (certified by the translator) must be submitted together with the original document. </p><p>Please upload these documents in the <u><b>base application QPA/2024/00516</b></u>.</p><p class="MsoNormal"><b><u>UPDATE</u></b><o:p></o:p></p><p class="MsoNormal">Please note that QPA/2024/00516 is the base application (original application) for Rudsel Lucas where all enclosures must be uploaded. To clarify, all new/updated enclosures are always uploaded in the base application (QPA/2024/00516) and in any new application only the Personal History Disclosure Form must be uploaded. <o:p></o:p></p><p> </p><p class="MsoNormal">Please upload the certified copy of the criminal record along with the English translation certified by the translator (if applicable) in the base application <b><u>QPA/2024/00516</u>. </b><o:p></o:p></p>
Please complete questions 7 and 7.1. Please note that, as a CSP, it is not necessary for all individual licenses to be listed in question 7.1. Instead, please indicate that you are a CSP involved with other Curaçao gaming licenses.
Please complete questions 7 and 7.1. Please note that, as a CSP, it is not necessary for all individual licenses to be listed in question 7.1. Instead, please indicate that you are a CSP involved with other Curaçao gaming licenses.
Please complete questions 7 and 7.1. Please note that, as a CSP, it is not necessary for all individual licenses to be listed in question 7.1. Instead, please indicate that you are a CSP involved with other Curaçao gaming licenses.
Please complete questions 7 and 7.1. Please note that, as a CSP, it is not necessary for all individual licenses to be listed in question 7.1. Instead, please indicate that you are a CSP involved with other Curaçao gaming licenses.
Please complete questions 7 and 7.1. Please note that, as a CSP, it is not necessary for all individual licenses to be listed in question 7.1. Instead, please indicate that you are a CSP involved with other Curaçao gaming licenses.
Please complete questions 7 and 7.1. Please note that, as a CSP, it is not necessary for all individual licenses to be listed in question 7.1. Instead, please indicate that you are a CSP involved with other Curaçao gaming licenses.
Please provide a certified copy of the Israeli passport.
Please provide a certified copy of the Israeli passport.
Your reply regarding that the criminal record cannot be printed in order for it to be certified was noted. However, an uncertified copy of the document cannot be accepted. If the document cannot be printed, the certification can be done digitally. Alternatively, the certification to be done on a separate page, keeping in mind that in the certification statement, the certifier must reference the specific document he/she is certifying as a true copy and who the document is in reference to. The certifier must also include their full name, designation and contact details. The certification must be signed by the certifier and dated.
<p>Your reply regarding that the criminal record cannot be printed in order for it to be certified was noted. However, an uncertified copy of the document cannot be accepted.</p><p>If the document cannot be printed, the certification can be done digitally. Alternatively, the certification to be done on a separate page, keeping in mind that in the certification statement, the certifier must reference the specific document he/she is certifying as a true copy and who the document is in reference to. The certifier must also include their full name, designation and contact details. The certification must be signed by the certifier and dated.</p>
[Sarah Cathalina-Labbe - 13-05-2026 15:24]
The bank reference letter submitted was more than six months old at the time it was uploaded. Please submit a new bank reference letter issued on official bank letterhead within the last six months and certified as a true copy.
The bank reference letter submitted was more than six months old at the time it was uploaded. Please submit a new bank reference letter issued on official bank letterhead within the last six months and certified as a true copy.
The CGA is pending receipt of the official hard copy of the criminal record issued by the Israeli authorities and sent directly to the CGA.
The CGA is pending receipt of the official hard copy of the criminal record issued by the Israeli authorities and sent directly to the CGA.
Short Personal History Disclosure FormCritical34 items
Check document.Inspect all pages to ensure that there are no blank pages The applications must be filled in digitally. No forms shall be accepted where the customer has completed any section of the form handwritten. Check the forms and make sure there are no ink marks or handwritten notes.
The Personal History Disclosure form is not the official form supplied by CGA. Kindly download the appropriate form, refill digital and resubmit.
Check document. Make sure that this is filled and the same as that shown on the portal
The personal application number is missing or has an incorrect application number. Kindly resubmit the forms with the correct application number.
Check document. The application date must be filled and within six month`s of today`s date.
The application date is missing or has an incorrect application date. Kindly resubmit the forms with the correct application date.
Check if information matches the passport.
The applicant`s first name is incorrect or does not match.Kindly resubmit the form with the correct first name.
Check if information matches the passport.
The applicant`s last name is incorrect or does not match.Kindly resubmit the form with the correct lasr=t name.
Check if information matches the passport.
The Date of birth (DOB) of the applicant is missing or incorrect. Kindly resubmit the forms with the correct DoB.
Check if applicant has submitted certified proof of previous names.
Kindly provide certified proof of name change documents.
Must not be blank.
The response to Question 11 is missing. Kindly complete Question 11 and resubmit the form.
Must not be blank. personal email address
The response to Question 12 is missing. Kindly complete Question 12 and resubmit the form.
Must not be blank. Email address
The response to Question 13 is missing. Kindly complete Question 13 and resubmit the form.
Must not be blank. Mobile number
The response to Question 14 is missing. Kindly complete Question 14 and resubmit the form.
Check if matches the passport. Place of Birth must not be blank.
The response to Question 15 is missing. Kindly complete Question 15 and resubmit the form.
Must not be blank and check if matches the passport. Passport number must not be blank.
The response to Question 16 is missing. Kindly complete Question 16 and resubmit the form.
Check if matches the passport. Country of Issue must not be blank.
The response to Question 17 is missing. Kindly complete Question 17 and resubmit the form.
Check if matches the passport. Date of Issue must not be blank.
The response to Question 18 is missing. Kindly complete Question 18 and resubmit the form.
Check if matches the passport. Date of Expiry must not be blank.
The response to Question 19 is missing. Kindly complete Question 19 and resubmit the form.
Check if matches the passport. Nationality/ Citizenship
The response to Question 20 is missing. Kindly complete Question 20 and resubmit the form.
Must be filled. If the Local Executive Director(official representative) is selected the name of the local service provider must be filled in. If other Key Function Holder is selected, then the function must be filled.
The name of the local service provider or the function of the person in the company is missing. Kindly fill in and resubmit the form.
If question 28 is filled then question 28.1. must be filled.
The response to question 28.1 is missing. Kindly fill in and resubmit.
Must be filled.
The response to question 30 is missing. Kindly fill in and resubmit.
Must be filled.
The response to question 31 is missing. Kindly fill in and resubmit.
They must provide evidence of present employment.
The proof for question 34 and 39 is missing. Kindly upload in the section of extra documentation.
Must be filled.
The response for question 41 and or 42 is missing. Kindly fill in and resubmit.
Must be filled. At least one must be selected, if 43.11 is selected then other Income must be filled.
The response to question 43 is missing. (if applies 43.11 must be filled) Kindly fill in and resubmit the form.
If yes is selected, 44.1. must be filled.
The response to 44.1. is missing. Kindly fill in and resubmit the form.
The document must contain the name and surname and digital signature of the person that filled the form on Page 9.
The DECLARATION AND DATA PRIVACY is missing the name and/or is not digitally signed. Kindly fill in the name and/or surname /sign and resubmit the form.
Check date and make sure the passport is not expired.Make sure that persons photo is clear and recognizable.
The enclosed passport document is expired or unclear. Kindly resubmit a valid passport with a clear picture and certified.
Check the document and make sure it is in english language or if translated from another language, the translated document, must be certified. Check date and make sure the certificate is not expired (not older than 6 months). It must be submitted for every jurisdiction whereby the applicant resided for more than six months in the last two years.
The enclosed criminal record document is expired and/or not certified and/or not translated into English.Kindly resubmit a valid, certified certificate translated into English.
Check the document and make sure it is in English Language or orginal document with translation. Both have to be certified. (In some cases we accept the Marriage Certificate)
The enclosed document, Certified True Copy of Birth Certificate is missing or not certified or in english language. Kindly resubmit.
Make sure that it is in the applicant name verifying their personal account.Check date and make sure the certificate is not expired (not older than 6 months).
The enclosed reference document is expired or not valid. Kindly resubmit a valid reference letter or bank statement.
Check document. (mandatory for compliance officers)
The letter of appointment/ engagement agreement is missing/incomplete. Kindly resubmit/ submit.
Certified true copies of any Gaming License issued in favor of the applicant in a personal capacity from any jurisdiction ( eg. UK Personal Management License)
The Certified true copies of Gaming License issued in favor of personal capacity is missing/incomplete. Kindly submit.
Check document. (mandatory for compliance officers)
The Source of Wealth must demonstrate the UBO`s financial standing and confirm their ability to operate and support the company.
The Source of Wealth documentation for the Shareholders/UBO was not provided/or is invalid.Kindly resubmit the required documents, including certified bank statements clearly displaying amounts and dividends, tax returns evidencing earnings, or any other certified documentation demonstrating the source of wealth of the UBO,and ensure that all certifications are made as true copies by authorized persons such as legal or accountancy professionals, regulated financial institutions, or other duly empowered authorities within the relevant jurisdiction.
Personal History Disclosure FormCritical34 items
Check document.Inspect all pages to ensure that there are no blank pages The applications must be filled in digitally. No forms shall be accepted where the customer has completed any section of the form handwritten. Check the forms and make sure there are no ink marks or handwritten notes.
The Personal History Disclosure form is not the official form supplied by CGA. Kindly download the appropriate form, refill digital and resubmit.
Check document. Make sure that this is filled and the same as that shown on the portal
The personal application number is missing or has an incorrect application number. Kindly resubmit the forms with the correct application number.
Check document. The application date must be filled and within six month`s of today`s date.
The application date is missing or has an incorrect application date. Kindly resubmit the forms with the correct application date.
Check if information matches the passport.
The applicant`s first name is incorrect or does not match.Kindly resubmit the form with the correct first name.
Check if information matches the passport.
The applicant`s last name is incorrect or does not match.Kindly resubmit the form with the correct lasr=t name.
Check if information matches the passport.
The Date of birth (DOB) of the applicant is missing or incorrect. Kindly resubmit the forms with the correct DoB.
Check if applicant has submitted certified proof of previous names.
Kindly provide certified proof of name change documents.
Must not be blank.
The response to Question 11 is missing. Kindly complete Question 11 and resubmit the form.
Must not be blank. personal email address
The response to Question 12 is missing. Kindly complete Question 12 and resubmit the form.
Must not be blank. Email address
The response to Question 13 is missing. Kindly complete Question 13 and resubmit the form.
Must not be blank. Mobile number
The response to Question 14 is missing. Kindly complete Question 14 and resubmit the form.
Check if matches the passport. Place of Birth must not be blank.
The response to Question 15 is missing. Kindly complete Question 15 and resubmit the form.
Must not be blank and check if matches the passport. Passport number must not be blank.
The response to Question 16 is missing. Kindly complete Question 16 and resubmit the form.
Check if matches the passport. Country of Issue must not be blank.
The response to Question 17 is missing. Kindly complete Question 17 and resubmit the form.
Check if matches the passport. Date of Issue must not be blank.
The response to Question 18 is missing. Kindly complete Question 18 and resubmit the form.
Check if matches the passport. Date of Expiry must not be blank.
The response to Question 19 is missing. Kindly complete Question 19 and resubmit the form.
Check if matches the passport. Nationality/ Citizenship
The response to Question 20 is missing. Kindly complete Question 20 and resubmit the form.
Must be filled. If the Local Executive Director(official representative) is selected the name of the local service provider must be filled in. If other Key Function Holder is selected, then the function must be filled.
The name of the local service provider or the function of the person in the company is missing. Kindly fill in and resubmit the form.
If question 28 is filled then question 28.1. must be filled.
The response to question 28.1 is missing. Kindly fill in and resubmit.
Must be filled.
The response to question 30 is missing. Kindly fill in and resubmit.
Must be filled.
The response to question 31 is missing. Kindly fill in and resubmit.
They must provide evidence of present employment.
The proof for question 34 and 39 is missing. Kindly upload in the section of extra documentation.
Must be filled.
The response for question 41 and or 42 is missing. Kindly fill in and resubmit.
Must be filled. At least one must be selected, if 43.11 is selected then other Income must be filled.
The response to question 43 is missing. (if applies 43.11 must be filled) Kindly fill in and resubmit the form.
If yes is selected, 44.1. must be filled.
The response to 44.1. is missing. Kindly fill in and resubmit the form.
The document must contain the name and surname and digital signature of the person that filled the form on Page 9.
The DECLARATION AND DATA PRIVACY is missing the name and/or is not digitally signed. Kindly fill in the name and/or surname /sign and resubmit the form.
Check date and make sure the passport is not expired.Make sure that persons photo is clear and recognizable.
The enclosed passport document is expired or unclear. Kindly resubmit a valid passport with a clear picture and certified.
Check the document and make sure it is in english language or if translated from another language, the translated document, must be certified. Check date and make sure the certificate is not expired (not older than 6 months). It must be submitted for every jurisdiction whereby the applicant resided for more than six months in the last two years.
The enclosed criminal record document is expired and/or not certified and/or not translated into English.Kindly resubmit a valid, certified certificate translated into English.
Check the document and make sure it is in English Language or orginal document with translation. Both have to be certified. (In some cases we accept the Marriage Certificate)
The enclosed document, Certified True Copy of Birth Certificate is missing or not certified or in english language. Kindly resubmit.
Make sure that it is in the applicant name verifying their personal account.Check date and make sure the certificate is not expired (not older than 6 months).
The enclosed reference document is expired or not valid. Kindly resubmit a valid reference letter or bank statement.
Check document. (mandatory for compliance officers)
The letter of appointment/ engagement agreement is missing/incomplete. Kindly resubmit/ submit.
Certified true copies of any Gaming License issued in favor of the applicant in a personal capacity from any jurisdiction ( eg. UK Personal Management License)
The Certified true copies of Gaming License issued in favor of personal capacity is missing/incomplete. Kindly submit.
Check document. (mandatory for compliance officers)
The Source of Wealth must demonstrate the UBO`s financial standing and confirm their ability to operate and support the company.
The Source of Wealth documentation for the Shareholders/UBO was not provided/or is invalid.Kindly resubmit the required documents, including certified bank statements clearly displaying amounts and dividends, tax returns evidencing earnings, or any other certified documentation demonstrating the source of wealth of the UBO,and ensure that all certifications are made as true copies by authorized persons such as legal or accountancy professionals, regulated financial institutions, or other duly empowered authorities within the relevant jurisdiction.
Short Personal History Disclosure FormCritical16 items
Check document.Inspect all pages to ensure that there are no blank pages The applications must be filled in digitally. No forms shall be accepted where the customer has completed any section of the form handwritten. Check the forms and make sure there are no ink marks or handwritten notes.
The Personal History Disclosure Short Form is not the official form supplied by CGA. Kindly download the appropriate form, refill digital and resubmit.
Check document. Make sure that this is filled and the same as that shown on the portal
The personal application number is missing or has an incorrect application number. Kindly resubmit the forms with the correct application number.
Check document. Make sure that this is filled and the same as that shown on the portal
The Base/Original application number is missing or has an incorrect application number. Kindly resubmit the forms with the correct application number.
Check document. The application date must be filled and within six month's of today's date.
The application date is missing or has an incorrect application date. Kindly resubmit the forms with the correct application date.
Check if information matches the passport.
The applicant's first name is incorrect or does not match.Kindly resubmit the form with the correct first name.
Check if information matches the passport.
The applicant's last name is incorrect or does not match.Kindly resubmit the form with the correct lasr=t name.
Must not be blank. personal email address
The response to Question 12 is missing. Kindly complete Question 12 and resubmit the form.
Must not be blank. Email address
The response to Question 13 is missing. Kindly complete Question 13 and resubmit the form.
Must not be blank. Email address
The response to Question 13 is missing. Kindly complete Question 13 and resubmit the form.
Must be filled.
The response to question 30 is missing. Kindly fill in and resubmit.
If yes, 7.1. needs to be filled.
The response to question 7.1. is missing. Kindly fill in and resubmit the form.
Must be filled if it is a UBO
The response for question 8 and 9 is missing. Kindly fill in and resubmit.
If yes is selected, 11.1 must be filled.
The response to 11.1. is missing. Kindly fill in and resubmit the form.
The document must contain the name and surname and digital signature of the person that filled the form on Page 3.
The DECLARATION AND DATA PRIVACY is missing the name and/or is not digitally signed. Kindly fill in the name and/or surname /sign and resubmit the form.
Check document. (mandatory for compliance officers)
The letter of appointment/ engagement agreement is missing/incomplete. Kindly resubmit/ submit.
The Source of Wealth must demonstrate the UBO's financial standing and confirm their ability to operate and support the company.
Please note that as you are listed as a UBO in another application, you are required to enhance and update your Source of Wealth documentation in your original/base application or within this application in order to adequately support it.
Personal History Disclosure FormCritical34 items
Check document.Inspect all pages to ensure that there are no blank pages The applications must be filled in digitally. No forms shall be accepted where the customer has completed any section of the form handwritten. Check the forms and make sure there are no ink marks or handwritten notes.
The Personal History Disclosure form is not the official form supplied by CGA. Kindly download the appropriate form, refill digital and resubmit.
Check document. Make sure that this is filled and the same as that shown on the portal
The personal application number is missing or has an incorrect application number. Kindly resubmit the forms with the correct application number.
Check document. The application date must be filled and within six month`s of today`s date.
The application date is missing or has an incorrect application date. Kindly resubmit the forms with the correct application date.
Check if information matches the passport.
The applicant`s first name is incorrect or does not match.Kindly resubmit the form with the correct first name.
Check if information matches the passport.
The applicant`s last name is incorrect or does not match.Kindly resubmit the form with the correct lasr=t name.
Check if information matches the passport.
The Date of birth (DOB) of the applicant is missing or incorrect. Kindly resubmit the forms with the correct DoB.
Check if applicant has submitted certified proof of previous names.
Kindly provide certified proof of name change documents.
Must not be blank.
The response to Question 11 is missing. Kindly complete Question 11 and resubmit the form.
Must not be blank. personal email address
The response to Question 12 is missing. Kindly complete Question 12 and resubmit the form.
Must not be blank. Email address
The response to Question 13 is missing. Kindly complete Question 13 and resubmit the form.
Must not be blank. Mobile number
The response to Question 14 is missing. Kindly complete Question 14 and resubmit the form.
Check if matches the passport. Place of Birth must not be blank.
The response to Question 15 is missing. Kindly complete Question 15 and resubmit the form.
Must not be blank and check if matches the passport. Passport number must not be blank.
The response to Question 16 is missing. Kindly complete Question 16 and resubmit the form.
Check if matches the passport. Country of Issue must not be blank.
The response to Question 17 is missing. Kindly complete Question 17 and resubmit the form.
Check if matches the passport. Date of Issue must not be blank.
The response to Question 18 is missing. Kindly complete Question 18 and resubmit the form.
Check if matches the passport. Date of Expiry must not be blank.
The response to Question 19 is missing. Kindly complete Question 19 and resubmit the form.
Check if matches the passport. Nationality/ Citizenship
The response to Question 20 is missing. Kindly complete Question 20 and resubmit the form.
Must be filled. If the Local Executive Director(official representative) is selected the name of the local service provider must be filled in. If other Key Function Holder is selected, then the function must be filled.
The name of the local service provider or the function of the person in the company is missing. Kindly fill in and resubmit the form.
If question 28 is filled then question 28.1. must be filled.
The response to question 28.1 is missing. Kindly fill in and resubmit.
Must be filled.
The response to question 30 is missing. Kindly fill in and resubmit.
Must be filled.
The response to question 31 is missing. Kindly fill in and resubmit.
They must provide evidence of present employment.
The proof for question 34 and 39 is missing. Kindly upload in the section of extra documentation.
Must be filled.
The response for question 41 and or 42 is missing. Kindly fill in and resubmit.
Must be filled. At least one must be selected, if 43.11 is selected then other Income must be filled.
The response to question 43 is missing. (if applies 43.11 must be filled) Kindly fill in and resubmit the form.
If yes is selected, 44.1. must be filled.
The response to 44.1. is missing. Kindly fill in and resubmit the form.
The document must contain the name and surname and digital signature of the person that filled the form on Page 9.
The DECLARATION AND DATA PRIVACY is missing the name and/or is not digitally signed. Kindly fill in the name and/or surname /sign and resubmit the form.
Check date and make sure the passport is not expired.Make sure that persons photo is clear and recognizable.
The enclosed passport document is expired or unclear. Kindly resubmit a valid passport with a clear picture and certified.
Check the document and make sure it is in english language or if translated from another language, the translated document, must be certified. Check date and make sure the certificate is not expired (not older than 6 months). It must be submitted for every jurisdiction whereby the applicant resided for more than six months in the last two years.
The enclosed criminal record document is expired and/or not certified and/or not translated into English.Kindly resubmit a valid, certified certificate translated into English.
Check the document and make sure it is in English Language or orginal document with translation. Both have to be certified. (In some cases we accept the Marriage Certificate)
The enclosed document, Certified True Copy of Birth Certificate is missing or not certified or in english language. Kindly resubmit.
Make sure that it is in the applicant name verifying their personal account.Check date and make sure the certificate is not expired (not older than 6 months).
The enclosed reference document is expired or not valid. Kindly resubmit a valid reference letter or bank statement.
Check document. (mandatory for compliance officers)
The letter of appointment/ engagement agreement is missing/incomplete. Kindly resubmit/ submit.
Certified true copies of any Gaming License issued in favor of the applicant in a personal capacity from any jurisdiction ( eg. UK Personal Management License)
The Certified true copies of Gaming License issued in favor of personal capacity is missing/incomplete. Kindly submit.
Check document. (mandatory for compliance officers)
The Source of Wealth must demonstrate the UBO`s financial standing and confirm their ability to operate and support the company.
The Source of Wealth documentation for the Shareholders/UBO was not provided/or is invalid.Kindly resubmit the required documents, including certified bank statements clearly displaying amounts and dividends, tax returns evidencing earnings, or any other certified documentation demonstrating the source of wealth of the UBO,and ensure that all certifications are made as true copies by authorized persons such as legal or accountancy professionals, regulated financial institutions, or other duly empowered authorities within the relevant jurisdiction.