CREATE MERCHANT ACCOUNT

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CREATE MERCHANT ACCOUNT

CREATE MERCHANT ACCOUNT

Personal Information

Username:

Password:

Confirm Password:

Email address:

Confirm Email address:

Account Holder

Company Name:

Registration Number:

Registered Address:

Country:

License number and issuing Authority (if applicable):

Website:

Phone:

AUTHORISED PERSON

Mrs

Name:

Surname:

Date of Birth:

Email address:

Confirm Email:

Passport/ID number:

Country of Citizenship:

Residential address:

Position choose applicable:

Director

Beneficial Owner

Manager

Shareholder

CONTACT PERSON

Same as Authorised Person (tick)

Mrs

Name:

Surname:

Date of Birth:

Email address:

Confirm Email:

Passport/ID number:

Country of Citizenship:

Residential address:

Position choose applicable:

Director

Beneficial Owner

Manager

Shareholder

BUSINESS PROFILE

Describe business activity (200 words max):

Years in business:

Describe verification procedure used by the company (300 words):

Do you have a AML policy? If yes, please upload the file below:

Do you have a dispute resolution policy? If yes, please upload the file below:

Estimated number of incoming payments per month:

Average transaction size (choose one):

$500-$1000

$1000-$5000

$5000-$20,000

over $20,000

Expected monthly turnover:

Countries where your clients are located:

Please upload the following documents in pdf or jpg format, maximum 3MB per document:

Company certificate of registration

Certificate of good standing or equivalent

Articles of Association (or equivalent document confirming the Directors and shareholders status)

Copy of license (if any)

Copy of passport of Authorised person

Copy of address confirmation (gas/phone/water bill)