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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
Mr
Ms
Mrs
Dr
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)
Mr
Ms
Mrs
Dr
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)
Other document
Other document
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