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YEARLY
KYC
UPDATE
Please fill out the form so we can learn more about you.
Please complete this
Form
for us!
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Please enable JavaScript in your browser to complete this form.
Company Name
*
Doing Business as
In the last 12 months has there been a change in your registeres address?
*
Yes
No
In the last 12 months has there been a change in Tax ID#
*
Yes
No
Tax ID #
*
In the last 12 months has there been a change in Company Registration #
*
Yes
No
Company Registration #
*
In the last 12 months has there been a change in Legal Representative(s)
*
Yes
No
Legal Representative(s)
*
In the last 12 months has there been a change in Phone number
*
Yes
No
In the last 12 months has there been a change in Mailing Address?
*
Yes
No
In the last 12 months has there been a change in the Commercial Contact name and Email
*
Yes
No
Commercial Contact Name
*
Commercial Contact E-mail
*
In the last 12 months has there been a change in Finance Contact name and Email
*
Yes
No
Finance Contact Name
*
Finance Contact Email
*
In the last 12 months has there been a change in Legal Contact name and Email
*
Yes
No
Legal Contact Name
*
Legal Contact Email
*
In the last 12 months has there been a change in Administrative Contact name and Email
*
Yes
No
Administrative Contact Name
*
Administrative Contact Email
*
In the last 12 months has there been a change in Technical Contact name and Email
*
Yes
No
Technical Contact Name
*
Technical Contact Email
*
Technical Contact Skype Address
In the last 12 months has there been a change in Customer Service Contact information
*
Yes
No
Customer Service Contact (Website/Phone Number/etc.)
*
Customer Service Contact Email
*
In the last 12 months has there been a change in the Merchant Shareholder/UBO information
*
Yes
No
Merchant Shareholder/UBO Information. Please include: Name, Shareholder Tax ID #, Shares in %, Date of Birth, Mother's Full Name
*
Please include: Name - Shareholder Tax ID # - Shares in % - Date of Birth - Mother's Full Name -
Company Certificate of Registration
*
Company Certificate of Registration (or similar)
PDF or JPEG up to 25MB
Utility Bill
*
Utility Bill (of any sort), no older than three (3) months, showing Company Address, matching Company Certificate of Registration.
PDF or JPEG up to 25MB
Articles of Association
*
Articles of Association / Company By-Laws
PDF or JPEG up to 25MB
Power of Attorney
Power of Attorney (in case the Signee(s) is/are not nominated by the Articles of Association / By-Laws)
PDF or JPEG up to 25MB
Certified Passport Copies of Signee
*
Certified Passport Copies of Signee(s)
PDF or JPEG up to 25MB
Certified Passport Copies of UBO(s)
*
Certified Passport Copies of UBO(s)
PDF or JPEG up to 25MB
Proof of domestic, registered addresses
*
Proof of domestic, registered addresses for all UBOs listed
PDF or JPEG up to 25MB
Supplementary Documentation
Please use the file upload to provide any supplementary documentation
PDF or JPEG up to 25MB
Submit
