KYC-Company
Company Name
*
Company Email ID
*
example@example.com
Gender
*
Male
Female
WeChat / Telegram / WhatsApp
*
Company Director's Residential Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Birth Date
*
-
Month
-
Day
Year
ID Issue Date
*
-
Month
-
Day
Year
ID Valid to (if any)
-
Month
-
Day
Year
Company Name
*
Company ID
Company Full Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Company Phone Number
*
-
Area Code
Phone Number
Company URL
Nature of Company Business
Who are your customers? Where are they located?
Do you perform due diligence on your customers? What information do you collect from them?
What bank will you be using for deposits and withdrawals, and where is it located?
*
Expected Monthly Volumes (USD)
*
Less than $1,000,000 US Dollar
$1,000,000 - $5,000,000 US Dollar
More than $5,000,000 US Dollar
Submit
Should be Empty: