MERCHANT ONBOARDING ONLINE APPLICATION

Part A. Entity/Business Information

Please provide the full company general information and Details

Legal Entity Name
Company Register Number
Business Registration/Tax Number (if any)
Incorporate Date
Expiry Date of Company Register
Company Registration Country
Company Registration Address
Operating Country
Operating /Business Address
Business Nature
Legal Entity Type
Products and/or Service profile
Corporate Website
Contact Person
Email Address

Part B. Director Information

Please list all current director(s) in the Company.
* Please provide ID/Passport Copies and Proof of residential address document for all following listed Directors of your company；

NO. Name ID Type ID Number Issue Day Expiry Date Day of Birth
NO. Nationality Day of appointment Email Telephone Residential Address

Part C Ultimate Beneficial Owner (UBO) Information

Please list all current Ultimate Beneficial Owner(s) information in the Company and the percentawner(s) of the Company.
* The Ultimate Beneficial Owner(s) means who owns or controls, directly or indirectly, including through a trust or bearer shareholding, more than 25% of the issued share capital of the corporation; or directly or indirectly, entitled to exercise or control the exercise of more than 25% of the voting rights at general meetings of the corporation; Please provide ID/Passport Copies and Proof of residential address document for all following listed Ultimate Beneficial Owner of your company；

UBO1 Information
Full Legal Name
Position
ID Type
ID Number
ID Expiry Date
Nationality
Date of Birth
Residential Address
% of effective Shareholding
Does He/She have controlling stake, veto rights ?

Does the UBO has been convicted of any criminal offense or name in a lawsuit？

If yes, please explain all the nature of the criminal offense and lawsuit that he/she have involved.

Is the UBO has been a politically exposed person?

If yes, please list all the details such as prominent public functions, positions, countries, name of Political institutions, names of immediate family member, related closely associated that refer to your company’s authorized representative.

UBO2 Information
Full Legal Name
Position
ID Type
ID Number
ID Expiry Date
Nationality
Date of Birth
Residential Address
% of effective Shareholding
Does He/She have controlling stake, veto rights ?

Does the UBO has been convicted of any criminal offense or name in a lawsuit？

If yes, please explain all the nature of the criminal offense and lawsuit that he/she have involved.

Is the UBO has been a politically exposed person?

If yes, please list all the details such as prominent public functions, positions, countries, name of Political institutions, names of immediate family member, related closely associated that refer to your company’s authorized representative.

UBO3 Information
Full Legal Name
Position
ID Type
ID Number
ID Expiry Date
Nationality
Date of Birth
Residential Address
% of effective Shareholding
Does He/She have controlling stake, veto rights ?

Does the UBO has been convicted of any criminal offense or name in a lawsuit？

If yes, please explain all the nature of the criminal offense and lawsuit that he/she have involved.

Is the UBO has been a politically exposed person?

If yes, please list all the details such as prominent public functions, positions, countries, name of Political institutions, names of immediate family member, related closely associated that refer to your company’s authorized representative.

UBO4 Information
Full Legal Name
Position
ID Type
ID Number
ID Expiry Date
Nationality
Date of Birth
Residential Address
% of effective Shareholding
Does He/She have controlling stake, veto rights ?

Does the UBO has been convicted of any criminal offense or name in a lawsuit？

If yes, please explain all the nature of the criminal offense and lawsuit that he/she have involved.

Is the UBO has been a politically exposed person?

If yes, please list all the details such as prominent public functions, positions, countries, name of Political institutions, names of immediate family member, related closely associated that refer to your company’s authorized representative.