טופס אישי

Customer’s Particulars
Beneficial Owner Info
Information of PEP
Documents Required
Declaration

Customer Onboarding

(Individual)

1. Customer’s Particulars

Prefix

First Name

Last Name

Occupation (optional)

Date of Birth

Identification Type

Identity card

Passport

Identification Document No.

Expiry date of identification document (if applicable)

Home Address

Postal Code, Country

Nationality

Contact Number

Phone Number

2. Information of Beneficial Owner

Is the above person acting for himself/herself? (If NO, then fill in this Form for each person/persons
whom the above person is acting on behalf of)

Yes

3. Information of Politically Exposed Person ("PEP")

their Immediate Family Members and Close Associates(For Individuals Only)

Is the above person an immediate family member or a close associate
of a PEP or a PEP who has stepped down?

Yes

Is the above person a PEP who has stepped down from his
or her prominent public function?

Yes

Is the above person an immediate family member or a close associate
of a PEP or a PEP who has stepped down?

Yes

4. Documents Required

Please upload a copy of the identification document (e.g. Identity Card, Passport, etc.)

Drag and drop files here

Please upload a copy of the back side of Identity Card

Drag and drop files here

Please upload a copy of the address proof (e.g. bank statement, utility bills), not older than 3 months

Drag and drop files here

Please upload a copy of Bank Statement,, not older than 3 months

Drag and drop files here

5. Declaration

Prefix

First Name

Last Name

Signature

Sign here

Date Signed

Customer Onboarding

Success!

Error!