APPLICATION TO OPEN A USER ACCOUNT – LEGAL ENTITY

Note: although for purposes of readability the masculine gender form is used to reference persons in the relevant sections, this is, of course, always deemed to include members of both genders. The same applies to the plural form. Fields marked with an asterisk (*) are required in order to complete this application.

Please open a User Account for me with the following details.

CUSTOMER DETAILS

If you already registered with CRYPTOCOIN.PRO, please enter your referencing email address.
One name per line
One name per line

REGISTERED COMPANY ADDRESS AND CONTACT DATA

BENEFICIAL OWNER

Beneficial owners are persons, who ultimately own (directly or indirectly) or control 25% or more of the voting rights or who are participating with 25% or more on the profits? If this is answered with „Yes“, please specify in the following:

BENEFICIAL OWNER A:

BENEFICIAL OWNER B:

BENEFICIAL OWNER C:

A United States person is any person meeting at least one of the following criteria: 1) The individual has citizenship or a valid residence permit (Green Card) in the U.S.; 2) The individual’s tax residence country is the U.S.; 3) The individual was born in the U.S.; 4) The individual has a phone number with a U.S. country code; 5) The registered address of the legal entity is in the U.S.; 6) The residential or correspondence address of the individual/legal entity is in the U.S. (including a P.O. Box in the U.S.); 7) A Power of Attorney has been issued to an individual/legal entity with an address in the U.S.

EXTENDED COMPANY INFORMATION

Please specify the source if OTHER is selected

(If you checked “Purchasing” please specify when and where it was purchased)

REQUIRED SUPPORTING DOCUMENTS FOR IDENTIFICATION

Certificates of Incorporation of the Applying Company, not older than 6 months

(Original Certificate or an authenticated copy or direct access to the online database of the commercial register)

Articles of Association

Try selecting one or more files and watch the feedback

Valid passport copies and utility bills of the directors, representatives and the beneficial owners

Try selecting one or more files and watch the feedback

All applicable licenses for business (if any)

Try selecting one or more files and watch the feedback

Organizational charts explaining the ownership of the company in detail

Other documentation may be requested.

Try selecting one or more files and watch the feedback

ACCEPTANCE OF IMPLIED RISKS AND CONTRACTUAL CONDITIONS