Card Processing Application Form

ticket ​(i.e. transaction amount)

ESTIMATED MONTHLY TURNOVER for new processor

INFORMATION ON BENEFICIAL OWNER No.1

 

INFORMATION ON BENEFICIAL OWNER No.2

KYC DOCUMENTS: Corporate Documents

1. Certificate of Incorporation issued by the Company Registrar 2. Memorandum and Articles of Association 3. Certificates listing the current directors, current shareholders and registered address of the Customer issued by the Company Registrar (document must be less than 6 months old) 4. Letter of Good Standing - need to be renewed each year 5. Incumbency certificate - Maximum 6 month old 6. Board resolution confirming appointment of Authorized Signatory (if applicable) - Power of Attorney 7. Office rental agreement

Authorized signatories, directors:

8. Passport and second ID document (for example driving license) 9. Utility bill, personal bank statement or credit card statement (less than 3 months old) with clearly stated residential address 10. Documents confirming authorized signatory person's relevant level of experience (CV, professional certificates, etc)

11. Passport, ID card only for European citizens 12. Utility bill, personal bank statement or credit card statement (less than 3 months old) with clearly stated residential address 13. CV (with detailed work experience) 14. Documents confirming beneficial owner's good financial condition (Bank Reference Letter or Bank Statement signed and stamped by the bank representative or copy of credit card statement and masked copy of credit card issued on the name of the UBO.

Please note that by filling in and submitting this form, any related documents and information, you agree that Kua Pay can process, store and share this form, documents and information with payment partners for coordinating service offering for your business.

I UNDERSTAND AND CONFIRM THAT:

any change in the information that may affect my status and provide you with any further information/documents upon your request
I have authorisation to sign the Application Form on behalf of the Company and I am not acting as agent, nominee or trustee for third parties
No directors or shareholders have ever been: convicted of any offence (other than minor offences in connection with the use of ownership of a motor vehicle); adjudged bankrupt; subject of an investigation by a governmental, professional or other regulatory body; an officer or shareholder of a business entity which has been the subject of an investigation as aforesaid, or which has been adjudged bankrupt, compulsorily wound up or has made any compromise or arrangement with its creditors
The Company has not been, is not and will not be involved in, and that its wealth and funds do not derive from, any illegal or criminal activity, including but not limited to money laundering, funding of terrorism and/or tax evasion
The Company will comply with all applicable laws, including but not limited to Payment Services Directive 2, anti-money laundering and terrorist financing laws, rules and regulations throughout our business relationship

All details that I have given you in the Application form and, where applicable, in the E-Commerce Annex are true and correct and that I shall update you immediately if there is

Kua Pay Pay or Kua Pay partner may process my personal data to provide the agreed services and to comply with privacy, card scheme, anti-money laundering and all other applicable laws. I also agree that, where applicable, Kua Pay Pay or Kua Pay partner may also provide or make such data available to Card Schemes, Acquirers, Banks, payment gateway services and/or other third parties to perform the agreed services. Where applicable, Kua Pay Pay or Kua Pay partner may provide my data to Referrers that have introduce me to Kua Pay Pay or Kua Pay partner only for the calculation of the fees due by Kua Pay Pay or Kua Pay partner to said Referrer and in accordance with the data minimisation principle set out by GDPR.

The personal data will be stored in a secure environment for a period of 5 years in order to comply with all applicable laws. At the expiry of such period, the personal data will be destroyed.

The consent is provided for the unlimited period until it is revoked. I may exercise all the rights granted to you by the General Data Protection Regulation (EU) 2016/679 and in particular the right of rectification, erasure and objection by sending an e-mail to dpo@kuapay.com In such a case, the provided personal data will be updated, blocked or deleted unless otherwise required by the applicable laws. Receiving electronic mails or advertising messages may be revoked in the same manner at any time.

I agree that Kua Pay or Kua Pay partner may provide us with newsletters and marketing material regarding its services by email, sms, mail or telephone