KYC
Personal Information | Donnée personnelle
Name | Nom
*
First Name | Prénom
Last Name | Nom de famille
Email
*
example@example.com
Phone Number | Numéro de téléphone
*
Please enter a valid phone number | Veuillez entrer un numéro de téléphone valide..
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Business Information | Information d'entreprise
Business Registered Name | Raison Sociale
*
Business Type | Type d'activité
*
Please Select
LLC/Limited/SARL/SUARL
PLC/SA
Partnership
Sole Proprietorship
Nature of Business | Nature des activités
*
Online Retail Stores (general merchandise)
Niche E-commerce (fashion, electronics, beauty)
Online Marketplaces & Multi-vendor Platforms
Digital Download Stores (ebooks, software, music)
Betting, Lottery & Gaming
Crypto Exchanges & Wallet Services
Education & e-learning and education
SaaS Platforms (Software-as-a-Service)
Web Hosting & Cloud Services
IT Support & Consulting Services
Travel, Hospitality & Leisure
Ticketing Platforms (events, concerts, transport)
Courier & Parcel Delivery Services
Ride-hailing & Mobility Platforms
Online Food Delivery Platforms
Restaurant Aggregator Apps
Digital Marketing & Advertising Agencies
Video Streaming Platforms
Music Subscription Services
Gaming Platforms (non-gambling)
Health & Wellness
Digital Content Creators & Influencers
Accounting & Bookkeeping Services
Business Consulting Firms
Crowdfunding Platforms
Wealth Management & Investment Platforms
Business Activities & Model Description | Activités commerciales et description du modèle
What do you do? | Que faites-vous?
Registration Number | Numero de RCCM
*
Country of Incorporation | Pays de Constitution
*
NINEA/DFE/TIN No
Business Address | Siège Social
*
Street Address | Adresse de rue
Street Address Line 2 | Adresse de rue, ligne 2
City | Ville
State / Province | État / Province
Postal / Zip Code | Code postal
Website URL | URL du site Web
App Store URL | URL de l’App Store
app//product/xxxxx
Name of Director/UBO 1. Nom du directeur/bénéficiaires effectifs 1
*
Share Ownership of the Director/UBO Participation du directeur/bénéficiaires effectifs
*
Name of Director/UBO 2 Nom du directeur/bénéficiaires effectifs 2
Share Ownership | Participation du directeur
Certificate of Incorporation | RCCM
*
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Memart | Statut
*
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TIN | DFE
*
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Proof of Business Address/Utility Bill | Facture de service public/Contrat de Bail
*
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Operating License/Licence d'exploitation (Regulated Industries (Betting/Microfinance) | Les industries réglementées (Paris/Microfinance)
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Director 1 ID | Pièce d’identité
*
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Director 2 ID | Pièce d’identité
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UBO 1 ID | Pièce d’identité de bénéficiaires effectifs
*
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UBO 2 ID | Pièce d’identité de bénéficiaires effectifs
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