Account Opening Form - Company_WORK Logo
  • Account Opening Form

    Business
  • Please note that providing your USD account is subject to review and confirmation.

  • Please note that providing your GBP account is subject to review and confirmation.

  • Please note that providing your USD and/or GBP accounts is subject to review and confirmation.

  • Business Information

  • Contact Information

    By providing your email address and mobile phone number below, and pressing the "Confirm" buttons, you authorize us to send you an email and a text message with one-time verification codes.
  • Company Information

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  • Registered Address

    Please enter the company registration address in the Country of Registration you picked in the beginning.
  • Trading as

    (a.k.a. "Doing Business As" or "D.B.A.")
  • Trading Address

  • Questionnaire - General

    Tell us more about your business.
  • Industry

    Please pick the industry segment(s) your company is serving in the list below. You must pick at least one item.
  • Target Markets and Distribution

    Please select all individual countries you are serving and enter the approximate volume percentage for each of them (making sure the sum of all percentages does not exceed 100). Please note that we are unable to serve companies doing business in the following countries: Afghanistan, Belarus, Congo The Democratic Republic of, Crimea (Ukraine), Cuba, Donetsk People’s Republic, Iran, Islamic Republic of, Iraq, Korea, Democratic People's Republic of, Lebanon, Libyan Arab Jamahiriya, Luhansk People’s Republic, Myanmar, Russian Federation, Somalia, South Sudan, Sudan, and Syrian Arab Republic.
  • Business Metrics

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  • Questionnaire - Cryptocurrency Statement

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  • Compliance

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  • Declaration

  • Questionnaire - Crowdfunding / ICO / SAFT Statement

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  • Declaration

  • Questionnaire - IEO Statement

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  • Declaration

  • Questionnaire - MSB Statement

  • Compliance

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  • Declaration

  • Questionnaire - Adult Services Statement

    Merchants that engage in the provision of adult content are required to provide the following additional information:
  • Content Sources

    Merchants displaying third-party-generated content must have written agreements verifying the identity and age of depicted persons and obtaining their explicit consent for depiction and distribution. Please fill the following section accordingly:
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  • Verified Content Providers

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  • Age and Identity Verification

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  • Content Review Process

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  • Live Streaming Monitoring

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  • Content Removal Appeals

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  • Marketing and Search Term Compliance

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  • Handling Potentially Illegal Content

    Please fill this section with respect to content that is potentially illegal orotherwise in violation of the VISA & Mastercard standards:
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  • Policies Against Human Trafficking and Abuse

  • 0/0
  • Retention of Consent Agreements

  • AI-Generated Content

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  • Declaration

  • Questionnaire - Dating/Escort Services Statement

    Merchants that engage in the provision of dating or escort services are required to provide the following additional information:
  • Anti-Human and Sex Trafficking Protocols

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  • Content Review Processes

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  • Content Removal Appeals

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  • Content Removal Appeals

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  • Marketing and Search Term Compliance

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  • Content Provider Consents

    Please provide details about how you collect, validate, and store the following consents for all persons depicted in your content:
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  • Consent Validation and Storage

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  • Wording of Consent Agreements

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  • Marketing Strategy Compliance

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  • Fake or BOT Accounts Prevention

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  • Declaration

  • Questionnaire - Industry Specific Statement

    Merchants that engage in the provision of the products or services you are offering are required to provide the following additional information:
  • Travel / Airlines

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  • Advance Booking Timeframes

    Please use the table below to specify the approximate percentage of bookings you are serving for each travel category and timeframe. Please use whole positive numbers from 0 to 100 without the percentage symbol (%). Enter 0 or leave blank if not available/applicable.
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  • FOREX

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  • Gambling / Betting / Lotteries

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  • Marketplace

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  • Gaming

  • Digital Wallets

  • 0/0
  • Declaration

  • Licensing

  • Cryptocurrency License

    Please enter your Cryptocurrency License details below.
  • MSB License

    Please enter your MSB License details below.
  • FOREX License

    Please enter your FOREX License details below.
  • Gambling / Betting / Lotteries License

    Please enter your Gambling / Betting / Lotteries License details below. Use the sections at the bottom of this page to add licenses if required and applicable.
  • Digital Wallets License

    Please enter your Digital Wallets License details below.
  • License Details

    Please use the widget below to provide your license details.
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  • Governance

  • The following definitions shall be assumed hereinafter for the purposes of this application:

    Director

    • Directors are individuals authorized to manage the company account by their formal position within the organization (e.g. Managing Director, CEO, etc.)

    UBO

    • Ultimate Beneficial Owners (UBOs) are individuals with 25% or more of the business's equity interests, regardless if those are owned directly or through other legal entities.

    Controller

    • Controllers are  individuals with significant influence over the company, either by holding key operational authority or by controlling decision-making processes.
    • Controllers can be company employees (inclduing Directors), or Proxies.
    • At least one Controller is required for a company without any UBOs.
  • Controller

    Please complete the information for a company Controller.
  •  . .
  • Residential Address

    Please enter the Residential Address in the Country of Tax Residence specified above, as well as a proof of that residence.
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  • Director

    Please fill the information for one individual, authorized to manage the account by their role in the company.
  •  . .
  • Residential Address

    Please enter the Authorized Person's Residential Address in the Country of Tax Residence specified above, as well as a proof of that residence.
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  • Director - 2

    Please fill the information for another individual, authorized to manage the account by their role in the company.
  •  . .
  • Residential Address

    Please enter the Authorized Person's Residential Address in the Country of Tax Residence specified above, as well as a proof of that residence.
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  • Director - 3

    Please fill the information for another individual, authorized to manage the account by their role in the company.
  •  . .
  • Residential Address

    Please enter the Authorized Person's Residential Address in the Country of Tax Residence specified above, as well as a proof of that residence.
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  • Director - 4

    Please fill the information for another individual, authorized to manage the account by their role in the company.
  •  . .
  • Residential Address

    Please enter the Authorized Person's Residential Address in the Country of Tax Residence specified above, as well as a proof of that residence.
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  • Director - 5

    Please fill the information for another individual, authorized to manage the account by their role in the company.
  •  . .
  • Residential Address

    Please enter the Authorized Person's Residential Address in the Country of Tax Residence specified above, as well as a proof of that residence.
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  • Additional Directors

  • Please use the upload field below to provide an Excel spreadsheet with all remaining company Directors.

    The sheet should contain:

    • all input fields in the Director page above as separate columns, and
    • each Director listed as a separate row/line item.

    Please also upload a document, dated within the last 6 months, that proves the address in the Country of Tax Residence specified for each listed Director. That could be a utility bill, a bank statement or a tax filing form.

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  • UBOs

    Please ONLY fill the following UBO sections for company UBOs whose information was NOT already provided in the previous governance pages.
  • UBO - 1

  •  . .
  • Residential Address

    Please enter this UBO's Residential Address in the Country of Tax Residence specified above, as well as a proof of that residence.
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  • UBO - 2

  •  . .
  • Residential Address

    Please enter this UBO's Residential Address in the Country of Tax Residence specified above, as well as a proof of that residence.
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  • UBO - 3

  •  . .
  • Residential Address

    Please enter this UBO's Residential Address in the Country of Tax Residence specified above, as well as a proof of that residence.
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  • UBO - 4

  •  . .
  • Residential Address

    Please enter this UBO's Residential Address in the Country of Tax Residence specified above, as well as a proof of that residence.
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  • Politically Exposed Person - Definitions

    Please review/confirm the Politically Exposed Person definitions below and then complete the following sections accordingly.
  • Politically Exposed Persons are individuals who are or have been entrusted with prominent public functions, as follows:

    • Heads of State, heads of government, ministers and deputy ministers or assistant ministers;
    • Members of parliament or of other legislative bodies;
    • Members of supreme courts, of constitutional courts or of other high-level judicial bodies, the decisions of which are not subject to appeal, except in exceptional circumstances;
    • Members of a court of auditors;
    • Members of the boards of central banks;
    • Ambassadors and charges d’affaires;
    • High-ranking officers in the armed forces;
    • Members of the administrative, management or supervisory bodies of State-owned enterprises and wholly State-owned commercial corporations;
    • Municipality mayors and deputy mayors, borough mayors and deputy mayors and chairpersons of a municipal council;
    • Members of the governing bodies of political parties;
    • Heads and deputy heads of international organisations, members of the management or supervisory bodies at international organisations or persons performing an equivalent function in any such organisations.
  • For the purposes of this Statement, "family members" or "close associates" are defined as any of the following:

    • Spouse or concubine;
    • First-degree descendant;
    • Spouse or concubine of a first-degree descendant;
    • First-degree ascendant;
    • Spouse or concubine of a first-degree ascendant;
    • ​​Second-degree relative;
    • Spouse or concubine of a second-degree relative;
    • Partner in a joint beneficial ownership of a legal person/entity;
    • Close commercial, professional or other business associate;
    • ​​Sole owner / sole beneficial owner of a legal person/entity set up for the benefit of a PEP.
  • Controller - Politically Exposed Person Statement

  • Politically Exposed Person's Details

    Please provide the following information about this Controller's PEP family member or close associate.
  • Source of Wealth

    Please specify the source of wealth for this PEP.
  • Director - Politically Exposed Person Statement

  • Politically Exposed Person's Details

    Please provide the following information about the PEP family member or close associate.
  • Source of Wealth

    Please specify the source of wealth for this PEP.
  • Director 2 - Politically Exposed Person Statement

  • Politically Exposed Person's Details

    Please provide the following information about the PEP family member or close associate.
  • Source of Wealth

    Please specify the source of wealth for this PEP.
  • Director 3 - Politically Exposed Person Statement

  • Politically Exposed Person's Details

    Please provide the following information about the PEP family member or close associate.
  • Source of Wealth

    Please specify the source of wealth for this PEP.
  • Director 4 - Politically Exposed Person Statement

  • Politically Exposed Person's Details

    Please provide the following information about the PEP family member or close associate.
  • Source of Wealth

    Please specify the source of wealth for this PEP.
  • Director 5 - Politically Exposed Person Statement

  • Politically Exposed Person's Details

    Please provide the following information about the PEP family member or close associate.
  • Source of Wealth

    Please specify the source of wealth for this PEP.
  • Additional Directors PEP Statements

  • Please use the upload field below to provide an Excel spreadsheet with PEP Statement information for the remaining company Directors.

    The sheet should contain:

    • all input fields in the Director PEP Statement page above as separate columns, and
    • the responses for each Director listed as a separate row/line item.
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  • UBO - Politically Exposed Person Statement

  • Politically Exposed Person's Details

    Please provide the following information about this UBO's PEP family member or close associate.
  • Source of Wealth

    Please specify the source of wealth for this PEP.
  • UBO - Politically Exposed Person Statement

  • Politically Exposed Person's Details

    Please provide the following information about this UBO's PEP family member or close associate.
  • Source of Wealth

    Please specify the source of wealth for this PEP.
  • UBO - Politically Exposed Person Statement

  • Politically Exposed Person's Details

    Please provide the following information about this UBO's PEP family member or close associate.
  • Source of Wealth

    Please specify the source of wealth for this PEP.
  • UBO - Politically Exposed Person Statement

  • Politically Exposed Person's Details

    Please provide the following information about this UBO's PEP family member or close associate.
  • Source of Wealth

    Please specify the source of wealth for this PEP.
  • Uploads

    Please upload the following documents to help us expedite your onboarding. Unless specified otherwise, the accepted file formats are: PDF, JPG/JPEG, and PNG.
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  • Lithuanian Cryptocurrency Compliance Provisions

    Lithuanian Cryptocurrency regulations require the provision of following set of documents as evidence of compliance. For the purposes of this section, MLRO (Money Laundry Reporting Officer) is defined as a full-time company employee serving in the capacity of an AML Officer or Expert.
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  • Declarations

    Please thoroughly and carefully review the Declarations below, and then check the confirmation checkbox.
    1. I acknowledge that all payment accounts associated with the legal entity I represent, opened with Transact PRO SIA, will be operated in accordance with applicable legislation, and the General Terms and Conditions for the provision of payment services of Transact Pro SIA. I confirm my awareness of these terms, as well as the internal rules and procedures of Transact Pro SIA, and fully accept them.

    2. The information, which I provide in connection with this Application, is true and correct. I am obligated to inform Transact Pro SIA in writing, within two working days, upon any change of circumstances which are relevant to the identification of the legal entity represented by me, in the capacity of Authorized Representative, respectively for complete identification of the persons with rights to dispose of the account, and/or the keeping of the account. I am aware that for providing any untrue information I shall be liable for the damages suffered by Transact Pro SIA in accordance with the legislation in force. I undertake upon any change in the conditions for payments concerning this account and the persons authorized to dispose of the funds on this account, to inform Transact Pro SIA in due time and to present the required documents.

    3. I hereby declare that all documents submitted as part of this Application are genuine, authentic, and true copies of the original documents. I confirm that no alterations, falsifications, or misrepresentations have been made, and I understand that providing false or misleading information may result in the immediate rejection of this Application, termination of the Agreement, and potential legal consequences.

    4. I confirm that the legal entity I represent does not engage in any prohibited or restricted business activities as defined in the General Terms and Conditions of Transact Pro SIA for the Provision of Payment Services. If the Company's business model changes or expands into any restricted activities, I agree to notify Transact Pro SIA in advance and seek approval before continuing to operate the payment account. I acknowledge that any failure to comply with these requirements may result in the immediate suspension or termination of the Company's payment account at the sole discretion of Transact Pro SIA.

    5. I acknowledge that Transact Pro SIA reserves the right to request original documents, conduct further verification, or perform due diligence checks at any time to ensure compliance with regulatory and internal requirements.

    6. I explicitly consent on behalf of the legal entity to allow Transact Pro SIA to automatically collect from all accounts held with Transact Pro SIA any amounts due for the opening, servicing, maintenance, and closing of a payment account, as well as for the execution of payment operations.

    7. I am duly informed that in accordance with Regulation (EU) 2016/679 I have the right to access, the right to rectification, the right to erasure or to restriction of personal data as well as a right of portability of data. I am aware that I have the right to object to processing based on legitimate interests. If I have given consent for a specific purpose, I have the right to withdraw it at any time, without affecting the lawfulness of processing carried out before withdrawal. Additionally, I am informed of my right to lodge a complaint with the relevant data protection authority if I believe my data protection rights have been violated.

    8. All notifications emailed by Transact Pro SIA to {OfficialCorrespondenceEmail} will be deemed as officially received notifications from Transact Pro SIA.

    9. By signing this Application Form for the Use of Online Banking, I acknowledge and agree to securely store the username, password, and any related credentials provided by Transact Pro SIA in a manner that prevents their disclosure to third parties. I accept full responsibility for all actions taken under my access to the Online Payment System, including those of any authorized representatives acting on my behalf, and I shall indemnify Transact Pro SIA against any losses, damages, or costs incurred due to the use of the Online Payment System.

    10. I assume full responsibility and all associated risks related to potential unauthorized access to accounts and balances through my Online Payment System and acknowledge that Transact Pro SIA shall not be liable for any such unauthorized access. Furthermore, I confirm that the funds managed through the Online Payment System are not derived from, nor connected to, any criminal activity.

    11. I understand and accept that Transact Pro SIA shall not be held responsible for any temporary impediments or suspensions of access to the Online Payment System due to technical failures or other reasons.

  • Consents and Agreements

    Please thoroughly and carefully review all the documents below, and check the respective agreement statement checkboxes. The signature field will then be shown and you will be able to sign and submit your application.
  • Privacy Policy

  • General Business Conditions

  • ACCOUNT MAINTENANCE AND PAYMENT CARD USAGE RULES

  • PAYMENT RULES

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