Merchant Pre-Approval Form

Merchant Pre-Approval Form

Acquiring Services
Country of Registration*
Please select the country of registration of your business entity. Please note we are only serving EEA member countries and the UK at this time.
Who is filling this form?*

Merchant (ecom)Merchant (POS)PSP / ISOReferral Agent
MOTO (Mobile Order / Telephone Order) sales ratio:*

e-Commerce only (no MOTO)up to 20% MOTOover 20% MOTO
What percentage of your sales goes through MOTO?*
Unfortunately, due to regulatory restrictions, we are unable to serve UK merchants with more than 20% MOTO sales.

Business Information
Email*
Please enter an email we can contact you at regarding this application.
Were you referred by a PSP, ISO or an Agent?*

YesNo
Referral Agent / PSP / ISO Name*
Company Information
Company Name*
Incorporation Number*
Registered Address

Please enter the company registration address in the Country of Registration you picked in the beginning.
Street Address*
Street Address 2
City*
State / Province
Postal Code*
Country
This is the Country you picked in the beginning of this application.

	Amount
Total monthly sales volume
Expected monthly volume you are bringing to TRANSACT PRO (EU)
Number of expected monthly transactions
Average Transaction Amount
Highest Transaction Amount
Lowest Transaction Amount

	Rate (in %)
Fraud to Sales (F2S)
Chargeback to Sales (C2S)

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.
Are there any UBOs of the company?*

YesNo

Controller

Please complete the information for a company Controller.
Full Name*

First NameMiddle Name (optional)Last Name
E-mail*
Phone Number*
Country of Tax Residence*
Residential Address

Please enter the Residential Address in the Country of Tax Residence specified above, as well as a proof of that residence.
Street Address*
Street Address 2
City*
State / Province
State*
Province / Territory*
Postal / ZIP Code*
Country
This is the Country of Tax Residence specified above.
Is this person a Director?*

NoYes
Are there any other company Directors?*

NoYes

Director

Please fill the information for one individual, authorized to manage the account by their role in the company.
Full Name*

First NameMiddle Name (optional)Last Name
E-mail*
Phone Number*
Country of Tax Residence*
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.
Street Address*
Street Address 2
City*
State / Province
State*
Province / Territory*
Postal / ZIP Code*
Country
This is the Country of Tax Residence specified above.
Is this person a UBO?*

NoYes
Are there any other UBOs?*

NoYes
Are there any other company Directors?*

NoYes

Director - 2

Please fill the information for another individual, authorized to manage the account by their role in the company.
Full Name*

First NameMiddle Name (optional)Last Name
E-mail*
Phone Number*
Country of Tax Residence*
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.
Street Address*
Street Address 2
City*
State / Province
State*
Province / Territory*
Postal / ZIP Code*
Country
This is the Country of Tax Residence specified above.
Is this person a UBO?*

NoYes
Are there any other UBOs?*

NoYes
Are there any other company Directors?*

NoYes

Director - 3

Please fill the information for another individual, authorized to manage the account by their role in the company.
Full Name*

First NameMiddle Name (optional)Last Name
E-mail*
Phone Number*
Country of Tax Residence*
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.
Street Address*
Street Address 2
City*
State / Province
State*
Province / Territory*
Postal / ZIP Code
Country
This is the Country of Tax Residence specified above.
Is this person a UBO?*

NoYes
Are there any other UBOs?*

NoYes
Are there any other company Directors?*

NoYes

Director - 4

Please fill the information for another individual, authorized to manage the account by their role in the company.
Full Name*

First NameMiddle Name (optional)Last Name
E-mail*
Phone Number*
Country of Tax Residence*
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.
Street Address*
Street Address 2
City*
State / Province
State*
Province / Territory*
Postal / ZIP Code*
Country
This is the Country of Tax Residence specified above.
Is this person a UBO?*

NoYes
Are there any other UBOs?*

NoYes
Are there any other company Directors?*

NoYes

Director - 5

Please fill the information for another individual, authorized to manage the account by their role in the company.
Full Name*

First NameMiddle Name (optional)Last Name
E-mail*
Phone Number*
Country of Tax Residence*
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.
Street Address*
Street Address 2
City*
State / Province
State*
Province / Territory*
Postal / ZIP Code
Country
This is the Country of Tax Residence specified above.
Is this person a UBO?*

NoYes
Are there any other UBOs?*

NoYes
Are there any other company Directors?*

NoYes
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.
Additional Directors List*

The accepted file formats are: XLS/XLSX (for the list), and PDF, JPG/JPEG, and PNG (for the Proofs of Address).
Cancelof

UBOs Counter
UBOs Pages Counter
UBOs

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

First NameMiddle Name (optional)Last Name
E-mail*
Phone Number*
Country of Tax Residence*
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.
Street Address*
Street Address 2
City*
State / Province
State*
Province / Territory*
Postal / ZIP Code*
Country
This is the Country of Tax Residence specified above.
Are there any other UBOs?*

NoYes

UBO - 2
Full Name*

First NameMiddle Name (optional)Last Name
E-mail*
Phone Number*
Country of Tax Residence*
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.
Street Address*
Street Address 2
City*
State / Province
State*
Province / Territory*
Postal / ZIP Code*
Country
This is the Country of Tax Residence specified above.
Are there any other UBOs?*

NoYes

UBO - 3
Full Name*

First NameMiddle Name (optional)Last Name
E-mail*
Phone Number*
Country of Tax Residence*
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.
Street Address*
Street Address 2
City*
State / Province
State*
Province / Territory*
Postal / ZIP Code*
Country
This is the Country of Tax Residence specified above.
Are there any other UBOs?*

NoYes

UBO - 4
Full Name*

First NameMiddle Name (optional)Last Name
E-mail*
Phone Number*
Country of Tax Residence*
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.
Street Address*
Street Address 2
City*
State / Province
State*
Province / Territory*
Postal / ZIP Code*
Country
This is the Country of Tax Residence specified above.

Privacy Policy

Please thoroughly and carefully review Transact Pro (EU)'s "Privacy Policy" below,.
Should be Empty:

Merchant Pre-Approval Form

Business Information

Company Information

Registered Address

Questionnaire - General

Industry

Merchant outlet

Statement Descriptor:

City Field:

Merchant outlet 1

Merchant outlet 2

Merchant outlet 3

Merchant outlet 4

Merchant outlet 5

Websites

Statement Descriptor:

City Field:

Website 1

Website 2

Website 3

Website 4

Website 5

Website 6

Website 7

Website 8

Website 9

Website 10

Markets, Sales and Business Metrics

Target Markets and Distribution

Sales Metrics

Declaration

Governance

Controller

Residential Address

Director

Residential Address

Director - 2

Residential Address

Director - 3

Residential Address

Director - 4

Residential Address

Director - 5

Residential Address

Additional Directors

UBOs

UBO - 1

Residential Address

UBO - 2

Residential Address

UBO - 3

Residential Address

UBO - 4

Residential Address

Privacy Policy