Crypto Client Onboarding (KYC/AML)

Crypto Client Onboarding (KYC/AML)

Please provide your information to complete onboarding and meet compliance requirements.
Full Legal Name

First NameLast Name
Email Address (optional)
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Residential Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Country of Citizenship
Tax Identification Number
Take Photo of front of ID.
Take Photo of back side of ID
Take selfie of yourself holding ID with both visible
Source of Funds
Employment Status
Occupation
Estimated Annual Transaction Volume (USD)
Purpose of Account
Are you a Politically Exposed Person (PEP) or related to one?
Country(ies) of Tax Residency
Risk Tolerance
Terms of Service By submitting this form, you confirm that the information provided is true and complete. You understand that OTC cryptocurrency transactions may be subject to identity verification, sanctions screening, source-of-funds checks, transaction monitoring, and other compliance reviews. We may request additional information or documentation, delay, decline, or cancel services where required by law, regulation, internal policy, or risk considerations. You agree not to use our services for illegal activity, fraud, money laundering, sanctions evasion, or any other prohibited purpose. Cryptocurrency transactions involve risk, including market volatility, blockchain transaction delays, and potential loss of funds. You are responsible for reviewing all transaction details before confirming any trade. This form and its contents do not constitute legal, tax, or investment advice. Please review our full Terms of Service and Privacy Policy before proceeding.
Signature
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