Payment Account Opening Form

Payment Account Opening Form

Business
Country of Registration*
Please select the country of registration of your business entity.
Email*
Please enter an email we can contact you at regarding this application.
Are you a referral agent of the applicant?*

No, I am the applicantYes
Were you referred by a referral agent?*

NoYes
Referral Agent Name*
Applying for payment account(s) in:*

Euro (EUR)United States Dollar (USD)British Pound Sterling (GBP)
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.
Email*
Mobile Phone*
Mobile Phone*
Company Information
Company Name*
Does another company hold more than 25% of ownership in the applicant Company?*

NoYes
Incorporation Number*
Incorporation date*

DayMonthYear
VAT / TAX Number*
Official Correspondence Email

Please provide the email address that will be used for all official communications, including legally binding notices, agreements, and other formal correspondence.
Is your Official Correspondence Email {EmailSubmitter}?*

NoYes
Official Correspondence Email*
Registered Address

Please enter the company registration address in the Country of Registration you picked in the beginning.
Street Address*
Street Address 2
State / Province
State*
Province / Territory*
Postal Code
Country
This is the Country you picked in the beginning of this application.
The company is doing business under:*

the company name and registered address abovea different name and/or address

Trading as

(a.k.a. "Doing Business As" or "D.B.A.")
Trade name*
Trading Address
Street Address*
Street Address 2
City*
State / Province
State*
Province / Territory*
Postal Code
Country
This is the Country you picked in the beginning of this application.

	Euro amount
Soft Cap
Hard Cap

Questionnaire - IEO Statement
What happens if the IEO does not meet its fundraising target?*

0/0
What is your policy if the token sale does not reach its funding goal?*

0/0
Do you refund investors or is the project required to refund the funds?*

YesNo
How do you manage and safeguard the investors’ funds during the IEO?*

0/0
What escrow or custody solutions do you use to protect funds until the token distribution is complete?*

0/0
What due diligence process do you follow for IEO projects?*

0/0
What criteria do you use to evaluate projects before allowing them to conduct an IEO on your platform?*

Legal opinionSecurity auditOther (please specify)
Do you perform background checks on the project's team, technology, and business model?*

YesNo
How do you ensure that the project complies with relevant laws and regulations?*

0/0
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
Please describe your program to protect against human or sex trafficking, including your established protocols for engaging law enforcement in case of suspicion or detection:*

0/0
Content Review Processes
Please explain your processes for reviewing uploaded content prior to publication to ensure it complies with VISA and Mastercard standards and is not illegal.*

0/0
Content Removal Appeals
Please describe how persons depicted in content can request its removal.*

0/0
Content Removal Appeals
Please describe how persons depicted in content can request its removal.*

0/0
Marketing and Search Term Compliance
Please explain how you ensure marketing and search terms do not give the impression of illegal activities, such as child exploitation or non-consensual acts.*

0/0
Content Provider Consents

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

0/0
Consent for public distribution of the content:*

0/0
Consent for allowing content download by users (if applicable):*

Type in "N/A" if not applicable0/0
Consent Validation and Storage
Please describe your processes for validating and securely storing consents from all content participants:*

0/0
Wording of Consent Agreements
Please explain how you validate and retain evidence of the wording used to obtain consent from content participants:*

0/0
Marketing Strategy Compliance
Please outline your marketing strategy to maintain a balance between active/passive users and demand/supply:*

0/0
Fake or BOT Accounts Prevention
Please describe your measures to prevent the creation of fake or BOT accounts and ensure compliance with fraud prevention standards:*

0/0
Declaration

Licensing
Cryptocurrency License

Please enter your Cryptocurrency License details below.
License Number*
Register Website*
Please enter the URL of the register where your license can be looked up.
Issuing Body*
Please enter the name of the organization that issued your license.
MSB License

Please enter your MSB License details below.
License Number*
Register Website*
Please enter the URL of the register where your license can be looked up.
Issuing Body*
Please enter the name of the organization that issued your license.
FOREX License

Please enter your FOREX License details below.
License Number*
Register Website*
Please enter the URL of the register where your license can be looked up.
Issuing Body*
Please enter the name of the organization that issued your license.
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.
License Number*
Register Website*
Please enter the URL of the register where your license can be looked up.
Issuing Body*
Please enter the name of the organization that issued your license.
Digital Wallets License

Please enter your Digital Wallets License details below.
License Number*
Register Website*
Please enter the URL of the register where your license can be looked up.
Issuing Body*
Please enter the name of the organization that issued your license.
Are you required to hold any licenses, permits, or regulatory approvals to operate your business?*

YesNo
Are you required to hold any other licenses, permits, or regulatory approvals to operate your business?*

YesNo
License Details

Please use the widget below to provide your license details.
{licensingDocumentsTitle}

Please upload any relevant document(s) associated with the above listed licenses. The accepted file formats are: PDF, JPG/JPEG, and PNG.
Cancelof
~Licensing Documents Title

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
Date of Birth*

DayMonthYear
E-mail*
Phone Number*
Country of Citizenship*
Country of Tax Residence*
Taxpayer Identification Number (TIN)*
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.
Proof of Address*

Please upload a document, dated within the last 6 months, that proves the address in the Country of Tax Residence specified above. This could be a utility bill, a bank statement or a tax filing form. The accepted file formats are: PDF, JPG/JPEG, and PNG.
Cancelof
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
Date of Birth*

DayMonthYear
E-mail*
Phone Number*
Country of Citizenship*
Country of Tax Residence*
Taxpayer Identification Number (TIN)*
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 Authorized Person's Country of Tax Residence specified above.
Proof of Address*

Please upload a document, dated within the last 6 months, that proves the address in the Country of Tax Residence specified above. This could be a utility bill, a bank statement or a tax filing form. The accepted file formats are: PDF, JPG/JPEG, and PNG.
Cancelof
Is this person a UBO?*

NoYes
Ownership amount (in percentage)*
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
Date of Birth*

DayMonthYear
E-mail*
Phone Number*
Country of Citizenship*
Country of Tax Residence*
Taxpayer Identification Number (TIN)*
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 Authorized Person's Country of Tax Residence specified above.
Proof of Address*

Please upload a document, dated within the last 6 months, that proves the address in the Country of Tax Residence specified above. This could be a utility bill, a bank statement or a tax filing form. The accepted file formats are: PDF, JPG/JPEG, and PNG.
Cancelof
Is this person a UBO?*

NoYes
Ownership amount (in percentage)*
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
Date of Birth*

DayMonthYear
E-mail*
Phone Number*
Country of Citizenship*
Country of Tax Residence*
Taxpayer Identification Number (TIN)*
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 Authorized Person's Country of Tax Residence specified above.
Proof of Address*

Please upload a document, dated within the last 6 months, that proves the address in the Country of Tax Residence specified above. This could be a utility bill, a bank statement or a tax filing form. The accepted file formats are: PDF, JPG/JPEG, and PNG.
Cancelof
Is this person a UBO?*

NoYes
Ownership amount (in percentage)*
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
Date of Birth*

DayMonthYear
E-mail*
Phone Number*
Country of Citizenship*
Country of Tax Residence*
Taxpayer Identification Number (TIN)*
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 Authorized Person's Country of Tax Residence specified above.
Proof of Address*

Please upload a document, dated within the last 6 months, that proves the address in the Country of Tax Residence specified above. This could be a utility bill, a bank statement or a tax filing form. The accepted file formats are: PDF, JPG/JPEG, and PNG.
Cancelof
Is this person a UBO?*

NoYes
Ownership amount (in percentage)*
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
Date of Birth*

DayMonthYear
E-mail*
Phone Number*
Country of Citizenship*
Country of Tax Residence*
Taxpayer Identification Number (TIN)*
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 Authorized Person's Country of Tax Residence specified above.
Proof of Address*

Please upload a document, dated within the last 6 months, that proves the address in the Country of Tax Residence specified above. This could be a utility bill, a bank statement or a tax filing form. The accepted file formats are: PDF, JPG/JPEG, and PNG.
Cancelof
Is this person a UBO?*

NoYes
Ownership amount (in percentage)*
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.
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.
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
Ownership amount (in percentage)*
Date of Birth*

DayMonthYear
E-mail*
Phone Number*
Country of Citizenship*
Country of Tax Residence*
Taxpayer Identification Number (TIN)*
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 UBO's Country of Tax Residence specified above.
Proof of Address*

Please upload a document, dated within the last 6 months, that proves the address in the Country of Tax Residence specified above. This could be a utility bill, a bank statement or a tax filing form. The accepted file formats are: PDF, JPG/JPEG, and PNG.
Cancelof
Are there any other UBOs?*

NoYes

UBO - 2
Full Name*

First NameMiddle Name (optional)Last Name
Ownership amount (in percentage)*
Date of Birth*

DayMonthYear
E-mail*
Phone Number*
Country of Citizenship*
Country of Tax Residence*
Taxpayer Identification Number (TIN)*
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 UBO's Country of Tax Residence specified above.
Proof of Address*

Please upload a document, dated within the last 6 months, that proves the address in the Country of Tax Residence specified above. This could be a utility bill, a bank statement or a tax filing form. The accepted file formats are: PDF, JPG/JPEG, and PNG.
Cancelof
Are there any other UBOs?*

NoYes

UBO - 3
Full Name*

First NameMiddle Name (optional)Last Name
Ownership amount (in percentage)*
Date of Birth*

DayMonthYear
E-mail*
Phone Number*
Country of Citizenship*
Country of Tax Residence*
Taxpayer Identification Number (TIN)*
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 UBO's Country of Tax Residence specified above.
Proof of Address*

Please upload a document, dated within the last 6 months, that proves the address in the Country of Tax Residence specified above. This could be a utility bill, a bank statement or a tax filing form. The accepted file formats are: PDF, JPG/JPEG, and PNG.
Cancelof
Are there any other UBOs?*

NoYes

UBO - 4
Full Name*

First NameMiddle Name (optional)Last Name
Ownership amount (in percentage)*
Date of Birth*

DayMonthYear
E-mail*
Phone Number*
Country of Citizenship*
Country of Tax Residence*
Taxpayer Identification Number (TIN)*
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 UBO's Country of Tax Residence specified above.
Proof of Address*

Please upload a document, dated within the last 6 months, that proves the address in the Country of Tax Residence specified above. This could be a utility bill, a bank statement or a tax filing form. The accepted file formats are: PDF, JPG/JPEG, and PNG.
Cancelof

Politically Exposed Person - Definitions

Please review/confirm the Politically Exposed Person definitions below and then complete the following sections accordingly.
Do you understand the legal meanings of the terms "Politically Exposed Person" and "family members" and/or "close associates" of a Politically Exposed Person?*

Yes, I do.I need more information.
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.
I have completely reviewed and understand the meanings of the terms "Politically Exposed Person" and "family members" and/or "close associates" of a Politically Exposed Person.

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.
Incumbency Certificate / Company Extract*

Upload a recent Incumbency Certificate or Company Extract confirming the legal status of the company, its registered office, key officers (directors, secretary), and authorized representatives. This document should be officially issued by the company registry or a notary.
Cancelof
Shareholder Structure

Cancelof
Articles of Incorporation*

Upload documents that establish the company’s formation and governance, such as Certificate of Incorporation / Articles of Incorporation and Memorandum & Articles of Association (By-laws).
Cancelof
Internal Policies*

Please upload all Internal Policies as required and/or applicable per your company activities. The accepted file formats are: PDF, DOC,/DOCX, TXT, RTF, HTML, ZIP, JPG/JPEG, and PNG.
Cancelof
Additional Documents

Please attach any other relevant documents that might help us expedite your onboarding.
Cancelof
Proofs of Origin*

Please upload the Proofs of Origin for the products and services you are offering.
Cancelof
Payment Flow Chart*

Please upload a diagram that illustrates your payment flow.
Cancelof
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.
Proof of minimum capital of € 125 000*

Please upload a document that proves your company has at least € 125 000 in capital.
Cancelof
Proof of Director's Cryptocurrency expertise*

Please upload the company Director's CV that proves his/her Cryptocurrency industry experience and expertise.
Cancelof
Proof of MLRO Employment*

Please upload your company's full time employment agreement with the MLRO.
Cancelof
MLRO Declaration*

Please upload a signed by the company management Declaration that the MLRO has no criminal record and only represents a single VASP or group of companies.
Cancelof
FCIS Notice of AML management appointment*

Please upload the appointment notice(s) to the Financial Crime Investigation Service (FCIS) for the MLRO, executives or board members responsible of the implementation of AML Law measures and the cooperation with the FCIS.
Cancelof
Proof of MLRO registration with FNTT*

Please upload screenshots of the email thread and the FNTT register page that verify the MLRO's registration with FNTT.
Cancelof

Privacy Policy
Please review RYVYL (EU)'s "Privacy Policy" below.
Should be Empty:

	under 100 000	100 000 - 500 000	over 500 000
Incoming
Outgoing

	under 100	100 - 500	over 500
Incoming
Outgoing

	Incoming	Outgoing
EEA (European Economic Area) & UK
Rest of Europe (non-EEA)
North America
South & Central America
Asia & the Middle East
Australia & Oceania
Africa

	Travel Packages	Flights
Last Minute
7 days
15 days
30 days
45 days
60 days
more than 60 days

Payment Account Opening Form

Business Information

Contact Information

Company Information

Official Correspondence Email

Registered Address

Trading as

Trading Address

Questionnaire - General

Industry

Target Markets and Distribution

Business Metrics

Questionnaire - Cryptocurrency Statement

Compliance

Declaration

Questionnaire - Crowdfunding / ICO / SAFT Statement

Declaration

Questionnaire - IEO Statement

Declaration

Questionnaire - MSB Statement

Compliance

Declaration

Questionnaire - Adult Services Statement

Content Sources

Verified Content Providers

Age and Identity Verification

Content Review Process

Live Streaming Monitoring

Content Removal Appeals

Marketing and Search Term Compliance

Handling Potentially Illegal Content

Policies Against Human Trafficking and Abuse

Retention of Consent Agreements

AI-Generated Content

Declaration

Questionnaire - Dating/Escort Services Statement

Anti-Human and Sex Trafficking Protocols

Content Review Processes

Content Removal Appeals

Content Removal Appeals

Marketing and Search Term Compliance

Content Provider Consents

Consent Validation and Storage

Wording of Consent Agreements

Marketing Strategy Compliance

Fake or BOT Accounts Prevention

Declaration

Questionnaire - Industry Specific Statement

Travel / Airlines

Advance Booking Timeframes

FOREX

Gambling / Betting / Lotteries

Marketplace

Gaming

Digital Wallets

Declaration

Licensing

Cryptocurrency License

MSB License

FOREX License

Gambling / Betting / Lotteries License

Digital Wallets License

License Details

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