FORM KYB

P8 KYB FORM

COMPANY INFORMATION 01

FULL COMPANY NAME

BUSINESS REGISTRATION NUMBER

LEGAL STRUCTURE (GMBH, AG, LTD, LLC)

REGISTERED COMPANY ADDRESS

STREET

HOUSE NUMBER

CITY

POSTAL CODE

COUNTRY

BUSINESS ACTIVITY 02

PRIMARY BUSINESS ACTIVITY

OPERATING INDUSTRIES

OPERATING COUNTRIES/REGIONS

COUNTRY

(ADDITIONAL LOCATIONS)

(ADDITIONAL BUSINESS ACTIVITIES) – SPECIFY, IF APPLICABLE

FINANCIAL INFORMATION 03

ESTIMATED ANNUAL REVENUE

PRIMARY INCOME SOURCE(S)

ESTIMATED VALUE OF TOTAL ASSETS MANAGED

BUSINESS RELATIONSHIP INFORMATION 04

INTENDED USE OF INVOLVED ASSETS

ASSET CLASS / TYPE INVOLVED (CRYPTO, CASH, ETC)

ESTIMATED VALUE OF INVOLVED ASSETS

SOURCE OF INVOLVED ASSETS (SALES REVENUE, FINANCING, INVESTMENTS)

ACKNOWLEDGMENT OF TERMS
I/WE CONFIRM THAT I/WE HAVE RECEIVED AND READ THE SPECIAL TERMS AND CONDITIONS (STCS).
I/WE FURTHER CONFIRM THAT THE DETAILS GIVEN ABOVE ARE ACCURATE, COMPLETE AND TRUE.
I/WE AGREE THAT THE PROVIDED INFORMATION CAN BE SENT TO A THIRD PARTY
(LAWYER/CONSULTANT TO THE BANK) FOR THE PURPOSE OF DUE DILIGENCE.

BUSINESS REGISTRATION DOCUMENTS

Maximum file size: 5MB

INCORPORATION CERTIFICATE, ARTICLES OF ASSOCIATION

RECENT PROOF OF COMPANY ADDRESS

Maximum file size: 5MB

UTILITY BILL, OFFICIAL CORRESPONDENCE

FINANCIAL DOCUMENTS

Maximum file size: 20MB

TAX RETURNS, ANNUAL FINANCIAL STATEMENTS

PROOF OF THE SOURCE OF FUNDS

Maximum file size: 5MB

BANK STATEMENTS, INVESTOR CONTRIBUTIONS

PLACE

DATE

SIGNATURE

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