QUESTIONAIRE

P8 QUESTIONAIRE

COMPANY INFORMATION 01

NAME / COMPANY NAME

ADDRESS

STREET

HOUSE NUMBER

CITY

POSTAL CODE

COUNTRY

CONTACT PERSON

NAME

POSITION (IF APPLICABLE)

PHONE NUMBER

EMAIL ADDRESS

BUSINESS PROFILE 02

ARE YOU APPLYING AS AN INDIVIDUAL OR AS A COMPANY?

INDIVIDUAL

COMPANY

TYPE OF BUSINESS

ADULT ENTERTAINMENT

GAMING/GAMBLING

WEAPONS/ARMS TRADE

CRYPTO TRADING/EXCHANGE

HIGH-RISK FINANCIAL SERVICES

TOBACCO/ALCOHOL DISTRIBUTION

OTHER BUSINESS – PLEASE SPECIFYOTHER BUSINESS – PLEASE SPECIFY

(Please indicate if your business falls under one of the following categories. If not, select “Other” and provide a brief description)

OTHER

(Please provide a brief description of your business activities)

NATURE OF BUSINESS

FINANCIAL INFORMATION 03

CURRENCY(IES) FOR PLANNED TRANSACTIONS

CHF

EUR

USD

OTHER – PLEASE SPECIFYOTHER – PLEASE SPECIFY

EXPECTED TRANSACTION VOLUME (PER MONTH)

< 50,000 CHF

50,000-500,000 CHF

> 500,000 CHF

BUSINESS ACTIVITY 02

SERVICES 04

WHICH OF OUR SERVICES ARE YOU INTERESTED IN?

FIAT TRANSACTIONS

CRYPTOCURRENCY TRANSACTIONS

CUSTODY

PAYMENT PROCESSING

OTHER – PLEASE SPECIFYOTHER – PLEASE SPECIFY

DO YOU WORK WITH OTHER FINANCIAL SERVICE PROVIDERS?

YES

IF YES – PLEASE SPECIFY

COMPLIANCE & DUE DILIGENCE 05

PRIMARY BUSINESS REGION

SWITZERLAND

EU/EEA

OTHER – PLEASE SPECIFYOTHER – PLEASE SPECIFY

SOURCE OF FUNDS

SALARY

BUSINESS REVENUES

INVESTOR CAPITAL

LOANS

PRIVATE DEPOSITS

OTHER – PLEASE SPECIFYOTHER – PLEASE SPECIFY

HAVE YOU EVER BEEN REJECTED BY A BANK OR FINANCIAL SERVICE PROVIDER?

YES

IF YES – PLEASE BRIEFLY EXPLAIN

ADDITIONAL INFORMATION OR QUESTIONS 06

PLEASE LET US KNOW IF YOU HAVE ANY SPECIFIC REQUIREMENTS OR QUESTIONS

WRITE OUT YOUR QUESTION

THANK YOU FOR TAKING THE TIME
TO COMPLETE THIS QUESTIONNAIRE!

ONCE WE HAVE REVIEWED YOUR INFORMATION,
WE WILL CONTACT YOU TO DISCUSS THE NEXT STEPS.

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