inqub8r.com

inqub8r

Company Name *Name of the company

Registered Address

Street Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Postal Address

if different from registeredsameDifferent

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Primary Contact

First Name *

Last Name *

Primary Contact - RoleContac Role

Mobile Phone: *

Office Phone:

Alternate Phone:

Email: *

Website

Primary Business Activites *

Licence Numberif you do not have a license please leve empty

Licence typePlease state the type of licence ie Trading or Mining

Tax Identification Number

Number of Employees

Does the company operate from any other address? If so, please provide address and contact information for each individual address:

Bank Account Details

Account Holder Name *

Bank Name: *

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Account Number *

Sort Code

IBAN Code

SWIFT Code

For proof of the company's legal standing and operating capability please attach the following:

(where applicable please provide relevant alternatives - if you need any assistance or would like to send these documents at a later time please contact compliance@inqub8r.com) *

**PLEASE NOTE WE WILL NOT BE ABLE TO OPEN THE ACCOUNT WITHOUT THE FOLLOWING DOCUMENTS***

KYC
CIS
Company Profile
Certificate of Incorporation (This allows us to prove that the company exists)
Memorandums & Articles of Association (This allows us to prove who has authority to act on behalf of the company i.e. the directors)
Tax Certificate or Certificate of Good Standing (This allows us to prove recent or current activity)
Shareholders Register / Register of Members (To identity who owns the business)
Authorised Signatory Letter on company letterhead (if you want people other than directors named to operate the account)

Position

Ownership %

By selecting agree and date below, I/we hereby declare the following:*

that I/we authorise Inqub8r to open an account in our name;
that the information contained in the form is accurate and true on the date listed herein;
that the supporting documents provided are genuine and true;
that I/we will undertake to advise Inqub8r of any changes to the information provided in this form.

Date *

Agreeing with GDPR and Terms *Yes, I agree with the above terms, the privacy policy and terms and conditions.

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Registered Address

Postal Address

Primary Contact

Bank Account Details

1st Individual

Please list the name, position and email address of all directors, shareholders (>10%) and UBOs.

2nd Individual

3rd Individual

4th Individual

5th Individual

6th Individual

7th Individual

8th Individual

9th Individual

10th Individual

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