Sign Up

Fill out the form carefully for registration

Organisation
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Main Contact
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Director’s Info
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Requires portal access?
Copy all submission & Basic reports
In order for us to carry out the necessary KYC checks, we will require certified copies of ID and proof of address for each director. Attaching these documents now will allow for faster processing of your application. If they are not readily available, they can be provided later.
Attach a certified copy of passport or other appropriate form of ID of the Director
Utility bill or bank statement showing the Director Name and Address (dated within 3 months of application)
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Requires portal access?
Copy all submission & Basic reports
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In order for us to carry out the necessary KYC checks, we will require certified copies of ID and proof of address for each director. Attaching these documents now will allow for faster processing of your application. If they are not readily available, they can be provided later.
Attach a certified copy of passport or other appropriate form of ID of the Director
Utility bill or bank statement showing the Director Name and Address (dated within 3 months of application)
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About Business
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Payment Info
Please advise the average collection amount*
Please advise frequency*
What is the maximum amount you intend to collect from a single payer per month?*
What is the total you intend to collect per month (from all payers)?*
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Bank Account Info
Please provide the bank account details where funds collected should be deposited. Please note that this account must be in the same name as the application.
Sort Code*
Account Number*
Attach a certified copy of a bank statement showing the company name, address & account details (optional).
As part of your account setup, we will require your company logo for branding purposes. If you have this to hand please upload it now. Alternatively, you can send it to us later.
Upload your logo (optional)
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Declaration & Sign

The Financial Conduct Authority (FCA)

The FCA is the independent watchdog that regulates financial services. The Firm is registered with the Financial Conduct Authority as a Small Electronic Money Institution. Our Firm Reference Number is 838436. You can check this on the Register by visiting the FCA’s website at https://register.fca.org.uk

Data Protection

We are registered with the Information Commissioners Office and we comply with the relevant Data Protection legislation. If you provide us with Personal Data of a third party, you should only do so if you are authorised to release such information by the data subject. The information you provide is subject to the Privacy Notice of the firm, which is available upon request.

In signing this application form, you hereby consent to the firm and all associated or affiliated companies obtaining, using, disclosing and processing your data, for the following purposes, to manage and administer, carry out statistical analysis and market research, to comply with legal or regulatory requirements or for any other legitimate business interests of the firm.

Money Laundering

To comply with Money Laundering Regulations 2017, we may verify your identity by carrying out an on-line check with a credit reference agency. Where an on-line check is carried out, the agency will verify your identity against public records and it will also check whether you have a credit history (but it will not disclose any information about your actual borrowings). The agency will add a note to show that an identity check was made to your credit file, but this information will not be available to any third parties.

Declaration

I declare that the information given is correct to the best of my knowledge and belief and that I will inform the firm in good time of any change in the information given.

I am aware that providing incorrect information may result in my incurring financial loss and/or criminal persecution or delay in the execution of transactions.

I certify that I have the capacity to sign for the Applicant identified in this form.

Please review the confirmations below and tick the relevant boxes to
confirm your acceptance.