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Business Information

Business Name

Business Address

Registration number

Date of Incorporation

Country of Incorporation

(Note: If your country is not listed please contact us.)

City of Incorporation

Phone number

Industry sector/business activity

URL(s)

Corporate Director(s)**

** Corporate Director refers to the person or group of people comprising the governing body of the company.

First name

Middle name

Last name

Note: Please use the exact spelling of your First and Last Name as stated in your Passport / ID, including special characters in your language (e.g. ä , ö , ü).

Date of Birth

Street address

Postcode

City

Country of Residence

(Note: If your country is not listed please contact us.)

Nationality

Passport / ID Number

Valid until

Business activities / Profession

Mobile phone number

Email address

Confirm email address

Password

Confirm Password

(Password: must be at least 8 characters; min 1 x capital letter, 1 x lower case letter, 1 x number, 1 x special character)

Ultimate Beneficial Owner(s)

* Ultimate Beneficial owner refers to the natural person(s) who ultimately owns or controls the business and/or the person on whose behalf a transaction is being conducted.

Is the authorized signatory identical with the Beneficial Owner?

Yes | No

First name

Middle name

Last name

Note: Please use the exact spelling of your First and Last Name as stated in your Passport / ID, including special characters in your language (e.g. ä , ö , ü).

Date of Birth

Street address

Postcode

City

Country of Residence

(Note: If your country is not listed please contact us.)

Nationality

Passport / ID Number

Valid until

Business activities / Profession

Mobile phone number

Email address

Confirm email address

Password

Confirm Password

(Password: must be at least 8 characters; min 1 x capital letter, 1 x lower case letter, 1 x number, 1 x special character)

Account Details

Account currency 1^st account

Account currency 2^nd account

I agree to open my accounts under the Terms and Conditions of WB21

I confirm to be the sole beneficial owner of any funds held on my accounts

I confirm not being a PEP (politically exposed person)

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+9718000320438
+61488846416
+551945600572
+12044002521
+27875507622

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