UNIARKPAY个人客户开户申请表格

UNIARKPAY个人客户开户申请表格

Individual Customer Account Opening Application Form
Email（请填写您真实的邮箱地址，这将方便您后续接收表单修改链接） Email Address: (Please provide your valid email address to ensure you can receive the link for future form modifications.)*
example@example.com
账户类型
Account Type
多币种汇兑
Multi-Currency remittance
货币类型（可多选）
Currency Type
(Multiple choices allowed)
USDUSDTUSDC
姓名 (中文）(如有）
Name (Chinese) (if any)
名:Given Name
中间名(如有) Middle Name (if any)
姓:Surname
姓名（英文）(必填）
(请保持与护照上英文名一致)
Name (English)
(Please keep it the same as on the passport) （mandatory）
名:Given Name*
中间名(如有) Middle Name (if any)
姓:Surname*
曾用名（如有）
Previous Name (if any)
名:Given Name
中间名(如有) Middle Name (if any)
姓:Surname
联系电话
Contact Phone Number
国家代码 Country Code*
电话号码 Phone Number *
性别 Gender*

男女
出生日期
Date of Birth
年: Year*
月:Month*
日: Day*
国籍
Nationality(ies)
Type a question*

单一国籍Single Nationality多重国籍Multiple Nationalities
国家名称:Country name(s)*
国家名称:Country name(s)*
税务国
Tax Country(ies)
单一国家税收居民Tax Resident of a Single Country多国税收居民Tax Resident of Multiple Countries
国家名称及税务编号:(拥有中国居民身份证的客户，身份证号码即为税务编号) Country Name and Tax ID(For customers holding Chinese ID card, the ID card number is the tax ID )*
国家名称及税务编号:Country Names and Tax IDs*
PESEL Number(适用于波兰居民）(Applicable to residents of Poland)
提供证件类型 Type of ID Provided*

身份证ID Card护照Passport
证件号码(含序列和编号） Document number(including sequence and number)stion*
居住地址（请详细至街道和门牌号）（请提供最近三个月内的银行账单、水电费账单等）

Residential Address (Please include street name and number) (Please provide bank statements, utility bills, etc. within the latest three months)
国家 Countries*
街道地址 Street Address*
公寓、套房或楼层(选填) Apartment, Suite, or Floor (optional)
城市 City*
省/州 State / Province*
邮编 Post code*
职业Occupation*

公司雇员Company Employee自营公司Self-employed退休Retired学生Student其它（请说明）Other (Please specify)
公司名称Company Name*
公司注册国家Country of incorporation*
公司注册号Company registration number*
公司经营地址（含邮编）Company Operating Address (Include postal code)*
职位Position*
公司名称Company Name*
公司注册国家Country of incorporation*
公司注册号Company registration number*
公司经营地址（含邮编）Company Operating Address (Include postal code) *
与该公司关系（若持有该公司股份或投票权请说明百分比）Relationship with the Company (If holding shares or voting right, please indicate the percentage of it)*
预估月收入（美元）Estimated monthly Income（USD）*
预计在 UniarkPay 月入金/出金 /汇兑金额（美元） Estimated monthly income/withdraw/exchange in UniarkPay(USD)*
预估在 UniarkPay 月入金/出金 /汇兑笔数 Estimated number of monthly income/withdraw/exchange in UniarkPay*
开户目的（可多选） Purpose of Opening Account(Multiple choices allowed)*

支付Payment虚拟卡（VCC）Virtual Credit Card货币汇兑Exchange
资金/财富来源（可多选）Source of Funds/Wealth (Multiple choices allowed)*

薪金Salary企业收益Business Income投资/股票收益 Investment/Stock Earnings其它(请说明)Other (Please specify)
是否代替他人开户 Are you opening an account on behalf of someone else?

否，开户仅自用 No, the account is for my own use是，代替他人开户(需要所被代替之人的信息-额外填写一张个人开户表格，并提供所代替之人的身份证件以及授权文件）。 Yes, opening an account on behalf of someone else (Requires information of the person being represented - Fill in an additional “Individual Account Opening Form”, and provide the ID of the person being represented along with an authorization document).
补充资料
1.

文件资料：
● 身份证、护照或其他身份证件电子版
● 地址证明（例如：三个月内水电费账单、银行对账单等）

DOCUMENTATIONS:
● PHOTOCOPY OF ID CARD(s), PASSPORT(s) OR OTHER IDENTIFICATION DOCUMENTS
● PROOF OF ADDRESS (e.g. UTILITIES BILL OR BANK STATEMENT WITHIN 3 MONTHS, etc.)
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2.

同意书
CONSENT LETTER

📑点击查看《同意书》

📑 Click to view the Consent Letter

3.

通用条款和条件
General Terms and Conditions

📑 点击查看《通用条款和条件》

📑 Click to view the General Terms and Conditions

4.

隐私声明

Privacy Notice

📑 点击查看《隐私声明》

📑 View the Privacy Statement
本人已阅读并同意《通用条款和条件》、《隐私声明》和《同意书》的全部内容，并确认此项为本人亲自勾选。I confirm that I have read and agreed to the full contents of the “General Terms and Conditions”, “Privacy Notice”, and “Consent Letter”, and that this consent has been personally given by me.*

同意
您所提交的照片仅用于我司进行客户身份验证及开户资料留档之目的，不会用于任何其他用途或向无关第三方披露。The photo you provide will be used solely for identity verification and account onboarding purposes by our company. It will not be used for any other purpose or disclosed to unrelated third parties.*
5.其它（如有）OTHER(s) （if any）

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Should be Empty: