TRADE WITH US

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KYC New (Draft) (1)

1 Onboarding Purpose

2 Personal Information

3 Company Information

4 Additional Company Information

5 PEP Declaration

6 Declarations

Date
Date Format: MM slash DD slash YYYY
Are you an:*
- Individual
- Corporate / Institution
Onboarding Purpose*
- Trading account
- Non-trading account
Consent
I agree
You will need these supporting documents to proceed:

1. Copy of passport
2. Bank statement ( with client name, bank account number and bank )
3. Proof of address ( utility bill / housing lease )
4. Phone bill ( with client name and phone number used to communicate with QCP)
5. Personal Income Assets form (Click here)
6. Signed Terms and Conditions sheet (Click here)
7. A selfie with your passport and a handwritten note with 1. "For QCP Capital" and 2. Date in which it was taken
Consent
I agree
You will need these supporting documents to proceed:

1. Copy of passport
2. Bank statement ( with client name, bank account number and bank )
3. Proof of address ( utility bill / housing lease )
4. Phone bill ( with client name and phone number used to communicate with QCP)
5. Personal Income Assets form (Click here)
Consent
I agree
You will need these supporting documents to proceed:

1. Certificate of Incorporation
2. Memorandum and Articles of Association
3. Directors' Register
4. Shareholders' Register
5. Corporate bank account statement ( with company name, bank and bank account number )
6. Passport, proof of address and Personal Income Assets form (Click here) for:
(a) directors
(b) individual shareholders with ≥ 20% holding (if
corporate, provide items 1, 3, 4)
7. Passport, proof of address, phone bill and Personal Income Assets form for Authorized Traders
8. Authorized traders: selfie with your passport and a handwritten note with 1. "For QCP Capital" and 2. Date in which it was taken
9. Board resolution appointing Authorized Traders (For a sample resolution, click here)
Consent
I agree
You will need these supporting documents to proceed:

1. Certificate of Incorporation
2. Memorandum and Articles of Association
3. Directors' Register
4. Shareholders' Register
5. Corporate bank account statement ( with company name, bank and bank account number )
6. Passport, proof of address and Personal Income Assets form (Click here) for:
(a) directors
(b) individual shareholders with ≥ 20% holding (if
corporate, provide items 1, 3, 4)

Name*
Full name as in passport
Email*
Preferred Communication Platform*
WeChat Username*
Telegram Username*
Phone*
Please provide the number which corresponds to your preferred communication platform.
Passport No.*
Passport Expiry Date*
Date Format: MM slash DD slash YYYY
Residential Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Date of Birth*
Date Format: DD slash MM slash YYYY
Country of Birth*
Nationality*
Are you employed?*
Who is your employer?*
What is your role in the company?*
Copy of Passport*
Drop files here or
Selfie*
Drop files here or
With passport and a handwritten note including:
1. "For QCP Capital"
2. Current date
3. Your Phone Number/Telegram or WeChat Username/Email used to communicate with QCP
Bank Statement (within 3 months)*
Drop files here or
Phone Bill*
Drop files here or
Personal Income Assets Form*
Drop files here or
Download the form here.
Signed Terms and Conditions Form*
Drop files here or
Download the form here.
Were you referred?*
Who referred you?*

Name of Company*
Entity Type*
e.g. Pte. Ltd. , LP, LLC etc
Country of Incorporation*
Country of Operations*
Date of Registration*
Date Format: MM slash DD slash YYYY
Company Registration No.*
Nature of Business*
Annual Turnover*
Annual Profit*
Certificate of Incorporation*
Drop files here or
Memorandum & Articles of Association*
Drop files here or
Registrar of Directors*
Drop files here or
Register of Shareholders*
Drop files here or
Corporate Bank Statement*
Drop files here or
Signed Terms & Conditions*
Drop files here or

Director Information*
Name Passport no. Residential Address Date of Birth Nationality
Director(s) Passport copy*
Drop files here or
Bank Statements for all listed directors*
Drop files here or
Within 3 months
Personal Income Assets Form for all listed directors*
Drop files here or
Download the form here.
Are there individual shareholders with ≥ 20% holding?*
Individual Shareholder(s) with ≥ 20% holding*
Name Passport no. Residential Address Date of Birth Director (Y/N) Shareholding %
Passports for all shareholders with ≥ 20% holding*
Drop files here or
Proof of address for all shareholders with ≥ 20% holding*
Drop files here or
Within 3 months
Personal Income Assets Form for all shareholders with ≥ 20% holding*
Download the form here.
Are there corporate shareholders with ≥ 20% holding?*
Corporate Shareholders with ≥ 20% holding*
Legal entity name Registration no. Registered address Date of incorporation Country of incorporation Shareholding % Nature of business
Certificate of Incorporation*
Drop files here or
Shareholders' Register*
Drop files here or
Directors' Register*
Drop files here or
Memorandum and Articles of Association*
Drop files here or
Corporate Bank Statement*
Drop files here or
Authorised Trader Information*
Name Passport no. Passport Expiry Date Residential Address Date of Birth Nationality Contact Number
Copy of Passport*
Drop files here or
Phone Bill of authorised trader(s)*
Drop files here or
Within 3 months
Selfie of authorised trader(s)*
Drop files here or
With passport and a handwritten note including:
1. "For QCP Capital"
2. Current date
3. Your Phone Number/Telegram or WeChat Username/Email used to communicate with QCP
Board Resolution Appointing Authorised Traders*
Drop files here or
Download the form sample here

Are you or any of your directors/shareholders a Politically Exposed Person (PEP)?*
A PEP is defined as: 1. Person* who is entrusted with any prominent public function in a country or territory, or by an international organisation at present; 2. Person* who has stepped down from his prominent public function in a country or territory, or an international organisation; *Person includes family member or close associate
Information on PEP:*
Name Relationship Country/International Organisation which PEP holds public function Period of time in which the person is/was a PEP
Please provide documentary proofs of income and source of wealth of the PEP*
Drop files here or

Expected trade volume*
Will you be using the account to conduct trading of cryptocurrencies for any third parties?*
Do you conduct "Know Your Customer" and "Anti Money Laundering" as well as "Counter Terrorist Financing" checks on them?*
Consent*
I have read and agree to the terms in the declaration
Declaration

We hereby declare that the above information provided by us is true, complete and correct and that we have not wilfully withheld any material fact. We further declare that we have never been made bankrupt and there is no litigation or petition filed against us in the past or presently. In addition, we declare that we have never committed any offence under any laws.

We hereby authorize and give QCP Capital Pte Ltd (“QCP”) our irrevocable consent to make such enquiries and conduct all the necessary checks on us and obtain from and/or verify with any source and/or disclose or release any information relating to us to any party or source as QCP, may from time to time, deem fit without any liabilities or notice to us.

We hereby authorize QCP to disclose any information of us and/or data relating to ourselves to the Vendor (seller), Supplier and/or Dealer by phone, electronic mail, short messaging service (SMS) or any means of communication which QCP deems appropriate.

We hereby further acknowledge that QCP reserves the right to reject our application without assigning any reason and retain documents submitted by us.
CAPTCHA

KYC New (Draft) (1)

1 Onboarding Purpose

2 Personal Information

3 Company Information

4 Additional Company Information

5 PEP Declaration

6 Declarations

Date
Date Format: MM slash DD slash YYYY
Are you an:*
- Individual
- Corporate / Institution
Onboarding Purpose*
- Trading account
- Non-trading account
Consent
I agree
You will need these supporting documents to proceed:

1. Copy of passport
2. Bank statement ( with client name, bank account number and bank )
3. Proof of address ( utility bill / housing lease )
4. Phone bill ( with client name and phone number used to communicate with QCP)
5. Personal Income Assets form (Click here)
6. Signed Terms and Conditions sheet (Click here)
7. A selfie with your passport and a handwritten note with 1. "For QCP Capital" and 2. Date in which it was taken
Consent
I agree
You will need these supporting documents to proceed:

1. Copy of passport
2. Bank statement ( with client name, bank account number and bank )
3. Proof of address ( utility bill / housing lease )
4. Phone bill ( with client name and phone number used to communicate with QCP)
5. Personal Income Assets form (Click here)
Consent
I agree
You will need these supporting documents to proceed:

1. Certificate of Incorporation
2. Memorandum and Articles of Association
3. Directors' Register
4. Shareholders' Register
5. Corporate bank account statement ( with company name, bank and bank account number )
6. Passport, proof of address and Personal Income Assets form (Click here) for:
(a) directors
(b) individual shareholders with ≥ 20% holding (if
corporate, provide items 1, 3, 4)
7. Passport, proof of address, phone bill and Personal Income Assets form for Authorized Traders
8. Authorized traders: selfie with your passport and a handwritten note with 1. "For QCP Capital" and 2. Date in which it was taken
9. Board resolution appointing Authorized Traders (For a sample resolution, click here)
Consent
I agree
You will need these supporting documents to proceed:

1. Certificate of Incorporation
2. Memorandum and Articles of Association
3. Directors' Register
4. Shareholders' Register
5. Corporate bank account statement ( with company name, bank and bank account number )
6. Passport, proof of address and Personal Income Assets form (Click here) for:
(a) directors
(b) individual shareholders with ≥ 20% holding (if
corporate, provide items 1, 3, 4)

Name*
Full name as in passport
Email*
Preferred Communication Platform*
WeChat Username*
Telegram Username*
Phone*
Please provide the number which corresponds to your preferred communication platform.
Passport No.*
Passport Expiry Date*
Date Format: MM slash DD slash YYYY
Residential Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Date of Birth*
Date Format: DD slash MM slash YYYY
Country of Birth*
Nationality*
Are you employed?*
Who is your employer?*
What is your role in the company?*
Copy of Passport*
Drop files here or
Selfie*
Drop files here or
With passport and a handwritten note including:
1. "For QCP Capital"
2. Current date
3. Your Phone Number/Telegram or WeChat Username/Email used to communicate with QCP
Bank Statement (within 3 months)*
Drop files here or
Phone Bill*
Drop files here or
Personal Income Assets Form*
Drop files here or
Download the form here.
Signed Terms and Conditions Form*
Drop files here or
Download the form here.
Were you referred?*
Who referred you?*

Name of Company*
Entity Type*
e.g. Pte. Ltd. , LP, LLC etc
Country of Incorporation*
Country of Operations*
Date of Registration*
Date Format: MM slash DD slash YYYY
Company Registration No.*
Nature of Business*
Annual Turnover*
Annual Profit*
Certificate of Incorporation*
Drop files here or
Memorandum & Articles of Association*
Drop files here or
Registrar of Directors*
Drop files here or
Register of Shareholders*
Drop files here or
Corporate Bank Statement*
Drop files here or
Signed Terms & Conditions*
Drop files here or

Director Information*
Name Passport no. Residential Address Date of Birth Nationality
Director(s) Passport copy*
Drop files here or
Bank Statements for all listed directors*
Drop files here or
Within 3 months
Personal Income Assets Form for all listed directors*
Drop files here or
Download the form here.
Are there individual shareholders with ≥ 20% holding?*
Individual Shareholder(s) with ≥ 20% holding*
Name Passport no. Residential Address Date of Birth Director (Y/N) Shareholding %
Passports for all shareholders with ≥ 20% holding*
Drop files here or
Proof of address for all shareholders with ≥ 20% holding*
Drop files here or
Within 3 months
Personal Income Assets Form for all shareholders with ≥ 20% holding*
Download the form here.
Are there corporate shareholders with ≥ 20% holding?*
Corporate Shareholders with ≥ 20% holding*
Legal entity name Registration no. Registered address Date of incorporation Country of incorporation Shareholding % Nature of business
Certificate of Incorporation*
Drop files here or
Shareholders' Register*
Drop files here or
Directors' Register*
Drop files here or
Memorandum and Articles of Association*
Drop files here or
Corporate Bank Statement*
Drop files here or
Authorised Trader Information*
Name Passport no. Passport Expiry Date Residential Address Date of Birth Nationality Contact Number
Copy of Passport*
Drop files here or
Phone Bill of authorised trader(s)*
Drop files here or
Within 3 months
Selfie of authorised trader(s)*
Drop files here or
With passport and a handwritten note including:
1. "For QCP Capital"
2. Current date
3. Your Phone Number/Telegram or WeChat Username/Email used to communicate with QCP
Board Resolution Appointing Authorised Traders*
Drop files here or
Download the form sample here

Are you or any of your directors/shareholders a Politically Exposed Person (PEP)?*
A PEP is defined as: 1. Person* who is entrusted with any prominent public function in a country or territory, or by an international organisation at present; 2. Person* who has stepped down from his prominent public function in a country or territory, or an international organisation; *Person includes family member or close associate
Information on PEP:*
Name Relationship Country/International Organisation which PEP holds public function Period of time in which the person is/was a PEP
Please provide documentary proofs of income and source of wealth of the PEP*
Drop files here or

Expected trade volume*
Will you be using the account to conduct trading of cryptocurrencies for any third parties?*
Do you conduct "Know Your Customer" and "Anti Money Laundering" as well as "Counter Terrorist Financing" checks on them?*
Consent*
I have read and agree to the terms in the declaration
Declaration

We hereby declare that the above information provided by us is true, complete and correct and that we have not wilfully withheld any material fact. We further declare that we have never been made bankrupt and there is no litigation or petition filed against us in the past or presently. In addition, we declare that we have never committed any offence under any laws.

We hereby authorize and give QCP Capital Pte Ltd (“QCP”) our irrevocable consent to make such enquiries and conduct all the necessary checks on us and obtain from and/or verify with any source and/or disclose or release any information relating to us to any party or source as QCP, may from time to time, deem fit without any liabilities or notice to us.

We hereby authorize QCP to disclose any information of us and/or data relating to ourselves to the Vendor (seller), Supplier and/or Dealer by phone, electronic mail, short messaging service (SMS) or any means of communication which QCP deems appropriate.

We hereby further acknowledge that QCP reserves the right to reject our application without assigning any reason and retain documents submitted by us.
CAPTCHA

1 Onboarding Purpose

2 Personal Information

3 Company Information

4 Additional Company Information

5 PEP Declaration

6 Declarations

Date
Date Format: MM slash DD slash YYYY
Are you an:*
- Individual
- Corporate / Institution
Onboarding Purpose*
- Trading account
- Non-trading account
Consent
I agree
You will need these supporting documents to proceed:

1. Copy of passport
2. Bank statement ( with client name, bank account number and bank )
3. Proof of address ( utility bill / housing lease )
4. Phone bill ( with client name and phone number used to communicate with QCP)
5. Personal Income Assets form (Click here)
6. Signed Terms and Conditions sheet (Click here)
7. A selfie with your passport and a handwritten note with 1. "For QCP Capital" and 2. Date in which it was taken
Consent
I agree
You will need these supporting documents to proceed:

1. Copy of passport
2. Bank statement ( with client name, bank account number and bank )
3. Proof of address ( utility bill / housing lease )
4. Phone bill ( with client name and phone number used to communicate with QCP)
5. Personal Income Assets form (Click here)
Consent
I agree
You will need these supporting documents to proceed:

1. Certificate of Incorporation
2. Memorandum and Articles of Association
3. Directors' Register
4. Shareholders' Register
5. Corporate bank account statement ( with company name, bank and bank account number )
6. Passport, proof of address and Personal Income Assets form (Click here) for:
(a) directors
(b) individual shareholders with ≥ 20% holding (if
corporate, provide items 1, 3, 4)
7. Passport, proof of address, phone bill and Personal Income Assets form for Authorized Traders
8. Authorized traders: selfie with your passport and a handwritten note with 1. "For QCP Capital" and 2. Date in which it was taken
9. Board resolution appointing Authorized Traders (For a sample resolution, click here)
Consent
I agree
You will need these supporting documents to proceed:

1. Certificate of Incorporation
2. Memorandum and Articles of Association
3. Directors' Register
4. Shareholders' Register
5. Corporate bank account statement ( with company name, bank and bank account number )
6. Passport, proof of address and Personal Income Assets form (Click here) for:
(a) directors
(b) individual shareholders with ≥ 20% holding (if
corporate, provide items 1, 3, 4)

Name*
Full name as in passport
Email*
Preferred Communication Platform*
WeChat Username*
Telegram Username*
Phone*
Please provide the number which corresponds to your preferred communication platform.
Passport No.*
Passport Expiry Date*
Date Format: MM slash DD slash YYYY
Residential Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Date of Birth*
Date Format: DD slash MM slash YYYY
Country of Birth*
Nationality*
Are you employed?*
Who is your employer?*
What is your role in the company?*
Copy of Passport*
Drop files here or
Selfie*
Drop files here or
With passport and a handwritten note including:
1. "For QCP Capital"
2. Current date
3. Your Phone Number/Telegram or WeChat Username/Email used to communicate with QCP
Bank Statement (within 3 months)*
Drop files here or
Phone Bill*
Drop files here or
Personal Income Assets Form*
Drop files here or
Download the form here.
Signed Terms and Conditions Form*
Drop files here or
Download the form here.
Were you referred?*
Who referred you?*

Name of Company*
Entity Type*
e.g. Pte. Ltd. , LP, LLC etc
Country of Incorporation*
Country of Operations*
Date of Registration*
Date Format: MM slash DD slash YYYY
Company Registration No.*
Nature of Business*
Annual Turnover*
Annual Profit*
Certificate of Incorporation*
Drop files here or
Memorandum & Articles of Association*
Drop files here or
Registrar of Directors*
Drop files here or
Register of Shareholders*
Drop files here or
Corporate Bank Statement*
Drop files here or
Signed Terms & Conditions*
Drop files here or

Director Information*
Name Passport no. Residential Address Date of Birth Nationality
Director(s) Passport copy*
Drop files here or
Bank Statements for all listed directors*
Drop files here or
Within 3 months
Personal Income Assets Form for all listed directors*
Drop files here or
Download the form here.
Are there individual shareholders with ≥ 20% holding?*
Individual Shareholder(s) with ≥ 20% holding*
Name Passport no. Residential Address Date of Birth Director (Y/N) Shareholding %
Passports for all shareholders with ≥ 20% holding*
Drop files here or
Proof of address for all shareholders with ≥ 20% holding*
Drop files here or
Within 3 months
Personal Income Assets Form for all shareholders with ≥ 20% holding*
Download the form here.
Are there corporate shareholders with ≥ 20% holding?*
Corporate Shareholders with ≥ 20% holding*
Legal entity name Registration no. Registered address Date of incorporation Country of incorporation Shareholding % Nature of business
Certificate of Incorporation*
Drop files here or
Shareholders' Register*
Drop files here or
Directors' Register*
Drop files here or
Memorandum and Articles of Association*
Drop files here or
Corporate Bank Statement*
Drop files here or
Authorised Trader Information*
Name Passport no. Passport Expiry Date Residential Address Date of Birth Nationality Contact Number
Copy of Passport*
Drop files here or
Phone Bill of authorised trader(s)*
Drop files here or
Within 3 months
Selfie of authorised trader(s)*
Drop files here or
With passport and a handwritten note including:
1. "For QCP Capital"
2. Current date
3. Your Phone Number/Telegram or WeChat Username/Email used to communicate with QCP
Board Resolution Appointing Authorised Traders*
Drop files here or
Download the form sample here

Are you or any of your directors/shareholders a Politically Exposed Person (PEP)?*
A PEP is defined as: 1. Person* who is entrusted with any prominent public function in a country or territory, or by an international organisation at present; 2. Person* who has stepped down from his prominent public function in a country or territory, or an international organisation; *Person includes family member or close associate
Information on PEP:*
Name Relationship Country/International Organisation which PEP holds public function Period of time in which the person is/was a PEP
Please provide documentary proofs of income and source of wealth of the PEP*
Drop files here or

Expected trade volume*
Will you be using the account to conduct trading of cryptocurrencies for any third parties?*
Do you conduct "Know Your Customer" and "Anti Money Laundering" as well as "Counter Terrorist Financing" checks on them?*
Consent*
I have read and agree to the terms in the declaration
Declaration

We hereby declare that the above information provided by us is true, complete and correct and that we have not wilfully withheld any material fact. We further declare that we have never been made bankrupt and there is no litigation or petition filed against us in the past or presently. In addition, we declare that we have never committed any offence under any laws.

We hereby authorize and give QCP Capital Pte Ltd (“QCP”) our irrevocable consent to make such enquiries and conduct all the necessary checks on us and obtain from and/or verify with any source and/or disclose or release any information relating to us to any party or source as QCP, may from time to time, deem fit without any liabilities or notice to us.

We hereby authorize QCP to disclose any information of us and/or data relating to ourselves to the Vendor (seller), Supplier and/or Dealer by phone, electronic mail, short messaging service (SMS) or any means of communication which QCP deems appropriate.

We hereby further acknowledge that QCP reserves the right to reject our application without assigning any reason and retain documents submitted by us.
CAPTCHA

TRADE WITH US

Fill out the form below and start trading with us

KYC New (Draft) (1)

KYC New (Draft) (1)

© 2019 QCP Capital Pte. Ltd. All Rights Reserved.
Privacy Policy | Terms of Use

DISCLAIMER

Name	Passport no.	Residential Address	Date of Birth	Nationality

Name	Passport no.	Residential Address	Date of Birth	Director (Y/N)	Shareholding %

Legal entity name	Registration no.	Registered address	Date of incorporation	Country of incorporation	Shareholding %	Nature of business

Name	Passport no.	Passport Expiry Date	Residential Address	Date of Birth	Nationality	Contact Number

TRADE WITH US

Fill out the form below and start trading with us

KYC New (Draft) (1)

KYC New (Draft) (1)

© 2019 QCP Capital Pte. Ltd. All Rights Reserved. Privacy Policy | Terms of Use

DISCLAIMER

© 2019 QCP Capital Pte. Ltd. All Rights Reserved.
Privacy Policy | Terms of Use