Corporate - Onboarding (KYC)

Registration - Corporations
Reference
(Name of the person or group referring you)
Email *
example@example.com
Corporate Information *

Company Name Incorporation Number
Head Office Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Company's Officer *
Full Name of the representative
Cellphone Number *
SMS PIN will be sent to this number
Business activities (describe ALL business functions, products and provided services). *
How many individuals shareholders own at least 25% of the company? You will have to provide information about each individual. *
If any of the corporation's shareholders is an entity, please indicate the number. You will have to provide information about each corporation. *
Beneficial Owner #1 Information
Shareholder #1 *

First Name Last Name
% ownership: *
E-mail *
example@example.com
Cellphone Number *
SMS PIN will be sent to this number
Current Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Job Title *
Employer's name *
Type of ID *
(Driver License or Passport)
ID number *
Date of issuance *

Month Day Year
Expiration date *

Month Day Year
ID document issued by *
(country or authority)
Are you a politically exposed person? *
Photocopies of the ID Card (front and back) or relevant pages of the passport *

(Upload 2 files - Front side and backside of ID card)
Cancel of
A self image ("selfie") where your whole face is visible, along with the ID card and a piece of paper on which you have written by hand *ValeoX + today's date*. *

(Upload the self image)
Cancel of
Proof of residence with your name, your current address and dated less than 3 months old. Please send a PDF file or a photo showing the 4 corners of the document. *

(Utility bill, bank statement or credit card statement)
Cancel of
Beneficial Owner #2 - Information
Shareholder #2 *

First Name Last Name
% ownership: *
E-mail *
example@example.com
Cellphone Number *
SMS PIN will be sent to this number
Current Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Job Title *
Employer's name *
Type of ID *
(Driver License or Passport)
ID number *
Date of issuance *

Month Day Year
Expiration date *

Month Day Year
ID document issued by *
(country or authority)
Are you a politically exposed person? *
Photocopies of the ID Card (front and back) or relevant pages of the passport *

(Upload 2 files - Front side and backside of ID card)
Cancel of
A self image ("selfie") where your whole face is visible, along with the ID card and a piece of paper on which you have written by hand *ValeoX + today's date*. *

(Upload the self image)
Cancel of
Proof of residence with your name, your current address and dated less than 3 months old. Please send a PDF file or a photo showing the 4 corners of the document. *

(utility bill, bank statement or credit card statement)
Cancel of
Beneficial Owner #3 - Information
Shareholder #3 *

First Name Last Name
% ownership: *
E-mail *
example@example.com
Cellphone Number *
SMS PIN will be sent to this number
Current Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Job Title *
Employer's name *
Type of ID *
(Driver License or Passport)
ID number *
Date of issuance *

Month Day Year
Expiration date *

Month Day Year
ID document issued by *
(country or authority)
Are you a politically exposed person? *
Photocopies of the ID Card (front and back) or relevant pages of the passport. *

(Upload 2 files - Frontside and backside of ID card)
Cancel of
A self image ("selfie") where your whole face is visible, along with the ID card and a piece of paper on which you have written by hand *ValeoX + today's date*. *

(Upload the self image)
Cancel of
Proof of residence with your name, your current address and dated less than 3 months old. Please send a PDF file or a photo showing the 4 corners of the document. *

(utility bill, bank statement or credit card statement)
Cancel of
Beneficial Owner # 4 - Information
Shareholder #4 *

First Name Last Name
% ownership: *
E-mail *
example@example.com
Cellphone Number *
SMS PIN will be sent to this number
Current Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Job Title *
Employer's name *
Type of ID *
(Driver License or Passport)
ID number *
Date of issuance *

Month Day Year
Expiration date *

Month Day Year
ID document issued by *
(country or authority)
Are you a politically exposed person? *
Photos of the ID Card (front and back) or relevant pages of the passport. *

(Upload 2 files - Front-side and backside of ID card)
Cancel of
A self image ("selfie") where your whole face is visible, along with the ID card and a piece of paper on which you have written by hand *ValeoX + today's date*. *

(Upload the self image)
Cancel of
Proof of residence with your name, your current address and dated less than 3 months old. Please send a PDF file or a photo showing the 4 corners of the document. *

(Utility bill, bank statement or credit card statement)
Cancel of
Beneficial Owner #1 (Corporation)
Corporation #1 *

Company Name Incorporation Number
% ownership: *
Head Office Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Business activities (describe ALL business functions, products and provided services). *
Beneficial Owner #2(Corporation)
Corporation #2 *

Company Name Incorporation Number
% ownership: *
Name of the company's officier *
Full Name
Head Office Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Business activities (describe ALL business functions, products and provided services).
Beneficial Owner #3(Corporation)
Corporation #3 *

Company Name Incorporation Number
% ownership: *
Head Office Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Business activities (describe ALL business functions, products and provided services).
Photocopies of the company's Certificate of Incorporation *

(Multiples files can be uploaded)
Cancel of
Photocopies of the Corporation register with the list of shareholders and board officers. *

(Multiples files can be uploaded)
Cancel of
Signature *
Valeo-x.com
MSB License: M19600702 | AMF permit: 904463
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