Submit a request – KoinKoin

Please choose your issue below

Your email address

Legal Name:

Trading Name:

Entity Number:

Entity Type:

Date of Incorporation:

Country of Registration:

Phone number

Building/House number:

Street:

State/County:

Town/City:

Postcode/Zip

Country:

BENEFICIAL OWNERS

Please list all individuals, companies, controllers and beneficial owners holding 25% or more of the applicant company, and their type (individual company, partnership, charity, trust, foundation). For each, please attach full individual sign-up application document.

Application(s) attached(optional)

DIRECTORS

Please list all directors of the applicant company. For each, please attach full application document.

Application(s) attached(optional)

SUPPORTING DOCUMENTATION REQUIRED

For companies, other corporate bodies, charities and trusts (Please provide certified copies for non-UK entities)

For partnerships:(optional)

The applicant understands that KoinKoin Ltd does not hold client cash or client cryptocurrency assets, and that the applicant needs their own wallet to hold cryptocurrency assets (unless custodianship authorised)

The applicant understands that cryptocurrencies are highly volatile assets, that the value can go up or down very quickly, and therefore the entire cryptocurrency holding is at risk.

The applicant accepts full liability for all losses incurred should the value of the cryptocurrency asset go down or if the wallet is lost

The applicant understands that KoinKoin Ltd does not provide trading advice, only a platform to trade.

The applicant understands that KoinKoin Ltd must comply with anti-money laundering regulations and it authorises the use of the information provided on this form to conduct anti money laundering checks.

The applicant understands and agrees to KoinKoin Ltd’s Privacy Policy and Terms and Conditions sent together with this form

Signature

For more information email: support@koinkoin.com or call +44 20 7660 0741 8 Devonshire Square London EC2M 4YF

Date

Subject

Description

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