Torrevieja Crypto

- Step 1 of 7

E-mail address *

Type of company *

Name *

First

Last

DNI/NIE *

What kind of society? *

Fiscal name *

NIF *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

IAE Code (Form 036/037) *

Do you need a licence or certification for your activity? *

Attach licence or certification *

Click or drag a file to this area to upload.

Are you subject to the law on money laundering and terrorist financing? *

Attach your anti-money laundering and terrorist financing prevention manual or policies *

Click or drag a file to this area to upload.

Attachment of articles of association *

Click or drag a file to this area to upload.

Are the data and statutes up to date? *

Insert the new *

Click or drag a file to this area to upload.

Attach Company Tax ID *

Click or drag a file to this area to upload.

Attach census registration document *

Click or drag a file to this area to upload.

Please attach both sides of your DNI/NIE document. *

Click or drag a file to this area to upload.

In which countries do you serve? *

Where will you use Bitnovo Pay? *

Physical shop
Online

Address of the establishment *

Attach a picture of the façade and a picture of the interior. *

Click or drag a file to this area to upload.

How will you use the service? *

POS
Mobile App
Ecommerce integration
Integration via API

Estimated sales volume per month *

Average ticket volume *

Type of management body *

Type of administrator *

Name *

First

Last

DNI/NIE *

E-mail address *

Nationality *

Country of residence *

Please attach both sides of your DNI/NIE document. *

Click or drag a file to this area to upload.

Please attach proof of representation *

Click or drag a file to this area to upload.

Company name *

NIF *

Name of legal representative *

First

Last

DNI/NIE of the legal representative *

E-mail of the legal representative *

Confirm Email

Nationality of the legal representative *

Country of residence of the legal representative *

Please attach both sides of your DNI/NIE document. *

Click or drag a file to this area to upload.

Proof of representation *

Click or drag a file to this area to upload.

Do any persons directly or indirectly control more than 25% of the capital or voting rights of a legal person? *

Name *

First

Last

DNI/NIE *

Nationality *

Country of residence *

E-mail address *

Percentage of share capital *

Please attach both sides of your DNI/NIE document. *

Click or drag a file to this area to upload.

Are you being or have you been investigated for a criminal offence or other offence? *

Is the company or any member of the management body or shareholder being or has been investigated for any criminal offence or other offence? *

Do you hold the status of a person with public responsibility? *

Does the company or any member of the management body or shareholder have the status of a publicly accountable person? *

Have you been placed on any sanctions or embargo lists, nationally or internationally? *

Has the company or any member of the management body or shareholder been placed on any national or international sanctions or embargo list? *

Does the company have a code of ethics or conduct? *

Upload the document *

Click or drag a file to this area to upload.

Is there a compliance department and a compliance policy? *

Attach the ethical code of conduct *

Click or drag a file to this area to upload.

Does the company maintain a whistleblower channel? *

Could you please indicate which one? *

What business structure do you apply?

Are there any known potential conflicts of interest? *

Currency *

IBAN *

Certificate of title *

Click or drag a file to this area to upload.

GDPR *

By ticking this box I authorise Capital Crypto Technology SLU to manage the registration of my establishment in Bitnovo Pay® and I agree to the processing of my personal data and those of my company in accordance with the provisions of the Privacy policy of this website.

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