INTERNATIONAL MERCHANT APPLICATION FORM

EDATAPAY GROUP INTERNATIONAL MERCHANT APPLICATION

Business Overview

Website URL"s

Descriptor

City Field (CS #)

Username

Password

Website URL 2

Descriptor

City Field (CS #)

Password

Username

Website URL 3

Descriptor

City Field (CS #)

Username

Password

Business Model Description

Processing Information

Projected Monthly Turnover

Projected Monthly Number of Txns

Average Transaction Value

Min/ Max Transaction Value

Average Chargeback Ratio

Average Fraud Ratio

Target Markets

Top 5 customer countries (with % split):

EU/ EEA (%)

UK(%)

North America(%)

Asia (%)

RoW (%)

Is the Company the website domain owner?

YES NO

If No, please specify the relationship with the domain owner

Does your business require a license?

YES NO

If Yes, please specify Country of Issuing Authority

Is your business PCI DSS compliant?

YES NO

If Yes, please specify the third party gateway you are using (if any)

What is the Company’s main source of wealth? (Initial source of wealth when the company was established)

REQUIRED SETUP

Payment Page hosted by

Merchant 3rd Party Provider Stream Payments

MPI Provider for 3DS

Acquirer 3rd Party Provider Stream Payments

Processing Currencies

EUR GBP USD Other

Settlement Currencies

EUR GBP USD Other

SETTLEMENT BANK ACCOUNT

Beneficiary Name

Bank Name

Bank Address

SWIFT/ BIC

IBAN/ Account Number

Account Currency

CONTACT DETAILS

Main Contact

First name, Last name

Phone Number

Business title

E-Mail Id

Technical Contact

First name, Last name

Phone No

Business title

E-mail

Email for chargeback & fraud notifications

Will you host the payment page?

YES NO

Provide SAQ D along with valid PCI scans

Email for settlement reports

REQUIRED DOCUMENTS

Certificate of Incorporation

Certificate(s) showing registered address, the current directors, and current shareholders of the Company

Memorandum and Articles of Association

Proof of ID (copy of passport or ID card) of all directors, authorized signatories, shareholders and beneficial owners holding more than 25% of shares (must be a color copy)

Proof of residential address (utility bill, personal bank/ credit card statement) of all directors, authorized signatories, shareholders and beneficial owners holding more than 25% of shares (less than 3 months old)

Proof of trading address (utility bill or a rental agreement in the name of the Company)

Proof of domain ownership

Copy of business license (if applicable)

Last 6 months processing statements bearing the processor’s logo and the Company’s name and/or URL, and showing sales volume and transaction count, refund volume and count, chargeback volume and count.

Bank account statement in the name of the Company showing full settlement bank account details (less than 3 months old)

Any other supporting documentation (fulfillment agreement, etc.)

NOTE: The information supplied in this application will be used to determine the best solution for your payment processing needs so please ensure it is true, accurate and complete. Please also be advised that eDataPay Payments may disclose the information provided above to acquiring banks and third-party service providers (such as identity verification service providers, etc.) for the purpose of opening a merchant account. Completion of this form does not create contractual relations between the parties.

Referred By

About Us

eDatapay Group is a leading provider of cloud-based, multi-channel ecommerce solutions. We offer a comprehensive, global technology platform that is developer-friendly and designed to make cross-border payments simple and seamless. Our innovative platform is designed to help small and large companies easily accept web and mobile payments.

Our platform includes a range of features including fraud and risk prevention, analytics, digital media, advertising, social media management, SMS, CRM, and payment gateways, helping businesses to effectively manage their online sales and customer engagement.

eDatapay is dedicated to providing businesses with the tools they need to succeed in today’s digital economy. With our powerful platform and support, companies can focus on growing their business while we take care of the technical details. Join us today and experience the benefits of our cutting-edge technology and dedication to customer satisfaction.

Get In Touch

Phone:

+1-888-395-9554

Fax:

+1-888-909-0138

Emai:

info@eDataPay.com

Address:

20423 State Road 7, Suite F6-524 Boca Raton, Florida, 33498 USA.

INTERNATIONAL MERCHANT APPLICATION FORM

EDATAPAY GROUP INTERNATIONAL MERCHANT APPLICATION

Business Overview

Processing Information

Top 5 customer countries (with % split):

COMPANY INFORMATION

REQUIRED SETUP

SETTLEMENT BANK ACCOUNT

CONTACT DETAILS

REQUIRED DOCUMENTS

About Us

Get In Touch

Phone:

Fax:

Emai:

Address:

Quick Links

Drop A Message

Help & Support