INTERNATIONAL MERCHANT APPLICATION FORM

EDATAPAY GROUP INTERNATIONAL MERCHANT APPLICATION

Business Overview

Processing Information
Target Markets
Top 5 customer countries (with % split):
COMPANY INFORMATION
Legal Information
Registered Address
Operating Address
The place where the real activity and day-to-day operations of the company are carried out.
Director(s)/ Authorized Signatory(ies)
**A company representative who has legal power to sign merchant contracts (via Power of Attorney, Board Resolution, etc.).
Shareholder(s) (> 25% shares)
Ultimate Beneficial Owner(s)
REQUIRED SETUP
SETTLEMENT BANK ACCOUNT
CONTACT DETAILS
Main Contact
Technical Contact
REQUIRED DOCUMENTS
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.