Pre-approval Application Form

Global Financial Innovations Limited processes payments for a wide range of companies and provides payment accounts both for individuals and legal entitities. Please fill the form with the most accurate information, so we can better understand your business needs.

GENERAL INFORMATION
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AUTHORISED REPRESENTATIVE
ENTITIES DIRECTLY HOLDING MORE THAN 10% SHARE IN THE COMPANY

(if no owner owns 10% or more, list at least 7 owners with the greatest % of ownership).

A) BENEFICIAL OWNERS

Identify any natural person who directly or indirectly owns or controls 25 percent or more of the equity interest in the company. This information is not required for institutions listed on the stock exchange or 100% government-owned or non-profit.

B) BENEFICIAL OWNERS

List any Director, top-manager or other person with a similar authority not listed in section above as BO, that has a level of control over, or entitlement to, the funds or assets of the company such that, as a practical matter, the individual or entity may, directly or indirectly, control, manage, or direct the Entity.

LICENSES

(if applicable) – Please provide information below if company’s business model requires a license and is a subject to local AML/CTF laws.


Money Laundering Reporting Officer

BUSINESS DESCRIPTION
PAYMENT ACCOUNT RELATED QUESTIONS

Please specify the expected origin of incoming funds



Please specify the expected destination of outgoing payments


DISCLOSURE QUESTIONS

Has any governmental or regulatory agency ever denied, suspended, or revoked any license or registration of the Entity?

Has the Entity or its subsidiaries, affiliates, or any officer, director or general partner of the Entity ever filed for bankruptcy?

Has the Entity or its subsidiaries, affiliates, or any officer, director or general partner of the Entity ever been convicted of any felony under state, federal or foreign law?

Has the Entity or its subsidiaries, affiliates, or any officer, directors or general partner of the Entity ever been involved in a civil or criminal proceedings in violation of the Local Regulatory Laws or the Anti‐Money Laundering and Anti‐Terrorist Financing laws?

Has any governmental or regulatory agency ever initiated informal or formal regulatory action or order against the Entity, its subsidiaries, affiliates, or any officer, directors or general partner of the Entity?

Please state below if any of the natural person mentioned above in any jurisdiction is a Politically exposed persons (PEP), Family member of a PEP, or person having close relations with a PEP in accordance with the United Kingdom official definition (if there is no such person, state that as well):

Certification and Signature

By signing below I hereby certify that:
- The Payment account of the Customer in Global Financial Innovation LTD (hereinafter – the GFI) will not be used for money obtained from illegal and criminal activities, as well as that the activity and transactions on the payment account will not violate sanctions or restrictions established by the national or international organisations;
- NO person (legal or natural) mentioned above or any other person controlling or having significant impact on the company is a Sanctioned person (designated by the lists) by European Union, United Kingdom, United Nations or United States of America;
- I agree that the GFI shall be entitled to verify authenticity of the provided information, as well as to request from the Customer additional information and documents that confirm the aforementioned data, including the documents and information about the Customer/Customer’s beneficial owner/s and transactions of the Customer/Customer’s beneficial owner/s, and the Customer shall be obliged to provide the requested documents and information on the first demand of the GFI;
- I am informed about the Policy according to which the GFI processes personal data, and I have read the Privacy Policy (available on the GFI’s homepage online: www.globalfin.uk);
- I am authorized to provide information specified in this Questionnaire on behalf of the Customer, I have sufficient information at my disposal for provision of the aforementioned data;
- the information specified in this Questionnaire and in the documents provided to the GFI is complete and true, and I hereby undertake to immediately inform the GFI in writing about any changes in the aforementioned information.
I have read, understand, fully agree to, and recognise the following documents as binding, as well as agree that they will be applied after the submission of the Questionnaire to the GFI:
• Price Lists (available on the GFI homepage at www.globalfin.uk);
• Terms and Conditions (available on the GFI homepage at www.globalfin.uk)


  • GENERAL INFORMATION
  • AUTHORISED REPRESENTATIVE
  • ENTITIES DIRECTLY HOLDING MORE THAN 10% SHARE IN THE COMPANY
  • A) BENEFICIAL OWNERS
  • B) BENEFICIAL OWNERS
  • LICENSES
  • BUSINESS DESCRIPTION
  • PAYMENT ACCOUNT RELATED QUESTIONS
  • DISCLOSURE QUESTIONS
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Thank you for your application! We will contact you as soon as possible.

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