Completing this form and providing current information and documents requested is a minimum requirement in
order to obtain a collection account with Verto. Information provided must be accurate and complete.
If any part of this form is not applicable to your business, please indicate by putting N/A and provide a reason.
Section 1: Company profile
Company Name
(Full Legal Name)
Trading Name
(If applicable)
Type of Organisation
(Company Structure)
Industry
Main Business Function
Main Source of Funds
(Please provide evidence)
Average number of
transactions expected
month?
Any change to company
structure since sign-up to
VertoFX
Compliance questions
Does the company have record retention
procedures that comply with applicable
laws?
If YES, what is the retention period?
Does the company provide mandatory
compliance training to its employees? If
yes, please clarify how often this takes
place and whether this covers Anti-bribery
Average value
of transfers
per month
and corruption training including employee
responsibilities?
Section 3: Additional documentation required
▪
▪
Document outlining the company’s AML/Compliance Policy & Procedure
Document showing main source of funds
And;
If you have noted above that there has been a change to your company or shareholding structure,
please provide an up-to date copy of;
- Memorandum and articles of association (certified by a third party)
Section 4: Declarations
By signing this form, you are:
●
Confirming that you are duly authorised to sign for and act on behalf of the Company and no
consent or approval is required from any other person.
● Confirming that the information that you have provided in this form is accurate and correctly
reflects the profile, products and services of your business. You further confirm and agree that
you will notify VertoFX Ltd in good time of any changes to the information provided herein.
● Agreeing to and authorising the searches, due diligence enquiries and use of your information
as set out in our Privacy Policy and Terms & Conditions.
Section 5: Signature
I certify the above information to be correct and hold true:
Signature:
Print Name:
(Full Name)
Date:
Position in
Company: