Corporate Account Registration

Corporate Account Registration
This form is for Corporations that want to make a Bank Transfer to secure your trading funds. Please ensure that all the information you provide is accurate and up to date. We vet your information in a number of ways. Part of our vetting process includes a background check. If your information passes our security checks, we’ll respond and setup your account. Additionally, we’ll create a group chat so you can communicate directly with our Traders.
Applicant's Name*
Full legal name
Applicant's Email*
Company Telephone*
Preferred Instant Messenger (IM)*
Please choose your preferred instant messenger app
Company Name*
Jurisdiction of Formation*
Name of your Bank and Country Where it is Located*
Company Email*
Company Website*
How many Beneficial Owners does your company have?*
- 1
- 2
- 3
- 4+
Registered Company Address
Please state your Company's registered address below:
Street Address*
City*
Country*
State / Province / Region*
Zip Code or Post Code*
Principal Place of Business Address (if different than above)
Street Address
US Companies
Zip Codes must be 5 digits and your respective State must use the appropriate USPS abbreviation, for example CA, AK, and TX.
UK Companies
Postcodes must be filled out correctly, for example SW4 6EH (with or without the space)

Full Name Beneficial Owner #1 (BO1)*
Alias or other names known by (BO1)
Position (BO1)*
Ownership or Control Percentage (BO1)*
Please enter a number from 0 to 100.
Date of Birth (BO1)*
Date Format: DD slash MM slash YYYY
Country of Birth (BO1)*
Nationality (BO1)*
Do they (BO1) hold multiple nationalities? If so please list:*
Passport Number (BO1)*
Mobile Phone (BO1)*
Email of Beneficiary (BO1)*
Residential Address (B01)
Residential Address for Beneficial Owner #1:
Street Address (B01)*
City (B01)*
State / Province / Region (B01)*
Country (B01)*
Zip or Postal Code (B01)*
Full Name Beneficial Owner #2 (BO2)*
Alias or other names known by (BO2)*
Position (BO2)*
Ownership or Control Percentage (BO2)*
Please enter a number from 0 to 100.
Date of Birth (BO2)*
Date Format: DD slash MM slash YYYY
Country of Birth (BO2)*
Nationality (BO2)*
Do they (BO2) hold multiple nationalities? If so please list:*
Passport Number (BO2)*
Mobile Phone (BO2)*
Email (BO2)*
Residential Address (BO2)
Residential Address for Beneficial Owner #2:
Street Address (BO2)*
City (BO2)*
State / Province / Region (BO2)*
Country (BO2)*
Zip or Postal Code (BO2)*
Full Name Beneficial Owner #3 (BO3)*
Alias or other names known by (BO3)*
Position (BO3)*
Ownership or Control Percentage (BO3)*
Please enter a number from 0 to 100.
Date of Birth (BO3)*
Date Format: DD slash MM slash YYYY
Country of Birth (BO3)*
Nationality (BO3)*
Passport Number (BO3)*
Mobile Phone (BO3)*
Do they (BO3) hold multiple nationalities? If so please list:*
Email (BO3)*
Residential Address (BO3)
Residential Address for Beneficial Owner #3:
Street Address (BO3)*
City (BO3)*
State / Province / Region (BO3)*
Country (BO3)*
Zip or Postal Code (BO3)*
UK Owners
Postcodes must be filled out correctly, for example SW4 6EH (with or without the space). *We are currently not onboarding US Citizens.
US Owners
Zip Codes must be 5 digits and your respective State must use the appropriate USPS abbreviation, for example CA, AK, and TX.

Please provide any other Beneficial Owners details in a separate document*
How many Authorized Users will you have?*
- 1
- 2
- More than 2
Full Name of Authorized User #1 (AU1)*
Full legal name for authorized user #1
Position (AU1)*
Mobile Number (AU1)*
Email (AU1)*
Telegram (AU1)
WhatsApp Number (AU1)
Full Name of Authorized User #2 (AU2)*
Full legal name for authorized user #2
Position (AU2)*
Mobile Number (AU2)*
Email (AU2)*
Telegram ID (AU2)
WhatsApp Number (AU2)
Upload Additional Authorized Users Info.*
If there are more Authorized Users, please provide their details in a separate document

Annual Business Turnover*
Please write the currency (e.g. USD or HKD) and amount below
Nature of Business*
Please select the category that best describes your business
If you selected "Other" above, please clearly state the nature of your business below:*
Nature of Products/Services Offered*
Countries where Major Business is Carried Out*
Source(s) of Funds*
- Business Income and Profit
- Investment by Ultimate Beneficial Owner/Partner
- Sale of an Asset
- Other
Please indicate the $ amount you expect to trade per month.
If you selected "Other" above, please clearly state the source of funds:*
Please state the purpose of your account*
Currency*
Select the currency you intend to deposit/withdraw
If you selected "Other" above, please state your desired currency:
Expected Transaction Size Per Trade*
Please indicate the US$ amount you expect to trade per transaction.
Expected Average Monthly Volume*
Please indicate the US$ amount you expect to trade per month.
Are any of the business owners Politically Exposed Persons (PEP)?*
A Politically Exposed Person (PEP) is an individual who is or has been entrusted with a prominent public function (for example, members of government or Parliament).
How are they Politically Exposed?
Please tell us how the business owner is politically exposed
How did you hear about us?*
If you were referred by a client or GB member, please let us know by writing their name below.
Friend Referral
Please tell us who referred you
Other
Please tell us how you found us

Document Uploads
Please attach the required documents below, alternatively, you may send it to compliance@genesisblockhk.com. Failing to upload the relevant documentation may cause your application to be delayed.
Attach Valid Business Registration Certificate*
Attach Certificate of Incorporation*
Memorandum and Articles of Association*
Attach the latest Annual Return NAR1 Form (or Register of Shareholders and Directors with the voting rights ratio)*
Attach Board Resolution with a Director signatory*
Attach Organisation Chart / Control Structure*
Attach a Company Bank Statement*
Please provide a bank statement in PDF no older than 3 months.
Attach Passport ID for all Directors*
For non-Hong Kong-born applicants, please provide a valid passport copy. Documents must be in colour, clear and visible in their entirety. Please provide your passport copy if you are not a Hong Kong national. For Hong Kong nationals, please provide the front and back copy of your HKID.
Attach Passport ID for all Authorized Users*
For non-Hong Kong-born applicants, please provide a valid passport copy. Documents must be in colour, clear and visible in their entirety. Please provide your passport copy if you are not a Hong Kong national. For Hong Kong nationals, please provide the front and back copy of your HKID.
Attach Proof of Residential Address for all Directors*
A bank statement, utility bill or lease agreement no older than 3 months is acceptable for proof of residential address.

Declaration
I hereby declare that the details furnished above are true and correct to the best of my knowledge and belief and I undertake to inform you of any changes therein, immediately. In case of any of the above information is found to be false or untrue or misleading or misrepresenting. I am aware that I may be held liable for it. I understand and agree that Genesis Block will collect my information as a measure for preventing money laundering and terrorist financing. I am not doing any trades at Genesis Block with any money laundering, terrorist activities, terrorist financing activities or any criminal activity, and I will compensate the loss of Genesis Block if in violation of the above activities.
Preferred Language*
Select your preferred language for communication:
Consent*
I agree to the privacy policy.
Phone
This field is for validation purposes and should be left unchanged.

Step 1 of 6

Corporate Account Registration

Registered Company Address

US Companies

UK Companies

Residential Address (B01)

Residential Address (BO2)

Residential Address (BO3)

UK Owners

US Owners

Document Uploads

Declaration

Community

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