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香港中文版
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Menu
About Genesis Block
Community
Accessibility
Reliable Service
Industry Best Practice
Events
Partnerships & Collaborations
In The Media
Services
OTC Trading
Staking Serum (SRM)
GB Validator Node
Event Space
How to Buy Bitcoin?
Bitcoin Price
Crypto Classroom
Crypto Classroom
Trader Insights
Video
All Posts
Contact Us
Help Centre
Follow us
Register
香港中文版
English
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Step 1 of 4
25%
Individual Account Registration
Thank you for your interest in registering for a Genesis Block account. You will be required to upload your Passport and Proof of Residential Address (bank statement/utility bill no older than 3 months) at the end of this form. Please have them ready before you begin. Once you have submitted your application, we aim to process your account as soon as possible. Our compliance officer will notify you by email upon successful verification and a dedicated trading group will be set up for you. Should you have any questions, please contact us at compliance@genesisblockhk.com. Please note the minimum deposit size is $200,000 HKD ($25,000 USD).
Preferred Communication
*
WhatsApp
Telegram
Signal
Please indicate your preferred instant messenger (IM) for your trading group.
Full Name
*
First
Last
Your name as it appears in your identification document
Alias/Other/Former Name(s)(if any):
Chinese Name
*
No
Yes
Chinese Name
*
Gender
*
Male
Female
Marital Status
*
Single
Married
Date of Birth
*
Date Format: MM slash DD slash YYYY
Country of Birth
*
Nationality
*
Do you hold multiple nationalities? If so, please list
*
Your Passport or ID number
*
Mobile Number
*
Email
*
Telegram (if applicable)
Please enter you Telegram username
Permanent Address
Please state your permanent address below:
Street Address
*
City
*
Country
*
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Botswana
Brazil
Brunei Darussalam
Bulgaria
Burkina Faso
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo, Republic of (Brazzaville)
Cook Islands
Costa Rica
Côte D'ivoire (Ivory Coast)
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor (Timor-Leste)
Ecuador
Egypt
El Salvador
Equatorial Guinea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guyana
Haiti
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Ireland
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Republic of (South Korea)
Kuwait
Kyrgyzstan
Lao, People's Democratic Republic
Latvia
Lesotho
Liberia
Liechtenstein
Lithuania
Luxembourg
Macau
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federal States of
Moldova, Republic of
Monaco
Montserrat
Morocco
Mozambique
Myanmar, Burma
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Niger
Nigeria
Niue
Northern Mariana Islands
Norway
Oman
Palau
Palestinian territories
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Island
Poland
Portugal
Puerto Rico
Qatar
Reunion Island
Romania
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovakia (Slovak Republic)
Slovenia
Solomon Islands
South Africa
Spain
Sri Lanka
Suriname
Swaziland (Eswatini)
Sweden
Switzerland
Taiwan
Tajikistan
Tanzania
Thailand
Tibet
Timor-Leste (East Timor)
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City State (Holy See)
Vietnam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna Islands
Western Sahara
State / Province / Region
*
Zip or Post Code
*
US Residents
Zip Codes must be 5 digits and your respective State must use the appropriate USPS abbreviation, for example CA, AK, and TX. *We are currently not onboarding US Citizens.
UK Residents
Postcodes must be filled out correctly, for example SW4 6EH (with or without the space)
Gross Annual Income
*
$0 HKD - $100,000 HKD ($0 USD - $13,000 USD)
$100,001 HKD - $400,000 HKD ($13,001 USD - $50,000 USD)
$400,001 HKD - $800,000 HKD ($50,001 USD - $100,000 USD)
$800,001 HKD - $2,000,000 HKD ($100,001 USD - $250,000 USD)
$2,000,001 HKD - $4,000,000 HKD ($250,001 USD - $500,000 USD)
$4,000,001 HKD - $8,000,000 HKD ($500,001 USD - $1,000,000 USD)
$8 M HKD+ ($1,000,000 USD+)
Employment Status
*
Self Employed
Full-time Employed
Part-time Employed
Student
Homemaker
Retired
Not Currently Employed
Occupation
*
Agriculture
Art Trading
Business Services
Communications
Construction
Education
Engineering
Digital Asset Broker
Digital Asset Exchange
Blockchain/DLT
Finance
Food and Beverage
Gambling / Casino
Gems / Precious Metals / Jewellery Trading
Hotels / Travel / Hospitality
Information Technology
Insurance
Legal
Leisure / Entertainment / Culture
Logistics
Manufacturing
Media / Marketing
Medical
Money Exchange / Remittance
Non-Profit Organization
Real Estate Development
Real Estate Agent
Retail
Trading / Warehouse / Fulfillment
Transportation / Logistics
Utilities
Weapons / Military Industry
Other
If you selected Other above, please explain what your Occupation is
*
Name of Your Company / Employer
*
Source(s) of Funds
*
Personal Savings
Earnings from Employment
Inheritance
Business Profit
Other
Please check all that apply
If you selected Other, please explain the source of your funds
*
Please State The Purpose of Opening a Genesis Block Account
*
Currency
*
USD
HKD
Expected Transaction Size Per Trade
*
<$10,000
$10,000 - $50,000
$50,000 - $100,000
>$100,000
Please indicate the US$ amount you expect to trade per transaction. WARNING: If your transaction size is less than US$6,000 your account may not be opened.
Expected Monthly Trading Volume
*
Please indicate the US$ amount you expect to trade per month.
Bank Information
Bank account name must match the legal person’s/entity’s name provided. Genesis Block will only receive/remit funds from the bank account set forth below.
Account Holder Name
*
Full Beneficiary Address
*
Bank Name
*
Full Bank Address
*
Account Number
*
SWIFT Code
*
Routing Number (ABA) (if any)
Is There an Intermediary Bank?
*
Yes
No
Intermediary Bank Information
*If applicable
Bank Name
*
Full Bank Address
*
Account Number
*
SWIFT Code
*
Routing Number (if any)
Please indicate, if applicable
*
I am a Politically Exposed Person
My family/spouse/close associate is a Politically Exposed Person
I am related to a Politically Exposed Person
I have been bankrupt
I have been convicted of a crime or felony offence
I am not a Politically Exposed Person
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).
Name of the Politically Exposed Person:
*
How are you or the person you are related to Politically Exposed?
*
Years of experience trading digital/crypto assets
*
Less than 1 year
1 to 3 years
More than 3 years
Will any person other than the applicant of this account have control or manage the trading account?
*
No
Yes
If "Yes" please download and return a letter of authorization. Please contact us for the template either by our site chat or email compliance@genesisblockhk.com.
How did you hear about us?
*
Social Media
Website
Friend or Staff Referral
Search Engine
If you were referred by a client or GB member, please let us know by writing their name.
Which friend or GB staff referred you?
*
Please name the GB staff member or friend who referred you
Documents Upload
Please attach the required documents below, alternatively, you may it send to compliance@genesisblockhk.com. Failing to upload the relevant documentation may cause your application to be delayed.
Proof of Address
Please provide a bank, utility, or authorised entity statement in PDF format no older than 90 days.
Letter of Authorization
*
If any other person will be operating your trading account please submit the signed document provided by our staff.
Passport ID copy (for nominated persons)
*
If any other person will be operating your trading account please submit a copy of their passport.
Personal Information Collection Statement & Privacy Policy
I acknowledge that I have read and understood the Privacy Policy, Terms of Use, and all Legal Conditions in their entirety and agree to abide by them (https://genesisblockhk.com/legal/).
Preferred Language
*
English
Chinese (Traditional)
Chinese (Simplified)
Consent
*
I agree to the privacy policy.
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