Individual Account Registration

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*
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*
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*
Employment Status*
Occupation*
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*
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)

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*
Consent*
I agree to the privacy policy.

Step 1 of 4

Individual Account Registration

Permanent Address

US Residents

UK Residents

Bank Information

Intermediary Bank Information

Documents Upload

Personal Information Collection Statement & Privacy Policy

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