Bitfinex KYC Form
Bitfinex KYC Form
counterterroristfinancinglegislation,wearerequiredtoestablishandrecordevidenceofthe
identityandsourceoffundsforallofourClientsbeforeestablishingabusinessrelationship.
BestAMLCTFpracticesrequirethatweimplementongoingmonitoringofallcustomer
transactionsandidentities.Youmaybesubjecttofollowupquestionsandenhancedcustomer
duediligenceproceduresatanytime.Failuretosatisfactorilyaddressanyoutstandingissuesor
questionscanresultin,amongotherthings,terminationofaccesstoyouraccountand
terminationoftheservicestoyou.
Declaration
Iconfirmhavingattachedselfattestedcopiesofcertaindocumentsdemonstratingproofof
identityandproofofaddress.Thedocumentsprovidedarevalidand,inthecaseofidentity
documents,haveavalidityofatleastsixmonths.Theproofofaddressisnotolderthanthree
months.
Idoherebysolemnlydeclarethattheinformationprovidedisuptodateandcorrect.The
documentsprovidedasproofofidentityandproofofaddresshavebeenselfattested.I
authorizeanymemberoftheBitfinexGroupofCompaniestoverifytheinformationprovidedto
confirmitsaccuracy.
Nameofapplicant:
Blockletters,allcaps
Bitfinexusername:
Emailaddress:
ApplicantSignature: Date:
Pleaseprint,sign,andattachthisdocumenttoyourBitfinexaccountusingtheformon
https://www.bitfinex.com/verification/kycorbyemailingtoc [email protected].
Pleasenoticethatnotsigningand/orcompletingthisforminalltheonlinesectionswillresultin
delaysintheverificationprocess.
Notice:CollectionandretentionofdataisinaccordancewiththeBitfinextermsofservice.