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Merchant Application Form

Merchant Application Form

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cheezeepay
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20 views

Merchant Application Form

Merchant Application Form

Uploaded by

cheezeepay
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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MERCHANT APPLICATION FORM

COMPLETE SECTIONS [A – D]
Instructions:
1. All fields with asterisk (*) are COMPULSORY .
2. Complete every part of this form in BLOCK letters.
3. Complete and submit a copy of this Form.
SECTION A:
*Client’s Business Name:
*Business Registration/Incorporation Number: License Number (If Applicable):
*Office Address:
*Brief Description of Merchant Business Activity:

SECTION B: PRINCIPALS INFORMATION


1. *First Contact Pers on Name: *Email address
*Social Tools Contact
Information
Mobile phone no:
2. Second Contact Person Name: Email address
Social Tools Contact
Information
*Mobile phone no:

SECTION C: Activate products

Area Payment Yes or No


India P2P Payment
Fast Payment
Indonesia Va

Qris

E-Wallet...
Thailand Bank Transfer,QR

QR Pay

Brazil PIX

SECTION D: E-COMMERCE WEBSITE INFORMATION


*Website Name/URL:

*Does the client have KYC?:

s*If there is a complaint order, what KYC documents of the customer can be provided to us?:
*If the user recharges money by someone other than himself, do you accept such funds?

*If the user's recharge amount is inconsistent with the order amount, do you need to refund or modify the order amount to make
the order successful and notify you

1
©2023

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