Pre-capture Application Form for Partners

Step 1 of 5

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Partner email

Sales representative

Name*

First name Last name

Sales representative email*

Phone number*

Business structure

Country of incorporation

Type of business*

Company business structure*

Non-profit business structure*

Registration number

Business information

Legal business name

Business trading name

VAT number

Business tax number

Registered business address

Country

Address line 1

Address line 2

City

County

Postal code

Date of incorporation

Required for Company or Non-Profit

How long have they been in business for?

Required for "Sole Trader"

Business phone number

Estimated monthly processing volume with Truevo (in euro)

Industry

Sub industry

Describe what they sell in a sentence or two

Business owners - add an individual/s

Number of business owners

Business owner 1

Name

First name Last name

Home address

Country

Address line 1

Address line 2

City

County

Postal code

Date of birth

Country of birth

Identity type

ID / passport number

ID / passport expiry date

Is this individual a Politically Exposed Person?

Yes

Do they know a Politically Exposed Person?

Yes

Percentage of ownership

Please enter a number from 1 to 100.

Percentage of ownership across all owners cannot exceed 100%.

Business owner 2

Name

First name Last name

Home address

Country

Address line 1

Address line 2

City

County

Postal code

Date of birth

Country of birth

Identity type

ID / passport number

ID / passport expiry date

Is this individual a Politically Exposed Person?

Yes

Do they know a Politically Exposed Person?

Yes

Percentage of ownership

Please enter a number from 1 to 100.

Percentage of ownership across all owners cannot exceed 100%.

Business owner 3

Name

First name Last name

Home address

Country

Address line 1

Address line 2

City

County

Postal code

Date of birth

Country of birth

Identity type

ID / passport number

ID / passport expiry date

Is this individual a Politically Exposed Person?

Yes

Do they know a Politically Exposed Person?

Yes

Percentage of ownership

Please enter a number from 1 to 100.

Percentage of ownership across all owners cannot exceed 100%.

Business owner 4

Name

First name Last name

Home address

Country

Address line 1

Address line 2

City

County

Postal code

Date of birth

Country of birth

Identity type

ID / passport number

ID / passport expiry date

Is this individual a Politically Exposed Person?

Yes

Do they know a Politically Exposed Person?

Yes

Percentage of ownership

Please enter a number from 1 to 100.

Percentage of ownership across all owners cannot exceed 100%.

Business owners - add a business

Business name

Business registration number

Country of incorporation

Date of incorporation

Percentage of ownership

Please enter a number from 1 to 100.

Percentage of ownership across all owners cannot exceed 100%.

Is a Trust involved in the company structure?

Yes

Business Directors

Number of Directors

Director 1

Name

First name Last name

Home address

Country

Address line 1

Address line 2

City

County

Postal code

Date of birth

Country of birth

Nationality

ID / passport number

Is this individual a Politically Exposed Person?

Yes

Do they know a Policially Exposed Person?

Yes

Director 2

Name

First name Last name

Home address

Country

Address line 1

Address line 2

City

County

Postal code

Date of birth

Country of birth

Nationality

ID / passport number

Is this individual a Politically Exposed Person?

Yes

Do they know a Policially Exposed Person?

Yes

Director 3

Name

First name Last name

Home address

Country

Address line 1

Address line 2

City

County

Postal code

Date of birth

Country of birth

Nationality

ID / passport number

Is this individual a Politically Exposed Person?

Yes

Do they know a Policially Exposed Person?

Yes

Director 4

Name

First name Last name

Home address

Country

Address line 1

Address line 2

City

County

Postal code

Date of birth

Country of birth

Nationality

ID / passport number

Is this individual a Politically Exposed Person?

Yes

Do they know a Policially Exposed Person?

Yes

Business signatory

Number of signatories

Signatory 1

Name

First name Last name

Home address

Country

Address line 1

Address line 2

County

Postal code

Date of birth

Country of birth

Identity type

ID / passport number

ID / passport expiry date

Is this individual a Politically Exposed Person?

Yes

Do they know a Politically Exposed Person?

Yes

Signatory 2

Name

First name Last name

Home address

Country

Address line 1

Address line 2

County

Postal code

Date of birth

Country of birth

Identity type

ID / passport number

ID / passport expiry date

Is this individual a Politically Exposed Person?

Yes

Do they know a Politically Exposed Person?

Yes

Signatory 3

Name

First name Last name

Home address

Country

Address line 1

Address line 2

County

Postal code

Date of birth

Country of birth

Identity type

ID / passport number

ID / passport expiry date

Is this individual a Politically Exposed Person?

Yes

Do they know a Politically Exposed Person?

Yes

Signatory 4

Name

First name Last name

Home address

Country

Address line 1

Address line 2

County

Postal code

Date of birth

Country of birth

Identity type

ID / passport number

ID / passport expiry date

Is this individual a Politically Exposed Person?

Yes

Do they know a Politically Exposed Person?

Yes

Business contact

Main contact email address

This is the individual who will act as the main contact person between the business and Truevo.

Statements email address

Specify which email address we should send settlement statements to.

Bank details

Country

Beneficiary name

First name Last name

Type of bank details

IBAN

If relevant

Account number

Sort code

SWIFT code

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Summary

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I confirm that all information provided is correct

Yes

Pricing & processing conditions

Please submit the proposed pricing for this merchant. Please note that the rates are subject to Truevo's review and approval. If Truevo require any changes to the fees being proposed, you will be contacted by your Account Manager. Our default processing conditions with Ecommerce merchants is a rolling reserve of 10% for 180 days and 3DSecure set to mandatory. If you have discussed any processing condition with the merchant that are different from our default, please submit these conditions, so we can consider them.

Is high or low pricing required for this merchant?

Required pricing model

What currency applies to the rates below?

Products selected*

eComm

In-App

MOTO

OCT