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Your Business Details
Merchant Name
(Required)
Company Legal Entity
(Required)
Company Trading Name (if different)
(Required)
Country your business is incorporated in
(Required)
Argentina
Austria
Australia
Belgium
Canada
China
Denmark
Fiji
Finland
France
Germany
Greece
Grenada
Hong Kong
India
Indonesia
Italy
Japan
Korea, Republic of
Malaysia
Netherlands
New Zealand
Norfolk Island
Norway
Philippines
Poland
Portugal
Singapore
South Africa
Spain
Sri Lanka
Sweden
Switzerland
United Kingdom
United States
Other
If 'other' Please state which country your business is incorporated in
(Required)
Date of incorporation
(Required)
Day
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Month
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Year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
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1930
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1928
1927
1926
1925
1924
1923
1922
1921
1920
The website URL you will be using
Domicile
(Required)
Year established
(Required)
Please enter a number less than or equal to
9999
.
Is your bank account in the same name as the company?
(Required)
Yes
No
Please confirm what type of entity your business is registered as
(Required)
Sole Trader
Partnership
Limited Company
Trust
Association
Not for Profit
How many years of audited financial statements do you have available?
(Required)
2 years
1 year
None
I'm a start up
Can you provide other forms of financial statements?
(Required)
Yes
No
What type of financial statement can you provide?
(Required)
Is your business currently taking payments online?
(Required)
Yes
No
if yes, which eCommerce platform are you using?
(Required)
Shopify
WooCommerce
Magneto
Other
If 'other' please specify which eCommerce platform you are using
(Required)
Who is your current payment solutions provider?
(Required)
What is your current pricing?
(Required)
Please provide a brief description of your main business activities
(Required)
Business Information
Business Model (e.g. Online Only)
(Required)
What payment types would you like to accept?
(Required)
Visa
Mastercard
AMEX
Diners
JCB
Please indicated your estimated total annual revenue (past 12 months for
Credit Card - Annual TTV
(Required)
Debit Card - Annual TTV
(Required)
Total - Annual TTV
(Required)
Average monthly transaction value
(Required)
Average number of orders placed each month
(Required)
Average value of each order placement
(Required)
Please provide a projected percentage breakdown of card transactions if known
Classic / Gold Cards (%)
Platinum / Premium Cards (%)
Foreign Cards (%)
Domestic Cards (%)
Preferred transaction currencies
(Required)
AED UAE Dirham UNITED ARAB EMIRATES
AUD Australian Dollar AUSTRALIA
BND Brunei Dollar BRUNEI DARUSSALAM
BRL Brazalian Real BRAZIL
CAD Canadian Dollar CANADA
CHF Swiss Franc SWITZERLAND
CNY Yuan Renminbi CHINA
COP Colombian Peso COLOMBIA
CZK Czech Koruna CZECH REPUBLIC
DKK Danish Krone DENMARK
EGP Egyptian Pound EGYPT
EUR Euro Euro Member Countries
FJD Fiji Dollar FIJI
GBP Pound Sterling UNITED KINGDOM
HKD Hong Kong Dollar HONG KONG
HUF Forint HUNGRY
IDR Rupiah INDONESIA
ILS New Israeli Sheqel ISRAEL
INR Indian Rupee INDIA
IQD Iraqi Dinar IRAQ
IRR Iranian Rial IRAN, ISLAMIC REPUBLIC OF
ISK Iceland Krona ICELAND
JPY Yen JAPAN
KRW Won KOREA, REPUBLIC OF
KWD Kuwaiti Dinar KUWAIT
LAK Kip LAO PEOPLE'S DEMOCRATIC REPUBLIC
LKR Sri Lanka Rupee SRI LANKA
MOP Pataca MACAO
MXN Mexican Peso MEXICO
MYR Malaysian Rinngit MALAYSIA
NGN Naira NIGERIA
NOK Norwegian Krone NORWAY
NZD New Zealand Dollar NEW ZEALAND
PHP Philippine Peso PHILIPPINES
PKR Pakistan Rupee PAKISTAN
PLN Zloty POLAND
QAR Qatari Rial QATAR
RUB Russian Ruble RUSSIAN FEDERATION
SAR Saudi Riyal SAUDI ARABIA
SCR Seychelles Rupee SEYCHELLES
SEK Swedish Krona SWEDEN
SGD Singapore Dollar SINGAPORE
THB Baht THAILAND
TRY Turish Lira TURKEY
TWD New Taiwan Dollar TAIWAN, PROVINCE OF CHINA
USD US Dollar UNITED STATES
VND Dong VIET NAM
ZAR Rand SOUTH AFRICA
Preferred settlement currencies
(Required)
AUD Australian Dollar AUSTRALIA
CAD Canadian Dollar CANADA
EUR Euro Euro Member Countries
GBP Pound Sterling UNITED KINGDOM
HKD Hong Kong Dollar HONG KONG
MYR Malaysian Rinngit MALAYSIA
NZD New Zealand Dollar NEW ZEALAND
SGD Singapore Dollar SINGAPORE
USD US Dollar UNITED STATES
Other / Not Sure
If 'other' please specify which settlement currency
(Required)
Which products are you interested in?
(Required)
Virtual Terminal
eCommerce Payments
Recurring Payments
Does you business sell products on a subscription basis? / We require the ability to offer subscription payments
(Required)
Yes
No
Online Sales
Total last 12 months
Number of transactions
Forecast for the next 12 months
(Required)
Chargebacks
Total last 12 months
(Required)
Number of transactions
(Required)
Forecast for the next 12 months
(Required)
Refunds
Total last 12 months
(Required)
Number of transactions
(Required)
Forecast for the next 12 months
(Required)
What is the split between domestic orders & international orders? e.g. 70% within Singapore v 30% outside Singapore
Domestic Orders (%)
(Required)
International Orders (%)
(Required)
Is there any other relevant information that you would like to share with us?
(Required)
