XMC KYC
Know Your Client(KYC) Application Form

Please fill this form in English and in BLOCK LETTERS.

Email address *
A. Individual
1.Name of Application (As appearing in supporting and identification document) *
2a. Gender
2b. Marital Status
2c. Date of Birth
MM
/
DD
/
YYYY
3. Nationality *
4. Passport No. *
5. Address for Correspondence
6.City / Town Postal Code
7.Contact Details(Tel.) *
8. Contact Details(E-mail)
9.Proof of Address (Please affix your address proof in last three months)
B. Institution
1.Name of Institution (As appearing in supporting identification document)
2.Address for registration
3.Contact Details (Tel.)
4.Contact Details (E-mail)
5.Proof of Registration
6.Investment Amount
C. Documents
Please affix a recent passport size photograph and copy of your passport *
Required
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