BTCShop 高級客戶認證
For the all users who reach the transaction volume over HK$1 million. Customers need to fill out this form.

想了解更多 BTCShop 反黑錢政策可登錄以下網址.
Want to know more BTCShop anti-money policy can be found at the following URL.

基本信息 Basic Information
姓名 Name *
Your answer
手機 Mobile Number *
Your answer
就業信息 Employment
雇主(如果是自僱人士,請描述您的自僱)Employer (If self-employed, please describe your self-employment) *
Your answer
職稱/職務 Title/Position *
Your answer
財務信息 Financials
淨資產 Net worth (please check one) *
流動資產淨值 Liquid net worth *
財富來源 Sources of Wealth *
預計每月交易金額 Expected sum of monthly trade (E.g. HK$ 2mil) *
Your answer
I hereby declare that the details furnished above are true and correct to the best of my knowledge and belief and I undertake to inform you of any changes therein, immediately. In case of any of the above information is found to be false or untrue or misleading or misrepresenting. I am aware that I may be held liable for it. I understand and agree that BTC Shop Hong Kong will collect my information as a measure for preventing money laundering and terrorist financing. I am not doing any trades at BTC Shop Hong Kong with any money laundering, terrorist activities, terrorist financing activities or
any criminal activity, and I will compensate the loss of BTC Shop Hong Kong if in violation of the above activities.

本人謹此聲明,申請表內所提供的的各項資料均屬正確、完備及真實的,如日後作出任何更改將會即時通知BTC Shop Hong Kong。本人清楚及同意BTC Shop Hong Kong將會收集本人的資料作為防止清洗黑錢及恐怖分子融資活動的措施。本人在BTC Shop Hong Kong作出的交易並無跟任何洗黑錢、恐怖活動、恐怖分子融資活動或任何犯罪活動掛鈎,如觸犯上述活動,本人將會對BTC Shop Hong Kong的損失作出賠償。

Date 日期 *
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