Welcome
Business Type
Basic Business Info
Business Profile
AptPay Services
Transaction Info
Auto Billing
KYC Verification Process
Ownership Info
Personnel
Consent
Signatories
Summary
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Welcome

Next: Business Type

Business Application

Welcome!

Below is a guideline of common documents you will need to provide to complete AptPay’s Merchant Application Form. Depending on your specific profile, document requirements may vary. If you’re unsure of what a document is or why it’s needed, please reach out to AptPay and we will be happy to assist.


Confirming identity

  • Business registration number, location and date of registration
  • Names of authorized personnel
  • Name and occupations of your company’s directors
  • Names and identification information of your company’s ultimate beneficial ownership
  • Names and identification information of those who sign the form

Required documents

  • Identification of signatories (Driver’s License or Passport)
  • Copy of void cheque/check or bank statement

Other documents that may be required

  • Business registration or articles of incorporation
  • Recent company financials
  • KYC policies and procedures
  • Fraud policies outlining fraud mitigation tools and processes

Gaming and or gambling industry operators may need to provide

  • Copy of current/active regulatory license
  • Age verification certification
  • Certification of geofencing system verification
  • Anti-Money Laundering Program, including your company’s OFAC sanctions program
  • Copy of most recent independent review of AML regulatory requirements

To navigate the form, please use either the form progress on the left of your screen or the form back or next buttons and not your browser back or forward buttons.


Business Type

Is your business a merchant, a SubISO or both? - Select all that apply

Business Information

Add the business's basic information

Business's Legal Name*
DBA Name
Email*

Add the business's address info

Country*
Address*
Apartment, suite, etc.
State / Province*
City*
Zip/Postal Code*

Add the business's contact info

Website Address/URL
Phone Number*
Contact First Name*
Contact Last Name*
Contact Phone*
Contact Email Address*

Business Profile

Where is the business registered?

Country*
State/Province*

Enter the business's profile information

Business Registration Number or Tax ID (EIN)*
Nature of Business*
Business Structure*
Please upload a copy of your business registration or articles of incorporation here (optional)

When was the business registered?

Year*
Month*
Day*

AptPay Products

Select how you would like to interface with our services - Select one

AptPay Services

Select which AptPay services you would like to use - Select all that apply

Apt-X Transactions

Enter the merchant's cross border transaction information

Purpose of Payments*
Annual Volume ($) of Transactions*
Average Transaction ($) Size*
Expected Currencies - Select all that apply*
Expected Countries Sending To - Select all that apply*

Cross Border Authorized Personnel

Add Personnel

List the person(s) who are authorized to trade and make international payments on behalf of the company and submit or modify beneficiary instructions.

First Name Last Name
No Data Available

The Applicant authorizes AptPay to open an account for foreign currency exchange and global payment services and to accept and rely on all orders and insturctions (whether oral, written or electronic) from anyone whom AptPay reasonably believes is an Authorized Representative of the Applicant. The Applicant authorizes the individual(s) listed above to provide AptPay with any information necessary to assist in its dealings with AptPay.

The Applicant certifies that: (1) it will be acting as principal, for and on its own behalf, and not on behalf of third party; (2) the information set out in this Form is correct, accurate and complete and will promptly notify AptPay of any change; and (3) the individuals signing this Form below have the requisite authority to bind the Applicant. the Applicant certifies that it has read, understood and agrees to the Terms and Conditions and Privacy Policy of AptPay.

Personnel Information

List the person(s) who are authorized to trade and make international payments on behalf of the company and submit or modify beneficiary instructions.

Enter the person's name

First Name*
Last Name*

Enter the person's date of birth

Year*
Month*
Day*

Enter the person's address

Country *
Address Line 1 *
Address Line 2
State/Province *
City *
Postal Code *

Enter the person's job title

Job Title*

API Compliance Form

The Payment Card Industry Data Security Standard (PCI DSS) is an IT security standard for organizations that are involved in handling credit cards and their associated data. While administered by the Payment Card Industry Security Standards Council, the PCI Standard is mandated by the card brands, with the aim to tighten controls around cardholder data and reduce credit card fraud.

Please indicate your organizations PCI compliance level

Organizations must provide the appropriate documentation per their PCI compliance level or can opt to utilize AptPay’s free PCI-Scope Reduction Service (Tokenization). If tokenization is selected, organizations must provide an end to end walk-through showing the service has been implemented along with completing testing requirements.

Would you like to provide us documentation for your organizations PCI Complicance Level i, or would you our PCI-Scope Reduction Service? i

PCI Compliance requires organizations to implement fraud mitigation tools and processes.

Would you like to provide a copy of your fraud policies outlining your organization’s fraud mitigation tools and processes, or would you like to attest confirmation that your organization has fraud mitigation tools and processes in place:

Transaction Information

Add the business's transaction information

Currency*
Average Number of Transactions per Day*
Average ($) Volume per day*
Maximum Transaction Size ($)*
Transaction Type - Select All That Apply*
Is your organization a gaming and/or gambling operation?*

The Statement Descriptor is 4 to 10 alpha numeric characters in length, must have at least one letter and cannot be special characters and should reflect the DBA name. The Statement Descriptor will appear on the payees card/bank statements.

Statement Descriptor

Please describe the type of Transactions you are planning on doing. For multiple use cases please define those here:

Transaction Description*

Gambling and Gaming Compliance

Gambling and Gaming (G&G) industry operators must fulfil specific obligations as required by various anti-money laundering regulations, to help combat money laundering and terrorist activity financing. G&G operators wishing to utilize AptPay’s services must provide the following documentation and/or information in order to utilize AptPay’s products and services.

Can you provide a copy of current/active regulatory licensing where gambling operations are conducted.

Can you provide a copy of third party certification of age verification.

Can you provide a copy of third party certification of geofencing systems verification.

Can you provide a copy of AML program*.

Confirmation the organization has an OFAC or sanctions program in place that includes the escalation process if an OFAC or sanction hit occurs.

Can you provide a copy of most recent independent review of AML regulatory requirements or confirmation the review is available for inspection at AptPay’s request. Copy should include findings have been mitigated.

Auto Billing

The Applicant hereby authorizes AptPay to debit the below bank account for billing purposes

Bank Code*
Name on Account*
Routing/Transit Number*
Account Number*
Provide a void cheque/check or bank letter/statement*

Important Merchant Responsibilities

Ensure compliance with:

  • Cardholder data security and storage Requirements
  • Review and understand AptPay terms, conditions and agreements
  • Comply with card association operating regulations and payment regulatory bodies

Consent to Collection, Use and/or Disclosure of information


The Applicant agrees that AptPay may collect, use and disclose information (including personal information) as described in our Privacy Policy located at Privacy Policy including to identify the Applicant or any of the individual persons listed in this Application, to provide ongoing Services (as defined in the Master Services Agreement), to protect both AptPay and Applicant from fraud or error, to comply with legal or regulatory requirements and to market other services to you.


The Applicant certifies that: (1) it will be acting as principal, on its own behalf and not on behalf of any third party and (2) the information set out in this Application is correct, accurate and complete and that the Applicant will notify AptPay of any changes to information in this Application within 7 days of such changes.

By signing, the Applicant certifies it has read, understood and agrees to the AptPay Master Services Agreement (including the Statement of Work) and the Privacy Policy. Each person whose information is on this Application consents to allow AptPay to obtain credit, financial and related personal or business information (including a credit information-report) about them from any credit bureau or credit reporting agency in connection with the Application. The Applicant warrants that the individual signatories are authorized to sign the Application on behalf of the Applicant

KYC Verification Process

Choose your KYC Verification options

Applicant confirms they will be conducting all payee identification and verification processing (KYC/KYB)

KYC Verification Compliance

FinTRAC and FinCEN AML compliance regulations require the collection and recording of certain information about individuals and businesses utilizing Pre-Paid Cards, Push to Card (Credit/Debit), General Purpose Reloadable Cards and EFT, and in some circumstances, verify specific pieces of the information provided. When conducting Customer Due Diligence (CDD) during the onboarding process, the following information must be confirmed about the individual or entity utilizing the disbursement service:

  • That they exist;
  • That they are age of majority;
  • That they are located in an area permitted for the requisite service;
  • That they are who they say they are.

Do you have KYC Policies and Procedures you can provide to us?*
Please provide name of the KYC verification vendor tool utlizied or describe your KYC verification process*
Please list the KYC identifcation information collected from your customers (name, address, date of birth, etc.)*
How long does your organization maintain identification and verification information?*
I/we confirm that the identification and verification information can be provided to AptPay within 15 days of the request to meet regulatory requirements.*

Ownership Information

Beneficial Ownership

Is this a publicly traded company?
Does any one individual own or control 25% or more of the business/entity

Personnel

Add Personnel

Authorized Personnel

List the person(s) who are authorized to submit or modify information and instructions to AptPay.

First Name Last Name
No Data Available

Directors

A member of the board elected or appointed to oversee the affairs of the business

First Name Last Name
No Data Available

Owners

List all individuals and businesses who, directly or indirectly, own or control 25% or more of the business/entity

First Name Last Name
No Data Available

Personnel Information

Select which personnel type this person is - Select all that apply

Authorized Personnel
Owner
Director

Enter the person's name

First Name*
Last Name*

Signatories

Add Signatory

Signatories

First Name Last Name
No Data Available

Signatory Information

Enter the person's name

First Name*
Last Name*

Enter the person's date of birth

Year*
Month*
Day*

Enter the person's address

Country *
Address Line 1 *
Address Line 2
State/Province *
City *
Postal Code *

Enter the person's job title

Job Title*

Enter the person's social security number (US ONLY)

SSN (US ONLY)

Please sign below

Signature

Add the signatory's Government Issued Drivers License or Passport

Front of Document*
Back of Document (required for drivers license)

Summary

Please review all of the following information and make any necessary corrections before submitting the form.

Business Type

Business Type

Basic Business Info

Business's Legal Name*

DBA Name

Email*

Address*

Apartment, suite, etc.

City*

Zip/Postal Code*

State / Province*

Country*

Website Address/URL

Phone Number*

Contact First Name*

Contact Last Name*

Contact Phone*

Contact Email Address

Business Profile

Country

State/Province

Business Number or Tax ID (EIN)

Nature of Business

Business Structure

Business Registration Document

Registration Date

AptPay Product and Services

Product

Services

Auto Billing

Bank Code

Account Name

Routing/Transit Number

Account Number

Void Check

Transaction Information

Currency

Average Number of Transactions per Day

Average ($) Volume per day

Maximum Transaction Size ($)

Transaction Type

Statement Descriptor

Transaction Description

Gambling

Are you a gaming and/or gambling operation?

KYC Verification

Conducts KYC

Ownership Information

Publicly Traded

Consent

Third Party Confirmation

Yes

Subscribed for Updates

Information Collection, Use and Disclosure Consent

Yes

Application Certification

Yes

Authorized Personnel

Directors

Owners

Signatories