Know Your Customer (KYC)
Your Information

Customer Legal Name:

{{Customer_legal_name}}

DBA/Trade Name(s):

{{dba}}

Type Of Bussiness:

{{business_type}}

Federal Tax ID No. (FEIN) or foreign business license number:

{{Federal_tax_id}}

Physical Headquarters Address:

{{Physical_headquarter_address}}

Billing Address(if different):

{{Billing_address}}

Website address:

{{website_address}}

Social Media addresses:

{{Social_media}}
Your Contacts
Description Contact Detail Information
Billing Contact Name {{billing_name}}
Billing Contact Email {{billing_email}}
Billing Contact Phone {{billing_phone}}
Compliance Contact Name {{Compliance_name}}
Compliance Contact Email {{Compliance_email}}
Compliance Contact Phone {{Compliance_phone}}
Operations Contact Name {{Operations_name}}
Operations Contact Email {{Operations_email}}
Operations Contact Phone {{Operations_phone}}
Your Services

{{voice}}

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:-{{data.value=='0' || data.value=='' ?'N/A' :'Yes'}}

{{data.question_description}}

:-{{data.value}}

:-{{data.value}}

{{message}}

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:-{{data.value}}

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:-{{data.value}}

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Signature & Certification
The undersigned certifies that s/he is an officer of the Customer, as applicable, with authority to enter into Agreements on behalf of Customer, represents and warrants that the information contained within this document is truthful and accurate and further agrees to the Signalmash Terms & Conditions Of Service and Acceptable Use Policy.
The undersigned further certifies that the Customer has knowledge of the U.S. laws prohibiting the generation and transmission of illegal, harassing or otherwise unwanted voice calls, including but not limited to the Telephone Consumer Protection Act, Truth in Caller ID Act, Telemarketing Sales Rule, Wire Fraud Statutes and the CAN-SPAM Act. The undersigned hereby confirms that Customer complies with these laws and consents to disclosure by Signalmash, at Signalmash® sole discretion, of the details contained within this document along with any other requested Customer information in response to any inquires regarding potential conduct violations related to customers use of Signalmash services.
Signalmash also reserves the right to randomly record segments of originating and terminating calls from the Signalmash’s platform in order to insure lawful use. Signalmash will never use this data unless required by law enforcement. Please see Privacy Policy to learn how Signamash protects your data.
I verify that I am authorized to legally bind the Customer by my Signature.
Name :- {{kycSignatureName}}
Title :- {{kycSignatureTitle}}
Signature :-
Date :- {{kycDate | date:'yyyy-MM-dd'}}
       

Account Status :- {{show_kyc_status}}