Registration form for corporate clients

Contact details

Company name *

Email address *

Phone number *

Prefix	Number

Where did you hear about us?

Name of the conference (other)

Name of the conference *

Name of the social media (other)

Name of the social media *

Name of the referral (other)

Name of the referral *

Where did you hear about us? (other)

Please specify *

Is the information in this form for the renewal of your existing account with Guru Pay? *

Acceptance

By ticking this box, I confirm that I have read the Privacy notice and I hereby give my consent to UAB Guru Pay to process the specified contact data for direct marketing purposes.

General company details

Company legal form *

Registration number *

Registered business country *

Restricted countries and industries list

Registered business city *

Registered business street and number *

Registered business postcode *

Registration date *

Country of tax residence *

Restricted countries and industries list

Tax Identification Number *

Tax identification number or TIN - is a unique number set for individuals and companies for tax purposes. Please find more information on TIN here.

Is company’s actual address different than registration address? *

Actual business country *

Actual business city *

Actual business street and number *

Actual business postcode *

Website

NACE code for main activity *

Industry for main activity *

Detailed description of business activity *

Does your business activity require licence? *

License

Please provide an internet website to verify your business license online *

Would you like to use Fast Onboarding? *

Fast Onboarding takes up to 2 business days, additional fees apply.

Comments

Advanced company details

Contact person

Company's contact person is same as a Signatory *

Details *

First name

Last name

Relation to the company

Phone number

Prefix	Number

Email address

Signatory

Signatory list *

Please note that signatory is regarded as the person having the authorization to represent company at Guru Pay, sign documents, execute transactions and confirm additional users.

First name *

Last name *

Citizenship *

Personal code (if not applicable - Date of Birth) *

Passport/ID card number *

Country of residence *

Restricted countries and industries list

Country of tax residence *

Restricted countries and industries list

Tax Identification Number *

Tax identification number or TIN - is a unique number set for individuals and companies for tax purposes. Please find more information on TIN here.

Are you PEP or relative to PEP? *

Politically Exposed Person or PEP - an individual who is entrusted with prominent public functions and immediate family members or persons known to be close associates of such person. Prominent public functions shall mean the following functions in the Republic of Lithuania, the European Union and international or foreign state institutions: 1) heads of State, heads of government, ministers, vice-ministers or deputy ministers, secretaries of State and chancellors of parliament, government or ministry; 2) members of parliament; 3) members of supreme courts, of constitutional courts or of other high-level judicial bodies whose decisions are not subject to further appeal; 4) mayors of municipalities, directors of municipal administrations; 5) members of the management bodies of supreme audit and control institutions or chairs of the boards of central banks, deputy chairs or board members; 6) ambassadors, chargés d'affaires, envoys extraordinary and ministers plenipotentiary or high-ranking officers in the armed forces; 7) members of the management or supervisory bodies of state enterprises, public limited liability companies and private limited liability companies whose shares or a part of shares carrying more than 1⁄2 of all the votes at the general meeting of shareholders of these companies are held by the right of ownership by the State; 8) members of the management or supervisory bodies of municipal enterprises, public limited liability companies and private limited liability companies whose shares or a part of shares carrying more than 1⁄2 of all the votes at the general meeting of shareholders of these companies are held by the right of ownership by municipalities and which are considered to be large undertakings under the Law of the Republic of Lithuania on Financial Reporting by Undertakings; 9) heads and deputy heads of international intergovernmental organisations and members of their management or supervisory bodies; 10) heads and deputy heads of political parties and members of their management bodies.

Are you US citizen or US tax resident? *

Phone number *

Prefix	Number

Email address *

First name *

Last name *

Citizenship *

Personal code (if not applicable - Date of Birth) *

Passport/ID card number *

Country of residence *

Restricted countries and industries list

Country of tax residence *

Restricted countries and industries list

Tax Identification Number *

Tax identification number or TIN - is a unique number set for individuals and companies for tax purposes. Please find more information on TIN here.

Are you PEP or relative to PEP? *

Are you US citizen or US tax resident? *

Phone number *

Prefix	Number

Email address *

+ Add additional Signatory

Director

Director list *

1	First name * Last name * Citizenship * Personal code (if not applicable - Date of Birth) *
1	First name * Last name * Citizenship * Personal code (if not applicable - Date of Birth) *

+ Add additional Director

Ultimate Beneficial Owner

Ultimate Beneficial Owner list *

First name *

Last name *

Citizenship *

Personal code (if not applicable - Date of Birth) *

Passport/ID card number *

Country of residence *

Restricted countries and industries list

Residential city *

Residential street and number *

Residential postcode *

Country of tax residence *

Restricted countries and industries list

Tax Identification Number *

Tax identification number or TIN - is a unique number set for individuals and companies for tax purposes. Please find more information on TIN here.

Are you PEP or relative to PEP? *

Are you US citizen or US tax resident? *

Occupation *

Current employer

Source of income *

The source of funds refers to the origin of the particular funds or other assets which are the subject of the Business Relationship or Occasional Transaction.

Source of income (other)

Other *

Source of wealth *

The source of wealth refers to the origin of the person’s entire body of wealth (i.e., total assets). This information will usually give an indication as to the volume of wealth the Customer would be expected to have, and a picture of how they acquired such wealth.

Source of wealth (other)

Other *

Phone number *

Prefix	Number

Email address *

First name *

Last name *

Citizenship *

Personal code (if not applicable - Date of Birth) *

Passport/ID card number *

Country of residence *

Restricted countries and industries list

Residential city *

Residential street and number *

Residential postcode *

Country of tax residence *

Restricted countries and industries list

Tax Identification Number *

Tax identification number or TIN - is a unique number set for individuals and companies for tax purposes. Please find more information on TIN here.

Are you PEP or relative to PEP? *

Are you US citizen or US tax resident? *

Occupation *

Current employer

Source of income *

The source of funds refers to the origin of the particular funds or other assets which are the subject of the Business Relationship or Occasional Transaction.

Source of income (other)

Other *

Source of wealth *

Source of wealth (other)

Other *

Phone number *

Prefix	Number

Email address *

+ Add additional UBO

Supporting documents

Certificate of Incorporation or Extract from Business Register, issued within the past 3 months *

Maximum file size: 10 MB

File name:

File size:

Memorandum and Articles of Association *

Maximum file size: 10 MB

File name:

File size:

Official list of directors, if not indicated in the Business Register

Maximum file size: 10 MB

File name:

File size:

Documents confirming the beneficial ownership (e.g. annual report, share certificate, etc.) *

Maximum file size: 10 MB

File name:

File size:

Group chart (if any), signed by the company's director

Maximum file size: 10 MB

File name:

File size:

Information

Please note that Guru Pay reserves a right to ask for additional documents not indicated above.
Please note the documents provided must be in English or Lithuanian languages.

Acceptances

Information

In accordance to the legislation of the Republic of Lithuania and Directive (EU) 2018/843 of the European Parliament and of the Council regarding prevention of money laundering and terrorist financing, financial institutions are required to collect accurate and up-to-date information about the customer, beneficial owner, purpose and intended nature of the business relationship.

Acceptance *

Check here to confirm that the information you provide in this form is accurate and up-to-date.

Acceptance *

Check here to indicate that you have read and agree to Guru Pay Terms and Conditions and Privacy policy.

1	Partner's name * Line of business (website address, business description) *
1	Partner's name * Line of business (website address, business description) *