Application for a WebMoney Transfer Verified Passport for corporate users
WM-ID: __ __ __ __ __ __ __ __ __ __ __ __
Registered company name: ____________________________________________________________________________________________
Country/City of registration: ____________________________________________________________________________________________
Date formed (MM/DD/YYYY): ________________________________ Company registration number: _________________________________
Full name(s) of executive director(s): _____________________________________________________________________________________
Street: ______________________________________________________________ State//District: __________________________________
Zip/Postal Code: _____________________________ Country/City: ____________________________________________________________
Actual business (operation) address
Street: _____________________________________________________ State//District: __________________________________________
Zip/Postal Code: _____________________________________________ Country/City: ___________________________________________
Personal email address:_____________________________________________WWW: ___________________________________________
Position/title within the company: _______________________________________________________________________________________
Last Name: _______________________________ First Name: ____________________________ Middle Name: ______________________
ID Type: __________________________________ ID Number: _____________________________________________________________
Issued by: ________________________________________________________________________________________________________
Place of issue (Country/City): _______________________________________ Date of issue (MM/DD/YYYY): _________________________
Nationality: _____________________________________ Date of Birth (MM/DD/YYYY): __________________________________________
Place of Birth (Country/City): __________________________________________________________________________________________
I am requesting the operator of WebMoney Transfer System (WM Transfer Ltd.) to accept my personal data for certification and authorize me as a
legal holder of WebMoney Transfer _________________________________ Passport.
Personal or Initial
I hereby confirm that all documents, compiled online using my WebMoney Transfer Identifier (WMID) as well as agreements and procedures,
accepted online are acknowledged by me as if I was compiling on paper and signing them with my own handwritten signature.
I hereby confirm that all documents, composed by me in electronic format/online using my WMID by means of WebMoney Transfer system, as well
as all other rules and procedures of the System, formed online are acknowledged and accepted by me as if they were created and signed by him in
person and on paper.
I hereby acknowledge that all actions, performed by me via WebMoney Transfer tools and recorded/registered online with my WMID serve as
expression of my own intentions and declaration of my will to establish, change or terminate my legal relationship when performing an activity. Such
actions can be as well used to confirm/verify the activities, performed online in front of a court or when solving disputes by means of arbitration in
order to confirm their validity and legal power.
My signature: _____________________________
Date: ____/ ____/200___