Individual Application

By submitting the form below I hereby certify to Abaku Capital Inc. (ACI) that I’m not involved in money laundering, terrorist financing, and/or any other criminal activities

I understand that ACI will be relying on the accuracy of the above certification and I represent, warrant and covenant to ACI that the above statements are complete and accurate

Please complete the form below

PERSONAL INFORMATION

Legal Name

The full name as it appears on your bank account(s)

First Name

Last Name

Email Address

Phone Number

Country

(###)

###

####

Address

Must be a physical address. Cannot be a PO box

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Nationality

SSN (American nationals only)

Numbers only. Do not enter dashes

EMPLOYMENT AND SOURCE OF FUNDS

Nature of business

Please provide as much detail as possible

Source of funds

Please explain where and how your funds are generated

DOCUMENTATION

Shared Folder Link

Please provide the link to a folder containing the required documents

http://

Password

If the shared folder is protected via a password (recommended), please provide it here

The documents below will also need to be provided

These documents must be uploaded in digital form to a shared folder system, a link to which must be included in the above form. We accept links for Dropbox, Google Docs, Microsoft OneDrive or any other system that allows public access to the documents

A valid US driver’s license or national passport
A recent utility or other bill displaying residence address, dated within the last six (6) months

If the documents are provided in a language other than English, please provide an English translations along with the originals