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Onboarding Form
Luminary Crypto-Backed Loan Application
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Contact Information
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1.
Name
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2.
Surname
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3.
Address
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4.
Country of Birth
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5.
Job Tittle
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6.
Reason for Loan Request
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7.
Government ID or Passport Number
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8.
Social Security or National Insurance Number
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6.
Is the Applicant or any of its Shareholders or directors a politically exposed person ("PEP")?
A
Yes
B
No
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Financial Information
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1.
Source of Wealth
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2.
Crypto Wallet Address
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Disclaimers
1.
No Guarantee of Loan Approval
Submission of this KYC Form does not constitute an offer or guarantee by the Luminary Digital s.r.o. to issue a loan or continue any communications with you. Luminary Digital s.r.o. reserves the absolute discretion to approve or reject any loan request.
2.
Accuracy and Truthfulness of Information
By submitting this form, the applicant(s) confirms that all information provided is true, complete, and accurate to the best of their knowledge. Submission of false or misleading information may result in the immediate rejection of any application and possible reporting to relevant authorities.
3.
No Fiduciary or Advisory Relationship
The applicant(s) acknowledges that Luminary Digital s.r.o. is not acting as a financial adviser, fiduciary, or agent and has not provided any financial, tax, or legal advice. Applicants must make independent assessments of the risks and obligations associated with borrowing against digital assets.
4.
Data Processing and Retention
The applicant(s) consents to the processing and storage of their personal data in accordance with applicable data protection laws, solely for the purpose of compliance checks and administration. [COMPANY NAME] may share information with regulatory or law enforcement bodies if required.
I confirm that I have read, understood, and agreed to the above disclaimers.
I Consent
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