Registration Form

Share

About You

Your Personal Information

Are you, as an individual, an Israeli citizen?

I am registering as a:

In what country is your to-be-Currenge-registered main bank account held?

What is the equivalent amount in US dollars of the next transaction that you intend to carry out with Currenge?

Total Transactions Amount

Including this current transaction, is it possible that you have converted or transferred with Currenge more than $50,000 in the last six months?

Instructions - Company

The registration process is performed once. We will authenticate your identity and afterwards you will be able to transact with us. We will ask you to update us with any change in information you provide us, prior to any future transacting with us.

To complete your registration, please provide us copies of:

Contact Person Authentication

  1. A contact person, his/her personal ID document including a picture. Read more
  2. A second such ID document for the contact person, or any utility bill with the contact person's full name and address.

Signatory Authorization

  1. A Signatory Authorization Approval form, or a Board of Directors Resolution, signed legally by the company, allowing the contact person(s) to transact with us on its behalf.

Company Authentication

  1. Company or Firm Documentation. Read more
  2. Bank statement of the company or firm, with no need for balances on it. Read more

Company Declaration

  1. Originally signed company or firm declaration asking for our services.

Import Related, if applicable

  1. A copy of the Israeli Tax Withholding Certificate.
  2. A copy of the import supplier's invoice. Read more

Instructions - Individual

The registration process is performed once. We will authenticate your identity and afterwards you will be able to transact with us. We will ask you to update us with any change in information you provide us, prior to any future transacting with us.

To complete your registration, we will ask for copies of your:

Authentication

  1. ID document including a picture. Read more
  2. Bank statement of yours, with no need for balances on it. Read more

Declaration

  1. Originally signed declaration asking for our services.

Import Related

  1. If applicable, copy of the import supplier's invoice. Read more

Your Personal Information

Personal Contact Information

Please provide your personal contact information:

For example: engineer, retired, student.

Please check below, if relevant:

Authenticating Documents - Individual

Contact Person

Please upload a copy of a personal identification document according to the drop-down menu options and your bank statement with your full name and account number on it, with no need for the bank balance to be shown:

Future Documents Submission

Please check below the ways you personally heard about Currenge:

Know Your Client - Individual

Please answer the following questions:

Do you intend to transact on behalf of a third-party?

Are you a non-Israeli citizen residing in Israel?

Are you an owner of a business?

Are you a resident of one of the following countries: Afghanistan, Democratic People's Republic of Korea, Syria, Lao PDR, Iraq, Ethiopia, Bosnia and Herzegovina, Vanuatu, or Yemen?

Are you transacting with a business partner from the following states: Afghanistan, Democratic People's Republic of Korea, Syria, Lao PDR, Iraq, Ethiopia, Bosnia and Herzegovina, Vanuatu, or Yemen?

Are you a licensed Money Service Business?

Are you acting as an unlicensed Money Service Business?

Were you denied service by any other bank on the grounds of Anti-money laundering or Terror Financing?

Do you, or one of your first-degree relatives, currently hold a public position in Israel or abroad?

Are you personally a US person for tax purposes?

If you are a non-Israeli resident in Israel, please elaborate about your connection to Israel:

If you are an owner of a business, please describe your business nature in brief:

If you are a licensed Money Service Business, what is its license number?

If you, or one of your first-degree relatives, currently hold a public position, please describe what is that position, and in what country is it held?

If you personally area US Person, what is your Social Security Number (SSN)?

Legal

I consent for me to be a client of Currenge, according the following declaration. I agree to Currenge Terms of Business, and Privacy Policy.

Signature

Client On-screen Signature

Firm or Company Information

Please fill out the firm's or company's name, as it appears in its legal registration document you will soon provide:

Is the firm or company registered in Israel?

Firm or Company Contact Information

Please provide the firm's or company's contact information:

Authenticating Documents - Company

Contact Person

Please upload a copy of a personal identification document according to the drop-down menu options and your bank statement with your full name and account number on it, with no need for the bank balance to be shown:

Firm or Company

Please upload the following firm's (or company's) documents according to each drop-down menu options:

And, optional, required only when intending to commercially pay a beneficiary abroad:

Missing Documents

What is the equivalent amount in US dollars of the next transaction that you intend to carry out with Currenge?

Know Your Client - Company

Please answer the following questions:


Does the company intend to transact on behalf of a third-party?

Is the company (US: firm) registered or incorporated in one of the following countries: Afghanistan, Democratic People's Republic of Korea, Syria, Lao PDR, Iraq, Ethiopia, Bosnia and Herzegovina, Vanuatu, or Yemen?

Are you transacting with a business partner from the following states: Afghanistan, Democratic People's Republic of Korea, Syria, Lao PDR, Iraq, Ethiopia, Bosnia and Herzegovina, Vanuatu, or Yemen?

Is your company acting as an unlicensed Money Service Business?

Was your company denied service by any bank on the grounds of Anti-money laundering or Terror Financing?

Is your company designated a US entity for tax purpose?

Are you personally a US person for tax purposes?

Is the company a licensed Money Service Business (MSB)?

What is your company's main activity?

What is the size of your company's recent annual turnover, in equivalent US Dollars?

Legal

I consent for me to be a client of Currenge, according the following declaration. I agree to Currenge Terms of Business, and Privacy Policy.

Signature

Client On-screen Signature

Financial Information

Money Origin Questions

What are your main Expected Transactions Purpose?

What is the main source of the Payor's Funds?

What is your main Expected Transaction Type?

Bank Details

In your capacity as our client, please provide us with your bank details:

Bank Account Type

Would you like to register a second bank account with Currenge?

Security Questions

Please answer at least two of the following questions:

Financial Information

In what country is your second to-be-Currenge-registered bank account held?

Second Bank Account Details

Bank Details

In your capacity as our client, please provide us with your bank details

Bank Account Type

Registration - Review

If the details are correct, please select the Confirm button to finalize your registration. If you need to change any details, select the Back button.

Please review your registration details carefully:

  1. After we at Currenge process all the information and documents soon to be submitted by you, we will coordinate a meeting with you so we can authenticate the documents and signature you have provided us, and also assist you with any need regarding using our services. You may transact with us, at amounts lower than the equivalent of NIS 200,000 prior to such authentication.
  2. This registration, or the future meeting of you with us, does not oblige you to perform any transaction with Currenge, or to bear any cost.
  3. The currency exchange rate according to which Currenge plans to convert your money is the exchange rate available for Currenge prevailing at a bank head office foreign exchange trading room at the time of the actual conversion, or a better exchange rate if possible, obtained by matching some or all of your order with a complementary second Currenge Client.

By clicking Confirm you finalize your registration with Currenge.

Congratulations!

After we at Currenge process all the information and documents submitted by you, we will coordinate a meeting with you so we can authenticate the documents and signature you have provided us, and also assist you with any need regarding using our services. You may transact with us, at amounts lower than the equivalent of NIS 200,000, prior to such authentication.

Your registration, or the future meeting of you with us, does not oblige you to perform any transaction with Currenge, or to bear any cost.

The currency exchange rate according to which Currenge plans to convert your money is the exchange rate available for Currenge prevailing at a bank head office foreign exchange trading room at the time of the actual conversion, or a better exchange rate if possible, obtained by matching some or all of your order with a complementary second Currenge Client.

Please feel free to contact us with any question.

Thank you.

Your form was finalized and sent to us.