Registration Form for Commercial Customer

Date:

Company Details

Company Registration Name *

Registered Office Address *

Business Operation Address *

ACN *

ABN *

Type of Industry *

Contact Details

Business Number *

Email *

Company Website *

Company Director 1 Details

Full Name *

Date of Birth *

Address / Postal Address *

Email *

Phone *

Home Phone *

2 Identification Documents *
Passport / ID Card / Driver License

Company Director 2 Details

Full Name *

Date of Birth *

Address / Postal Address *

Email *

Phone *

Home Phone *

2 Identification Documents *
Passport / ID Card / Driver License

Declaration

• I declare that the information provided is TRUE and CORRECT.

• I confirm I am not a politically exposed person (PEP), and my funds are not sourced from corruption, money laundering, or terrorist financing activities.

• By providing phone number and email, I authorize Alliance Global Exchange to contact me. Any transaction via registered contact details is legally binding.

• I confirm I have read and agree to Alliance Global Exchange terms and conditions and AML compliance requirements.

Director 1 Signature *

Date *

Director 2 Signature *

Date *