Register for Wallet

Please enter information on the form below to open an ebanccoin wallet and trading portal

[SUBSCRIPTION_DETAIL]

Email*

Password*

Retype Password*

Register

Welcome to our registration page. Before you proceed any further, please have documentary evidence of your identity and address details ready to upload. You will be required to upload one document from each category below in order to comply with international KYC (Know Your Customer) and AML (Anti Money Laundering) laws.

Category 1:A document showing your photograph (driver's license,)

Category 2:A document showing your address (bank statement, utility bill, solicitors letter, accountants letter, employers letter, teachers letter)

These documents must be in jpg, tif, gif, png, doc, docx or pdf format and must not exceed 2.5 megabytes each. Please ensure your browser has cookies and JavaScript
enabled.

Supplying incorrect or misleading identity and address information will result in immediate suspension without warning.

Coin Information

Coin Type

Gold Coin

Token Coin

Personal Information

Company Name

Registration Number

First Name *

Last Name *

Date of Birth*

Gender*

Location Information (Home)

Address 1*

Address 2

Local City/Suburb*

State

Zip/Postal Code

Country*

Location Information(Business)

Address 1*

Address 2

Local City/Suburb*

State

Zip/Postal Code

Country*

Contact Information

Email Address*

Repeat Email*

Phone Area Code*

Phone Number*

Mobile/Cell Number

Promotions

Selling Goods and Services

Industry

Identity Information

Identification Type*

Identification Number*

Identification Country*

Driver's Licence State

Document 1

(Drivers License, Passport, ID Card, Student Card)

Document 2

(Bank Statement, Utility Bill, Solicitors Letter, Accountants Letter, Employers Letter, Teachers Letter)

Currency

Tick here if you have read and agree to the ebanccoin International Merchant Agreement and Agreement Definitions

Redeem GOLD ebanccoin gold coins to cash

Nominate the Bank Account - Where Do You Want The Cash to be Deposited Or Fees To Be Debited

Name of Beneficiary*

Name of Bank*

Account BSB*

Account Number *

International Banking Identification Number (BIN):

9036 0130 0000 0000 for debit cards

Office:

VIA TOTONE 2, Campione D'italia CO 22061

All enquiries to:[email protected]