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MERCHANT QUESTIONNAIRE

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MERCHANT QUESTIONNAIRE IMAGE MERCHANT QUESTIONNAIRE IMAGE

Company information

Business information

Login information
Regularity of e-shop updates for:
Contact details of customer service
Main suppliers/courier companies
Target market

Ceo, president or director

Main contact for business development

Head of finance (authorized to receive statements)

Refund, chargebacks, risk assessment, sensitive issues

Customer support

Head of customer support

Project manager for integration issues

Requested urls and forecast Specify parameters for the first six months

Transaction number
Total volume
Chargeback amount
Chargeback ratio

Requested urls and forecast Specify parameters for the first six months

By signing the present questionnaire the representative of the merchant hereby confirms, that:

  • the Merchant undertakes to promptly inform the Organization about any changes in therange of products and services indicated in the present Questionnaire;
  • all information provided above is complete and reliable, and the Merchant undertakes topromptly inform the Organization about any changes in the information provided above;
  • he/she is authorized to represent the Merchant and has the right on behalf of the Merchantto submit the information indicated in the present Questionnaire, which is binding to theMerchant and the Organization;
  • he/she is informed about the responsibility, including criminal responsibility, for the provisionof knowingly false or incomplete information;
  • he/she is familiar with the General provisions of transactions and Tariffs of the Organization,agrees to them and recognizes then to be binding to him/her.
  • the client declares that the company will not be engaged in any of the following activities: money laundering, receiving the proceeds of drug trafficking, receiving of the proceeds of criminal activities, terrorist activities, activities under the scope of the international sanctions or any other illegal activity, and will not use Payver Limited services in any manner whatsoever that may damage the good reputation of the Payver Limited. The client declares that the information provided herein is accurate, correct and complete and the documents submitted along with this application form are genuine. The client undertakes to immediately inform Payver Limited about any changes in the above declared information in writing.

The client declares that he/she was advised and agrees to provide additional information and documents if Payver Limited requires it order to fulfilling the requirements of the Money Laundering and Terrorist Financing Prevention Act, and possible consequences for failing to comply with the obligations vested in him/her.