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    Merchant Onboarding Form - Revised v1.4

    Uploaded by

    odboworld
    The document is a merchant onboarding form for Hatio Payouts. It requests information about the company such as company name, address, business details, contact information, websites and social media profiles. It also asks for details of payout requirements including current and expected transaction volumes, value of transactions, and expected number of payouts. Additionally, it requests billing details, bank account information, details of directors/partners, authorized signatories, and ultimate beneficial owners along with their percentage of shares and relationship to any politically exposed persons. The form aims to collect all relevant information needed to onboard the merchant for payout services.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Merchant Onboarding Form - Revised v1.4

    Uploaded by

    odboworld
    106 views4 pages
    The document is a merchant onboarding form for Hatio Payouts. It requests information about the company such as company name, address, business details, contact information, websites and social media profiles. It also asks for details of payout requirements including current and expected transaction volumes, value of transactions, and expected number of payouts. Additionally, it requests billing details, bank account information, details of directors/partners, authorized signatories, and ultimate beneficial owners along with their percentage of shares and relationship to any politically exposed persons. The form aims to collect all relevant information needed to onboard the merchant for payout services.

    Original Description:

    Merchant onboarding form

    Copyright

    © © All Rights Reserved

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    DOCX, PDF, TXT or read online from Scribd

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    The document is a merchant onboarding form for Hatio Payouts. It requests information about the company such as company name, address, business details, contact information, websites and social media profiles. It also asks for details of payout requirements including current and expected transaction volumes, value of transactions, and expected number of payouts. Additionally, it requests billing details, bank account information, details of directors/partners, authorized signatories, and ultimate beneficial owners along with their percentage of shares and relationship to any politically exposed persons. The form aims to collect all relevant information needed to onboard the merchant for payout services.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    106 views4 pages

    Merchant Onboarding Form - Revised v1.4

    Uploaded by

    odboworld
    The document is a merchant onboarding form for Hatio Payouts. It requests information about the company such as company name, address, business details, contact information, websites and social media profiles. It also asks for details of payout requirements including current and expected transaction volumes, value of transactions, and expected number of payouts. Additionally, it requests billing details, bank account information, details of directors/partners, authorized signatories, and ultimate beneficial owners along with their percentage of shares and relationship to any politically exposed persons. The form aims to collect all relevant information needed to onboard the merchant for payout services.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 4

    Hatio Payouts - Merchant Onboarding Form

    01. Company/Business Information


    Company Name
    Doing Business As (Trade Name if Any)
    Registered Office Address Address

    State
    PIN Code
    Corporate Office Address Address

    State
    PIN Code
    Business Sector/Category Aggregator / Airlines / Association / Automobiles / B2B /
    (select any one option) Bank Wallet / Banking / CardNet / Consultancy / Donation /
    DTH or Broadband or ISP / Ecommerce / Education / Exami-
    nation Board/Financial Service or Broking or Advisory Ser-
    vices / Gaming / General Insurance / Government or Munic-
    ipal Corporation / Health Insurance / Hotels or Hospitality /
    Housing or Real Estate / IT Enabled Services (Software or
    Hardware) / Life Insurance / Loan Repayment / Logistics /
    Manufacturing / Matrimonial / Media & Publishing / Medi-
    cal Services / Mobile Wallets / Municipal Corporation / Mu-
    tual Funds / Non-Banking Financial Company / Political
    Party / Portal / Stock Exchange / Subscription / Tax Pay-
    ments/ Telecom / Tender / Ticketing / Travel /Utility / Other
    (please specify)
    Date of Incorporation
    CIN/LLPIN
    Company PAN
    GST number

    1|Page Hatio Payouts – Client Onboarding


    Form
    Business Description

    Number of employees

    Company turnover in last FY

    Profit after taxes in last FY

    Expected Turnover in the current FY

    02. Contact details Primary Secondary


    Business Name
    Telephone/Mobile
    Company Email
    Technical Name
    Telephone/Mobile
    Company Email
    Financial / Name
    Administrative Telephone/Mobile
    Company Email

    03. Website, App and Social Media details of Company/Product (Provide the URL)
    a. Website
    b. Google Play Store Link
    c. Apple App Store Link
    d. LinkedIn Profile
    e. Facebook Profile
    f. Instagram Profile
    g. Twitter Profile
    <<Add more rows as required>>

    Hatio Payouts – Merchant Onboarding Form


    2|Page Form
    04. Payout Requirement
    a. Requirement for Payouts (Please describe in de-
    tail ALL use cases for Payouts)

    b. Name of existing Payouts provider (if any)


    c. Current Payout Volumes (Number of Transac-
    tions per month)
    d. Minimum value of a transaction
    e. Maximum value of transaction
    f. Average value of transaction
    g. Expected Number of Payouts per month

    h. Total expected Value of transactions per month


    in INR (= Average value * Number of Payouts)
    05. Billing details
    a. Merchant Name (as it should appear on the in-
    voice)
    b. Harmonized System of Nomenclature ('HSN') /
    Service Accounting Code ('SAC')
    c. GST Registration Number
    d. GST Registration Date
    06. Bank Account details
    a. Beneficiary Name
    b. Bank Name
    c. Bank Account Number
    d. IFSC Code

    Hatio Payouts – Merchant Onboarding Form


    3|Page Form
    07. List of Directors (in case of companies) / Partners (in case of LLP’s)
    Sr. Name DIN PAN Executive/Non- Politically Exposed
    Executive (PEP) or related to
    PEP? (Yes/No)

    <<Add more rows as re-


    quired>>

    08. Authorized Signatory details


    Name PAN Politically Exposed (PEP) or related
    to PEP? (Yes/No)

    <<Add more rows as required>>

    09. Ultimate Beneficial Owner (UBO) Details

    The following natural person(s) directly or indirectly exercise control or have a controlling interest i.e., hav-
    ing ownership/entitlement of more than 10% of shares/capital/profits/property or controlling through voting
    rights, agreement, arrangement etc.

    Sr. Name PAN % of shares Politically Exposed


    (PEP) or related to
    PEP? (Yes/No) *

    <<Add more rows as


    required>>

    Signature Organization Stamp

    Full Name: Date:

    Designation:

    4|Page Hatio Payouts – Merchant Onboarding Form


    Form

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