Mobile Payments Onboarding

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referral_page

Hidden field captures the source of entry.

Merchant Application Form

Filling the application takes a few minutes.You can save the form and return later if needed.

Important Notice

Kasapay UAB partners with payments technology providers to deliver you one or more services.The data you provide during this application will be shared with:

our acquiring partner, Elavon Merchant Services, for the purposes of conducting Know Your Customer (KYC) and Anti-money Laundering (AML) procedures as well as opening a merchant account.
our payments technology provider, Market Pay, for the purposes of provisioning and operating the payments acceptance service(s) for you.

One address or two?

Let us know the address on your official company documents as well as your trading address but only if it's different.

🏢 Business Address

Official business details should match your documents from Registru Centras and/or VMI.

Legal Entity Address*

Legal Entity Address *

Address Line 1 Address Line 2 City Region Postal Code Country

Trading Address*

Trading Address

Same as Legal Entity Address

Address Line 1 Address Line 2 City Region Postal Code Country

What do you sell?

It's super important we know about your business activity because some things like gambling aren't allowed! (sorry!)

💳 Business Activity

For compliance reasons we need to understand the nature of your business.

Goods & Services*

Goods & Services *

EVRK (NACE) Code

EVRK (NACE) Code *

Annual Revenue €*

Annual Revenue € *

Annual Transactions*

Annual Transactions # *

Avg. Transaction Value €*

Average Transaction Value € *

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Average Monthly Transaction Revenue

HIDDEN: Used to determine the merchant's default price tier.

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price_tier

Hidden field captures the price tier if the user access the page using a special link.

Authorised Representatives

Important:

An Authorised Representative is one or more of the following: Beneficial Owner, Director, and/or Authorised Signatory.

Authorised Signatory: the person who will sign this form. Fill their details in the section and tick all applicable 'Roles'.
Representative #2 and #3: if applicable, complete for a Beneficial Owner(s) and/or Director(s) (but not the Authorised Signatory).
If your company has a complex structure, please upload a document with the details.
If individuals perform multiple roles, check the relevant boxes. Do not enter the same person twice.

Number of Authorised Representatives*

Number of Authorised Representatives *

Upload Details of Authorised Representatives*

Upload Details of Authorised Representatives *

Accepted file types: pdf, doc, docx, jpg, jpeg, Max. file size: 2 GB.

👤 Authorised Signatory

This person will be signing this application form. If they are also an beneficial owner or director, check the appropriate boxes. If you are a sole trader, this can only be you.

Roles

Beneficial Owner

Director

Responsible Party?*

Responsible Party? *

Controlling Interest %*

Controlling Interest % *

Name*

Full Name *

Prefix First Last

Date of Birth*

Date of Birth *

Nationality*

Nationality *

Email*

Email Address *

Phone*

Phone Number *

Private Address*

Private Address *

Same as Legal Entity

Address Line 1 Address Line 2 City Region Postal Code Country

Passport or National ID No.*

Passport or National ID No. *

Issue Date*

Issue Date *

Expiry Date*

Expiry Date *

Passport or National ID*

Upload a photo of the Passport or National ID of the authorised signature specified on this application.

Accepted file types: jpg, png, pdf, jpeg, Max. file size: 2 GB.

👤 Representative #2

This person is not signing the form. They are a director, a beneficial owner, or both.

Roles*

Roles

Beneficial Owner

Director

Responsible Party?*

Responsible Party? *

Controlling Interest %*

Controlling Interest % *

Name*

Full Name *

Prefix First Last

Date of Birth*

Date of Birth *

Nationality*

Nationality *

Email*

Email Address *

Phone*

Phone Number *

Private Address*

Private Address *

Same as Legal Entity

Address Line 1 Address Line 2 City Region Postal Code Country

Passport or National ID No.*

Passport or National ID No. *

Issue Date*

Issue Date *

Expiry Date*

Expiry Date *

👤 Representative #3

Roles*

Roles

Beneficial Owner

Director

Responsible Party?*

Responsible Party? *

Controlling Interest %*

Controlling Interest % *

Name*

Full Name *

Prefix First Last

Date of Birth*

Date of Birth *

Nationality*

Nationality *

Email*

Email Address *

Phone*

Phone Number *

Private Address*

Private Address *

Same as Legal Entity

Address Line 1 Address Line 2 City Region Postal Code Country

Passport or National ID No.*

Passport or National ID No. *

Issue Date*

Issue Date *

Expiry Date*

Expiry Date *

Merchant Application Form

Important Notice

Why do we ask for so much information?

📇 Primary Contact Person

Security is really important

🔐 PCI DSS Contact Person

Legal entity or sole trader?

📑 Business Details

One address or two?

🏢 Business Address

What do you sell?

💳 Business Activity

Authorised Representatives

👤 Authorised Signatory

👤 Representative #2

👤 Representative #3

🏦 Bank Account

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