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KYC Form for Digital Asset Trading

The document is a Know Your Customer (KYC) form completed by Ahmad Reza. In the form, he states that the source of his funds is from his personal savings from running a perfume and incense business. He intends to use these funds for trading cryptocurrencies on the Triv platform. By signing the form, he agrees to the terms and conditions of using the platform, including that his funds are legally obtained and will not be used for any criminal activities.

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amarez
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82 views3 pages

KYC Form for Digital Asset Trading

The document is a Know Your Customer (KYC) form completed by Ahmad Reza. In the form, he states that the source of his funds is from his personal savings from running a perfume and incense business. He intends to use these funds for trading cryptocurrencies on the Triv platform. By signing the form, he agrees to the terms and conditions of using the platform, including that his funds are legally obtained and will not be used for any criminal activities.

Uploaded by

amarez
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Tri [KNOW YOUR CUSTOMER

v FORM 1.2]

Please explain the origin of your source of funds that you are going to use
in Triv

My source of funds are from my savings

If you are working on a company, please write your employer details

Wiraswasta. Bidang usaha jual parfum dan bukhur.

Please explain the purpose of buying and selling digital assets on Triv

For trading crypto currency

Please explain the purpose of opening account on Triv

For trading crypto currency

1 Know Your
Customer
Tri [KNOW YOUR CUSTOMER
v FORM 1.2]
Terms & Condition

1. You agree to release Triv from any legal responsibilities of your source of funds.
By making transaction on Triv, you are fully responsible to maintain the legality
and origin of your source of funds based on the description you provided on
Triv’s KYC form.

2. By using our website you agree to submit and obey UU RI. No 8. 2010 regarding
prevention and eradication criminal acts of money laundering and UU RI. No.9
2013 concerning prevention and eradication of terrorism funding. You agree not
to be involved in any of the activities prohibited by the laws.

3. You agree that your funds is not obtained from illegal activities.

4. Triv is a digital asset exchange that facilitate buy/sell of digital assets

5. You agree to Triv’s terms and condition stated in our website

6. You agree to release Triv from any legal responsibilities with the usage of digital
assets you purchase from Triv.

7. You agree not to use Triv’s services to perform any criminal activities.

Date, 7 Dec 2020

Ahmad Reza

2 Know Your
Customer
Tri [KNOW YOUR CUSTOMER
v FORM 1.2]
I hereby certify that the above statements are true and correct to the best of my
knowledge.
Name
Name : : Ahmad Reza

Address
Address : : Jl. Cempaka Putih Tengah XI No.6E, RT.003/RW.05

Postal Code
Postal Code : : 10510

Nationality
Nationality : : Indonesia

Passport No
Passport No /: ID Card: 3171051812770003

ID Card

Date, 7 Dec 2020

Ahmad Reza

3 Know Your
Customer

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