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Personal Account Application
Personal Account Application
CryptoCanucks
2024-04-12T16:11:48+00:00
Email Address
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First Name
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Same as your ID
Last Name
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Same as your ID
Date of Birth
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Occupation
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Please be specific
Address
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Street, City, Province, Postal Code
Upload ID (Passport, Driver's License, National ID Card)
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Please upload in colour, and the front and back if using your license
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Upload Proof of Address
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Bank statement, utility bill, or notice of assessment (within 3 months)
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Are you involved, related, or closely associated with any members of government?
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No
Yes
Are you an accredited investor?
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Any one of the following: Income over $200k or Spousal income over $300k last 2 years, Combined spousal cash over $1m, Combined spousal net assets over $5m, OR registered investment advisor or dealer.
No
Yes
Phone number
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Preferred Chat Group
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We can invite you to a Whatsapp or Telegram group chat
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