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Let’s Explore the Possibilities Together

Our team is dedicated to understanding your unique needs and challenges, ensuring that we craft solutions that align with your goals. We believe in building strong, long-lasting relationships and providing continuous support every step of the way. Submit your information today, and let’s start the journey toward success!

We value every partnership and aim to provide tailored solutions for your company. Simply submit your details via the form, and we will provide personalized recommendations and next steps based on your specific requirements. We look forward to connecting with you soon!

SECTION 1: GENERAL COMPANY INFORMATION

Fields with asterisk(*) are required.

Date of Incorporation*:

Country of Incorporation*:

SECTION 2: CONTACT INFORMATION

Fields with asterisk(*) are required.

Support/Technical Contact (if different):

SECTION 3: BUSINESS OVERVIEW

Fields with asterisk(*) are required.

**Type of Goods/Services Offered*:**

Physical GoodsDigital GoodsFinancial ServicesGaming/BettingRemittance/PaymentsOther

SECTION 4: PAYMENT SOLUTIONS REQUIRED

Fields with asterisk(*) are required.

**Currencies Accepted*:**

PHPUSDUSDTBTCOthers

**Services Needed*:**

Fiat Payment Gateway (QR Ph, InstaPay, PESONet)Crypto Payment ProcessingMerchant WalletSettlement to Local BankAPI IntegrationPayouts/Mass PayoutsKYC/User Verification ToolsDashboard Reporting & Reconciliation

SECTION 5: LEGAL & COMPLIANCE

Fields with asterisk(*) are required.

**Is the company regulated by any financial authority*?**

YesNo

If Yes, please indicate below. If no, please put N/A

**Does your company comply with AML/KYC policies*?**

YesNo

Upload the following KYC Documents:

Company Certificate of Incorporation*

Articles of Incorporation / Memorandum of Association*

Shareholder Certificate(s)*

Director(s) IDs (passport or government ID)*

Proof of Registered Address (e.g., utility bill)*

Business License (if applicable)*

Compliance Policy Documents (AML/KYC if available)*

SECTION 6: BANKING / WALLET INFORMATION

Fields with asterisk(*) are required.

SECTION 7: TECHNICAL INTEGRATION

Fields with asterisk(*) are required.

**Do you require technical assistance with API setup*?**

YesNo

**Integration Type*:**

Hosted Payment Page (HPP)API IntegrationCustom Solution
Estimated Go-Live Date*:

SECTION 8: DECLARATION & SIGNATURE

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I, the undersigned, confirm that the information provided in this application is accurate and complete to the best of my knowledge. I acknowledge that PisoCoinGateway reserves the right to approve or reject this application based on internal due diligence.