OTC Application Form

    1. Contact Details

    2. Corporate Information

    3. Owners and Controllers

    We are required to identify and verify the natural persons who are the controllers (Directors/Partners etc...), Authorized Signatories and owners of your organization.

    4. Transactional Information


    Wallet Address






    Ibanera Products

    5. Trading with Ibanera

    Anticipated Transactions per Month

    Average Transaction Size (USD)

    Anticipated Notional Volume per Month (USD)

    6. Lending to Ibanera

    7. Borrowing from Ibanera

    8. Authorised Users and Key Personnel


    Job Title



    Principle Contact



    Compliance / Legal


    9. Declaration and Signature

    i. PEPs are defined as individuals entrusted with prominent public functions such as heads of state, heads of government, ministers and deputy or assistant ministers, members of parliament or of similar legislative bodies (e.g. regional governments in federalised systems and devolved administrations where such bodies have some form of executive decision-making powers, members of the governing bodies of political parties, members of supreme courts, of constitutional courts or of any judicial body the decisions of which are not subject to further appeal except in exceptional circumstances, members of courts of auditors or the boards of central banks, ambassadors, charge d’affaires and high-ranking officers in the armed forces (Permanent Secretary/Deputy Permanent Secretary level or hold equivalent military rank (e.g. Vice Admiral, Lieutenant General, Air Marshal or senior), members of the administrative, management or supervisory bodies of State-owned enterprises (this only applies where the state has ownership of greater than 50% or where information reasonable available points to the state having control over the activities of such enterprises, directors, deputy directors and members of the board or equivalent function of an international organisation (the UN and NATO).

    ii. Family members of a PEP include, spouse, or civil partner, children and their spouses or civil partner, parents, and siblings. Close associates of a PEP includes, an individual known to have joint beneficial ownership of a legal entity or a legal arrangement or any other close business relationship with a PEP or an individual who has sole beneficial ownership of a legal entity or a legal arrangement that is known to have been set up for the benefit of a PEP. *

    We will use the information provided to process your application for an account with Ibanera which will include searches of external third-party reference sources in order to meet our legal requirements. If your application is successful, we will also use this information to maintain your relationship with us and provide the services which you have requested.

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