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Ma. Ethil Mae Tingcang
2017-10-29T06:52:08+00:00
Client Profile and Assessment
eWallet & Prepaid Card Application
Client Profile and Assessment
Client Profile and Assessment
Name of organization
Formal company registration
country and EIN number or equivalent
Name of owners of organization if each more than 25% share per person
Name of current business bank
please provide address and contact details for bank providing business services to organization
Website address (URL)
Business street address
City
Country
Zip/postal code
Phone numbers:
Fax numbers:
Email addresses:
Contact name:
signatory-executive
Contract signature details
name, contact details
Skype id
Names and contact details of implementation team members:
MEMBER 1
Name, Email, Phone Number and Skype ID
MEMBER 2
Name, Email, Phone Number and Skype ID
MEMBER 3
Name, Email, Phone Number and Skype ID
Organization background
COMPANY'S BUSINESS DETAILS (WHAT DOES IT SELL, MANUFACTURE, PRODUCE)
Corporate revenue/sales per annum
Number of staff/members who will be participating in the wallet
Credit card processing, loading and charge back risks
Please detail the perceived risk for charge backs and credit card challenges anticipated if any?
Customer base: (details that will assist in implementation)
WHO ARE THE CUSTOMERS, WHICH COUNTRIES:
Please Describe your ‘Requirements and Needs’. Please detail why you need eWallet banking services, merchant services. How would the PAYAP program help to increase business and improve business processes:
Detail nature of card holders
customers, staff, vendors etc.
Do you currently have a card or e-Wallet program?
If so, why are they inadequate?
Implementation target dates and requirements:
Implementation: will you be inserting the e-Wallet program inside your own web site/URL?
DO YOU HAVE TECHNICAL SUPPORT TEAMS TO ASSIST IN INTEGRATING API’S.
Describe all application needs for the program;
Payroll, commission payouts, travel, card to card transfer, wire in, wire out, remittance needs, retail purchasing needs, multiple currency needs
Intended use for the e-Wallet program for Users/members
Regions of the world where member/users will be living and working:
METHODS FOR LOADING CARDS:
How many do you need and what denomination will be used and will there be any financial ceiling limits (over $10,000 SD)
Funding sources for loading the cards and/or e-Wallet accounts:
Frequency of loading cards and/or eWallet accounts (monthly, daily, etc.)
Average funding pattern (100’s or 1,000’s of dollars etc.)
CARD REQUIREMENTS
Generic, hot stamp logo or fully customized
INITIAL VOLUME REQUIRED
minimum are as follows: 3,000 – generic 3,000 – hot stamp logo 10,000 – full custom
Projected accounts growth in quarterly increments
3, 6, 9 months and 1-5 years
CARD ADDRESSES:
Confirm all addresses used for cardholder members are not in sanctioned countries
Confirm all KYC (know your customer) data, records submitted for screening and approval have all been verified and checked by you prior to submission to PAYAP:
Do you have any plans to use virtual cards?
Denomination requirements for treasury accounts, wallets and cards
Memo
PLEASE ADD IN ANY ADDITIONAL INFORMATION OR DETAILS THAT YOU WILL ASSIST IN THE IMPLEMENTATION:
Phone
This field is for validation purposes and should be left unchanged.
eWallet & Prepaid Card Application
eWallet & Prepaid Card Application
COMPANY INFORMATION
COMPANY INFORMATION Company name (DBA or trading name)
Corporate legal name:
Business location address:
Registered corporate address:
City and State:
City and State:
Country:
Postal code:
Country:
Postal code:
Corporation type:
Country of incorporation:
Date of incorporation:
Years in business:
Company e mail address:
Local company number:
Company toll free number:
OWNER INFORMATION
Owner name:
Title:
Owner contact number:
Owner e mail address:
% owned:
Owner date of birth:
Owner Id type:
Owner Id number:
State or Country of Id issued:
Owner personal address:
City and State:
Country:
Postal code:
LICENSING OR REGISTRATION
Does your company have a money transfer license
Yes
No
Is your company licensed or registered by any card association
Yes
No
Is your company regulated or licensed by any government financial authority
Yes
No
COMPANY WEBSITE
List your company website
DECRIPTION OF CARD PROGRAM
Please describe what the card program will be used for
WHO WILL CARDS BE ISSUED TO
TO Who will cards be issued to
PROGRAM TYPE
Program Type
Agent/ Reseller
Payroll
Payouts
Student
Affiliates
Travel
Family Card
Health Care
Corporate Gift
Migrant Workers
Expats
Government / State Payments
GENERIC OR CO-BRANDED CARD
Generic Card Program
Co Branded Card Program
PERCENTAGE OF CARDS DISTRABUTED TO REGIONAL AREAS
Percentage of cards distributed to what regional areas
Country
Percentage
Percentage of cards distributed to what regional areas
Percentage of cards distributed to what regional areas
Percentage of cards distributed to what regional areas
CARDS ORDERED
Cards at start
Cards ordered per month
Cards ordered per year
TRANSACTIONS
ATM Transactions
POS Debit Transactions
POS Signature Transactions
Card to card transfer Transactions
Per day
Per day
Per day
Per day
Per Week
Per Week
Per Week
Per Week
Per month
Per month
Per month
Per month
Per year
Per year
Per year
Per year
CARD LOADS
Card Loads
Minimum load amount
Maximum load amount
Average load amount
Loads per day
Loads per week
Loads per month
NAME ON CARD
Embossed card (Name printed on card)
Anonymous card (No name)
CARD SHIPPING
Cards are shipped bulk to corporation
Cards are shipped to cardholder
Phone
This field is for validation purposes and should be left unchanged.
