Page 1 of 1
OTC Form - Infinite Agents - [USD SWIFT] Route #4
Transfer Amount (USD)
*
Transaction Reference (255 char)
*
Purpose of transaction
*
Explain "Other"
Sender information
Your Sender ID (Please input ID if you have already entered your details once; otherwise, everything on this form is required)
*
Sender type
First name
Last name
Date of birth
Mobile
Full address
Country
City
*
ZIP / Postal Code
*
Country of incorporation / Nationality
*
What type of document do you have for verification
*
A form of ID number in accordance with the document type above
*
Source of funds
*
Relationship to Beneficiary
*
A form of identity document of the sender (passports, company documents, incorporation documents, etc)
*
Click to choose a file or drag here
An invoice of the payment (Required if 3rd party or moving above $20k)
Click to choose a file or drag here
Beneficiary information
Your beneficiary ID (Please input ID if you have already entered your details once; otherwise, everything on this form is required)
*
Beneficiary type
First name
Last name
Beneficiary Country
ZIP / Postal Code
State
City
Full address
Mobile
Bank details
Please note we will get back to you if we can support the particular bank.
Bank name
IBAN / Account Number
BIC
Bank Country
State
City
Street
Transaction Hash
*
Explanation for Purpose of Payments
Submit
