Open Account | COOPAEP R.L.

Personal information

Enter your information exactly as it appears on your identification document.

First name *

Middle name

Last name *

Second last name

Date of birth *

Country of birth *

Nationality *

Marital status *

Sex / gender shown on documentUsed only for document validation when applicable.

Identification

Provide the details of your valid identification document.

Document type *

Document number *

Issuing country *

Issue date

Expiration date *

Tax identification number / TIN

Do you hold another nationality?

No Sí

Other nationality, if applicable

Address and contact

We need a current residential address and contact information.

Email *

Mobile phone *

Country of residence *

State / Province *

City *

Postal code

Full residential address *

Is your mailing address the same?

Sí No

Economic profile y origen de fondos

This information is part of the customer due diligence process.

Occupation / profession *

Employment status *

Employer / company name

Business activity

Approximate monthly income *

Approximate net worth

Estimated initial deposit *

Expected monthly activity *

Primary purpose of the account *

Regulatory declarations and documents

Complete the declarations and prepare the documents that will be reviewed by COOPAEP.

Are you a Politically Exposed Person (PEP), a close family member, or a close associate of a PEP? *

No Sí

If Yes, describe the relationship / position

Do you have U.S. tax obligations or U.S. tax residency? *

No Sí

Primary country of tax residence *

Second country of tax residence

Identification document *In production, these files must be encrypted and sent to secure storage.

Proof of address *E.g. utility bill, account statement, or equivalent recent document.

Source of funds support (if applicable)

Este prototipo no transmite ni almacena documentos. Para producción debe utilizarse HTTPS, cifrado, controles de acceso, trazabilidad, retención segura y políticas de privacidad acordes con los requisitos legales aplicables.

Review and confirm

Review your information before submitting the application.

Account approval is subject to compliance review, document validation, and COOPAEP internal policies.

I declare that the information provided is true, complete, and current. I authorize COOPAEP to validate the information and documents provided for account opening, KYC, AML, and regulatory compliance purposes. I agree to receive communications and documents related to this application electronically.

Antes de publicar esta página, COOPAEP debe enlazar aquí su Aviso de Privacidad, Términos y Condiciones, política de tratamiento de datos y cualquier consentimiento específico requerido por su marco regulatorio.

✓

Application prepared

No information has been sent to any server in this prototype. In production, the application number and follow-up instructions would appear here.

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Personal information

Identification

Address and contact

Economic profile y origen de fondos

Regulatory declarations and documents

Review and confirm

Application prepared