Abra Prime | Account Application

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Abra Prime - Account Application

For Abra to be able to correspond with you about the status of your application form, we first need the contact information of the person filling out this form. Individual does not need to be the same as the signatory or owner.

You can start your application, save its progress and return to it later anytime before submitting.

Contact Name*

Contact Name*

First Name

Last Name

Contact Email*

Referral source or Salesperson at Abra*

What services are you interested in?*

Onboarding Entity

Full legal name of entity (including DBA names)*

Tax identifier number (TIN)*

U.S. entities should provide a TIN. Foreign entities without a TIN should provide a registration number or similar identifier.

Website

Primary place of business (physical address and not a PO Box)*

Country

Jurisdiction (where established)*

Country

Entity type*

  1. Limited liability company
  2. Corporation
  3. Trust
  4. Partnership
  5. Sole proprietorship
  6. Other

Industry*

If yes, please write the office held and country. If associated with a senior foreign political figure, please include the name of and the nature of relationship with that figure.

Authorized Signatory

Name*

First Name

Last Name

Position*

Authorized signatory should be an executive officer or senior manager (e.g., CEO, CFO, COO, GP, or other senior officer).

Division/department*

Email address*

Phone*

include the country code

Personal address (no PO Boxes)*

Date of birth*

Tax identifier number (TIN)*

U.S. persons should provide a TIN. Foreign persons should provide a passport number and country of issuance.

Ultimate Beneficial Owners

How many entities have ultimate beneficial ownership >25% of the registering entity?

How many individuals have ultimate beneficial ownership >25% of the registering entity?

Entity Ultimate Beneficiary Owner (UBO) #1

Beneficial ownership (%) of registering entity*

Full legal name of UBO entity (including DBA names)*

Tax identifier number (TIN)*

U.S. entities should provide a TIN. Foreign entities without a TIN should provide a registration number or similar identifier.

Website

Primary place of business (physical address and not a PO Box)*

Country

Additional sections for UBOs 2-4 and Individual UBOs 1-4 follow a similar structure...

Document Upload & Source of Funds

Please provide a brief description of your company's activities*

Will you be trading with company funds or on behalf of clients/customers?

Company Funds

Client Funds

Other

Please provide further detail on the source of funds that will be traded with Abra*

How will you be funding your Abra account?*

If funding via crypto, please input your public wallet address.

Upload illustration

Application Submission

Signature

Date/Time