NHQ001: Client Onboarding Form

Welcome to nomHQ Onboarding

We are glad to have you as a client of nomHQ. Please fill in the form below, and we’ll start you on your journey to freedom!

Type of Business:

Country:

Legal Business Name:

Registered Business Address:

Business Phone Number:

Industry:

Long statement descriptor (On customers bank statements) (20 char max):

Short statement descriptor (On customers bank statements) (10 char max):

Currency:

BSB Number:

Account Number:

Confirm Account Number:

Legal First Name:

Legal Last Name:

Email Address:

Job Title:

Date of Birth:

Home Address:

Phone Number:

Primary Owner's Percentage:

Invite Another Owner

Email: First Name: Last Name:

Verification Document Type:

Verification Document (Front):

Verification Document (Back):

Authority and Position: You own 25% or more of the company
You are a director
You are Member of government board of the company
You are an executive or senior manager with significant responsibility
I affirm that the information provided is accurate to the best of my knowledge and that I have legal authority to act on behalf of the company to sign this document.

nomHQ Agreement:

Insert nomHQ Agreement Text Here

I confirm that I have read and agree to the terms of the Digital Client Service Agreement (DCSACUK/DSCAIUK/DCSACAU/DSCAIAU, as applicable), and I acknowledge that by ticking this checkbox, this agreement is legally binding.

By submitting this form, you agree to the conditions of Stripe's Services Agreement and Connect Account Agreement.