AML / KYC VERIFICATION PORTAL

Customer Verification

Pinecone Matches may require customers to complete identity, transaction, source-of-funds and source-of-wealth verification before processing certain orders or transactions.

Identity Verification Source of Funds Source of Wealth Transaction Review

Important: Please provide complete and accurate information. Additional documentation may be requested during the review process. Submission of this form does not guarantee approval of an order or transaction. Pinecone Matches may place an order on hold while verification is being completed.

Verification Process

Complete each stage below. Depending on your transaction profile, additional information may be requested.

IdentityPersonal details

DocumentID / Passport

FundsSource verification

ReviewCompliance review

01 — Customer Information

Provide the legal information of the person or entity purchasing the products.

Individual CustomerPersonal purchase

Business / Legal EntityCompany or organization purchase

Legal First Name *

Legal Last Name *

Date of Birth *

Country of Birth

Nationality *

Occupation / Profession

Employer / Company

Email Address *

Phone Number *

Residential Address *

City

Country *

02 — Business & Beneficial Ownership

Complete this section if the purchaser is acting for a company, trust, partnership or another legal entity.

Legal Entity Name

Registration Number

Country of Incorporation

Business Activity

Beneficial Owners / Controlling Persons

03 — Identity Document Verification

Upload a clear, valid government-issued identification document. Additional verification may be requested.

Document Type *

Issuing Country *

Document Number

Expiration Date

Government ID / Passport *

Upload a clear image or PDF showing the document information. Do not upload documents belonging to another person.

04 — Face & Identity Verification

For enhanced verification, Pinecone Matches may request a photograph showing the customer together with the same government-issued identification document.

Selfie + Government ID *

Take a clear photograph showing your face and the front of your government-issued ID/passport together. Your face and document information must be clearly visible.

Optional Additional Face Verification

Additional verification may be requested where required by the applicable risk assessment.

05 — Source of Funds

Tell us where the money used for this purchase originated. This section is intentionally broader than cryptocurrency transaction history.

Primary Source of Funds *

Approximate Annual Income

Explain Your Source of Funds *

Supporting Source-of-Funds Documents

Examples may include employment/income evidence, bank statements, business records, investment statements, sale agreements, inheritance documentation, loan documentation or other appropriate evidence.

06 — Source of Funds Used to Acquire Cryptocurrency

If cryptocurrency is being used for the purchase, provide information about how it was originally acquired and, where applicable, how the fiat or other funds used to acquire it originated.

Cryptocurrency Used

Approximate Amount

Original Acquisition Method

Exchange / Platform

Explain How the Cryptocurrency Was Acquired

Cryptocurrency Acquisition Evidence

Upload relevant exchange statements, transaction records, purchase records, mining records or other appropriate evidence. Never upload wallet private keys or seed phrases.

07 — Cryptocurrency Transaction Information

Provide transaction information that allows the payment to be reconciled with the submitted order.

Cryptocurrency

Transaction Hash / TXID

Sending Wallet Address

Never provide a private key, seed phrase or wallet password.

08 — Source of Wealth

Provide information explaining the origin of your overall financial wealth and assets where requested.

Source of Wealth Explanation

Estimated Net Worth

Primary Wealth Country

09 — Compliance Declarations

Please answer the following questions accurately.

Politically Exposed Person (PEP) *

Sanctions / Restrictions *

10 — Customer Declaration & Consent

Read each statement carefully before submitting.

I confirm that the information provided in this verification form is complete and accurate to the best of my knowledge. I confirm that the funds and/or cryptocurrency used for my purchase originate from lawful activities and that I have provided accurate information concerning their source. I confirm that I am not using Pinecone Matches products, services or transactions for money laundering, terrorist financing, sanctions evasion, fraud or other unlawful activity. I consent to Pinecone Matches reviewing the information and documentation submitted for customer due diligence, transaction screening and compliance purposes, subject to applicable law and the company’s privacy policy.

11 — Electronic Signature

Enter your legal name as your electronic signature.

Submission Date *