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Service Request Form

Contact & Company Information

Please complete all required sections to enable a structured and relevant assessment of your request.

The information provided will be used to prepare a response aligned with your business model, scope and regulatory context.

This questionnaire replaces introductory calls.

All submissions are reviewed and responded to in writing within 2–3 business days, either through a structured proposal or follow-up clarification where required.

This process ensures clarity, efficiency and consistency from the outset.

All information submitted through this form is handled in accordance with our Privacy Policy.

Submission of this form does not create a client relationship or any advisory obligation.

All information provided is treated as strictly confidential.

Company name*

Website

Country of incorporation* (e.g. United Kingdom, Switzerland)

Regulatory jurisdiction*

Regulatory jurisdiction*
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B
C
D

Current regulatory / licensing status*

Are you planning to expand into any new jurisdiction(s) within the next 12 months?*

Are you planning to expand into any new jurisdiction(s) within the next 12 months?*
A
B
C

Contact person name*

Role / Title*

Email *

Business Model & Activities

Please provide a brief overview of your business model and services.

Entity type * (select all that apply)

Entity type * (select all that apply)
A
B
C
D
E
F
G

Describe your business model *

Who are your customers?*

Who are your customers?*
A
B
C
D
E
F

Scale & Size

Company stage*

Approximate number of customers*

Monthly transaction volume*

Existing Compliance Documentation

Which of the following do you currently have in place?  ( tick all that apply)*

Which of the following do you currently have in place?  ( tick all that apply)*
A
B
C
D
E
F
G
H
I
J
K
L

When were your existing documents last reviewed or updated?*

How would you describe the current state of your compliance documentation?*

How would you describe the current state of your compliance documentation?*
A
B
C
D
E
F

Please provide any additional context on your current documentation or known gaps

Engagement & Needs

Which service(s) are you interested in? (tick all that apply)*

Which service(s) are you interested in? (tick all that apply)*
A
B
C
D
E
F
G
H

What is the primary driver for this engagement?  (select the most relevant)*

What is the primary driver for this engagement?  (select the most relevant)*
A
B
C
D
E
F
G
H

Have you received any regulatory findings, audit observations or supervisory comments relating to AML or compliance?*

Is there a specific deadline by which documentation must be completed?

Budget range (optional — helps us tailor the proposal)

Do you operate as a crypto-asset service provider (CASP)?

Do you operate as a crypto-asset service provider (CASP)?
A
B

CASP-Specific Information

Which crypto-asset services do you provide? (tick all that apply)*

Which crypto-asset services do you provide? (tick all that apply)*
A
B
C
D
E
F
G

Do you onboard institutional / business clients (corporate accounts)?*

Do you currently have a Travel Rule compliance solution in place?*

Do you currently have a Travel Rule compliance solution in place?*
A
B
C

Do you use blockchain analytics /transaction monitoring tools?*

Do you use blockchain analytics /transaction monitoring tools?*
A
B
C

Do you support unhosted (self-custodied) wallets?*

Are you currently registered or authorised under MiCA, or preparing for MiCA authorisation?*

Compliance Team & Resources

Do you have a designated compliance officer or MLRO in place?*

What is the size of your internal compliance or legal team?*

Who will be responsible for reviewing and implementing the documentation we produce?*

Additional Information

Is there anything else you would like us to know about your business, regulatory situation or specific requirements?