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International Monetary Group Account Registration
 
1Enter Your Information2Review and Verify3Confirmation
Select the type of account you would like to apply for
Apply for *
Account Type *

Primary Currency *

 
Your Contact Information
Name *
Title *

First Name *

Last Name *

Email *

Used to confirm receipt of your application and to deliver information about your account and special offers.
Address *
Address 1 *
Please enter your permanent address of residency
Address 2
Apartment/Suite
Postal Code *

City or Region *

Country *

Phone Numbers *
Landline Phone Number *

Cell Phone Number

 
 
Identifying Information
Birth Date and Place *
Date of Birth *
Day
Month
Year
Place of Birth *
Enter the region and country in which you were born
Demographic *
Profession *
 
Monthly Income *
 
Nationality *
 
Passport or ID Card *
ID Number *
Enter the number as it appears on your document
Place of Issue *
Enter the region and country that issued your ID
Date Issued *
Day
Month
Year
Expiration Date *
Day
Month
Year
 
ID Verification *Upload a copy of your ID *
Upload a scanned image of your ID (Supported formats: gif, jpg, png, and pdf; Max size: 2MB)
 
Upload a photo of you holding your ID *
Supported formats: gif, jpg, png, and pdf; Max size: 2MB
 
Upload a copy of your Utility Bill *
Supported formats: gif, jpg, png, and pdf; Max size: 2MB
 
 
Expected Account Activity
Deposits *
Initial Deposit Amount *
Average Deposit Amount *
Maximum Deposit Amount *

Number of deposits per month *

Source Countries *
List main countries that you will receive deposits from
Withdrawals *
Number withdrawals per month *

Destination Countries *
List main countries that you will make payments to
Source of Funds *
Originating Bank *
Bank that will send the first deposit to your account
Originating Bank Address *
Enter the address and country of the Originating Bank
Originating Bank Account Number *
Specify the account number of the Originating Bank
Originating Bank Account Holder *
Specify the name on the account of the Originating Bank
SWIFT/BIC of Originating Bank *
Specify the BIC of the Originating Bank
Signatory *
Full name of signatory for the Originating Bank account
Source of Funds *
Describe how funds from Originating Bank were generated
Will your account be used to receive or manage Third Party funds? *
 
 
Referral Code
Referral Code
If you obtained a Referral Code from one of our Partners, please enter it below to obtain exclusive offers.
 
 
Terms of Service
Accept Terms *
By submitting your information, you indicate that you have read and agreed to the Terms and Conditions. Your submission of this form will constitute your consent to the collection and use of this information for processing and storage by IMG (International Monetary Group).


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