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Identity

Documents

Brokerage

Company

Compliance

Email Address *

Phone Number *

Password *

Confirm Password *

Full Legal Name *

Date of Birth *

Gender *

Nationality *

SSN # *

Government ID Number *

Residential Address *

Government ID — Front * JPEG, PNG or PDF · max 5 MB

Government ID — Back * JPEG, PNG or PDF · max 5 MB

Selfie / Facial Verification * JPEG or PNG · max 5 MB

Proof of Address Optional · JPEG, PNG or PDF · max 5 MB

FMCSA Broker License # * Federal Motor Carrier Safety Administration broker license number

MC Authority Number * Motor Carrier authority number issued by FMCSA

Surety Bond Number Optional · Required for FMCSA compliance

FMCSA License Document Optional · JPEG, PNG or PDF · max 5 MB

Surety Bond Document Optional · JPEG, PNG or PDF · max 5 MB

Source of Funds *

I am a Politically Exposed Person (PEP)

I consent to OFAC/sanctions screening. *

I have read and agree to the AML/KYC policies. *

I agree to the Terms & Conditions and Liability Waiver. *

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