CPay

Information

Merchant type *

Co., Ltd.

Pub Co., Ltd.

Part., Ltd.

Registered Ordinary Partnership

Housing estate juristic person

Individual

Other ( Please specify )

Company Name *

Company Name (Eng) *

Juristic Person Registration No

Taxpayer Identification No *

Contact address

Registered Address

Other

Address 1 *

Address 2

Alley

Road

Sub district *

District *

City *

Postal/Zip Code *

Website (URL) *

Email *

List of Directors

Authorized Signatory for a Legal Entity *

No. 1 *

Prefix

First Name

Last Name

Identification Card

Passport No

Identification Card / Passport No *

No. 2

Prefix

First Name

Last Name

Identification Card

Passport No

Identification Card / Passport No

No. 3

Prefix

First Name

Last Name

Identification Card

Passport No

Identification Card / Passport No

Contact Information

1. Authorized Person to Sign

( Please specify First Name – Last Name Attach a copy of your identification documents )

Prefix

First Name *

Last Name *

Identification Card

Passport No

Identification Card / Passport No *

The executive has the signing authority ( if any )

( Please specify First Name – Last Name Attach a copy of your identification documents )

Prefix

First Name

Last Name

Identification Card

Passport No

Identification Card / Passport No

2. Business Contact

Prefix

First Name *

Last Name *

Position *

Phone Number *

Email *

3. IT Contact

Prefix

First Name *

Last Name *

Position *

Phone Number *

Email *

4. Accounting Contact

Prefix

First Name *

Last Name *

Position *

Phone Number *

Email *

Estimated income and sources

Estimate Business Income

Baht/Year

Income comes from the country

Thai

Other ( Please specify )

Bank Account Details

Bank Account *

Account no.. *

Bank *

Branch *

Account type *

Accounting Cycle

Time

Transfer Cycle ( Day )

Cancel

Service Request CPAY

Information

Contact address

Shipping address

Business type *

List of Directors

Authorized Signatory for a Legal Entity *

Contact Information

1. Authorized Person to Sign

The executive has the signing authority ( if any )

2. Business Contact

3. IT Contact

4. Accounting Contact

Estimated income and sources

Bank Account Details

Accounting Cycle