• Modulr Partner Application Form

  • This application form helps us understand your business and your customers. Providing the most up-to-date and accurate information aids a smoother onboarding, ensures all regulatory obligations are met, and most importantly protects your business & your customers.

    Please confirm your answers are detailed and provide any information you believe to be relevant, even if not explicitly requested.

    ℹ️ Important – Saving Form Progress 

    If you need to save your form to complete later please follow these instructions:

    • Select SAVE on the form
    • You’ll be able to copy the link to the form or you can provide your email to be sent an email containing the link for future reference.
    • Select the link to go back into the saved application form.

  • Company Details

  • This application form helps us understand your business and your customers. Providing the most up-to-date and accurate information aids a smoother onboarding, ensures all regulatory obligations are met, and most importantly protects your business & your customers.

    Please confirm your answers are detailed and provide any information you believe to be relevant, even if not explicitly requested.

  • Company Type*
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof
  • Regulatory Status*
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof
  • Is your Correspondence Address the same as your Registered Office Address?*
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof

  • Account Signatories

    These are the individuals elected by the Business to have access and permission to make and authorise payments, view account information and control access. The account Signatories will be responsible for the management of the Account, also known as an "Authorised User". You can have 1 or multiple.
  • Account Signatories*

  • Relationship Manager

    This is the individual elected by the Business to be responsible for the management of the relationship with Modulr.

  • Beneficial Owners

    As a regulated entity, we must validate who controls the business (Persons with Significant Control – “PSC”) and the people that ultimately stand to benefit economically from the business (Ultimate Beneficial Owners – “UBO”). If the business has a complex ownership structure, we will need to understand the rationale for this. The objective of performing these checks is to ensure a business is not being used for money laundering, criminal terrorist financing or other illegal activities.
    • Please provide details of ALL the Beneficial Owners of the business. Beneficial Owners are individuals who own 25% or more of the business.
    • Note: Where the business is owned by another business (a parent company), the Beneficial Owner may be a shareholder of that parent company. Please include these individuals if, as a result of the ownership, they would own 25% or more of the applying business.
    • If nobody owns at least 25% of the business, please add the majority owner(s) of the business as the Beneficial Owners.
    • We must receive accurate and genuine information, otherwise, the application may fail.
  • Ultimate Beneficial Owners/Persons of Significant Control *
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof

  • Directors

    Please provide the below information for all Company Directors
  • Directors *

  • Nature of Business

    Modulr, as a regulated entity, must understand the business with whom it is contracting. To achieve this, please provide detailed responses to avoid clarification requests.

  • Customers

    Understanding your customers and how they interact with your business allows us to know more about your approach to the market and consider any risks that this may bring
  • In what countries are your customer based?*
  • How many customers do you have/expect to have?*
    Rows
  • Do you have any live customers already?*
  • What is your breakdown of customers by risk rating?*
    Rows

  • Payments through Modulr

    This will help us understand who will be funding Modulr accounts, how they will be used, and where funds will be sent. This information will assist Modulr in identifying any associated risks and will have implications from a regulatory perspective & a technical setup.
  • Your Modulr Account This refers to your Modulr account. This relates to funds owned directly by your business and payments made directly to or from your business.
    Your Customers Modulr Account This refers to the accounts of your customers, you will introduce to your platform and Modulr refers to this group as “introduced customers”. All funds in these accounts are the possession of your customers, the Payment Service Users.

  • Your Modulr Account

  • Do you have/expect to have any peak transaction volume/value days throughout the month?*
  • Please advise what type of transactions:
  • What is the total anticipated balance of funds held in your Modulr Account?*
    Rows
  • Which countries will payments be sent?*
  • From which countries will payments be received?*
  • Please provide details of the Bank account(s) you will be used to fund your Modulr account (i.e your bank account, liquidity provider and foreign exchange operators). *
    Rows
  • What is the anticipated maximum single/daily value of payments into/out of your Modulr Accounts?*
    Rows

  • Your customers’ Modulr Account usage

  • Which countries will payments be sent?*
  • From which countries are payments anticipated to be received?*
  • What is the anticipated maximum daily value of payments into/out of your customer's Modulr accounts?*
    Rows

  • Payments out of the Modulr account

    Modulr will apply account controls to oversee and manage the Modulr platform and your Modulr accounts. For this, we need you to share your expected maximum daily value and volume from the different types of accounts you might have in our portal.
  • Maximum daily Expected Outbound Activity*
    Rows

  • Compliance Information

  • PSD2 Requirements

    To make online payments more secure and reduce fraud, SCA requires all Payment Services providers to undertake SCA.

    SCA is intended to enhance the security of payments and limit fraud. It aims to ensure the person requesting access to an account, or trying to make a payment has been duly authenticated.

    Please complete the below and provide evidence where applicable.
    Strong Customer Authentication (SCA) – as per the Payment Service Regulations 2017: ‘authentication based on the use of two or more elements that are independent, in that the breach of one element does not compromise the reliability of any other element, and designed in such a way as to protect the confidentiality of the authentication data, with the elements falling into two or more of the following categories:

    1. something known only by the payment service user (“knowledge”);
    2. something held only by the payment service user (“possession”);
    3. something inherent to the payment service user (“inherence”);’

    For more information, click here

  • Is the product/service you are offering in scope for SCA requirements?*
  • What factor will you be using?
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof
  • If working towards regulatory compliance, please set the target date for achieving:
     - -
    2 digit day, 2 digit month, 4 digit year

  • Compliance Information

  • Account Servicing Payment Services Providers (ASPSP)

    As per the Payment Services Regulations (PSR) 2017: ‘“account servicing payment service provider” means a payment service provider providing and maintaining a payment account for a payer’.  The PSRs 2017 stipulate that ASPSPs must provide Third Party Providers with access to account data and payment functionality. As the Third-Party Provider will be requesting this information from Modulr’s partner and not Modulr directly, we need to understand the chosen method and how applicable Partners comply with the regulations.

    For more information, click here. 

  • Is the product/service you are offering in the scope of ASPSP requirements relating to account information and payment initiation?*
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof
  • If working towards regulatory compliance, please set the target date for achieving:
     - -
    2 digit day, 2 digit month, 4 digit year

  • Products

    Some of the products Modulr offers need more information from you to get you onboarded.
  • Please select if you have contracted some of the next products*

  • Direct Debit

  • Will your customers collect payments via Direct Debit?*
  • Do you currently collect Direct Debits?*

  • Physical Cards

  • Have you assigned limits to your card programme?*
  • What are the limits assigned?
    Rows
  • Have you assigned ATM limits to your card programme?*
  • What are the ATM limits assigned?*
    Rows
  • Do you block any merchant category codes?*
  • Please select all MCCs blocked
  • Please select any MCCs you require Modulr to block
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof

  • Virtual Cards

  • Will your customers make payments via virtual cards?*
  • Select the type(s) of virtual cards you will use*
  • Do you currently use virtual or physical debit cards?
  • What merchant types will be paid using virtual debit cards?
  • Do you know the merchant category codes (MCC)?
  • What are the MCCs of the merchants?
  • Please select the currencies used to fund your virtual cards

  • Industries

    Please select from the options below if your business is engaged in one of these industries
  • Please confirm if you operate in either of the below industries*

  • Industry - Cryptocurrency

  • Do you have the required cryptocurrency registration for the jurisdiction you are operating (where you physically are)?*
  • Please list all jurisdictions in which the business or group has offices or operations*
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof
  • Does the firm facilitate privacy coin activity?
  • Please provide a list of all cryptocurrencies your platform with be utilising. If you will use a coin but it is not listed, please advise.

  • Industry - Employment services

  • Can you confirm all PAYE and National Insurance contributions are paid to HMRC and reported via Real Time Information?*
  • Are you a member of an accredited scheme (e.g FCSA?)*
  • Who is the underlying client?
  • Are you IR35 compliant?
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof
  • Do you deduct tax from both the minimum wage payment and any assignment/commission/bonus payment?
  • Do you intend to use the Modulr account to make tax payments to HMRC?
  • Do you allow contractors to claim travel and subsistence expenses?
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof

  • I declare that the company does not operate/participate in any of the following schemes: a loan scheme; job board points; pension scheme; refunded credit or disguised remuneration scheme (offshore trust); or a mini-umbrella model.

  • Date
     - -
    2 digit day, 2 digit month, 4 digit year

  • Declaration

    I hereby declare and confirm that the information provided here is accurate, correct and complete and that the documents submitted along with this application form are correct
  • Date
     - -
    2 digit day, 2 digit month, 4 digit year
  • Should be Empty: