Request your Next Card

This Agreement is concluded between: Next Wallet Ltd Ground Floor Palace Court Church Street, St. Julians STJ 3049 MALTA (“Provider”) and: (“Client”)

Client Personal Data

Your Name / Il tuo nome *

Family Name / Cognome *

Given Name / Nome *

Date of Birth / Data di nascita *

Year / Anno *

Residence *

Address / Indirizzo *

ZIP / Codice Postale *

City / Città *

Contacts *

Mobile Phone [Number] *

0/10

Email *

Identity *

ID Type & Number *

Issued by *

ID Document Emission Date *

Valid Until *

Documents Upload

Accepted documents as Proof of ID and proof of address:

Proof of ID:

Passport;
Driving License (back and front);
Government issued National ID Card (back and front).

Proof of address:

Bank Statement;
Credit card statement;
A second proof of ID (where it contains full residential address);
Utility Bills such as - cable television, electricity, gas, water, telephone bill (landline or mobile);
Revenue/Tax Certificates;
Home or Motor Insurance statement or Renewal Notice;
Italian Certificato di Residenza.

NOTE: Documents must be dated within the last 3 months.

Copy of one photo ID * The maximum file size is 5mb (jpg, jpeg, png, pdf, doc)

Copy of Proof of Address * The maximum file size is 5mb (jpg, jpeg, png, pdf, doc)

Declaration on funds origin

(Prevention of Money Laundering Act, CAP. 373 of the Laws of Malta)

DECLARE:
That the funds – object of the specified hereunder transaction (deal) have the following origin:

Occupation * Employee Executive Professional Entrepreneur Retired Investor Other

Please describe:

Field of industry *

Loadings and Spending

Expected monthly loadings (Eur): * < 2500 2500 to 5000 5000 to 10000 > 10000

Expected monthly spending (Eur): * < 2500 2500 to 5000 5000 to 10000 > 10000

Expected bank seeding funds

NOTE:it is possible to load the accounts with funds originating from different banks and/or countries

Please indicate the bank from which you expect to receive funds. *

Cardholder may be required to submit evidence of the source of funds. The Client/s warrants and confirms that the funds provided to the Provider have not been derived from any criminal activities as defined in the Prevention of Money Laundering Act, CAP. 373 of the Laws of Malta.

General Terms & Conditions Agreement

General terms and conditions - Please click to read

Agreement * I have read and i accept all General terms and conditions

Copy of document * I hereby declare I have provided an authentic copy of my document

Authorization * The Client agrees to use the Provider to access the Services provided under the conditions set forth in the General Terms and Conditions.

Beneficial Owner * I hereby declare that all funds transferred to the Provider are the property of myself.

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