Form

First name*

(Legal Name as appears in registration document)

Last name*

(Legal Name as appears in registration document)

Email*

(Valid email through which we shall communicate with you. Prefer that this has the domain of the company)

Phone number*

(Include Country Code in the format +xxx xx xxx xxxx)

City*

Country*

Funder/Investor Legal name*

(Please type the legal name as appears on registration Documents)

Type of Investor*

(Are you a Regulated or non-regulated Financial Institution ?)

Regulatory Authority*

(If regulated, name all Regulatory Authorities that have oversight over your business. If not regulated, write N/A)

Job title of applicant in the company above*

Company Users*

How many users within the organization will have access to the Ankara platform?

1-2

2-5

More than 5