Individual Application – US EN – ATHENA CRYPTO EXCHANGE

Know Your Customer (KYC) Disclosure Requirements for INDIVIDUALS

You will need the following items to complete this application:

Color picture of front and back of driver’s license, state ID, or current passport
Selfie with your face, the front of your ID, and a handwritten note that says “Athena Crypto Exchange” in the same picture. ID must be readable.
Filled out and signed W-9 form (you can download this later in the application)
Picture or PDF of the last 30 days of your bank statement which shows the account holder name, address, and the last four digits of the account number. This must be the bank that you intend to use for wires to/from ACE. Screenshots from your cell phone/computer are not acceptable!

P.O. Boxes are not acceptable on any document

Legal Name *

First

Last

Date of Birth *//

Citizenship *

e.g., United States, Canada, etc.

Residential Address (No PO Boxes) *

Address Line 1

Address Line 2

City

State

Zip Code

Phone Number *

Email *

Upload front of ID *

Click or drag a file to this area to upload.

Photo of the front (showing all four corners) of a current government-issued ID. If you are a US citizen, you may use your state issued Driver’s License or ID.

File format allowed: .jpg or .jpeg.

Upload back of ID *

Click or drag a file to this area to upload.

Photo of the back (showing all four corners) of a current government-issued ID. If you are a US citizen, you may use your state issued Driver’s License or ID.

File format allowed: .jpg or .jpeg.

Upload Selfie:

Selfie *

Click or drag a file to this area to upload.

A photo showing yourself holding both your ID (passport, driver’s license, or state ID) and a handwritten note with the words “ATHENA CRYPTO EXCHANGE”

File format allowed: .jpg, .jpeg, or .pdf.

Individual ACE Application