Sign up to Nuapay payment network – BACS 1 Business Name2 Contact Details3 Product details4 Business Name*Note: Your Business Name must be an exact match to the name you use today.Company Registered No*Your Company registration number.Company Registered Full Business Name different to your Business Name? Yes Company Registered Business Name*Business Type*Private Limited CompaniesSole TraderAssociation, Foundation, Club, CharityPublic Limited CompaniesPartnershipsPublic sector bodiesIndustry*ServiceChildcareCharityAccountingInsuranceUtilitiesReal EstateMediaRetailingSoftware & ServicesOtherBusiness Activity*Describe the nature of your business or service, Prohibited Sectors: -Non-EEA & non-UK merchants - Regulated sectors where merchant does not have a valid license - Regulated sectors where merchant has an off-shore license - Supply of Armoury or weapons of war - Canabis retail sales - Home Service Warranty - Raffle Prize Competitions Restricted Sectors: - Money Remittance is restricted to an Open Banking Payment Initiation solution only - Adult with no adverse reputational risk - CBD for ethical purposes - Crypto WebsiteAddress Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Business Contact NameBusiness eMail* User access to Nuapay UI - Please provide - Full name / Email address / telephone number (Click + button to add additional users) Payments – Your expected volumes and values and required account configurationEstimated number of your customers*Estimated average value of each transaction*Estimated maximum value of each transaction*Are you currently collecting Bacs DDs today?* Yes No If yes, Confirm number of active mandates and Please provide SUN number/sDo you wish to Migrate your Mandates to Nuapay?* Yes No Migrating your Mandates to Nuapay - Please speak to your Nuapay Sales Representative as a Customized project will need to be discussed There are 2 Bacs processes in relation to migrating mandates. 1. Bulk transfer - Note: Nuapay do not offer a Transfer process as standard. 2.Payers to sign new mandates. Customers sign new mandates under a new (Nuapay) Sun. Advance Notice* Yes - I would like Nuapay to send advance notices – 10 days in advance of my customer accounts being debited Yes - I would like Nuapay to send advance notices – however please send XX days in advance of my customer accounts being debited. Please complete the number of days in the box below No – I will send advance notices to my customers - XX days notice Please complete the of days in the box below. Please upload a copy of your advance notice on the next page under Nuapay documentation requirements section.. It is your responsibility to ensure your customer’s email address is provided to enable Nuapay to send Advance Notices on your behalfE mandate signing process - Select all options which apply* Bacs Paperless – Using Nuapay E mandates Bacs Paperless – Using Your Own E mandates Solution - If Yes , this is subject to Approval and sign off by Nuapay’ s sponsor Bank (Please refer to Nuapay documentation requirements on the next page) Bacs Paperless – Using Telephone sign up process (Please refer to Nuapay documentation requirements on the next page) PISP (Open Banking) + Bacs Paperless –Nuapay E mandates* Bacs Paper mandates * Bacs Paper and Paperless mandates / DDI’s** Yes I confirm that we will collect a minimal amount (1p or greater) via OB from each customer prior to collecting their 1st Direct Debit No I confirm that we will not collect a minimal amount via OB from each customer prior to collecting their 1st Direct Debit Bacs Paper and Paperless mandates / DDI’s1.Bacs Paperless option: Should you wish to process Bacs Direct Debit Paperless instructions (DDI’s), Please provide details on how your organisation gathers/completes the following ‘Bacs Paperless mandates/DDIs’ questions 1-4 below. - Note: If you have selected ‘PISP (Open Banking) + Bacs Paperless –Nuapay E mandates’ and you ARE collecting a minimal amount (1p or greater) via OB from each customer prior to collecting their 1st Direct Debit, please skip the ‘Bacs Paper and Paperless mandates / DDI’s ‘ section below. - Note: If you have selected ‘PISP (Open Banking) + Bacs Paperless –Nuapay E mandates’ and you are NOT collecting a minimal amount via OB from each customer prior to collecting their 1st Direct Debit, you must answer Q2 only on the ‘Bacs Paperless mandates / DDI’s ‘ section below. 2. Bacs Paper mandates: – please complete all 4Q’s in Bacs / DDI’s below. NB Service User number: Important information. - As the SUN is being issued by Nuapay, which is a regulated Bacs Bureau, the regulation states that ‘Nuapay re Merchant/Client Name’ will appear on the Direct Debit Instruction form. - For the Direct Debit collections, the narrative on the Bank statement will be the Merchant/Clients name. If more than 1 signature is required to sign the mandate/DDI, a Paper mandate must be used (This is a Bacs requirement)Bacs paperless mandates / DDI’sQ1: What verification procedures are in place in your Organisation to ensure the customer / payer is who they say they are?*Q2: How does your Organisation verify that the address provided (to which the advance notice, etc. will be sent) is that of the customer / payer?*Q3: How does your Organisation ensure that the account number and sort code relate to the person providing the details?*Q4: How do you verify that the person with whom your Organisation is dealing with, is authorised to sign on the bank account for which the details are provided?* DocumentationVAT Number*Bacs Customer Settlement Account – This is the account where your Nuapay Bacs payments will be paid into.*8 digit account number*Company contact – email address*Documentation Upload Area* Drop files here or Accepted file types: jpg, gif, png, pdf. Nuapay documentation requirementsPlease upload the following, In addition to the below required documents, we may require further documentation. For Copies of ID/Passports, screenshots are not allowed. JPG, JPEG or PNG format only, no PDF. Proof of company address (e.g. Utility bill. Excluding Mobile phone bill) Certificate of incorporation UBO Register form from the Register of Beneficial Owners of the country where the company is incorporated Your Signed Nuapay Contract ID or Passport of applicant, JPG, JPEG or PNG format only ID or Passport of all Nuapay users, JPG, JPEG or PNG format only ID or Passport for all beneficial owners, JPG, JPEG or PNG format only Proof of Company Bank account (dated <3 months) see sample Please attach a copy of your Advance Notice if applicable. If you have selected - Bacs Paperless – Using Your Own E mandates Solution-Please provide your E mandate process flow If you have selected - Bacs Paperless – Using Telephone sign up process - Please provide your telephone script Your Signed Nuapay Contract ID or Passport of applicant ID or Passport of all Nuapay users Bank Statement see sample Please attach a copy of your Advance Notice if applicable. If you have selected - Bacs Paperless – Using Your Own E mandates Solution-Please provide your E mandate process flow If you have selected - Bacs Paperless – Using Telephone sign up process - Please provide your telephone script Your Signed Nuapay Contract ID or Passport of applicant ID or Passport of all Nuapay users Bank Statement see sample Please attach a copy of your Advance Notice if applicable. If you have selected - Bacs Paperless – Using Your Own E mandates Solution-Please provide your E mandate process flow If you have selected - Bacs Paperless – Using Telephone sign up process - Please provide your telephone script Your Signed Nuapay Contract Scanned copy of the constitution documents eg. Articles, statues Copy of the latest annual return ID or Passport of applicant ID or Passport of all Nuapay users ID or Passport for all beneficial owners Bank Statement see sample Please attach a copy of your Advance Notice if applicable. If you have selected - Bacs Paperless – Using Your Own E mandates Solution-Please provide your E mandate process flow If you have selected - Bacs Paperless – Using Telephone sign up process - Please provide your telephone script Your Signed Nuapay Contract Scanned copy of the constitution documents e.g. Articles, statues Copy of latest annual return ID or Passport of applicant ID or Passport of all Nuapay users ID or Passport for all beneficial owners Bank Statement see sample Please attach a copy of your Advance Notice if applicable. If you have selected - Bacs Paperless – Using Your Own E mandates Solution-Please provide your E mandate process flow If you have selected - Bacs Paperless – Using Telephone sign up process - Please provide your telephone script Your Signed Nuapay Contract ID or Passport of applicant ID or Passport of all Nuapay users Bank Statement see sample Please attach a copy of your Advance Notice if applicable. If you have selected - Bacs Paperless – Using Your Own E mandates Solution-Please provide your E mandate process flow If you have selected - Bacs Paperless – Using Telephone sign up process - Please provide your telephone script Please use the below section to add additional information if required.