Uptimus Smart Technologies Ltd

1. Applicant Type*

Individual Corporate / Organization

If Individual

Full Name*

Date of Birth (YYYY-MM-DD)*

Nationality*

Phone (WhatsApp if applicable)

Email*

Residential Address*

ID Type & Number (Passport/NIN)*

Upload Government ID Choose File

If Corporate / Organization

Legal Business Name*

Registration Number*

Country/State of Incorporation*

Year Incorporated*

Website (if any)

Primary Contact Name & Title*

Phone*

Email*

Registered/Operating Address*

Upload Certificate of Incorporation Choose File

Letter of Authorization (if third-party) Choose File

2. Services Needed*

Arc Invoice U-Notarize Uptimus Prints Uptimize-V eCorp – Company Formation eCorp – Virtual Address / Mailbox Uptimus Enterprise Software

3. Service-Specific Details

A) Arc Invoice

Primary need:

Invoicing Accounting Payroll Advisory

Current tools (if any):

Business size:

Solo 2–10 11–50 51–200 200+

Currencies used:

Estimated monthly invoices:

Payroll headcount (if any):

Desired start date:

Upload sample invoice/chart of accounts (optional): Choose File

B) U-Notarize

Document type:

Affidavit ID Agreement Corporate Docs Other:

Parties’ locations (countries):

Deadline/date needed:

Requires witnesses?

Yes No

Upload document(s) (PDF/Doc preferred): Choose File

C) Uptimus Prints

Project type:

Business Cards Flyers Banners Mugs Posters Custom:

Quantity & sizes:

Color/finish preferences:

Need design support?

Yes No

Delivery method:

Pickup Courier Both

Delivery address (if courier):

Upload artwork/brand guidelines: Choose File

D) Uptimize-V (Verification & Compliance)

Verification scope:

Individual KYC Business KYB UBO Checks AML Screening

Jurisdictions involved:

Volume per month (est.):

Integration:

API Dashboard Only

Risk/compliance policies available?

Yes (Upload) No

Upload target list (CSV/Excel optional): Choose File

E) eCorp – Company Formation

Jurisdiction (Country/State/Province):

Entity type:

LLC Corporation Partnership Non-profit Other:

Proposed Name (1):

(2):

Business purpose/industry:

Share structure / ownership (%) overview:

Directors (names & nationalities):

Add-ons:

EIN/Tax ID Registered Agent License/Permit Search Bank Account Setup

Desired formation timeline:

Upload IDs (owners/directors) & address proofs: Choose File

F) eCorp – Virtual Address / Mailbox

Services:

Virtual Business Address Virtual Mailbox Mail Forwarding Mailbox Rental

Intended use:

Registration Correspondence Branding/Website Other:

Mail handling:

Scan & Email Forward Hold for Pickup Notify Only

Forwarding frequency:

Weekly Bi-weekly Monthly On-request

Forwarding address & recipient:

Special instructions:

G) Uptimus Enterprise Software

Areas of interest:

Finance HR Procurement Sales Ops/Inventory CRM Analytics

Users (seats) & locations:

Deployment:

Cloud On-prem Hybrid

Integrations needed (ERPs, banks, payments, etc.):

Go-live target date:

Upload process maps/requirements (optional): Choose File

4. Timeline & Budget

Target start date:

Deadline/critical dates:

Budget range (USD/NGN/CAD/etc.):

Priority:

Standard Expedited (surcharge may apply)

5. Invoicing & Billing

Billing entity name:

Tax/VAT number (if applicable):

Billing address:

Preferred billing cycle:

One-time Monthly Quarterly Yearly

Payment method:

Bank Transfer Card PayPal Other:

6. Communication & Access

Preferred channel:

Email Phone WhatsApp Video Call

Best time to reach you (with timezone):

Technical contact (for integrations):

Legal contact (for contracts/KYC):

7. Compliance & Declarations*

I confirm the information provided is accurate and I am authorized to request these services.

I agree to Uptimus Terms & Conditions and Privacy Policy.

(For verification/eCorp) I consent to KYC/KYB checks and secure data processing.

8. Attachments Checklist (as applicable)

Government ID(s) / Passport(s) Proof of address (utility bill/bank statement) Corporate registration documents Ownership/Director list Project files (artwork, CSVs, requirements) Authorization letter (if third-party)

*Actual files are uploaded in Section 1 and Section 3.

General Services Form