PayPlus Merchant Application - Ingenico Alipay & WeChat Pay Please note * are mandatory Merchant DetailCompany Legal Name* Business Trading Name*This is the business name your customers see in their app. It can be in Chinese characters. Company Registration Number*You can find your Company Registration Number here. Business Address*The address where this service will be provided. Street Address Address Line 2 City ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Upload Proof of Physical Business Address (Can not be PO BOX)*Please provide your proof of business address. eg. a letter/bill with your business name and address on the same page. Drop files here or Select files Accepted file types: jpg, gif, png, pdf, jpeg, Max. file size: 4 MB. Settlement Bank Account Number*This is the bank account that we will settle the transaction to. Upload Proof of Business Bank Account*Please provide your proof of your business bank account. eg. a bank statement, deposit slip or your online banking screenshot with your business name and bank account number on the same page. Drop files here or Select files Accepted file types: jpg, gif, png, pdf, jpeg, Max. file size: 4 MB. Business Phone Number* Contact DetailName* First Last Mobile Phone*Email* Email for reporting*This email is for us to send you the daily and monthly transaction report. Director(s) and Shareholder(s)Director's Detail*NameMobile NumberEmail Please upload a copy of your Passport and Proof of Residential Address for all directors listed above.* Drop files here or Select files Accepted file types: jpg, gif, png, jpeg, pdf, Max. file size: 4 MB. Shareholder's DetailRequired for any shareholder who has 25% shareholding or more. Please skip this section if the director and shareholder are the same person.NameMobile NumberEmail Please upload a copy of your Passport and Proof of Residential Address for all shareholders listed above. Drop files here or Select files Accepted file types: jpg, gif, png, jpeg, pdf, Max. file size: 4 MB. EFTPOS Terminal DetailsIf you are not using Ingenico EFTPOS terminal and wish to use it, you can skip this part.EFTPOS Terminal ProviderWho did you obtain your EFTPOS terminal from? EFTPOS Terminal/Model TypeCurrently using – please tick ICT220 ICT250 IWL255 IWL252 DESK5000 MOVE5000 DESK3200 MOVE2500 Other Please tell us your EFTPOS terminal model. Terminal Serial Number & ID*Please tell us your 8 digits Terminal Serial Number/s. You can find this number at the back on terminal or simply press FUNC key. FUNCTION? will be displayed. Key in 74 followed by ENTER which will display the last 8 digits of the terminal serial number. *Please tell us your Terminal ID. You can obtain your terminal ID/s from your EFTPOS receipt/s. Please see EFTPOS receipt sample. EFTPOS Name (if any)Terminal Serial NumberTerminal ID Fees and SettlementMerchant Rate* Our merchant rate is 2.00% Minimum account activity fee*We do not charge a setup fee or monthly service fee, however a $20/month minimum account activity fee does apply. This means your monthly cost will be either the sum of your merchant fees for that month, or $20.00, whichever is greater. $20 monthly minimum account activity fee Surcharging Option* I would like to absorb the merchant fee. I would like to pass the merchant fee to Chinese customers. If you currently surcharge merchant fees for credit card transactions, we can do the same with Alipay & WeChat. However, the surcharging policy needs to be consistent between credit card and Alipay/WeChat Pay. The merchant fee will be automatically applied to the initial amount.Settlement*All transactions are settled in two working days (T+2) unless affected by public holidays in New Zealand or China. When you auto surcharge the merchant fee to customers, we deduct the merchant fee and settle the initial amount. Example: you charge $100, customer pays $102, PayPlus takes $2 and settles $100. When you select to absorb the merchant fee, settlements will be in full i.e your merchant fee is not deducted, merchant fees are calculated and invoiced the month following. T+2 (two working days excluding public holidays in New Zealand and China) Direct Debit Form*Direct Debit facility is available. Please fill in the form here and upload your signed copy. Drop files here or Select files Max. file size: 10 MB. Special RequirementIf you have any special requirement, please leave your message here.The Legal Stuff** By clicking submit you agree to our Merchant Service Rate, Merchant Fees or Monthly Minimum Account Activity Fee (whichever is greater), Merchant Agreement and you certify that the information provided is true and correct, and that the copies of the forms of identification attached are true copies of documents. The information is used for the collection of personal information in accordance with PayPlus’ obligations under the Anti-Money Laundering and Countering Financing of Terrorism Act 2009, and related regulations. All information collected under this requirement is subject to PayPlus’ Privacy Policy which is available at www.payplus.co.nz. I have read and agreed The Legal Stuff.Application Date DD slash MM slash YYYY Δ
