T05 Payment Services - Risk Assessment Form

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Thank you for your interest in T05 Payment Services. To better understand your business payment needs, please fill up the following form.

Note: This form is only meant for Merchant and Companies incorporated in The Republic of Singapore.

Please only fill up the form if you have existing Financial and Operational knowledge of your company. We will also require the latest ACRA for your company (Past 6 months). Please proceed only if you are able to provide these information adequately.

The following details will be shared with 2C2P Pte Ltd, our payment processing partner, for further Merchant Account opening.

Email *

What is the Registered Name of your Company? (as per ACRA) *

What is the nature of your business? What Services/Products do you provide? *

Which of the following best describe your business? *

Just Started

Profit in the last 1 year

Profit in the last 2 years

Profit in the last 3 years

Loss in the last 1 year

Loss in the last 2 years

Loss in the last 3 years

How long have you been operating your business? *

0 year

Less than 1 year

2 to 5 years

Other:

What are your expected number of transactions per month via Payment Terminal? *

Less than 10 transactions

10 - 100 transactions

100 - 10,000 transactions

Other:

What is your estimated aggregated value of sales transactions on Payment Terminal per month? *

Less than SGD 100

SGD 100 to SGD 10,000

SGD 10,000 to SGD 100,000

Other:

What is the estimated percentage of overseas credit/debit card used on the Payment Terminal? *

Less than 10%

10% to 50%

More than 50%

What is your average ticket size per single transaction? (You may select more than one) *

SGD 1 to SGD 10

SGD 10 to SGD 100

SGD 100 to SGD 1,000

SGD 1,000 to SGD 3,000

Other:

Required

What is the expected proportion of sales done over the payment terminal to total sales? *

Less than 10%

10% to 50%

More than 50%

Do you have any security measures to prevent Fraudulent Transactions on Credit/Debit Cards?

I will ensure that my staff checks signature on the back of the card with signature on receipt

I have CCTV installation on premise at the location where payment is made

I do not mind sending customers receiving an OTP on their mobile phone to verify their transactions

Other:

How many physical stores do you have? *

What is your staff strength? *

Less than 5 person

5 to 10 person

Other:

Who is your banker currently? *

DBS

HSBC

Citibank

Maybank

OCBC

SCB

UOB

Other:

What is the duration of the relationship with your Banker? (Answer Question in __ Years and __ Months) *

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