Client Verification Checklist

CLIENT VERIFICATION CHECKLIST AND SERVICES AGREEMENT

Client and Provider Identification

Recitals

WHEREAS, Client Name: (the "Client") seeks verification and onboarding for the services described herein; and

WHEREAS, Service Provider Name: (the "Provider") is engaged in the business of providing verification, compliance, and related services and agrees to perform verification services subject to the terms of this Agreement;

NOW, THEREFORE, in consideration of the mutual covenants and agreements contained herein, the parties agree as follows.

Scope of Work

Description of verification activities to be performed by Provider. Provider shall perform the following tasks, and Client shall furnish required documents and information in a timely manner:

Client Verification Checklist

The following items shall be verified, and the Provider shall indicate completion by checking each corresponding box and providing any required detail.

Identity verification completed      Date:

Address verification completed      Supporting document(s):

Business registration / formation documents verified      Registration ID:

Authorized signatory confirmed      Name:

Anti-Money Laundering (AML) / Know Your Customer (KYC) checks completed      Findings summary:

Professional or trade references contacted      Reference notes:

Financial statements reviewed (if required)      Documents:

Payment Terms

Client shall pay Provider for verification services as follows. Fees listed are exclusive of any applicable taxes unless otherwise stated.

Term and Termination

This Agreement commences on the Effective Date set forth below and continues until the Completion Date unless earlier terminated in accordance with this section.

Effective Date: Month Day Year

Completion / End Date (if known): Month Day Year

Either party may terminate this Agreement for material breach if the breach remains uncured thirty (30) days after receipt of written notice specifying the breach, except that Provider may suspend services for non-payment immediately upon written notice.

Confidentiality

Each party shall maintain in confidence all non-public information disclosed by the other party that is designated as confidential or that reasonably should be understood to be confidential given the nature of the information and the circumstances of disclosure ("Confidential Information"). Confidential Information shall not include information that is or becomes publicly available through no wrongful act of the receiving party, or that is independently developed by the receiving party without use of the disclosing party's Confidential Information. Recipient shall use Confidential Information solely for the purposes of performing under this Agreement and shall limit access to those employees and contractors with a need to know who are bound by confidentiality obligations at least as protective as those herein.

Governing Law; Remedies

This Agreement shall be governed by and construed in accordance with the laws of the state or jurisdiction identified by the parties below. The parties agree that disputes arising under this Agreement shall be resolved in the courts of that jurisdiction. Remedies available at law or in equity are cumulative and not exclusive.

Entire Agreement; Amendments

This Agreement, together with any exhibits or attachments expressly incorporated herein, constitutes the entire agreement between the parties concerning its subject matter and supersedes all prior and contemporaneous agreements, proposals and communications, whether written or oral. No amendment or waiver of any provision of this Agreement shall be effective unless in writing and signed by authorized representatives of both parties.

Client Certification

By executing below, Client certifies that all information provided to Provider for the purposes of verification is true, complete and correct to the best of Client's knowledge, and Client authorizes Provider to perform the verification steps described above. Client acknowledges that Provider's verification is based on documentation and sources reasonably available and that Provider makes no warranty as to third-party information beyond Provider's stated procedures.

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