Virtual IDV Application Form

VIRTUAL IDV APPLICATION FORM

THIS VIRTUAL IDV AGREEMENT AND APPLICATION (the Agreement) is made between Applicant Name: and Service Provider Name: .

WHEREAS

WHEREAS, Applicant seeks to engage Provider to perform remote identity verification services (Virtual IDV) in order to validate customer identities, documents, and biometrics as described in this Agreement; and

WHEREAS, Provider possesses the technical capabilities, data sources, and compliance controls necessary to provide Virtual IDV services, and Applicant desires to subscribe to those services subject to the terms and conditions set forth herein.

WHEREAS, the parties agree that the provision of Virtual IDV services will be governed by the scope, payment, confidentiality, and termination provisions set forth below.

APPLICANT INFORMATION

Individual Corporation LLC Other:

AUTHORIZED REPRESENTATIVE

REQUESTED SERVICES

Select the Virtual IDV services Applicant requests (check all that apply):

Identity Verification Document Verification Biometric Verification Continuous Monitoring

SCOPE OF WORK

The parties agree that Provider will perform the services selected above and any additional duties described in the Scope of Work below. Provider will use commercially reasonable efforts to maintain service levels and compliance controls consistent with industry standards and applicable law.

PAYMENT TERMS

Applicant agrees to pay Provider the fees set forth below for the provision of Virtual IDV services. All amounts are stated in U.S. dollars and exclusive of applicable taxes unless otherwise specified.

All fees become due in accordance with the Payment Schedule. Provider may suspend services for non-payment after providing written notice in accordance with the Termination section below.

TERM AND TERMINATION

This Agreement commences on Start Date: and shall continue until End Date: unless earlier terminated as provided herein.

Either party may terminate this Agreement for convenience upon written notice delivered at least Notice Period: prior to the effective termination date. Either party may terminate immediately for material breach not cured within thirty (30) days after written notice or upon insolvency of the other party.

Termination shall not relieve Applicant of the obligation to pay fees accrued through the effective date of termination and any fees payable under any agreed termination provisions.

CONFIDENTIALITY

Each party (the Receiving Party) shall hold in strict confidence all Confidential Information disclosed by the other party (the Disclosing Party). "Confidential Information" means non-public business or technical information including customer data, verification results, system architecture, and security controls. Confidential Information does not include information that is publicly available or independently developed by the Receiving Party without use of the Disclosing Party's Confidential Information.

The Receiving Party shall (a) use Confidential Information solely for the performance of this Agreement, (b) limit access to employees and subcontractors who have a legitimate need to know and are bound by obligations of confidentiality at least as protective as those set forth herein, and (c) implement reasonable administrative, technical and physical safeguards to protect Confidential Information.

GOVERNING LAW

This Agreement shall be governed by and construed in accordance with the laws of the State of , without regard to conflict of law principles.

ENTIRE AGREEMENT

This Agreement, including any attachments and the Scope of Work, constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior and contemporaneous agreements, proposals and communications, whether oral or written. No modification of this Agreement shall be effective unless in writing and signed by both parties.

CERTIFICATIONS, REPRESENTATIONS AND CONSENT

Applicant certifies that the information provided in this Application is true and complete. Applicant consents to Provider accessing, processing, and retaining personal and business data, and to Provider's use of third-party data sources and service providers as necessary to perform Virtual IDV services in compliance with applicable law.

Applicant hereby authorizes data processing and the use of third-party verification sources.

Applicant hereby authorizes Provider to perform background and identity checks where permitted by law.

COMPLIANCE AND DATA HANDLING

Provider will maintain reasonable security measures and will process Personal Data only in accordance with this Agreement and applicable law. Applicant is responsible for obtaining any consents required from individuals for Provider to perform identity verification services where such consents are required by applicable law.

ADDITIONAL TERMS

Any attachments, pricing schedules, or supplemental statements of work executed by the parties form part of this Agreement. In the event of a conflict between an attachment and this Agreement, the attachment shall control only to the extent expressly stated therein and only with respect to the subject matter of the attachment.

EXECUTION

By signing below, the undersigned represent and warrant that they are authorized to bind their respective party to the terms of this Agreement.

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