Unregistered 3rd Party Manager Fоrm
1. Account Holder Information
Full Name of Account Holder:
______________________________________________Satoshi Terminal Account ID:
______________________________________________Registered Email Address:
______________________________________________Contact Number:
______________________________________________
2. Third-Party Manager Information
Full Name of Third-Party Manager or Entity:
______________________________________________Contact Information:
Email Address:
_________________________________________Phone Number:
_________________________________________
Relationship to Account Holder:
[ ] Financial Advisor[ ] Family Member[ ] Business Partner[ ] Other (specify): _______________________________Proof of Identity/Business License (if applicable):
Document Type:
_________________________________________Document Number:
_________________________________________Issuing Authority:
_________________________________________
3. Scope of Authority
Authorized Activities (select all that apply):
[ ] Trading of cryptocurrencies[ ] Portfolio rebalancing[ ] Staking and yield generation[ ] Withdrawals (up to $________ per day)[ ] Other (specify): _______________________________
Prohibited Activities:
[ ] Margin trading[ ] High-risk strategies[ ] Other (specify): _______________________________
Duration of Authorization:
Start Date:
__________________________End Date (if applicable):
__________________________[ ] Indefinite until revoked
4. Compensation Terms (if applicable)
Compensation Structure:
[ ] Performance-Based Fee (e.g., __% of profits)[ ] Fixed Fee (e.g., monthly/annual amount)[ ] Other (specify): _______________________________
Payment Method:
[ ] Deducted from Account Balance[ ] Separate Invoice
5. Security and Compliance
Manager Access Permissions:
[ ] Full Account Access[ ] Limited Access (specify): _________________________[ ] View-Only Access
Security Measures:
[ ] Multi-Factor Authentication (MFA)[ ] IP Whitelisting for Manager Access
Compliance Acknowledgment:
[ ] The manager agrees to comply with Satoshi Terminal’s terms, including KYC and AML requirements.
6. Risk Acknowledgment and Liability
Account Holder Declaration:
[ ] I understand the risks associated with granting discretionary authority to a third-party manager and accept full responsibility for all activities conducted by the manager.Indemnity Clause:
[ ] I release Satoshi Terminal from any liability arising from the actions of the third-party manager unless in violation of the agreed-upon terms.
7. Authorization and Signatures
Account Holder Authorization Statement: “I, _________________________________________ (Full Legal Name), authorize [Third-Party Manager Name] to perform the activities specified in this agreement on my behalf. I confirm that the details provided are accurate and agree to the outlined terms.”
Account Holder Signature:
______________________________________________Date (MM/DD/YYYY):
______________________________________________Third-Party Manager Signature:
______________________________________________Date (MM/DD/YYYY):
______________________________________________
8. Terms and Conditions
[ ] I have read and agree to the Satoshi Terminal Terms of Service and Privacy Policy.[ ] I understand that this agreement can be terminated by either party with proper notice as specified in Section 3.
9. Internal Use Only (For Satoshi Terminal Staff)
Form Received By (Name and Employee ID):
______________________________________________Date/Time of Submission:
______________________________________________Compliance Verification Checklist:
[ ] Account Holder KYC Verified[ ] Third-Party Manager Identity Verified[ ] Permissions and Scope of Authority Approved
Approval Status:
[ ] Approved[ ] Rejected[ ] Requires Additional Documentation
Comments/Notes:
______________________________________________
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