Ajoxi — KYC Onboarding

Company

Legal entity, registration and registered address

Company Name *

DBA / Holding Co. / Trading Name

Company Type *

Incorporation Date *

Incorporation Place *

Business Registration Number *

Tax ID / EIN *

Prior Business Names

Business Description

Registered Address

Address Line 1 *

Address Line 2

City *

State / Province

Postal Code *

Country *

Website

Social Media

IP Addresses

Go-Live Date

Regulatory

US telecom identifiers & STIR/SHAKEN

FRN Number

Filer 499 ID

RMD Number

OCN Number

STIR/SHAKEN Level *

Traffic

Volume, capacity and quality metrics

Traffic Route *

Traffic Type *

Ports Required

CPS (Calls Per Second)

Concurrent Sessions

Monthly Minutes

ALOC (Avg. Length of Call, sec)

Attempts Ratio (%)

Calls Rejected Share (%)

ASR (Answer Seizure Ratio %)

Short Calls (%)

Gateway Provider

Yes No

Foreign Provider

Yes No

In FCC Intermediate Provider Registry? *

Yes No

Rural Call Completion Email

Fraud Safeguards

Contacts

Primary, billing, and role-based contacts

Main Contact

Main Contact Name *

Main Contact Title *

Main Mobile *

Main Phone *

Main Email *

Teams ID

Billing

Same as main contact

Billing Name

Billing Email

Billing Phone

Billing Address

Legal / Compliance Contact

Compliance Name

Compliance Email

Compliance Phone

Documentation

PDF / JPG / PNG · max 10 MB each

EIN Document * PDF, JPG or PNG · max 10MB

OCN Assignment Letter * PDF, JPG or PNG · max 10MB

Certificate of Incorporation * PDF, JPG or PNG · max 10MB

Proof of Address PDF, JPG or PNG · max 10MB

FUSF Form

Signed FUSF Form PDF, JPG or PNG · max 10MB

Certification

Review and attest to the statements below

I will notify Ajoxi if my traffic is blocked

I will provide source/originator information upon request

I screen my clients for fraudulent or illegal activity

I understand and comply with applicable telecom laws

I will respond to traceback requests within 24 hours

All information provided in this form is accurate

Signer Company *

Signer Name *

Signer Title *

Signed Date *

Signature *

Draw your signature using a mouse or touchscreen.

Secure KYC Submission

Your information is securely handled during the verification process.

KYC Verification