1 Quality Court, Chancery Lane

WC2A 1HR, London, UK

www.coinfloor.co.uk
review@coinfloor.co.uk

Were glad to see you taking advantage of our services. Your business is highly appreciated.

Coinfloor is a leading exchange in terms of trust, security and reliability. While we strive to provide a simple
and unobtrusive bitcoin buying and selling experience, we also seek to reassure our users by operating
to the compliance, AML (anti-money laundering) and KYC (know your customer) standards expected of a
regulated UK financial institution. As part of our ongoing compliance and monitoring processes, we need
to ask you a few questions to better understand your needs and the nature of your activities involving
Coinfloor.

Name on the account User ID

Email address Phone number

1. How did you earn / obtain the money (fiat or bitcoin) you are depositing to Coinfloor?

In each case, please check the box, provide details and attach the proof when sending this form back:

Earnings (Fiat) (i.e. salary, returns on Description of source. If salary, title and location of job:
regular investments, etc).

Examples of proof include: 3 months pay slips

plus bank statements showing payments in or
P60, P45, Business bank account revenue.

Earnings (Bitcoin) (i.e. mining, returns on Description of source:

regular investments, etc).

Examples of proof include: mining equipment

purchase receipts, Certifications of Evidence of
earnings from a bitcoin exchange.

Windfall (Fiat) (i.e. profits from a major Description of windfall:

sale, inheritance, gambling winnings,
lawsuit settlement, nsurance claim, etc.)

Examples of proof include: certified will,

reputable auction statement, regulated
gambling site payout statement, etc.

Money provided by third party (i.e. Description of source:

providing payment solutions, Brokerage)

Examples of proof include: a link to your

service website or broker profile with
information matching the details provided by
you to Coinfloor.

Other Description of source:

Examples of proof include: please look at other

sources of income to determine appropriate
proof. The more clear proof provided the
better.
2. What is your main reason for buying or selling bitcoin?

Please choose one primary reason for your activity on Coinfloor.

Trading

Investment

Market Making

Brokering Bitcoin

Payment Processing / Remittance

Other (please describe)

3. What is your expected future volume of deposits and withdrawals?

Please give us an estimate of your future volumes of deposits and withdrawals in each currency so we can adjust our
processes to suit your needs.

Deposits Withdrawals

Amount (can be a range) Frequency Amount (can be a range) Frequency

Bitcoin (XBT)
Ad hoc
Total
Monthly Ad hoc
Total
Monthly
GBP
Ad hoc
Total
Monthly Ad hoc
Total
Monthly
EUR
Ad hoc
Total
Monthly Ad hoc
Total
Monthly
USD
Ad hoc
Total
Monthly Ad hoc
Total
Monthly
PLN
Ad hoc
Total
Monthly Ad hoc
Total
Monthly

If you have any additional comments, please enter them below:

Thank you. By submitting this form you confirm that the the information given above is true and complete. Please
make sure to save this file with your responses and send it together with the attached proofs (see section 1) to
review@coinfloor.co.uk

If you have any questions we will be happy to answer them, so please feel free to contact us at any time.

Kind regards,

Coinfloor Team

Coinfloor Limited is a company registered in England and Wales, registration number 08493818. Registered address: 1 Quality Court, WC2A 1HR London, United Kingdom.