Consentium Debit Card Sign Up
Sign up for Consentium Debit Card here.
This form will tell us your name, your address, your Exonium
This is for us to perform KYC and verify your identity.
After signing up here,
1. we will contact you via email, and
2. instruct you to send your CSM to in order to confirm
Please ensure that all data entered in this form are accurate
and true. We will not be held responsible for any incorrect
information. Please take note that the Consentium Debit
Card will only be available to Consentium or Exonium users.
When signing up, please use your Consentium or Exonium
Failure to do so will result in your application being voided.
VERIFICATION OF ADDRESS TO SEND CSM TO:
Date of Birth
ID / Passport Number
Do Not Fill This Out