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46 Labs and Subsidaries - Know Your Customer (KYC) Form - Ver 1 Oct 2024

The document is a Know Your Customer (KYC) questionnaire for 46 Labs and its subsidiaries, which includes sections for company information, customer base, traffic type, and fraudulent traffic mitigation. It requires detailed information about the business, its operations, and compliance with regulations. The undersigned certifies the accuracy of the provided information and acknowledges potential consequences for non-compliance.

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Alaya Naqvi
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0% found this document useful (0 votes)
69 views3 pages

46 Labs and Subsidaries - Know Your Customer (KYC) Form - Ver 1 Oct 2024

The document is a Know Your Customer (KYC) questionnaire for 46 Labs and its subsidiaries, which includes sections for company information, customer base, traffic type, and fraudulent traffic mitigation. It requires detailed information about the business, its operations, and compliance with regulations. The undersigned certifies the accuracy of the provided information and acknowledges potential consequences for non-compliance.

Uploaded by

Alaya Naqvi
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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46 Labs KYC VER 1 Oct 2024

Orchestrating the World's Connectivity™

46 LABS AND ITS SUBSIDIARIES


(VERSATEL LLC, IMPACT TELECOM LLC, HYPECUBE NETWORKS LLC)
KNOW YOUR CUSTOMER (KYC) QUESTIONNAIRE

Company Information
1 Legal Name of Business/Company Click or tap here to enter
text.
2 All business and trade names, fictitious names, and DBAs, as well as Click or tap here to enter
names of any predecessor entities.
text.
3 Parent Company Name Click or tap here to enter
text.
4 Headquarters Street Address, City, State Zip Click or tap here to enter
text.
5 State/Country and Year of Incorporation Click or tap here to enter
text.
6 Name of principal(s), controlling person(s), or person(s) with a majority
ownership in the entity
7 Has the business/company, its predecessor(s), its parent/affiliate(s), or its Click or tap here to enter
principal(s)/controlling person(s) ever been subject to an adverse
judgment arising out of a civil lawsuit relating to the use of text.
telecommunications networks or been the subject of any law
enforcement action or investigation by any local, state, or federal
agency? (Yes/No). If yes, please describe adverse judgment/action,
including case/docket numbers.
8 Website Address Click or tap here to enter
text.
9 Social Media Handles Click or tap here to enter
text.
10 Compliance Contact Name, Email and Phone Number Click or tap here to enter
text.
11 Operations/Network Contact Name, Email and Phone Number (to Click or tap here to enter
address traffic complaints)
text.
12 FCC Registration Number (FRN) Click or tap here to enter
If no FRN, explain why.
text.
13 Operating Company Number (OCN) Click or tap here to enter
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46 Labs KYC VER 1 Oct 2024

If no OCN, explain why. text.


14 Foreign ownership (yes/no) Click or tap here to enter
text.
15 FCC 214 registration number Click or tap here to enter
text.
16 499 Filer ID Click or tap here to enter
If no 499 Filer ID, explain why.
text.
Customer Base and Traffic Type
17 Type of Business (e.g., VoIP, wholesale, retail, wireless, non-
communications, etc.) Click or tap here to enter text.

18 Type of voice services provided (e.g., local, long distance, toll-free, Click or tap here to enter text.
inbound only, outbound only, etc.)
19 Describe type of customers you serve (e.g., wholesale, conference Click or tap here to enter text.
calling, domestic/international, enterprise, wireless carriers, etc.)
20 Do you engage in telemarketing (Yes/No)? Click or tap here to enter text.
If yes: (a) Do you have policy and process in place to ensure that
none of your telephone calls will be placed to persons registered on the
DNC Registry or any analogous state registry, and that you will adhere
in all other respects to the telemarketing restrictions adopted by the
FCC, FTC, and states (Yes/No)? (b) Will prerecorded/artificial
messages and/or an automatic telephone dialing system be used, and if
so, can you confirm you will obtain evidence of prior express written
consent from each person called (Yes/No)?
21 Do you originate or transmit high-volume, short-duration voice traffic? Click or tap here to enter text.
(Yes/No)? If yes: (a) what is the nature of this traffic? (b) Has this
traffic been the subject of any inquiries through the Industry Traceback
Group or any investigations or enforcement actions by any federal,
state, or local body?
22 Do you generate auto-dialed traffic? (Yes/No) Click or tap here to enter text.
If yes: describe whether auto-dialed traffic is specific to United
States NANP numbers using U.S. NANP origination numbers, and
whether traffic originates from domestic U.S. or international.
23 Have you, or any of the controlling person(s) of the entity, ever had an Click or tap here to enter text.
adverse judgment in a civil lawsuit alleging claims under the TSR, the
TCPA, or any other lawsuit regarding robocalls, automated dialing,
calls to the DNC Registry or any state do not call registry, spoofed
caller ID numbers, or otherwise unlawful telemarketing or
solicitations? (Yes/No)
24 Are you a Gateway Provider (a provider that is the entry point for Click or tap here to enter text.
foreign calls into the United States)? (Yes/No)
If yes, do you certify to comply with Gateway Provider
requirements, such as responding to traceback requests within 24 hours,
blocking mandates, and “know” the provider immediately upstream
from the gateway provider? (Yes/No)
25 Have you implemented STIR/SHAKEN in your network? (Yes or No) Click or tap here to enter text.
If no, please explain why, including a reference to the extension(s)
received under 47 CFR §64.6304.
26 Have you been blocked from any other voice service provider's Click or tap here to enter text.
network after being determined to be a "bad- actor upstream voice
service provider" with accordance to a notice from the FCC? (Yes or
No)
Fraudulent Traffic Mitigation
27 Are you a member of the US Telecom Industry Traceback Group? Click or tap here to enter text.
(Yes/No)
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46 Labs KYC VER 1 Oct 2024

28 Do you participate in US Telecom Industry Tracebacks? (Yes or No) Click or tap here to enter text.
If yes, provide name, email, phone number of contact responsible for
tracebacks.
29 Have you been determined by the US Telecom Industry Traceback Click or tap here to enter text.
Group to be a "Non-Cooperative Voice Service Provider"? (Yes/No)
30 Provide the number of tracebacks you have received in last 3 months Click or tap here to enter text.
and 6 months? Have any of these tracebacks resulted in a finding that
fraudulent/illegal traffic originated from or transited through your
network?
31 Are you registered in the Robocall Mitigation Database (RMD)? Click or tap here to enter text.
(Yes/No)
If yes:
• Provide RMD registration number.
• Confirm that the company timely registered and that the FCC has
not delisted company.
32 Do you have a policy and a process in place ensuring that you do not Click or tap here to enter text.
originate or transmit fraudulent or otherwise illegal voice traffic,
including a procedure for blocking such traffic when notified by the
FCC, the FTC, state attorneys general, other law enforcement bodies,
and/or the Industry Traceback Group? (Yes/No)
33 Are you a Gateway Provider (a provider that is the entry point for Click or tap here to enter text.
foreign calls into the United States)? (Yes/No)
If yes, do you certify to comply with Gateway Provider requirements,
such as responding to traceback requests within 24 hours, blocking
mandates, and “know” the provider immediately upstream from the
gateway provider? (Yes/No)
34 Have you implemented STIR/SHAKEN in your network? (Yes/No) Click or tap here to enter text.
If no, please explain why, including a reference to the extension(s)
received under 47 CFR §64.6304.

The undersigned certifies that s/he is an officer of the Company. The undersigned affirms and certifies that all
information and answers to questions herein are complete, true, and correct to the best of signatory’s knowledge and
belief. The undersigned confirms that blocking of customer traffic may occur as a result of the customer failing to
provide notice of material updates to its KYC certification, demonstrated illegal/fraudulent traffic, customer
delisting in the Robocall Mitigation Database, or otherwise required by regulatory or law enforcement agencies.

I verify that I am authorized to legally bind the Company by my signature.

Signature: _______________________________________________________

Printed Name: Click or tap here to enter text.


Title: Click or tap here to enter text.
Business Address: Click or tap here to enter text.
Email: Click or tap here to enter text.
Telephone Number: Click or tap here to enter text.
Date: Click or tap to enter a date.

Page 3 of 3

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