Request Priority:  

I hereby grant explicit permission to secure a GMEI/LEI entity identifier on behalf of the issuer.
I do not wish to secure a GMEI/LEI entity identifier on behalf of the issuer at this time (and have read the corresponding link ).
Requestor Account
Returning Customer User Guide    
Primary Email Address: *
First Name: *    Last Name:*
Company Name: *
Street Address: *
City: *   State: *   Zip Code: *
Telephone: *   Fax #:
Special Instructions:
Please include additional instructions in a document attachment
Secondary Email Address:
Billing Account
Bill to Requestor (same as above.) :    
Bill to :
Billing Email Address: *
First Name: *   Last Name: *
Company Name: *
Street Address: *
City: *   State: Zip Code: *
Telephone: *    Fax #:
Issuer Registered Address
Issuer Legal Description: *
Issuer Registered Address - Country:
City: State: Zip Code:
Source Document:
Lead Underwriter:
Transfer Agent:
Issuer Contact Information
First Name : Last Name :
E-mail Address: Phone Number:
Issue Description
Issue Description: *
Currency: *
Where Traded: Initial Public Offering:
Depository Eligible: Payment Status:
Owner Restrictions:   Voting Rights: Ticker Symbol:
Mutual Funds Only:
Fund Type
Fund Investment Policy: Fund Form:
Preferred Stock Only:
Preferred Type:
Callable: Preferred Type
Divided Income:
Warrants and Rights Only:
Expiration Date(Warrants & Rights):
Offering Documents
You may attach a Word, Excel, PDF file to this request by clicking "Browse" below and selecting the file you wish to attach.
**Please note that each attachment should not exceed 15MB in size**
Offering Document 1:
Offering Document 2:
Offering Document 3:
Offering Document 4:
Offering Document 5:

Please note that, unless otherwise notified by the requester via email at the email address set forth below, CUSIP Global Services may, except in cases of privately placed securities or when the document is explicitly marked as private, make the offering documents associated with this request for an identifier available, in their entirety, to professional subscribers of its CUSIP Access look-up service. (please include your Request ID for reference)


Electronic Documents:
Please click on the "Submit" button above to attach the supporting documentation.


What Type of Documents are Needed
Security Type Send to CUSIP
1. Public Offering of Equity "Red Herring" (Preliminary Prospectus) or Registration Statement
2. American Depository Receipts Registration Statement F-6
3. Bank Holding Company Formation Registration Statement S-4
4. Company Emerging from chapter XI Disclosure Statement
5. Merger / Acquisition Merger Agreement (or) Certificate of Amendment


REMINDER: The appropriate Legal Documentation in its entirety must accompany this application