1. Personal Particulars

Title

Given Name

Surname

Passport ID / Government ID No (please state document type):

Date of Birth (dd/mm/yyyy):

2. Contact Details

Home Address

Postal Code

City

Country

Mobile Number (Please include country and area code)

Home Number (Please include country and area code)

Office Number (Please include country and area code)

Email Address

3. Employment Details (we will not contact your employer for references)

Company Name

Nature of Business

Company Address

Postal Code

City

Country

Position Held

Time with Employer (in months)

4. Financial Information

Source of Funds To Open The Account
SalarySavingsInheritance

5. Bank Account Details

Name of Bank

Bank Address

Bank Code (if any)

Branch Code (if any)

Swift/ABN Code

Account Name

Account Number

Account Type
SavingsCurrent

6. Type of Account

Account Currency
USDGBPEURJPYHKDAUD

7. Trading Experience

In which of the following instruments have you previously traded
Securities / EquitiesFuturesInterest Rates / BondsCommodities and MetalsCurrenciesOptions and Warrants

If Other please specify

Frequency of Trading
DailyWeeklyMonthly

Securities / Equities (knowledge and understanding)
NoneFairGoodExcellent

Futures (knowledge and understanding)
NoneFairGoodExcellent

Options (knowledge and understanding)
NoneFairGoodExcellent

Currencies (knowledge and understanding)
NoneFairGoodExcellent

How many years of experience do you have, and how often do you trade?

Which bank or broker have you traded with in the last 2 years?

Do you understand margin trading and the risks involved in margin trading?
YesNo

Trading Objectives
To achieve speculative gainsFor hedging purposesFor capital growth over the medium to long termFor income

Risk Tolerance
LowMediumHigh

8. DECLARATIONS (please ensure that the form is completely filled and duly signed)

I hereby represent and warrant that:


(a) I understand that while there will inevitably be an element of advice provided in some of the services which you offer, this advice will not include or consist of advisory of discretionary business unless specifically agreed with me upon separate terms. I understand that unless I have agreed to separate terms for advisory or discretionary business the service will be of an execution only nature;


(b) I have read and understood the Execution Policy and consent to the policy set out therein;


(c) I have read and understood the Risk Warning and confirm that I understand the nature and risks of equities, CFDs, forex, futures and options trading;


(d) The information provided by me in this form is true and accurate and I will promptly notify you in writing if any of the representations materially change or cease to be true and accurate;


(e) I have read and understood and hereby confirm I am legally bound by the Agreement which this Form and the relevant Terms of Business together shall constitute one and the same instrument

Proof of Identity (valid passport, valid ID or a valid driving license with a photo)

Proof of Address dated within last 3 months (Bank Statement, loan statement, telephone bill)
(note: mobile phone, internet bills and final demands will not be accepted)

Signature

Name

Date