Joint agreement open live account

Declaration of U.S. Citizenship or U.S. Residence for Tax purposes

Please tick either (a) or (b) or (c) and complete as appropriate

* Declaration

(a) I confirm that I am a U.S. citizen and/or resident in the U.S. for tax purposes (green card holder or resident under the substantial presence test) and my U.S. federal taxpayer identifying number (U.S TIN) is as follows.

(b) I confirm that I was born in the U.S. (or a U.S. territory) but am no longer a U.S. citizen as I have voluntary surrendered my citizenship as evidenced by the attached documents.

Declaration of Tax Residency (Other than U.S)

I hereby confirm that I am, for tax purposes, resident in the following countries (indicate the tax reference number type and number applicable in each country)

*Country:

*Tax Reference number type

*Tax Reference number

Country

Tax Reference number type

Tax Reference number

Country

Tax Reference number type

Tax Reference number

Employment Information

*Employment Status

Employed

Self-Employed

Retired

Unemployed

*Annual Salary

Less than $25,000

$25,000 to $50,000

$50,000 to $100,000

Over $ 100,000

(Please give full particulars including country of origin. Phrases such as 'transferred from another company' or 'investments' are not sufficient. If the wealth is derived from the sale of a business, the description should indicate the name of the business & activities of the company. If the funds were generated through accumulated earnings, the affidavit should include information as to your employer, your position, & number of years employed. Specific details of the source of funds introduced are essential to enable us to confirm the funds are legal in origin. We reserve the right to request further documentation to support this declaration.)

Total Assets

*Total Annual Income

Less than $25,000

$25,000 to $50,000

$50,000 to $100,000

Over $ 100,000

* Approximate Net Worth

Less than $25,000

$25,000 to $50,000

$50,000 to $100,000

Over $ 100,000

*Anticipated Investment

Less than $25,000

$25,000 to $50,000

$50,000 to $100,000

Over $ 100,000

Declaration of Source of Wealth

*Source of Wealth

Income from profession/employment

Inheritance

Company Ownership / Sale of Company or Assets

Company Ownership and Profits

Investments or Savings

Rental income / Sale of Real Property

Gift

Other income

*Please provide more information on the source of the inheritance

* Please provide details on Company.

* Please provide more information on the investment/savings you plan to use to fund your account.

* Please include rental agreement or sale agreement in your uploaded documents.

* Please provide details on the gift source

* Please explain your source of income.

*Are you connected to bankruptcies?

Yes

*Declaration

I/We declare (as an authorized signatory for the Applicant) that the information provided in this Form, is to the best of my knowledge and belief, accurate and complete. I/we further confirm that my/or wealth is from legitimate sources as indicated above, and that I/we will also provide the required evidence of the source of wealth as is required.*

Trading & Investment Experience

Please check the following which best describe your investing experience:(if you have no prior investing experience please sign "Supplemental Risk Disclaimer")

On-Exchange Securities

Years of experience

Trading volume

Frequency of trading

Leverage FX, CFD's and Precious Metals

Years of experience

Trading volume

Frequency of trading

Commodities

Years of experience

Trading volume

Frequency of trading

Futures

Years of experience

Trading volume

Frequency of trading

Options

Years of experience

Trading volume

Frequency of trading

Mutual Funds

Years of experience

Trading volume

Frequency of trading

Upload Files

Please Upload the following documents

*Type of Doc.

*Country Doc.

? Important: Read the Instructions for Uploading Documents

* Passport (Government ID)

Choose a file…

? Important: Read the Instructions for Uploading Documents

* Drivers License Front(Government ID)

Choose a file…

* Drivers License Back Face(Government ID)

Choose a file…

? Important: Read the Instructions for Uploading Documents

* National ID Front Face(Government ID)

Choose a file…

* National ID Back Face(Government ID)

Choose a file…

? Important: Read the Instructions for Uploading Documents

* Residence Permit

Choose a file…

Proof of Address

Important: Read this information before uploading the Proof of Address documentation:

*Type of Doc.

*Document

Choose a file…

Additional Proof of Address Document

Additional document required for clients who live on 3rd risk countries

*Type of Doc.

*Document Proof of Address

Choose a file…

User 2

*Last Name

*First Name:

Middle

*Place of birth

*Day of birth

Passport N°

Passport Expiration Date

*Nationality

Primary Address Information

*Country

Province

*City

*Address

Address 2

*Zip Code

*Phone

Mobile

*Gender

*Marital Status

Banking Information

Bank Name

Bank Address

SWIFT/ABA/IBAN

Account Number

Beneficiary Name

Correspondent Bank

Declaration of U.S. Citizenship or U.S. Residence for Tax purposes

Please tick either (a) or (b) or (c) and complete as appropriate

* Declaration

(b) I confirm that I was born in the U.S. (or a U.S. territory) but am no longer a U.S. citizen as I have voluntary surrendered my citizenship as evidenced by the attached documents.

Declaration of Tax Residency (Other than U.S)

I hereby confirm that I am, for tax purposes, resident in the following countries (indicate the tax reference number type and number applicable in each country)

*Country

*Tax Reference number type

*Tax Reference number

Country

Tax Reference number type

Tax Reference number

Country

Tax Reference number type

Tax Reference number

Employment Information

* Employment Status

Employed

Self-Employed

Retired

Unemployed

* Annual Salary

Less than $25,000

$25,000 to $50,000

$50,000 to $100,000

Over $ 100,000

Declaration of Source of Wealth

*Source of Wealth

Income from profession/employment

Inheritance

Company Ownership / Sale of Company or Assets

Company Ownership and Profits

Investments or Savings

Rental income / Sale of Real Property

Gift

Other income

*Please provide more information on the source of the inheritance

* Please provide details on Company.

* Please provide more information on the investment/savings you plan to use to fund your account.

* Please include rental agreement or sale agreement in your uploaded documents.

* Please provide details on the gift source

* Please explain your source of income.

*Are you connected to bankruptcies?

Yes

*Declaration

Trading & Investment Experience

On-Exchange Securities

Years of experience

Trading volume

Frequency of trading

Leverage FX, CFD's and Precious Metals

Years of experience

Trading volume

Frequency of trading

Commodities

Years of experience

Trading volume

Frequency of trading

Futures

Years of experience

Trading volume

Frequency of trading

Options

Years of experience

Trading volume

Frequency of trading

Mutual Funds

Years of experience

Trading volume

Frequency of trading