Gender* Male Female
Date of Birth*
Nationality* Choose an option Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benine Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo, the Democratic Republic of the Cook Islands Costa Rica Cote d'Ivoire,, Republic of Croatia Cuba Curaçao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland Former Netherlands Antilles France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran, Islamic Republic of Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Democratic Peoples Republic of Korea, Republic of Kosovo Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova, Republic of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory, Occupied Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin(French Part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch Part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia & South Sandwich Islands Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania, Republic of Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom Unites States Unites States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe
Employment Status* Choose an option Employed Self Employed Retired Student
Industry* Choose an option Accountancy Admin / Secretarial Agricultural Catering / Hospitality Company Services Construction and public procurement Creative / Media Defence / Military Education Emergency Services Energy Engineering Export / Import Financial Services - Banking and Investments Financial Services - Foreign Exchange Financial Services - Insurance Financial Services - Other Government / Public Sector Information Technology and related industries Jewellers Legal Leisure / Entertainment / Tourism Manufacturing Marketing / PR / Advertising Metals Trading Non Governmental Organisation Not for Profit / Charity Pharmaceuticals Precious Metals / Stones Property / Construction / Trade Retail Social Care / Services / Health / Medicine Technology Telecommunications Textile Transport / Logistics Other
Residential Address P.O. Box Addresses are not acceptable.
City*
Country* Choose an option Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benine Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo, the Democratic Republic of the Cook Islands Costa Rica Cote d'Ivoire,, Republic of Croatia Cuba Curaçao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland Former Netherlands Antilles France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran, Islamic Republic of Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Democratic Peoples Republic of Korea, Republic of Kosovo Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova, Republic of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory, Occupied Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin(French Part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch Part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia & South Sandwich Islands Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania, Republic of Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom Unites States Unites States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe
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Estimate Annual Income* Choose an option 2,000 - 9,999 10,000 - 49,999 50,000 - 99,999 100,000 - 249,999 250,000 - 499,999 500,000 and above
Liquid Net Worth* (Assets easily converted to cash) Choose an option 2,000 - 9,999 10,000 - 49,999 50,000 - 99,999 100,000 - 249,999 250,000 - 499,999 500,000 and above
Other Assets(Assets not listed elsewhere)
Check if you dont have TIN? No
Tax Information* Choose an option Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benine Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo, the Democratic Republic of the Cook Islands Costa Rica Cote d'Ivoire,, Republic of Croatia Cuba Curaçao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland Former Netherlands Antilles France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran, Islamic Republic of Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Democratic Peoples Republic of Korea, Republic of Kosovo Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova, Republic of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory, Occupied Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin(French Part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch Part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia & South Sandwich Islands Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania, Republic of Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom Unites States Unites States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe
Tax Number*
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ID Type* Choose an option Passport Drivers License Government ID
ID Number*
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Spot and Forward Foreign Exchange/Bullion*
Years Experience* Choose an option 0 Years 1 Years 2 Years 3 Years 4 Years 5 Years 6-10 Years > 10 Years
Trades Per Month* Choose an option 0 Trades 1-10 Trades 11-25 Trades 26-50 Trades 51-100 Trades > 100 Trades
Average Deal Size (Lots) * Choose an option 3 5 10 25 50 100
Shares, Bonds, and Funds*
Years Experience* Choose an option 0 Years 1 Years 2 Years 3 Years 4 Years 5 Years 6-10 Years > 10 Years
Trades Per Month* Choose an option 0 Trades 1-10 Trades 11-25 Trades 26-50 Trades 51-100 Trades > 100 Trades
Average Deal Size (Lots) * Choose an option 3 5 10 25 50 100
Futures, CFDs, Derivatives*
Years Experience* Choose an option 0 Years 1 Years 2 Years 3 Years 4 Years 5 Years 6-10 Years > 10 Years
Trades Per Month* Choose an option 0 Trades 1-10 Trades 11-25 Trades 26-50 Trades 51-100 Trades > 100 Trades
Average Deal Size (Lots) * Choose an option 3 5 10 25 50 100
Years Experience* Choose an option 0 Years 1 Years 2 Years 3 Years 4 Years 5 Years 6-10 Years > 10 Years
Trades Per Month* Choose an option 0 Trades 1-10 Trades 11-25 Trades 26-50 Trades 51-100 Trades > 100 Trades
Average Deal Size (Lots) * Choose an option 3 5 10 25 50 100
Do you understand the nature and risks of margined (or geared) transactions.*
Choose an option No Yes
Do you know that trading CFDs is different from other types of financial investments, and you do not own, or have any rights in, the underlying assets.*
Choose an option No Yes
Do you know that the concepts of margin and leverage apply to this account, which means that when you trade CFDs, you could lose substantially more than your deposits or margin payment and you might have to make further payments.*
Choose an option No Yes
Do you know that the concepts of volatility and market liquidity apply to trading on this account, which means that market circumstances may impact on pricing and on our ability to generate prices or to execute orders.*
Choose an option No Yes
Do you know that CFDs are traded on an online platform, which means you need to be familiar with using an online trading platform, including how to open and close a trading position.*
Choose an option No Yes
Do you know that it is your responsibility to monitor your CFD positions and to manage the risks of trading by using tools such as stop loss orders.*
Choose an option No Yes
Do you have or have you ever held any other account with us?*
Choose an option No Yes
Have you ever been employed in the financial sector?*
Choose an option No Yes
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Acknowledgement and Declaration
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