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2. Further personal information

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Date of Birth:

Place of Birth:

ZIP Code:

Street Address:

City:

Country:

Nationality:

Tax Domicile:

INFORMATION

Country where you pay income tax.

Tax ID Number:

INFORMATION

Tax Identification Number (TIN).

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Industry of Current Employment:

Employer:

Are you a Tax resident in any other Country apart from the above?

Country/Jurisdiction of tax residence:

Tax ID Number (TIN)

If no TIN available enter Reason A, B or C

INFORMATION

Reason A - The country/jurisdiction where the Account Holder is liable to pay tax does not issue TINs to its residents

Reason B - The Account Holder is otherwise unable to obtain a TIN or equivalent number (Please explain why you are unable to obtain a TIN in the below table if you have selected this reason)

Reason C - No TIN is required. (Only select this reason if the domestic law of the relevant jurisdiction does not require the collection of the TIN issued by such jurisdiction)

Country/Jurisdiction of tax residence:

Tax ID Number (TIN)

If no TIN available enter Reason A, B or C

INFORMATION

Country/Jurisdiction of tax residence:

Tax ID Number (TIN)

If no TIN available enter Reason A, B or C

INFORMATION

3. Financial information

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Platform:

Currency of the account:

Gross Annual Income:

Net Worth:

INFORMATION

Net worth is defined as the difference between Client´s assets and liabilities. This value refers to economic position and in particular the amount of money that the individual spares after all deductions are effected. In case of legal entities, this value expresses value of all assets against all liabilities as a financial statement.

Assets of individuals are typically including cash or its equivalents, such property as houses or cars, investment accounts, any valuable properties as jewellery or antiques, in case of companies we mean e.g. property, inventory, materials, plants, equipment, machinery or buildings.

Liabilities are money owed to someone else, such as credit card or bank debts, bonds, promissory notes, mortgages, outstanding payments owed to vendors or a line of credit at bank etc.

Source(s) of your income:

INFORMATION

Principal source of income or wealth, regarding to Client´s main activity.

Purpose of Investment:

INFORMATION

Personal investment means a low risk investment, while expecting lover returns, e.g. in range from 4 to 12% p.a.

Speculative investment means investing with a significant risk, while expecting a substantial gain, e.g. over 20% p.a.

Hedging investment decisions to mitigate risk of holding a particular financial instrument by investing into two financial instruments, whose market development is counterfactual, e.g. options and future contracts.

Capital preservation investment where you do not want to risk any loss of invested capital

Account Funding Method:

Destination of Withdrawal:

Bank Name:

Bank Country:

Anticipated amount to invest:

INFORMATION

Anticipated amount of money to be invested on annual basis.

Risk Warning

Dear Client!

We would like to warn you and bring to your attention that, on the basis of the information provided to us by you, you do not seem to possess the appropriate experience/knowledge, as derived from the Law, to trade in the investment services (i.e. brokerage services) and financial instruments that we offer (i.e. Shares, OTC Financial instruments such as CFDs, Forex, Commodities, Indices), which carry a high degree of risk. In this respect, we do not consider these investment service(s)/financial instrument(s) appropriate for you.

Should you wish to trade Shares and/or OTC Financial instruments such as CFDs, Forex, Commodities, Indices with our company, even though the company has warned you that these financial instruments are not appropriate for you, you could still proceed and trade in these financial instruments.

The company considers that by choosing the “[Accept]” button below you acknowledge and accept that the envisaged investment services (i.e. brokerage services) and financial instruments the company offers (i.e. Shares, OTC Financial instruments such as CFDs, Forex, Commodities, Indices) are not appropriate for you but you still wish to proceed with trading in financial instruments with the company.

I declare that I have been adviced of the inadequacy of investment services and financial instruments and understand the risk associated with trading and nevertheless I wish to proceed with trading in financial instruments.

5. Compliance

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Proof of Address:

You can drag and drop your files here.

Proof of Identification:

You can drag and drop your files here.

Have you or any of your relatives or associates had status of Politically Exposed Person during last 12 months?:

INFORMATION

‘Politically Exposed Persons’ includes the following natural persons who are or have been entrusted with prominent public functions in the Republic of Cyprus or any other country and their Immediate Family Members or Persons Known to be Close Associates of Such Persons:

i. heads of State, heads of government, ministers and deputy or assistant ministers,
ii. members of parliaments,
iii. members of supreme courts, of constitutional courts or of other high-level judicial bodies whose decisions are not subject to further appeal, except in exceptional circumstances,
iv. members of courts of auditors or of the boards of central banks,
v. ambassadors, chargés d'affaires and high-ranking officers in the armed forces,
vi. members of the administrative, management or supervisory bodies of State-owned enterprises.

‘Immediate Family Members’ includes the following:

vii. the spouse or the person with which cohabit for at least one year,
viii. the children and their spouses or the persons with which cohabit for at least one year,
ix. the parents.

‘Persons Known to be Close Associates’ includes the following:

x. any natural person who is known to have joint beneficial ownership of legal entities or legal arrangements, or any other close business relations, with a person referred to in point (i) to (vi) above,
xi. any natural person who has sole beneficial ownership of a legal entity or legal arrangement which is known to have been set up for the de facto benefit of the person referred to in point (i) to (vi) above.

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FATCA Certification

I declare and confirm by agreeing with the below:
a) that I have examined the information and to the best of my knowledge and belief it is true, correct, and complete.
b) that I am using this form to document myself as an account holder of a foreign financial institution.
c) that I am not a U.S. Person.
d) that my Income is not effectively connected with the conduct of a trade or business in the United States.
e) that I am the beneficial owner of the income/profit generated in the account for which I am hereby applying.
f) that I agree to notify the Company immediately in the event that any of the information changes.

Furthermore, by agreeing I authorise this form to be provided to any withholding agent that has control, receipt, or custody of the income of which I am the beneficial owner or any withholding agent that can disburse or make payments of the income of which I am the beneficial owner.

I agree I do not agree

CRS – Self-Certification

I understand that the information supplied by me is covered by the full provisions of the terms and conditions governing the Account Holder’s relationship with the Company setting out how the Company may use and share the information supplied by me.

I acknowledge that the information contained in this form and information regarding the Account Holder and any Reportable Account(s) may be provided to the tax authorities of the country/jurisdiction in which this account(s) is/are maintained and exchanged with tax authorities of another country/jurisdiction or countries/jurisdictions in which the Account Holder may be tax resident pursuant to intergovernmental agreements to exchange financial account information.

I certify that I am the Account Holder (or am authorised to sign for the Account Holder) of all the account(s) to which this form relates.

I declare that all statements made in this declaration are, to the best of my knowledge and belief, correct and complete.

I undertake to advise the Company of any change in circumstances which affects the tax residency status of the individual identified in Section 1 of this form or causes the information contained herein to become incorrect or incomplete, and to provide the Company with a suitably updated self-certification and Declaration of such change in circumstances.

I agree I do not agree

Declaration

I hereby confirm that I understand the risk and mechanics of trading in derivatives, that I can lose my initial investment and can bear the financial risk associated with trading stocks, forex and CFDs.

I hereby confirm and acknowledge that the information provided during the registration process was provided by me and without anyone’s assistance. I further confirm, acknowledge and declare that the information I have provided is true and accurate and is provided based on my free will.

I have read, understood and accept the Client Agreement, Best Interest and Execution Policy, Privacy Notice, Complaints Procedure for Clients, Clients Categorisation Policy, Risk Disclosure and Warnings Notice, Conflict of Interest Policy, Company Information, Investor Compensation Fund, Terms of Business, Website Use, Key Information Document for CFDs, Key Information Document for FOREX and Key Information Document for SHARES

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1. General information

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2. Further personal information

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3. Financial information

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4. Assessment of Appropriateness

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Dear Client!

Dear Client!

5. Compliance

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