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Client Account Opening Application

Fields marked with an asterisk (*) indicate a required field

Client Personal Information
Salutation: Middle name ( If applicable)
First Name: * Last Name: *
Email Address: *
Nationality: *
Citizenship *
Country of Residence: *
Permanent Address: * City: *
Postal Code: *
Mobile: * Home Phone:
Fax:

Correspondence address (if different)
Correspondence Address: Correspondence Address City:
Correspondence Address Postal Code: Correspondence Address Country:
Place of Birth: *
Date of Birth: *
Day:Month:Year:
ID card number/Passport number: * Tax Identification Number: *
Tax Domicile (Where do you pay tax? Please indicate the jurisdiction where you are tax resident to): *
Employment Status: * Sector of activity/Industry: *
Name of employer/organisation or own business: Occupation:
Educational Background: *
Are you a "US Person"/United States resident for Tax Purposes? * US TIN:
i. The term “US Person” means: a US citizen or resident individual, a partnership or corporation organized in the United States or under the laws of the United States or any State thereof, a trust if (a) a court within the United States would have authority under applicable law to render orders or judgments concerning substantially all issues regarding administration of the trust, and (b) one or more US persons have the authority to control all substantial decisions of the trust, or an estate of a decedent that is a citizen or resident of the United States (This subparagraph shall be interpreted in accordance with the US Internal Revenue Code).
ii. US Tax Identification Number (TIN): Taxpayer identification number of a US federal tax payer.
Are you currently or have previously been a Politically Exposed Person (PEP)? *
Politically Exposed Persons means a natural person who is or who has been entrusted with a prominent public function in the Republic or another country for the last 12 months, a close family member of that persons as well as a person known to be a close associated of such person.

Financial Information
Annual Income - Please state your average yearly net disposable income (total income minus expenses, mortgage/rent payments, debt installments): * Net Worth: * Please state your net worth (total assets minus total liabilities)
Size of Wealth: * What are the foreseeable expenses over the next 12 months?: *
Select your preferred base currency: *
Purpose of Investment: * Annual income in any of the following instruments: *
Expected number of trades: *
Expected Trade Frequency: * What is the anticipated annual account turnover (deposit and withdrawal)? *
How do you expect to credit/fund your account: * Please provide us with details of the source of your wealth and income: *
Bank Country: * Bank Name: *

Please provide us with further details of your expected origin of funds
Name of institution: Bank name:
Money transfer company: Country of origin:

What is your expected destination of outgoing transfers/payments, if different than the expected origin of funds stated above?
Is Funds Destination Different than Origin:
Name of institution: Bank name:
Money transfer company: Country of destination *

Supplementary Information
Does the size of your portfolio (cash deposits and financial instruments) exceed EUR 500.000: * Please provide us with details on the expected deposit in the next twelve months: *

Information regarding the Services and Trading Account
Please choose the service(s) envisaged: * Please state the anticipated amount to invest: *

Assessment of Appropriateness
Over the past two years, to what extent have you traded on your own decision the following financial products: Shares, Bonds, Equites or Exchange traded funds: * Over the past two years, to what extent have you traded on your own decision the following financial products: Derivatives such as Futures, Options, Swaps: *
Over the past two years, to what extent have you traded on your own decision the following financial products: Forex (FX)/(CFDs), rolling Spot FX, spread bets or other instruments traded with margin: * What was the average yearly volume of invested amounts of your past transactions in the financial products you selected above? *
What was the average level of leverage you used for trading in the financial product you selected above? *
What is your level of education, qualification and work experience in relation to our services and products? (Multiple Answers possible) *
Trading with a higher leverage in CFDs means you may open a larger position volume, thus increasing the profit potential with the risk of loss: *
The market moves by 2% on the underlying instrument on which the CFD is based. Trading with which leverage would lead to the largest potential profit or loss: *
If the Facebook share that is traded through Nasdaq drops significantly, the price of Facebook CFD you bought will: *
Which of the following statements is correct regarding Contracts for Difference (CFDs) trading? *
When investing in CFDs what do you consider as an acceptable risk reward profile for your investments (i.e. possible losses and possible gains): *
What are your investment horizon and objectives? *

Platform
Preferred Platform: *
Account Type: *
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I declare that I have carefully read, fully understood and accept the Client Agreement, Order Execution Policy, Risk Disclosure, Privacy Policy, Conflict of Interest Policy and KID (Key Information Documents) of Interstellarfx.eu as on the web-page.: