PARTY_1_NAME
PARTY_1_ADDRESS_SINGLE_LINE
ACCOUNT OPENING FORM (INDIVIDUAL/JOINT ACCOUNT)
Private & Confidential
| PARTY_1_NAME (the “Company”) | Account No. |
| Ref No. | Date opened |
| Type of Account |
Please complete in English BLOCK Letters
*Please DELETE whichever is not appropriate
| Full Name of Client | Other Account Names (For Joint A/C) | |||||||||||
| *I.D. / Passport No. and Issuing Country | Sex | Nationality | Date of Birth | |||||||||
| Marital Status □ Married □ Divorced □ Widowed □ Single □ De Facto | Education Level □ University or above □ Post Secondary □ Secondary □ Others ___________________ | |||||||||||
| Full Residential Address of Client | ||||||||||||
| Years of Residence | Home Telephone Number | Home Fax Number | ||||||||||
| Mobile Telephone Number | Email Address | Current Employer’s Name | ||||||||||
Nature of Business | Position | Years of Service | Business Tel. | |||||||||
| Current Business Address | ||||||||||||
| Correspondence Address (if different from above) | ||||||||||||
| Send Confirmation/Daily and Monthly Statements/Contract Notes to □ Residential Address □ Business Address □ Correspondence Address □ Email Address **Please choose one, please note that additional fees may be charged for choosing an address by post | ||||||||||||
Account No. :__________________
| Main Banker’s Name ______________ A/C No. _____________ □ Savings □ Current □ Fixed |
| Other Banker’s Name ______________ A/C No. _____________ □ Savings □ Current □ Fixed |
| Annual Income (CURRENCY) □ less than 200,000 □ 200,001 - 500,000 □ $00,001 - 800,000 □ 800,001 - 1,000,000 □ Over 1,000,000 (Please specify) |
| Total Net Worth (CURRENCY) |
| Do you own any Property / Real Estate □ Yes, please provide details ______________________________________________________ □ No 否 □ with financing □ without financing |
| Investment Objectives and Risk Tolerance □ Conservative □Income □Hedging □ Capital Gain □ Speculation □ Low Risk □ Medium Risk □ High Risk |
| Your Investment Experience Stock/Warrant □ Yes __________ Year(s) □ No Option/Future □ Yes __________ Year(s) □ No Forex/Bullion □ Yes __________ Year(s) □ No Others ________________________________________________________ |
| Source of Investment Information □ Newspapers /Magazine □TV /Radio □ Friends □ Own Analysis □ Financial Adviser Broker □ Others ____________________________ |
| Is the Client an employee of a person licensed or registered with another financial institution □ Yes □ No If Yes, please provide details _________________________________________________________ Is the Client related to any of our staff? □ Yes □ No If Yes, please provide the name of the employee _______________________________________ |
^Optional
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