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                                   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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