ACCOUNT_JOB_COMPANY
ACCOUNT_JOB_ADDRESS_SINGLE_LINE
CLIENT DECLARATION ON RISK DISCLOSURE
Account No.:________________
The client acknowledges that the Risk Disclosure Statement was provided in a language of client’s own choice and the client was invited to read the Risk Disclosure Statement, to ask questions and take independent advice if the client wishes.
Affixed the company chop and signed by:
_________________________________ ________________________________
Two of its Directors’ Name for and on behalf of
Name of Company:
(Please fill in BLOCK letters)
Date:
DECLARATION BY STAFF
I, _________________, [a Licensed / Registered Person,] declare that I have provided the above client with a copy of the Risk Disclosure Statement in a language of the client’s choice and invited the client to read the Risk Disclosure Statement referred to in the Client’s Agreement, ask questions and take independent advice if the client so wishes.
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