Registration Form

Type of Account


Account Title


First Name *

Middle Name

Last Name *

Date of Birth

Nationality *

Country Of Residence *

Address Line 1 *

Address Line 2

City

State

Zip Code *

Country

Employment Status

Job Title

Phone Work

Phone Mobile

Phone Home

Alternative Email

Please provide a secure password below that you will use to log in to your online research portal. The email address you have supplied on this form will be your username

Username *

Email Address *

Password *

Joint Account Only

Please select and supply details if you will be registering funds for investments from the following:

Have you invested in any of the following

Trading Experience

Risk Tolerance

Investing involves risk. Different investment products and strategies involve different degrees of risk. The higher the expected returns of a product or strategy the greater the risk. Higher risk strategies typically offer higher returns. Please select the degree of risk that you are willing to take with this account.

Account Applicant Personal Info

Annual Income from All Sources

Current Value Of Invesment Holdings

Current Value Savings

Liquid Nett Worth


Please confirm the following to qualify as an accredited/sophisticated investor. (If you do qualify we will be able to offer further institutional investment opportunities.)

1.In the last 2 years have your earnings exceeded USD 250,000 per annum? *

2. Excluding your residential home do you have investments, savings and other liquid assets that exceed USD 1,000,000? *

Agreement

By submitting this application you confirm that all information is accurate and true to the best of your knowledge.You also agree to notify us of any changes in your circumstances or in the information provided.