Prime FX CFD Ltd: Applications : Individual Account Application

General Information

Fields marked with an asterisk are mandatory.

Please provide your contact details*

First Name*

Last Name*

Mobile/Cellphone*

Email Address*

Please provide your Date of Birth*

Nationality*

Country of Birth:*

City of Birth*

Country of Tax Residence*

Please provide your current address*

Type*

Street/Number*

Street

City/Town*

County/State*

Post Code/Zip Code*

Country*

Please confirm your profession*

Are you a politically involved person?*

Are you a citizen of the United States of America?*

Are you a tax resident of the United States of America?*

Do you own a tax registration number of the United States of America?*

Have you ever been under investigation, enquiry, or convicted for any offence involving fraud, or other dishonesty, or any other offence such as economic offence, fraud, corruption, bribery, money laundering or tax evasion?*

Do you have any experience in CFD trading?*

How many years experience trading CFDs?*

Is your account to be traded by anyone else? if yes, we will provide a power of attorney document for both parties to sign.*

Name of approved person*

Fields marked with an asterisk are mandatory.

Trading and Regulatory Information

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Please tick to confirm you wish to open a Trading account, and the base currency you wish to be applied to your Trading account.*

Please confirm a four-digit telephone PIN Number (this will be used to identify you when you contact us)*

Fields marked with an asterisk are mandatory.

Financial Information and Account Requirements

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Please confirm what the purpose is for applying for an account with the Prime FX CFD Ltd*

Hedging or Capital Preservation Growth Speculation

Please confirm how many trades you typically place on a monthly basis:*

Please confirm approximately how much you plan to invest with Prime FX CFD Ltd*

Please confirm your Annual Salary:*

Please provide a detailed description of the origin of your source of funds/income:*

Please confirm an estimate of your current wealth:*

see below

Please note that funds remitted into the bank account of Prime FX CFD Ltd will have to be returned to source bank account of the client from where Prime FX CFD Ltd received. Prime FX CFD Ltd will NOT make any third-party payments.

Any funds remitted to the Prime FX CFD Ltd wallet address will be subject to the relevant charges by our providers and the sum placed on to your account will be less any charges incurred. The Company will send any USDT back to the same wallet address received from.

Please read the following Information

MANDATORY RISK DISCLOSURE

INFORMATION ABOUT THE CHARACTERISTICS OF CERTAIN COMPLEX PRODUCTS AND THE RISKS ASSOCIATED WITH THEM

Below is an overall description of the characteristics of certain complex products and their markets and of the risks associated with these products. Trading in financial products always involves a risk and you should only trade in financial products if you understand the products and the risks associated with them.

CFDs

The product allows you to speculate in future increases or decreases in the value of a specific asset, for instance a share. If your speculations show to be correct you will make a profit (less any costs) from the difference in value, however you will have to pay the difference in value (plus any costs) if your speculations prove to be wrong. Being tied to an underlying asset, the value of a CFD depends on that asset. CFDs are always margin traded allowing you to take a larger position than you would otherwise be able to, based on the funds you hold with the Company. Therefore, a relatively small movement in the underlying instrument can have a significant effect on your investment whether that be negative or positive. CFD trading therefore involves a relatively high level of risk. If your total exposure on margin trades exceeds your deposit, you risk losing more than your deposit.

Fields marked with an asterisk are mandatory.

Declaration

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Please read the following declaration

By signing the below, you confirm the following:

You guarantee there is no breach to any regulations in your country of residence in trading with the Company and you shall be responsible for any taxation requirements of that country.
Your source of funds, and the source of funds of your clients does not derive from any proceeds of crime, money laundering or any illegal or illicit activities.
To have read and agreed to the Client Agreement (General Terms of Business)
To have read and agreed to the Risk Disclosure Notice.
To have read and agreed to the Privacy Policy Notice.
To have read and understood the product information shown on the Market Information Sheet.
You have received satisfactory answers to all your questions regarding the terms, conditions and other issues relating to the relevant products.
You declare that the above information provided is true and correct and undertake to notify you in writing, if there are any changes to this data

I/We also agree and acknowledge that any personal information provided to the Company:

- - - May be shared with my Introducing Broker or the Company’s Bank for the purpose of providing any due diligence documentation and for approving my/our application in case I have appointed such Introducing Broker.
    - May be shared with any group company, related or affiliate company of the Company, and with anyone within such group company, related or affiliate company.
    - May be used to undertake a search with a 3rd party service provider for the purposes of verifying my identity. In order to do this, the 3rd party authentication provider may use the details against any particulars on any database (public or otherwise) to which they have access. They may also use my details in the future to assist other companies for verification purposes. A record of the search will be retained.

Please note that funds remitted into the bank account of Prime FX CFD Ltd will have to be returned to source bank account of the client from where Prime FX CFD Ltd received. The Company will NOT make any third-party payments.

Fields marked with an asterisk are mandatory.