BROKERAGE ACCOUNT AGREEMENTBrokerage Account Agreement • April 3rd, 2016
Contract Type FiledApril 3rd, 2016Full Name:(First. Middle. Last) ID Number: Residence Permit No. Date of Birth: D/M/Y / / Sex Male Female Passport No. Nationality Issuing Place: Issuing Date: D/M/Y / / Expiry Date: D/M/Y / / Full Address P.0.Box Postal Code City Country Home Telephone Home Fax Mobile Number Email Address Occupation Employed Self-Employed Years of experience in stock market Employer Name Employer Address City Country Business Telephone Business Fax Investment Objective: Periodic Revenue Short Term Capital Profits Long Term Capital Profits Current level of annual income (RO) < 25,000 < 50,000 > 50,000 Current market value of existing portfolio (RO) < 100,000 < 500,000 > 500,000 Initial amount of investment you propose to make in the stock market (RO): Current outstanding loans and liabilities if any: What is your tolerance for short term fluctuations in the value of your portfolio? None Low Medium High Number of dependents: Zero 1-2 Persons 3-4 Persons 5 or More Persons