Title: City/Town: Country: Postcode: City/Town: Country: Postcode: If employed please give details (all fields are mandatory):

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1 1. Trading Platform MetaTrader 4 2. Account Leverage 100:1 200:1 400:1 Other* * Subject to written confirmation by Alpha Capital Markets. 3. Trading Account Type Micro Account Standard Account Premier Account DMA 4. Name and Address Surname: Forenames: [Minimum deposit US$500; Forex only] [Minimum deposit US$1,000; Forex, CFD's and precious metals] [Minimum deposit US$10,000; Forex, CFD's and precious metals] [Minimum deposit US$30,000; Forex and precious metals] Title: Date of Birth (DD/MM/YY): Permanent Residential Address: City/Town: Country: Postcode: Time spent at your current address: < 3 years >= 3 years Provide the previous address if less than 3 years: City/Town: Country: Postcode: 5. Contact Details Phone: (Country code/area code/number) Mobile: (Country code/area code/number) Fax: (Country code/area code/number) 6. Employment Employed If employed please give details (all fields are mandatory): Page 1 of 6

2 Employers Name: Nature of Business: Position Held: Self Employed If self-employed please give details (all fields are mandatory): Business Name: Nature of Business: Retired Student If you are registered with the FCA or similar regulatory body, please tick box Unemployed 7. Financial Background Approximate Annual Income (USD): Approximate Savings / Investments (USD): (Excluding property) Approximate funds available for trading (USD): Source of funds (Please select): Employment Investment Inheritance Real Estate Other (Please specify): 8. Client Categorisation Please select: Retail Client Professional Client Eligible Counterparty Refer to Clause 2.2 of the Client Agreement for the definition of these categories, or contact us for further information Page 2 of 6

3 9. Investment Experience Do you understand the risks of trading margined products? Yes No Refer to our Risk Disclosure Notice. If you do not understand the risks please contact us before continuing. Do you have an Alpha Capital Markets Demo Account? Yes No Please indicate your investment experience (all fields are mandatory): Instrument Experience (in months) FOREX (Spot or Forward) Contract For Difference (CFD) Equities/Bonds Equity Indices, Futures or Options Financial / Commodity Futures or Options Spread Betting Please indicate the anticipated frequency of your transactions: Instrument Frequency of deals (per month) FOREX (Spot or Forward) Contract For Difference (CFD) Equities/Bonds Equity Indices, Futures or Options Financial/Commodity Futures or Options Spread Betting 10. Live Account Details Account Currency (Please select) USD GBP EUR CHF JPY Security question and answers: Please select your preferred security question by providing your appropriate answer to one of the following: Your father s middle name: Your mother s maiden name: Your pet s name: Your first car: Your favourite food: Your favourite sports team: Your favourite TV show: Your favourite colour: Page 3 of 6

4 11. IB number/agent Account If you have been referred by an introducing broker or agent, please specify their name, address and account number (if known): 12. Risk Warning Forex forwards and CFD's are leveraged products. They may not be suitable for you as they carry a high degree of risk to your capital and you can lose more than your initial investment. You should ensure you understand all of the risks. You should also be satisfied that these products are suitable for you according to your circumstances, market knowledge and financial position. 13. Notice and Declaration I Confirm that I am over 18 and declare that the information provided by me during the account opening process is true and correct and undertake to notify you, in writing, if there are any changes to this data. I guarantee that I do not breach any regulations of my country of residence in trading with Alpha Capital Markets. I am a regular user of the internet and consent to Alpha Capital Markets providing information to me about changes to the Client Agreement by posting such information on the company website: Acknowledgement and Undertaking Yes, I agree and acknowledge the below information. 1. Introduction THIS ACKNOWLEDGEMENT AND UNDERTAKING is made by the client named below ( the Client ) with Alpha Capital Markets of 6 Old Hall Barns, Thurston Road, Pakenham, Bury St Edmunds, Suffolk, IP31 2NG ( Alpha Capital Markets ), a public limited company, incorporated and registered in England and Wales under company number , and authorised and regulated by the Financial Conduct Authority in the UK under Firm Reference Number Acknowledgement and Undertaking 2.1. The Client acknowledges that the UAE representative office of Alpha Capital Markets operates under applicable UAE law and regulation as a confined activity office and that its activities must be restricted to: Strengthening ties and transactions with clients; Providing its head office with information on local markets and relevant legislation; Providing data and information about UK markets; and Promoting and advertising its products and services The Client undertakes that it shall ensure that any products and services that it requests or obtains through the UAE representative office of Alpha Capital Markets shall not be such as to require the performance of any activity in breach of the restrictions listed in 1 above and that any Page 4 of 6

5 such restricted activity shall be conducted exclusively through the UK offices of Alpha Capital Markets This acknowledgement and undertaking shall be governed by and construed in accordance with English law and the parties submit to the exclusive jurisdiction of the courts of England and Wales. 15. Agreements Yes, I have read and agree to Alpha Capital Markets Client Agreement, a copy of which may be found at Yes, I have read and agree to Alpha Capital Markets Risk Disclosure Notice, a copy of which may be found at This Agreement sets out the terms and conditions on which we will provide you with services from time to time. This Agreement together with the Client Application Form and other related agreements and notices that we may provide you with from time to time together constitute the terms of your agreement with us. This is our standard Client Application Form upon which we intend to rely. For your own benefit and protection you should read these terms carefully before signing this Agreement. If you do not understand any point contained within this Agreement, please ask for further information before signing this Agreement. We are authorised and regulated by the Financial Conduct Authority (the FCA ) under Firm Reference Number for the conduct of investment business under the Markets in Financial Instruments Directive ( MiFID ) and Financial Services and Markets Act 2000 ( the Act ). Please indicate in the Client Application Form whether you are a Retail Client, Professional Client or Eligible Counterparty for the purposes of the FCA Rules, as defined in clause 2.2. Please ensure that you have read the attached terms and conditions carefully and then sign and return this to us at the following address: Alpha Capital Markets, 6 Old Hall Barns, Thurston Road, Pakenham, Bury St Edmunds, IP31 2NG. Page 5 of 6

6 We have read and accept the terms of the Agreement set out above: Signed I/We have read and accept the terms of the Agreement set out above: Signed Name Position Dated (for and on behalf of Alpha Capital Markets) (DD/MM/YYYY) Name Position Dated (Client) (DD/MM/YYYY) Page 6 of 6