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1 CORPORATE ACCOUNT APPLICATION FORM Company Information Full Company: Registration number: Incorporation Registered Address: City Country: Postcode Principal Office (if different to registered address): City: County Post Code: Operational Country: Principal business activity Staff number Company Formation Partnership Limited Partnership Limited Liability Partnership Limited Company Public Limited Company Is the company publicly quoted Yes/No Is the Company regulated by the Financial Services Authority NO / Yes (which one) Contact details Company phone number Relevant address Website address Principal Contact Direct Telephone Financial Information What is your company s estimated Annual Turnover? What is your entities total estimated net worth? What is your entities liquid net worth? Is the corporation, partnership or LLC the debtor in pending bankruptcy proceedings? YES / NO Select the currency that your account will be traded in: EUR GBP USD Estimated Initial Deposit Amount: Minimum 500 USD (or currency equivalent)
2 Type of account: Standard Fixed Account Standard Floating Account STP Account Please select your trading experience for each type based on live trading experience only. 1. Have you traded Spot Forex? Yes No 2. Have you traded CFD s? Yes No 3. Have you traded Options? Yes No 0-50,000 51, , , , , Have you traded other types of financial instruments, such as shares? Yes No If yes, please answer the following questions: Please indicate if these trades were in: Other Financial Derivatives (e.g spread bets) Shares Other instruments Please indicate the number of self-directed trades placed with your own risk capital in the last Do you hold any educational or professional qualifications, and/or are you currently employed in the financial sector in a professional position which requires knowledge of the type of trading that you wish to carry on with XTB UK? YES NO If yes, please specify: Risk Warning: If you have ticked No to all of the five above questions, before you continue with your application please note that the rules of our regulatory body (the FSA) require XTB UK to inform you that we do not deem leveraged derivative financial instruments as being entirely appropriate products for you. Having considered the above statement, do you still wish to continue with your account application?
3 Yes, we confirm that I have noted your warning above but still wish to continue with my application for account facilities with XTB UK. Bank Details Bank Name: Bank Country Account/IBAN Number: Sort/Branch/Swift/BIC Code / / Principal Contact: Tel. No. of the Principal Contact: ACKNOWLEDGEMENTS AND DECLARATIONS Data Protection I hereby agree to the processing and retention of my personal data by XTB UK and its group companies ( XTB Group ) within the EEA for any purposes related to performance of this Agreement. Marketing I do not wish for XTB UK and its Associated Companies to use information about me to keep me informed of products and services by letter, telephone (including text messages), electronically (including ) or otherwise. Bet / Trade Confirmations XTB UK will provide confirmations to you of your bets/trades and executed Orders via the online platform. We can provide daily summaries of all trades on request. Understanding of Investment Risks I have read and understand the provisions of XTB UK Declaration of Investment Risks. In particular, I understand the products provided by XTB UK carry a high level of risk which can cause substantial losses that may go beyond the amount I have invested. When you trade with XTB UK you are merely wagering on the outcome of a financial instrument and therefore you do not take delivery of any applicable underlying instrument and nor are you entitled to any benefits related to the same. I understand and accept the risks associated with cfd and/or forex trading. Understanding of Order Execution Policy I hereby acknowledge that I have read and understand the provisions of the XTB UK Order Execution Policy and consent to it. Jurisdictional Notice I have read the XTB UK Jurisdiction Notice located within and I understand that if I am a non- UK resident or if I bet/trade from a jurisdiction outside the UK, I may be subject to laws other than English law and that I am solely responsible for ascertaining and complying with such laws. I understand that if I am uncertain in respect of any of the above statements I should seek independent financial/legal advice. Notice and Declaration I fully understand the nature and risks of trading Forex and other derivatives. I confirm I have read, understood and agree to be bound by XTB UK Customer Agreement, Risk Acknowledgement and Disclosure and Terms of Business. 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 XTB UK. I am a regular user of the internet and consent to XTB UK providing information to me about changes to the Customer Agreement or Terms of Business by posting such information on the company website:
4 I hereby agree and confirm that the information disclosed herein is true and accurate and I hereby agree to promptly notify XTB UK in writing if any of these representations materially change or cease to be true and accurate. I hereby acknowledge that I have read and fully understand and have had a proper opportunity to consider and agree to be bound by the terms and conditions of this Agreement with XTB UK. Signed: Name in full: Duly authorised signatory for and on behalf of the applicant named above. Title: Date: Signed: Name in full: Duly authorised signatory for and on behalf of the applicant named above. Title: Date: BOARD/PARTNERSHIP RESOLUTION We, the signatories named below, confirm that the information contained within this application form and any other documents that support this application are completely accurate and up to date. We also confirm that the following resolutions as stated below were duly passed at a meeting of the board of directors/the partners of on the day of at which a quorum was present at all times. The resolutions as stated have not been subsequently varied or revoked and no director/partner has then or since informed us of any declarable interest. It was resolved to: i) Open an account with XTB UK for the purposes of: CFD & Spot Forex ii) Accept the XTB UK Terms. iii) Authorise those directors/partners named below to operate the account on behalf of the above company/partnership. iv) Immediately inform XTB UK as and when any of the directors/partners named below are no longer authorised to trade on behalf of the above named company/partnership. v) Warrant that the directors/partners named below are duly appointed directors/partners of the above named company and continue to hold the position as stated next to their name. vi) Provide XTB UK with all of the necessary documents as set out below. vii) Execute the application form and in particular to make the declarations therein to XTB UK Directors/Partners _ Proof of identity of all directors (passport, national ID card, driving license) Proof of address of all directors (utility bill, bank statement; dated within last 90 days) Proof of identity of all ultimate beneficiary owners (passport, national ID card, driving license) Proof of address of all ultimate beneficiary owners (utility bill, bank statement; dated within last 90 days)
5 Certificate of Incorporation Agreement signed by all directors or resolution / POA allowing chosen individuals to sign Firm s financial standing (preferably audited accounts; management accounts if these are not available)
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