UOB KAY HIAN PRIVATE LIMITED 8 Anthony Road #01-01 Singapore 229957 Tel: 65356868 Fax : 65326919 Website: www.uobkayhian.com Bus Reg. No.: 197000447W TR Code Account Number CORPORATE ACCOUNT APPLICATION - FOR TRADING IN FOREIGN EXCHANGE/COMMODITIES Type(s) of Trading Leveraged Foreign Exchange Leveraged Foreign Exchange (Hedge Mode) Commodities / Account Settings Select the currency the FX/Commodities Account will be denominated in SGD USD Applicant Information Name of Corporation RCB Registration No. / Company Registration No. Place of Incorporation / Registration Date of Incorporation / Registration (DD/MM/YYYY) / / Country of Operation Telephone No. Fax No. Principal Business Activity Email Address* * By providing this email address, we hereby consent to UOBKH sending statements of account, confirmations and other correspondences to us electronically by sending the same to this email address. Registered Address Mailing Address (if different from the Registered Address) Postal Code Postal Code Tax Resident of Singapore (For GST purpose?) Yes Foreign Tax Resident Information Is the Company a foreign tax resident? Yes If yes, please list the country or countries in which the Company is a tax resident. Country Foreign Tax Identifying Number 1. 2. 3. 4. Please provide us with a completed Form W-9 if the Company is a US tax resident. Form W-9 is available at http://www.utrade.com.sg or from our Client Services Department. Page 1 / 5
Foreign Account Tax Compliance Act (FATCA) Certification 1. Is the Company a U.S. Person? (See Point 1 on U.S. Person overleaf) Yes. If yes, is the US Person a Specified US Person? (See Point 2 on Specified U.S. Person overleaf) No Yes, please complete and return signed Form W-9 for this Company and please provide this Company s U.S. Taxpayer Identification Number (TIN). 2. Is the Company a Non-U.S. Financial Institution? (See Point 3 on Non-U.S. Financial Institution overleaf) Yes (please complete the following) A. The Company is a Singapore-based Financial Institution. Please provide the Company s Global Intermediary Identification Number (GIIN). Do not tick this Box if you also tick Box C below for this Company. B. The Company is other Partner Jurisdiction Financial Institution. Please provide the Company s Global Intermediary Identification Number (GIIN). Do not tick this Box if you also tick Box C below for this Company. C. The Company is a Non-participating Foreign Financial Institution. D. The Company is a Participating Foreign Financial Institution (See Point 4 on Participating Foreign Financial Institution overleaf). Please provide the Company s Global Intermediary Identification Number (GIIN). E. The Company is a Registered Deemed-compliant Foreign Financial Institution. Please provide the Company s Global Intermediary Identification Number (GIIN). F The Company is a Certified Deemed-compliant Foreign Financial Institution. Please provide the Company s Global Intermediary Identification Number (GIIN). G. The Company is an Exempt Beneficial Owner. 3. Are any of the Controlling Persons of the Company a U.S. Person. (See Point 5 on Controlling Person overleaf). Yes (please complete the following) A. The Controlling U.S. Person is Specified U.S. Person. (See Point 2 on Specified U.S. Person overleaf) B. The Company is a Passive Non-Financial Foreign Entity (Passive NFFE). (See Point 6 on Passive NFFE overleaf). Passive NFFE is broadly defined as those legal entities set up to hold assets that produce investment income. C. The Company is an Active NFFE. (See Point 7 on Active NFFE overleaf) If both A and B are ticked, please provide the following information for the Controlling Persons of this Passive NFFE who are also Specified U.S.Persons: (Please attach a separate list if there is insufficient space) Name of Controlling Person Address U.S. Taxpayer Identification Number Controlling Person means the natural person who exercise control over the company. If you are a tax resident of the United States, please provide your U.S. Taxpayer Identification Number and return a completed signed Form W-9. A US citizen is considered a tax resident of the United States even if you are a tax resident of another jurisdiction. Particulars of Directors (Please attach a separate list if there is insufficient space.) Page 2 / 5
Person(s) Authorised to Trade (Please attach a separate list if there is insufficient space.) Name NRIC / Passport No. Designation Specimen Signature Contact No. 1. 2. 3. 4. 5. Account Relationship Details 1. Are there any trading account(s) in UOB Kay Hian in which you have control or influence? Yes (please provide details below) 2. Does any account holder in UOB Kay Hian have control or influence over this account? Yes (please provide details below) Trading History / Objectives 1. Does the Applicant have previous experience in Foreign Exchange Trading? Yes Please indicate your trading objectives in trading Leveraged Foreign Exchange. [ ] Trading (Speculation) [ ] Hedging 2. Does the Applicant have previous experience in Commodities Trading? Yes Please indicate your trading objectives in trading Commodities. [ ] Trading (Speculation) [ ] Hedging 3. Name of other financial institution(s) currently used for Foreign Exchange / Commodities Trading: 4a.Is the Applicant currently insolvent or unable to pay its debts as they fall due, or has the Applicant entered into or has proposed to enter into any scheme, arrangement or composition with its creditors, or has any bankruptcy, receivership, liquidation, winding up, judicial management, administration or similar proceeding or resolution been filed against the Applicant or passed to effect the same, or has a receiver, liquidator, administrator, judicial manager, custodian, trustee or other analogous officer been appointed over all or a material part of its assets? Yes If yes, please describe briefly 4b. Does the company have any disputed account(s) or unresolved litigation matters with any stockbroking firms / financial institution(s)? Yes If yes, please describe briefly Source of Funds / Wealth We hereby declare that our / the Beneficial Owner(s) source of funds / wealth are as follows: Business Income Sales of Investment Injection of Capital Others (please specify) Declaration of Beneficial Owner(s) (Please attach a separate list if there is insufficient space.) We hereby declare and confirm that the following person(s) is the beneficial owner(s) of this Securities Trading Account. We undertake to notify UOBKH Pte Ltd in writing immediately of any change in the shareholding of the beneficial owner(s). (Note: The term beneficial owner means the natural person who ultimately owns or controls the Applicant or the person on whose behalf a transaction is being conducted and includes the person who exercises ultimate effective control over the Applicant.) If you are a tax resident of the United States, please provide your U.S. Taxpayer Identification Number and return a completed signed Form W-9. A US citizen is considered a tax resident of the United States even if you are a tax resident of another jurisdiction. Page 3 / 5
Declaration of Political Exposure Are you or the Beneficial Owner(s) of the FX/Commodities Account a Politically Exposed Person? Yes Full Name NRIC / Passport No. 1. 2. 3. (Note: The term Politically Exposed Person means (a) a natural person who is or has been entrusted with prominent public functions whether in Singapore or a foreign country; (b) immediate family members of such a person; or (c) close associates of such a person. The term prominent public functions includes the roles held by a head of state, a head of government, government ministers, senior civil servants, senior judicial or military officials, senior executives of state owned corporations, and senior political party officials.) Security Question Year of Incorporation: Regulated Financial Institution Countries or jurisdictions the Applicant is regulated: Disclosure Regarding UOBKH s Role as a Counterparty to Transactions THE FX AND/OR COMMODITIES TRADING THE APPLICANT MAY ENTER INTO IS NOT CONDUCTED ON AN EXCHANGE. UOBKH IS ACTING AS PRINCIPAL FOR ITS OWN ACCOUNT AND AS A COUNTERPARTY TO THE APPLICANT IN ALL FX/COMMODITIES TRANSACTIONS THAT THE APPLICANT CONDUCTS WITH UOBKH AND, THEREFORE, ACTS AS THE BUYER WHEN THE APPLICANT SELLS AND THE SELLER WHEN THE APPLICANT BUYS. AS A RESULT, UOBKH S INTERESTS MAY BE IN CONFLICT WITH THE APPLICANT S. UNLESS OTHERWISE SPECIFIED IN A WRITTEN AGREEMENT BETWEEN UOBKH AND THE APPLICANT, UOBKH ESTABLISHES THE PRICES AT WHICH IT OFFERS TO TRADE WITH THE APPLICANT. THE PRICES UOBKH OFFERS MIGHT NOT BE THE BEST PRICES AVAILABLE AND UOBKH MAY ALSO OFFER DIFFERENT PRICES TO DIFFERENT CUSTOMERS. IF UOBKH ELECTS NOT TO COVER ITS OWN TRADING EXPOSURE, THEN THE APPLICANT SHOULD BE AWARE THAT UOBKH MAY MAKE MORE MONEY IF THE MARKET GOES AGAINST THE APPLICANT. ADDITIONALLY, SINCE UOBKH ACTS AS THE BUYER OR SELLER IN EACH TRANSACTION, THE APPLICANT SHOULD CAREFULLY EVALUATE ANY TRADING OR OTHER INFORMATION THAT THE APPLICANT RECEIVES FROM UOBKH OR ANY OF ITS REPRESENTATIVES. ACCORDINGLY, THE APPLICANT SHOULD OBTAIN INDEPENDENT PROFESSIONAL ADVICE (INCLUDING LEGAL, REGULATORY, TAX, FINANCIAL, AND/OR ACCOUNTING ADVICE) FROM SUCH ADVISERS AS IT DEEMS NECESSARY OR DESIRABLE. Representations, Warranties and Declarations By the Applicant 1. We, the Applicant in this Corporate Account Application Form For Trading in Foreign Exchange / Commodities (the Application Form ), hereby request that UOB Kay Hian Private Limited ( UOBKH ) open the FX/Commodities Account and/or provide the services specified by us in the Application Form to us. By signing this Application Form, we hereby represent, warrant and agree that: 1.1 All information furnished by us in this Application Form and any information separately provided by us or on our behalf in connection herewith is true, accurate, complete and not misleading in any respect and should any of such information be found to be false, untrue, incomplete or misleading at any point in time, we acknowledge and agree that UOBKH may take such action as it deems fit, including, but not limited to, requesting for updated or further information, suspending any or all of our accounts, refraining from carrying out instructions for any or all of our accounts or terminating the business relationship entered into or to be entered into between us. We agree to promptly notify UOBKH in writing in the event that the information contained in this Application Form or separately provided in connection with this application changes and we hereby consent to UOBKH collecting, using and/or disclosing any and all such information on us to such persons as UOBKH in its sole and absolute discretion deems it to be necessary, desirable or expedient in connection with, incidental to or ancillary to or for the purpose of the opening, operation, and/or maintenance of any account (including this FX/Commodities Account) or facility established by us with UOBKH and/or for compliance with applicable laws and regulations; 1.2 We have received, read, understood, accepted and agree to the terms and conditions set out in this Application Form, as well as the terms and conditions set out in the latest versions of the UOBKH Master Trading Agreement (including, but not limited to, the Terms and Conditions Applicable to Foreign Exchange Trading and/or Commodities Trading) and the Risk Disclosure Statement for Trading in Leveraged Foreign Exchange and Commodities, all of which may be varied or supplemented from time to time, (copies of which are available on www.uobkayhian.com) and which shall be fully binding upon and enforceable against us. We confirm and represent that we have taken independent advice from such advisers as I/we have deemed necessary or desirable in relation to this Application Form, the latest versions of the UOBKH Master Trading Agreement (including, but not limited to, the Terms and Conditions Applicable to Foreign Exchange Trading and/or Commodities Trading) and the Risk Disclosure Statement for Trading in Leveraged Foreign Exchange and Commodities; 1.3 It is our sole responsibility to ensure the suitability for us of the FX and/or Commodities product(s) that we have selected to trade in; 1.4 We shall supply any additional information as UOBKH may require in connection with the processing of this application and the opening, operation and/or maintenance of any account (including the FX/Commodities Account) or facility established by us with UOBKH; and 1.5 We shall execute and provide all documents and instruments (including any security documents) and do all such acts and things as may be required by UOBKH in connection with the processing of this application and the opening, operation and/or maintenance of any account (including the FX/Commodities Account) or facility established by us with UOBKH. 1.6 We hereby acknowledge and consent to UOBKH collecting, processing and disclosing of our personal data protected under the Personal Data Protection Act 2012 ( the PDPA ) for the purposes listed in UOBKH Master Trading Agreement. 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2. We confirm that we are not currently insolvent or unable to pay our debts as they fall due or the subject of a bankruptcy, receivership, liquidation, winding up, judicial management, administration or other similar proceeding nor has a resolution been passed to effect the same and further confirm that we have not entered into, or proposed to enter into, any scheme, arrangement or composition with our creditors generally nor have had a receiver, liquidator, administrator, judicial manager, custodian, trustee or other analogous officer appointed over all or a material part of our assets. 3. We understand that the submission and acceptance of this Application Form in no way implies approval for the opening of the FX/Commodities Account and that UOBKH reserves the unconditional right to reject this application without giving any reasons whatsoever. 4. We also enclose with our duly completed Application Form, a certified true extract of the resolutions of our board of directors in respect of our application herein. 5. We are aware that this account which we establish will only be for trading in LFX as UOBKH is currently not offering Commodities trading. When Commodities trading is made available by UOBKH, we shall be notified accordingly and should we wish to trade in Commodities, the terms for Commodities trading as set out in the above Master Trading Agreement will apply. 6. We undertake to update UOBKH of any changes in our particulars. Tax Compliance Representation and Warranty We hereby represent and warrant in favour of UOB Kay Hian Private Limited ( UOBKH ): (a) (b) (c) We will ensure that we will at all times remain in compliance with all laws to which we are subject including, without limitation, all tax laws and regulations and exchange control requirements ( Tax Laws ). Any and all funds and assets that we have placed and will place with UOBKH have been and will be dealt with in full compliance with the Tax Laws of the countries where we are domiciled in or tax resident or deemed tax resident of and which I/we are legally subject to. Any profits which accrue from our transactions will also be dealt with in full compliance with the Tax Laws of the countries where we are domiciled in or resident or deemed tax resident of and which we are legally subject to. Certificate of Fund Manager Concerning Verification of Customer Identity (This section only applicable if you are fund manager.) We confirm that we are acting as fund manager for our customer(s) in our dealings with UOB Kay Hian Private Limited ( UOBKH ): We hereby represent and warrant the following in respect of our customer(s): 1. That in accordance with the anti-money laundering laws of the jurisdiction of the supervisory authority by whom we are regulated, we have ascertained the identity of all customers for whom we act as fund manager. 2. We have conducted client verification procedures which are sufficient to establish the identity and source of funds of each of such customers. 3. We have recorded the evidence establishing the identities and sources of funds of such customers and we will retain or procure the retention of such evidence for a period of not less than 5 years, and 4. We will promptly provide copies of such evidence to UOBKH in response to a request from UOBKH s regulator whether directly to us or UOBKH. In addition, we also specifically represent and warrant: A. None of the proposed customers, nor any person controlling, controlled by, or under common control with, any customer, nor any person having a significant beneficial interest in the customer (being a beneficial interest of no less than 5%), or for whom the customer is (a) a person or entity resident in, or organized or chartered under the laws of a jurisdiction identified as non-cooperative by the Financial Action Task Force ( FATF ); or (b) a person whose subscription funds originate from or will be routed through, an account maintained at a foreign shell bank or offshore bank not subject to compliance with the anti-money laundering and anti-terrorism financing prescriptions of FATF; B. We will immediately notify UOBKH if we become aware of (i) any update information on any customer; and/or (ii) any suspicious activity or pattern of activity that may require further review to determine whether the information gives rise to suspicion of the customer; and/or the activity or pattern of activity is suspicious; C. None of the customers and proposed customers is or will be a politically exposed person within the meaning of the expression under the FATF prescriptions or the notices of the Monetary Authority of Singapore unless they have successfully passed the enhanced customer due diligence required to be performed against such persons. We will retain, until further notice, all documentation required to identify our customers and the basis for reasonable belief on their respective funds and funds use not being illicit accurately. Dated this day of 20. Authorised Signatory Authorised Signatory Name : Name : Please Affix Company s Stamp / Date Application Form Witnessed / Verified By / Date Verified / Acknowledged by TR UOBKH TR Name: TR Code: Date: FOR OFFICE USE ONLY Reviewed By / Date Data Entry By / Date Data Entry Checked By / Date Approved By / Date 22 AUG 2015 Page 5 / 5