IB Joint Agreement

In the drop down, please select one of the platform options, complete with the respective payout structures that you feel best suits your clients or your business. Please be sure to select your platform before proceeding to the next step. *Choose a Platform:

User 1 Broker Information

*Last Name

*First Name

Middle

*Gender:

*Place of Birth:

*Day of Birth

Passport N°

Passport Expiration Date

*Nationality

Primary Address Information

*Country

Province

*City

*Address

*Zip Code

Website

Broker Details

*How many offices do you have?

Please list Cities where your offices are located

*Are you actively soliciting new customers?

Yes

*Have you received any customer complaints that allege excessive trading in discretionary accounts?

*If any, what types of complaints were received (what was each customer alleging)?

What number of complaints have you received in the past two years?

Yes

*Any complaints that allege unauthorized trading?

Yes

*Generally describe below and attach hereto (on step 4 of this application) documentation regarding any and all disciplinary actions taken by any regulatory agencies (put "n/a" if doesn't apply)

Sales person, if applicable:

Banking Information

Bank Name:

Bank Address:

Country

Province

City

Zip Code

Account Number (If applies)

Beneficiary Name:

SWIFT/ABA/IBAN:

Upload Files
Please Upload the following documents

*Type of Doc:

*Country of Issue:

? Important: Read the Instructions for Uploading Documents

*Passport (Government ID) Choose a file…… |

? Important: Read the Instructions for Uploading Documents

*Drivers License Front(Government ID) Choose a file…… |

*Drivers License Back Face(Government ID) Choose a file…… |

? Important: Read the Instructions for Uploading Documents

*National ID Front Face(Government ID) Choose a file…… |

*National ID Back Face(Government ID) Choose a file…… |

? Important: Read the Instructions for Uploading Documents

*Residence Permit(Government ID) Choose a file…… |

*Proof of Address (Utility bill / bank statement) Choose a file…… |

User 2 Broker Information

*Last Name

*First Name

Middle

*Gender:

*Place of Birth:

*Day of Birth

Passport N°

Passport Expiration Date

*Nationality

*E-mail:

Primary Address Information

*Country:

Province:

*City:

*Address:

*Zip Code:

Website:

Broker Details

*How many offices do you have?:

Please list Cities where your offices are located:

*Are you actively soliciting new customers?:

Yes

*What number of complaints have you received in the past two years?:

*If any, what types of complaints were received (what was each customer alleging)?:

*What number of complaints have you received in the past two years?:

Yes

*Any complaints that allege unauthorized trading?:

Yes

*Generally describe below and attach hereto (on step 4 of this application) documentation regarding any and all disciplinary actions taken by any regulatory agencies (put "n/a" if doesn't apply):

Sales person, if applicable:

Banking Information

Bank Name:

Bank Address:

Country

Province

City

Zip Code

Account Number (If applies)

Beneficiary Name:

SWIFT/ABA/IBAN:

Upload Files
Please Upload the following documents

*Type of Doc:

*Country of Issue:

? Important: Read the Instructions for Uploading Documents

*Passport (Government ID) Choose a file…… |

? Important: Read the Instructions for Uploading Documents

*Drivers License Front(Government ID) Choose a file…… |

*Drivers License Back Face(Government ID) Choose a file…… |

? Important: Read the Instructions for Uploading Documents

* National ID Front Face(Government ID) Choose a file…… |

*National ID Back Face(Government ID) Choose a file… … |

? Important: Read the Instructions for Uploading Documents

*Residence Permit(Government ID) Choose a file…… |

*Proof of Address (Utility bill / bank statement) Choose a file…… |

Esignatures

Terms and Conditions

Client Agreement

Additional Risk Disclosure

I acknowledge that I have read the above documents and fully understand the information provided therein.

Introducing Brokers Joint Agreement