Corporate 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:

Company Information

*Company Name

*Business Type

*Principal Place of Bussiness Address(No P.O.BOX):

*Phone

*Address

*City

*Zip Code

*Country

Province

*E-mail

*Business description:

Corporate, Limited, LTD or Partnership Account Ownership Information

*Date of Incorporation

*Country of Incorporation or Formation:

* Ownership:

Private

Public

*Total Market Cap or Net Worth:

If a subsidiary, please provide parent company

Number of Limited Partners or Members:

General partners/managing members information

*Last Name

*First Name

Middle

*Place of Birth:

*Day of Birth

Passport N°

Passport Expiration Date

*Nationality

Primary Address Information

*Country

Province

*City

*Address

Address 2

*Zip Code

*Phone

Mobile

*Gender:

*Marital Status:

Add Another General Partner

2nd General Partner, If Apply

*Last Name

*First Name

Middle

*Place of Birth:

*Day of Birth

Passport N°

Passport Expiration Date

*Nationality

Primary Address Information

*Country

Province

*City

*Address

Address 2

*Zip Code

*Phone

Mobile

*Gender:

*Marital Status:

*E-mail

General partners/managing members information

* Are the general/member partners manager listed on this application/aggrement the ultimate beneficiary owners of the entity established in this relationship?

Yes

Beneficiary Information Owner, If Applies

*Last Name

*First Name

Middle

*Place of Birth:

*Day of Birth

*Gender:

Passport N°

Passport Expiration Date

*Nationality

Primary Address Information

*Country

Province

*City

*Address

Address 2

*Zip Code

*E-mail

Add Another General Partner

Beneficiary Information Owner, If Applies

*Last Name

*First Name

Middle

*Place of Birth:

*Day of Birth

*Gender:

Passport N°

Passport Expiration Date

*Nationality

Primary Address Information

*Country

Province

*City

*Address

Address 2

*Zip Code

*E-mail

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)?

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:

Upload Files
Please Upload the following documents

*Government ID (Passport / Driver's License / Identification) Choose a file…… |

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

*Articles of incorporation / corporate resolution Choose a file…… |

Introducing Brokers Corporate Agreement