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●INDIVIDUAL ACCOUNT HOLDER INFORMATION 客戶資訊 |
| Last Name姓：
First Name名：
Middle Initial |
| Address(No P.O.Boxes)地址： |
| Address2/地址續上： |
| City城市：
State州： Zip郵編： |
| Country國家：
province省： |
| DOB(MM/DD/YYYY)出生日期(月/日/年)：SSN（身份證號碼） |
| Home Phone家庭電話：
Mobile Phone手機： Fax傳真： |
| Citizenship國籍： |
| Gender性別：Male男 Female女 Marital Status婚姻
Single單身 Married已婚 |
| Email電子郵箱： 備用郵箱： |
| (Please print clearly as your e-mail address on this Account Application Form will be the medium used to contact you, following the receipt of this application) (請正確填寫您的電子郵件位址，因為我們將使用您在此填寫的信箱位址和您聯繫!) |
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●BANK INFORMATION/銀行資訊(重要) |
| BANK NAME銀行名稱： 必填 |
| BANK ADDRESS銀行地址： 必填 |
| ABA/SWIFT國際匯款代碼或ABA號碼： 必填 |
| ACCOUNT NUMBER銀行帳戶號碼： 必填 |
| BENEFICIARY NAME開戶人： 必填 |
if a non US bank,please include the US correspondent bank
information
如非美國銀行，請包括其美國合作銀行資訊： |
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The following financial information is required to open your
account and will be kept confidential by IFX Markets Inc.in
accordance with the Customer Trading Agreement.All question MUST be
answered.
開戶需要以下財務資訊，IFX將依據客戶交易協定為該資訊保密．所有問題都必須回答． |
| ●EMPLOYMENT INFORMATION/工作情況 |
| Employment Status工作情況： |
Employed雇傭
Self-Employed自由職業
Retired退休
Unemployed失業 |
| Annual Salary年收入： |
Less than $25,000 (Sign "Additional Risk Disclosure")選擇此項須簽署額外風險保證
$25,000 to 50,000
$50,000 to $100,000
Over $100,000超過$100,000 |
| Occupation職業： |
| Employer工作單位： |
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●TOTAL ASSETS/財務資料 |
| Total Annual Income年收入： |
Less than $25,000 (Sign "Additional Risk Disclosure")選擇此項須簽署額外風險保證
$25,000 to 50,000
$50,000 to $100,000
Over $100,000超過$100,000 |
| Net Worth (Excluding Primary Residence)淨資產： |
Less than $25,000 (Sign "Additional Risk Disclosure")選擇此項須簽署額外風險保證
$25,000 to 50,000
$50,000 to $100,000
Over $100,000超過$100,000 |
| Total Liquid Assets流動資產： |
Less than $25,000 (Sign "Additional Risk
Disclosure")選擇此項須簽署額外風險保證
$25,000 to $50,000
$50,000 to $100,000
Over $100,000超過$100,000 |
| Total Outstanding Debt未清債務： |
Less than $25,000
少於$25,000
$25,000 to $50,000
$50,000 to $100,000
Over $100,000超過$100,000 |
Have you ever defaulted on a financial obligation?您是否有金融拖欠？
Yes (If yes,please provide details on separate sheet)
有（如果選＂有＂，請另附紙提供詳細說明）
No 沒有 |
Have you ever declared Bankruptcy?您有無宣佈破產？
Yes (If yes,please provide a copy of your Order of Discharge)
有（如果選＂有＂，請提供一份破產解除令的影本）
No 沒有 |
Will any portion of your investment be
retirement income?您的投資資金裏是否有來自退休金？
Yes (If yes,please see "Additional Risk Disclosure")
是（如果選＂是＂，請簽署額外風險保證）
No 沒有 |
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●ESTING EXPERIENCE/投資經驗 |
What is the highest level of education you have completed?
您的最高學位？
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No degree沒有學位
High School or equivalent高中或同等學校
Associates Degree大專
Bachelors Degree本科
Graduate Degree研究生/td>
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| Are you a money manager是否資金管理者
Yes是
No否 |
| Please list all professional licenses/其他金融證書： |
| License (Including ID number)執照（包括ID號碼） |
| Jurisdiction管轄機構
Active/Inactive是否在有效期內Yes是
No否 |
Are you or have you ever been a member
of the National Futures Association (NFA) or the National
Association of Securities Dealers (NASD) 您是否曾在NFA註冊？
Yes
(If yes,please specify) 是（若是，請詳細說明）No否 |
| Please check the following which best
describe your investing experience您的投資經歷： |
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Do you understandd the following?您理解以下定義嗎？
Foreign Exchange Trading外匯交易 Yes是 No否
Risk of loss (Including the risk of total loss of investment)風險
Yes是 No否
Margin and Margin Calls保證金
Yes是 No否
Commerce's Margin Policy保證金政策
Yes是 No否 |
Have you ever been a party in an investigation,complaint,settlement,arbitration proceeding or reparations proceeding with the NASD,NFA,CFTC or FDIC? 您曾經被NASD,NFA,CFTC or FDIC調查過？
Yes (If yes,please describe) 有（若＂有＂請描述）
No 沒有 |
Have you ever filed a complaint against a Foreign Exchange Dealer, Securities Broker or Commodities Dealer你曾經抱怨過外匯經紀商，或期貨交易商？
Yes (If yes,please describe) 有（若＂有＂請描述）
No 沒有 |
Do you have any other accounts with
IFX Markets Inc. or at its parent company,IFX Group plc?在IFX你是否有其他帳號？
Yes (If yes,please
provide the following information)有（如果有請下面的資料）
No 沒有 |
| Account Type帳戶類型 |
| Account Number帳戶號碼 |
| Average amount on Deposit存入資金 |
| Are you subject to backup withholding taxes你曾經拖欠繳納稅款嗎？Yes是
No否 |
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The undersigned hereby attest(s) and
agree(s) that the above information is complete and accurate. The
undersigned hereby authorize(s) IFX to verify any or all of the
foregoing information. The undersigned verifies that the above
information was completed in Customer's own handwriting.
簽名人特此聲明以上所填資訊是完整和準確的．簽名人在此授權IFX核查上述資訊的全部或部分．簽名人核實以上資訊乃由其本人簽寫． |
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●SIGNATURE 簽名 |
| PLEASE ACKNOWLEDGE YOUR AGREEMENT AND
UNDERSTANDING OF EACH OF THESE SPECIFIC DISCLOSURES OF THE CLIENT
AGREEMENT BY CHECKING THE APPROPRIATE BOX NEXT TO EACH DISCLSOURE
TITLE.請打勾確認閱讀並同意以下的檔： |
1.Individual Client Agreement個人客戶協定
2.Social Security or Tax ID certification & Backuo Withholding St...社會保障或稅務登記證書/儲備預增稅說明
3.Consent To Delivery of Statements By Electronic Media同意接受電子帳單聲明
4.Online Service and Electronic Trading Agreement線上服務與電子交易協定
5.Risk Disclosure Statement風險揭示聲明
6.Arbitration Agreement仲裁協議
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Client Name 您的姓名:
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