Account Type

Select MT4 Micro MT4 StandardMT4 ProfessionalCheetah Options

Leverage

Select 1:1001:200

First Name

Middle Name

Last Name

Gender

Male Female

Date Of Birth

Marital Status

Single Married Divorced Widowed

Passport/ID No.

Passport/ID Exp.

Country

Select United Kingdom Ireland Afghanistan Albania Algeria Abu Dhabi (UAE) Ajman (UAE) Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Banglades Barbados Belgium Belize Belarus Benin Bermuda Bhutan Bolivia Bosnia-Herzegovina Botswana Bouvet Island Brazil British Indian O. Terr. British Virgin Islands Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Rep. Chad Channel Islands Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Dubai (UAE) East Timor Ecuador Egypt El Salvador Eritrea Estonia Ethiopia Falkland Islands Malvinas Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Terr. Fujairah (UAE) Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadaloupe Guatemala Guinea Guinea Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Isle of Man Israel Italy Ivory Coast Jamaica Japan Jordan Kazachstan Kenya Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Marshall Islands Maldives Mali Malta Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherland Antilles Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Norfolk Island Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Ras al-Khaimah (UAE) Reunion Romania Russian Federation Saint Lucia Saint Pierre and Miquelon San Marino Saudi Arabia Senegal Serbia Seychelles Sharjah (UAE) Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Korea Spain Sri Lanka St. Helena St. Pierre and Miquelon St. Tome and Principe St.Kitts Nevis Anguilla St.Vincent and Grenadines Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turks and Caicos Islands Tuvalu Uganda Ukraine Uruguay Vanuatu Vatican City State Venezuela Vietnam Wallis and Futuna Islands Western Samoa Yemen Zambia Zimbabwe

Phone Number

Mobile Number

Email Address

Fax Number

Occupation

Select Employee Self-employed Student Retired Unemployed

Employer name

With employer since

Employer address

Employer phone

Employer email

Net Worth

Select Less than 50,000 EUR 50,001 - 100,000 EUR 100,001 - 250,000 EUR More than 250,000 EUR Over 500,000

Annual Income

Select Less than 20,000 EUR 20,001 - 50,000 EUR 50,001 - 100,000 EUR More than 100,000 EUR

Types of financial instruments you are familiar with

FX CFDs Futures

Options Other Derivatives Securities

Types of Financial Instruments you intend to trade

FX CFDs Futures

Options Other Derivatives Securities

Number of years of experience in trading in financial instruments

Select Less than one year 1-3 years More than 3 years

Average volume size per transaction

Select less than 20 lots 20-50 lots 50-100 lots over 100 lots

Frequency of trading transactions

Select Daily Weekly Monthly

Level Of Education

Select Primary Secondary College Professional

Any former profession relevant with financial and or financial services and the period held

Yes no

If yes how many years

Select 1 Year 2 Years 3 Years 4 Years 5 Years 6 Years 7 Years 8 Years 9 Years 10 Years 11 Years 12 Years 13 Years 14 Years 15 Years 16 Years 17 Years 18 Years 19 Years 20 Years 21 Years 22 Years 23 Years 24 Years 25 Years

Preferred communication method

Select E-mail SMS Phone Fax Mail

Investment Horizon

Select Short Term Medium Term Long Term

Risk Appetite

Select Low Medium High

Do you or any member of your family hold or have held a public function (military, judicial, government, diplomatic, etc.)

Yes no

In order to expedite the process of opening a trading account in your name, please send us the following documents, clearly visible, either by fax to No. +357 25891999 or by email tobackoffice.cy@falconbrokers.com

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