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About You
Trading Experience
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Entity Information

Account

FOREX.com Account

MetaTrader Account

Account Type

Corporate

Limited Liability Entity

Sole Proprietorship

Fund

Trust

General Partnership

Limited Partnership

Primary Contact

First Name

Middle Initial

Last Name

Date of Birth

You must be at least 18 years old in order to open an account

Date format: MM/DD/YYYY

Email Address

You will be contacted primarily through email. Please provide a valid email address.

Primary Phone Number

Entity Details

Jurisdiction of Incorporation

Country

State

Name of Entity

Primary Phone Number

Type of Business

Number of Employees

Years in Business

What products or services do you sell or provide?

Business Locations (list all)

Save and Continue

By submitting information I confirm that I agree to the FOREX.com Terms and Conditions Terms and Conditions Privacy Policy and Notice Regarding Anti-Money Laundering and may be contacted about my application.

Entity Address

Address Line 1

P.O. Boxes cannot be accepted as primary address

Address Line 2

Optional

City

State

Zip Code

I would like to provide a separate mailing address.

Address Line 1

P.O. Boxes cannot be accepted as primary address

Address Line 2

Optional

City

State

Zip Code

Beneficial Owners/Trustees/Grantors

First Name

Middle Initial

Last Name

Is this individual a Beneficial Owner, Trustee, or Grantor that owns 10% or more of the Entity?

Yes

Date of Birth

You must be at least 18 years old in order to open an account

Date format: MM/DD/YYYY

Address Line 1

P.O. Boxes cannot be accepted as primary address

Address Line 2

Optional

City

State

Zip Code

Country or region of citizenship

I am a U.S. citizen

I am not a U.S. citizen

Enter social security number (SSN) or ITIN

Are there additional Beneficial Owners/Trustees?

Yes

Additional Beneficial Owner/Trustee/Grantor 2

First Name

Middle Initial

Last Name

Is this individual a Beneficial Owner, Trustee, or Grantor that owns 10% or more of the Entity?

Yes

Date of Birth

You must be at least 18 years old in order to open an account

Date format: MM/DD/YYYY

Address Line 1

P.O. Boxes cannot be accepted as primary address

Address Line 2

Optional

City

State

Zip Code

Country or region of citizenship

I am a U.S. citizen

I am not a U.S. citizen

Enter social security number (SSN) or ITIN

Are there additional Beneficial Owners/Trustees?

Yes

Additional Beneficial Owner/Trustee/Grantor 3

First Name

Middle Initial

Last Name

Is this individual a Beneficial Owner, Trustee, or Grantor that owns 10% or more of the Entity?

Yes

Date of Birth

You must be at least 18 years old in order to open an account

Date format: MM/DD/YYYY

Address Line 1

P.O. Boxes cannot be accepted as primary address

Address Line 2

Optional

City

State

Zip Code

Country or region of citizenship

I am a U.S. citizen

I am not a U.S. citizen

Enter social security number (SSN) or ITIN

Officers

Provide information about ALL Officers

First Name

Middle Initial

Last Name

Date of Birth

You must be at least 18 years old in order to open an account

Date format: MM/DD/YYYY

Position

Address Line 1

P.O. Boxes cannot be accepted as primary address

Address Line 2

Optional

City

State

Zip Code

Are there additional Officers?

Yes

Additional Officer 1

First Name

Middle Initial

Last Name

Date of Birth

You must be at least 18 years old in order to open an account

Date format: MM/DD/YYYY

Position

Address Line 1

P.O. Boxes cannot be accepted as primary address

Address Line 2

Optional

City

State

Zip Code

Are there additional Officers?

Yes

Additional Officer 2

First Name

Middle Initial

Last Name

Date of Birth

You must be at least 18 years old in order to open an account

Date format: MM/DD/YYYY

Position

Address Line 1

P.O. Boxes cannot be accepted as primary address

Address Line 2

Optional

City

State

Zip Code

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Financial Information

Assets minus liabilities

Enter amount in USD you would like to deposit

Please do not enter punctuation or currency symbols; you can change this amount in the future.

Affiliations

Are you employed by a Futures Commission Merchant (FCM), broker, or registered with the CFTC, NFA or equivalent regulatory body?

Yes

Please provide details

Are there any undisclosed persons with a financial interest in this account?

Yes

You will be required to provide us with additional information regarding undisclosed persons with a financial interest in this account. If you selected “Yes” in error, please re-enter your response and continue.

Trading Experience

For how long have you been trading the following products?

Stocks/Equities

Never

< 6 months

6 months – 1 year

1 year – 2 years

2 years – 3 years

Over 3 years

Options

Never

< 6 months

6 months – 1 year

1 year – 2 years

2 years – 3 years

Over 3 years

Futures

Never

< 6 months

6 months – 1 year

1 year – 2 years

2 years – 3 years

Over 3 years

Forex

Never

< 6 months

6 months – 1 year

1 year – 2 years

2 years – 3 years

Over 3 years

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Documents

Declarations

By checking the box below and clicking ‘Submit’, I acknowledge that I have read, understand, and agree to be bound by the Customer Agreement and all incorporated agreements and disclosures, including each of the documents listed above. I consent to the use of an electronic version of all documents listed above. I further confirm that the information provided in this application is correct to the best of my knowledge.

IRS Tax Form

I certify under penalty of perjury that (1) The number submitted in this application is my correct taxpayer identification number; and (2) I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and (3) I am a U.S. citizen or other U.S. person; and (4) The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct.

The IRS requires that you provide the SSN/ITIN and the above certification in order to avoid back-up withholding.

I agree that my electronic signature shall have the same force and effect as my written signature.