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Personal Information

Account

FOREX.com Account

MetaTrader Account

Joint Account Type

Joint Tenants with Rights of Survivorship (JTWROS)

Each joint tenant has a share in the Account Balance and positions in the Account of the percentage (%) interest as shown in the space next to each tenant’s signature. In the case of a tenant’s death, that tenant’s interest in the Account will be passed to the other tenant(s).

Joint Tenants in Common (JTIC)

Each tenant in common has a share in the Account Balance and positions in the Account of the percentage (%) interest as shown in the space next to each tenant’s signature. In the case of a tenant’s death, that tenant’s interest in the Account will be paid to the legal heirs with reference to the Customer Agreement.

For all Joint Accounts, each tenant has authority:

To trade for the Account subject to the agreements of the Account.
To receive all correspondence and documents in respect of the Account.
To receive or withdraw cash and other property.
To execute agreements relating to the account.
To deal fully with FOREX.com.

FOREX.com has the authority to require joint action by the parties to the Account in matters of the Account. FOREX.com has possession over the security of the Account individually or jointly. If a death occurs to one or more of the tenants, FOREX.com shall be notified in writing. All expenses due to the date of notification shall be charged to the Account. If no percentage (%) is indicated, each tenant is presumed to have an equal share, with a total of 100%.

Account Owner Information

Primary Applicant

First Name

Middle Initial

Last Name

Date of Birth

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

mm/dd/yyyy

Email Address

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

Primary Phone Number

Co-Applicant

First Name

Middle Initial

Last Name

Date of Birth

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

mm/dd/yyyy

Email Address

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

Primary Phone Number

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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.

Home Address

Primary Applicant

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

Address Line 2

Optional

City

State

Zip Code

Co-Applicant

Address Line 1

Address Line 2

Optional

City

State

Zip Code

I would like to provide a separate mailing address.

Address Line 1

Address Line 2

Optional

City

State

Zip Code

Citizenship

Primary Applicant

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

Co-Applicant

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

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Employment

Primary Applicant

Business name

We will not contact your employer

Co-Applicant

Business name

We will not contact your employer

Affiliations

Primary Applicant

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.

Co-Applicant

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

Financial Information

Please select the combined values for both account owners

This includes all earned income including wages, pensions, interest, dividends, rental income etc.

The value of all your assets (houses, cars, investments, savings, etc.) minus all liabilities (mortgage, loans, credit card debt, etc.)

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.

Trading Experience

Please select the overall experience for both account owners

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.