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●INDIVIDUAL ACCOUNT HOLDER INFORMATION 客户信息 |
| Last Name姓：
First Name名：
Middle Initial |
| Address(No P.O.Boxes)地址： |
| Address2/地址续上： |
| City城市：
State州： Zip邮编： |
| Country国家：
province省： |
| DOB(MM/DD/YYYY)出生日期(月/日/年)：SSN（身份证号码） |
| Home Phone家庭电话：
Mobile Phone手机： Fax传真： |
| Citizenship国籍： |
| Gender性别：Male男 Female女 Marital Status婚姻
Single单身 Married已婚 |
| Email电子邮箱： 备用邮箱： |
| (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) (请正确填写您的电子邮件地址，因为我们将使用您在此填写的信箱地址和您联系!) |
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●BANK INFORMATION/银行信息(重要) |
| BANK NAME银行名称： 必填 |
| BANK ADDRESS银行地址： 必填 |
| ABA/SWIFT国际汇款代码或ABA号码： 必填 |
| ACCOUNT NUMBER银行帐户号码： 必填 |
| BENEFICIARY NAME开户人： 必填 |
if a non US bank,please include the US correspondent bank
information
如非美国银行，请包括其美国合作银行信息： |
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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.
开户需要以下财务信息，IFX将依据客户交易协议为该信息保密．所有问题都必须回答． |
| ●EMPLOYMENT INFORMATION/工作情况 |
| Employment Status工作情况： |
Employed雇佣
Self-Employed自由职业
Retired退休
Unemployed失业 |
| Annual Salary年收入： |
Less than $25,000 (Sign "Additional Risk Disclosure")选择此项须签署额外风险保证
$25,000 to 50,000
$50,000 to $100,000
Over $100,000超过$100,000 |
| Occupation职业： |
| Employer工作单位： |
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●TOTAL ASSETS/财务资料 |
| Total Annual Income年收入： |
Less than $25,000 (Sign "Additional Risk Disclosure")选择此项须签署额外风险保证
$25,000 to 50,000
$50,000 to $100,000
Over $100,000超过$100,000 |
| Net Worth (Excluding Primary Residence)净资产： |
Less than $25,000 (Sign "Additional Risk Disclosure")选择此项须签署额外风险保证
$25,000 to 50,000
$50,000 to $100,000
Over $100,000超过$100,000 |
| Total Liquid Assets流动资产： |
Less than $25,000 (Sign "Additional Risk
Disclosure")选择此项须签署额外风险保证
$25,000 to $50,000
$50,000 to $100,000
Over $100,000超过$100,000 |
| Total Outstanding Debt未清债务： |
Less than $25,000
少于$25,000
$25,000 to $50,000
$50,000 to $100,000
Over $100,000超过$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（如果选＂有＂，请另附纸提供详细说明）
No 没有 |
Have you ever declared Bankruptcy?您有无宣布破产？
Yes (If yes,please provide a copy of your Order of Discharge)
有（如果选＂有＂，请提供一份破产解除令的复印件）
No 没有 |
Will any portion of your investment be
retirement income?您的投资资金里是否有来自退休金？
Yes (If yes,please see "Additional Risk Disclosure")
是（如果选＂是＂，请签署额外风险保证）
No 没有 |
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●ESTING EXPERIENCE/投资经验 |
What is the highest level of education you have completed?
您的最高学位？
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No degree没有学位
High School or equivalent高中或同等学校
Associates Degree大专
Bachelors Degree本科
Graduate Degree研究生/td>
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| Are you a money manager是否资金管理者
Yes是
No否 |
| Please list all professional licenses/其他金融证书： |
| License (Including ID number)执照（包括ID号码） |
| Jurisdiction管辖机构
Active/Inactive是否在有效期内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注册？
Yes
(If yes,please specify) 是（若是，请详细说明）No否 |
| Please check the following which best
describe your investing experience您的投资经历： |
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Do you understandd the following?您理解以下定义吗？
Foreign Exchange Trading外汇交易 Yes是 No否
Risk of loss (Including the risk of total loss of investment)风险
Yes是 No否
Margin and Margin Calls保证金
Yes是 No否
Commerce's Margin Policy保证金政策
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? 您曾经被NASD,NFA,CFTC or FDIC调查过？
Yes (If yes,please describe) 有（若＂有＂请描述）
No 没有 |
Have you ever filed a complaint against a Foreign Exchange Dealer, Securities Broker or Commodities Dealer你曾经抱怨过外汇经纪商，或期货交易商？
Yes (If yes,please describe) 有（若＂有＂请描述）
No 没有 |
Do you have any other accounts with
IFX Markets Inc. or at its parent company,IFX Group plc?在IFX你是否有其它帐号？
Yes (If yes,please
provide the following information)有（如果有请下面的资料）
No 没有 |
| Account Type帐户类型 |
| Account Number帐户号码 |
| Average amount on Deposit存入资金 |
| Are you subject to backup withholding taxes你曾经拖欠缴纳税款吗？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.
签名人特此声明以上所填信息是完整和准确的．签名人在此授权IFX核查上述信息的全部或部分．签名人核实以上信息乃由其本人签写． |
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●SIGNATURE 签名 |
| 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.请打勾确认阅读并同意以下的文件： |
1.Individual Client Agreement个人客户协议
2.Social Security or Tax ID certification & Backuo Withholding St...社会保障或税务登记证书/储备预增税说明
3.Consent To Delivery of Statements By Electronic Media同意接受电子帐单声明
4.Online Service and Electronic Trading Agreement在线服务与电子交易协议
5.Risk Disclosure Statement风险揭示声明
6.Arbitration Agreement仲裁协议
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Client Name 您的姓名:
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