Application Form For An Individual. Please Fill ALL The Appropriate Sections

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This Application is for an

account opening with Sea


Capital

Application Form for an Individual.

Please fill ALL the appropriate sections

SCFX
Clients Account Application

Personal Information

First Name:
Middle Name:
Surname:
Country of Citizenship:
Country of residence:
Date of Birth:
Male: ☒ Female: ☐
Title: MR.

Contact Information

Residential address:
City / Town:
County / Province:
Postal Code:
Time in current address: Less than 3 Years ☐More than 3 years ☐
Telephone Number:
Mobile Number:
Email address:
Skype ID

Platform: SCXF SCFX


Currency Deposit:
Initial Deposit:

SCFX
Employment information

Employment Status

Employed: ☐ Self-employed: ☐
Retired: ☐ Unemployed: ☐
Student: ☐ Homemaker: ☐

Nature of business

Administrative / Clerical ☐ Airlines: ☐


Arts / Entertainment / Media: ☐ Brokers / Dealer: ☐
Construction / Real Estate: ☐ Education / Training: ☐
Engineering / Architecture: ☐ Financial Services and Banking: ☐
Executive Management: ☐ Position:

Have ever declared Bankruptcy within the last 10 years?


Yes ☐ or No? ☐
If yes, please indicate date of discharge Click here to enter a date.

Do you have or have you ever had another account with us?
Yes ☐ or No? ☐
If yes, please provide your account number Click here to enter text.

Are you a relative of, or do you share the same home with – an officer, director, and
employee or associated person with SCFX?
Yes ☐ or No? ☐
If yes, Please describe the relationship Click here to enter text.

Were you referred by another introducing Broker?

SCFX
Yes ☐ or No? ☐
If yes please provide the IB’s Name

Declaration:

By signing below, I acknowledge that I am signing your client agreement and related
document and that this is a legally binding agreement. I confirm I understand the
full nature and risks of foreign exchange, and other derivative markets.

I conform that I have read and understood the current Terms of business, orders of
execution policy, conflicts of interest policy and risk disclosure notice set out by
SCFX (Sea Capital) and by submitting this customer agreement and the required
documentation listed in Appendix A, I agree to be bound by the terms of these
documents. If referred by another introducing Broker, I also agree to be bound by
the terms of the introducing Broker Disclosure.

I have access to the internet and consent to SCFX (Sea Capital) providing me with
information about changes to the customer agreement, Terms of Business,
Order of Execution Policy, Conflict of Interest policy, and Risk Disclosure
Notice by posting such information on the company website www.seacapital.co.uk

I confirm that I am age 18 years or over and that the information provided by me in
this account opening process is true and correct and that I will notify SCFX (Sea
Capital) in writing of any material changes. I further confirm that I do not breach
any regulations of my country of residence in trading and or Introducing as a
Partner with SCFX (Sea Capital), another potential clients to use the SCFX
Technology.
Signature:

Print name:

Date: Place:

SCFX
Please Note: The Accounts Department will contact you if additional Documents are required.
Approval of the application will depend on receipt of all items required for processing.

Appendix A – Required Documentation

In order for us to verify you identity and complete processing of your application,
please provide us with the following documents:

• A valid Government photo ID (e.g. Driver’s Licenses, Passport, or a National


ID Card)
• Proof of Residential Address represented on the account application, date
within 3 months (e.g. Utility Bill, Bank Statement, Note: the documents must
include your Full mane, and current residential address: the issuer and date
must be visible, PO Boxes are not acceptable).
• You may submit your documents as scanned images (JPG, GIF, DOC, or
PDF) please email clear and legible scanned Documents.

The account’s department will contact you if additional documents are required.
Approval of the application will depend on receipt of all items required for
processing.

Upon Approval of your Application we will email your account details, for your
acceptance and signature.

Contact: Accounts Department email Address: accounts@seacapital.co.uk

Applicant’s Signature:

SCFX

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