INTRODUCING BROKER QUESTIONNAIRE |
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| 1. Background Details |
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Principal Business Address (if diff) |
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Complete A B C as appropriate |
| A if you are a Company |
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Name of Holding
Parent Company |
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| (Please attach a copy of Cert of incorporation) |
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| B If you are a Partnership |
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(please attach Partnership Agreement) |
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C If you are a sole trader |
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If Yes |
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| Employers Principal Business |
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(please attach copy of your Passport /ID card) |
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| 2. Banking & Accounting Details |
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| 3. Bussiness Plan |
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This section is to allow us to understand the type of clients you plan to introduce and your expectations of us: |
What types of customers do you plan to introduce: |
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In which Country are your customers mainly located? |
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Which Markets & Products do your clients wish to trade? |
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Please indicate the commissions or Mark Ups your customers will be charged. per trade (or if you have a standard fee schedule please attach this document ) |
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Of these commissions, mark ups how much will be rebated to the IB |
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| Will the IB also have Power of Attorney over the Accounts? |
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Will the IB exercise Discretion or Provide advice to the customers |
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| 4. Regulations |
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Are you registered with any regulatory regime? |
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If so please Specify the Regulatory Authority, Exchange, Board of Trade, Contract market or Clearing Organisation by which you are regulated, and the extent of your authorisation. |
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(Please attach relevant regulatory certificate) |
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| 5. General Disclosures |
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Do you, or your organization/company have any pending litigation, disputed accounts or other unresolved matters with any other brokers or Financial Institutions? |
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If Yes please give details |
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Have you, or your organization/company ever been convicted of any offence in connection with an account held at any financial institution? |
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| If Yes please give details |
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Have you, or your organization/company or any of its directors/general partners/trustees ever been subject to Bankruptcy or Insolvency proceedings? |
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| If Yes please give details |
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Have you, or your organization/company or any of its Directors / partners / employees control or have any financial interest in the trading of any accounts with BGC International? |
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If Yes please give names and numbers of accounts: |
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I/We confirm that all of the information contained in this questionnaire is true and accurate and we promptly notify you in writing if any of the representations contained herein shall materially change or cease to be true and correct. |
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| Send - Clear |