Individual Account Application CLIENT NAME AND ADDRESSNameStreetTown/CityCountyPost CodeCountry Select countryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaAustraliaArubaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGuernseyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauNorth MacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSaint HelenaSaint Pierre & MiquelonSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUS Minor Outlying IslandsUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemen Arab Rep.Yemen DemocraticZambiaZimbabweCountry of Tax Residence Select countryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaAustraliaArubaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGuernseyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauNorth MacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSaint HelenaSaint Pierre & MiquelonSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUS Minor Outlying IslandsUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemen Arab Rep.Yemen DemocraticZambiaZimbabweTax Identification Number / National Insurance Number (or equivalent) ACCOUNT HOLDER 1CLIENT DETAILSGiven NameSurnameDate of BirthDayMonthYearGenderMaleFemaleMain Phone NumberSecondary Phone Number/MobileEmail AddressEmployment StatusEmployedSelf EmployedRetiredUnemployedTick to enter second Account Holder Details ACCOUNT HOLDER 2CLIENT DETAILSGiven NameSurnameDate of BirthDayMonthYearGenderMaleFemaleMain Phone NumberSecondary Phone Number/MobileEmail AddressEmployment StatusEmployedSelf EmployedRetiredUnemployed REGULATORY STATUSAre you registered with a regulator?YesNoCountry and name of regulatorRegistration NumberClient Categorisation under MiFID EVFX only deals with professional clientsplease answer the following questionsHave you carried out transactions in significant size (eg >$100k) on the relevant Markets at an average frequency of 10 trades per quarter over the last four quarters?? *YesNoIf yes, how many transactions per month?Does the size of your financial instrument portfolio, defined as including cash deposits and financial instruments, exceed €500,000?YesNoIf yes, what is the approximate size of your portfolio?Do you work or have you worked in the financial sector for at least one year in a professional position which requires knowledge of the transactions or services envisaged? *YesNoIf yes, how long?Where did you work in this capacity?If you have answered YES to TWO of the above questions, you may qualify to be treated as a "Professional". However, you may lose certain protections and investor compensation rights if you are treated as a "Professional Client".What is the expected initial deposit?What is the source of these funds?i.e. personal wealth, inheritance, sale of property, etc.How did you hear about EVFX?i.e. personal contact, website, etc. BANKING DETAILSCurrencyUS$GBPEURCHFOtherName of BankStreetTown/CityCountyPost CodeCountryAccount CurrencyAccount in the name ofAccount NumberSort CodeIBANBICAre you likely to pay and receive funds in more than one currency? *YesNo SECOND CURRENCYName of BankStreetTown/CityCountyPost CodeCountryAccount CurrencyAccount in the name ofAccount NumberSort CodeIBANBIC DECLARATIONI / We, the undersigned hereby declare that the information given is true to the best of my/our knowledge and that false declarations will result in the loss of my/our right to hold EVFX responsible for any failure to comply with its obligations under the European Communities (markets in Financial instruments) Regulations 2007, (as amended) (MiFID Regulations), concerning the assessment of appropriateness of services and products. I / We certify that the signature(s) is genuine and I / We , the contracting party am (are) obliged to inform EVFX immediately of any material changes to the information provided. DOWNLOAD EVFX Terms and Conditions of Business DOWNLOAD EVFX Order Execution Policy DOWNLOAD EVFX Conflicts of Interest Policy DOWNLOAD EVFX Privacy Policy DOWNLOAD EVFX Data Protection Policy DOWNLOAD EVFX Risk Warning I / We accept all EVFX's Terms and Policies TitleNameDateAuthorised SignatureOnce completed, print & sign this application form by selecting the button at the end of the page and emailing to compliance@evfx.co.uk REQUIRED DOCUMENTATIONIdentity Verification EVFX utilises state of the art technology when verifying its customer's ID. Please download the relevant app (iOS or Android) and follow the relevant instructions below so that we can process your application soonest. Please note that ID images supplied in any other format will not be accepted. Passport State sponsored drivers licence National or State sponsored identity card SmartIDV iOS Instructions SmartIDV Android InstructionsAddress Verification Bank Account Statement (not credit card statement) Utility Bills (Gas, Water, Power) Statement from Tax Authorities The above documents must show your residential address and not be more than 3 months old. We cannot accept credit card statements, mobile phone statements or statements printed from the internet.Proof of IDChoose FileNo file chosenDelete uploaded fileAddress VerificationChoose FileNo file chosenDelete uploaded file TO SUBMIT APPLICATIONYou must now print and sign your application form to email to us. Follow the steps below and click Done when completed.1. Click 'Download Form' below to save as PDF *Done2. Print, sign & email to compliance@evfx.co.uk *Done3. Click to submit digital application:Submit Download Form