Personal Detail
Client Details
Profile and Scope of Client
1/3
First Name(s) (as shown on passport/ID)
Last Name(s) (as shown on passport/ID)
Mobile Phone (Primary Telephone Number)
Account Holder’s E-Mail
0%
Appointing Introducing Broker (if relevant)
Sure Name
Date of birth
City of Birth
Country of Birth
Nationality
Additional Nationalities
Current Residential Address
State / Province
Country
Postal Address (if different)
Status of employment (current or any position held within the last year): Employed, Public SectorEmployed, Private CompanyExecutive Management,Public sectorExecutive Management,Private CompanyUn-EmployedRetired
Name of Current Employer
Position / Title
50%
Salary after Tax in USD <50,00050,000-100,000100,001-150,000150,001-200,000200,001-500,000500,001-750,0003,000,001-4,000,0004,000,000-5,000,000>5,000,000
Primary source(s) of total wealth (in USD) Savings from Salary / PensionProfit from Selling Own CompanyInheritanceRoyaltiesTrading ProfitsOthers
Primary source(s) of total wealth (in USD) <50,00050,000-100,000100,001-150,000150,001-200,000200,001-500,000500,001-750,0003,000,001-4,000,0004,000,000-5,000,000>5,000,000
Valuable Cash & Securities <50,00050,000-100,000100,001-150,000150,001-200,000200,001-500,000500,001-750,0003,000,001-4,000,0004,000,000-5,000,000>5,000,000
How much do you intend to invest with BellsTrade? (in USD) <50,00050,000-100,000100,001-150,000150,001-200,000200,001-500,000500,001-750,0003,000,001-4,000,0004,000,000-5,000,000>5,000,000
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