NAME OF ENTITY *

FIRST NAME *

LAST NAME *

EMAIL *

DATE OF BIRTH *

BROKER'S NAME

MOBILE PHONE NUMBER *

HEAD OFFICE ADDRESS *

Post code *

COUNTRY OF INCORPORATION *

ENTITY TYPE *
PRIVATE LIMITED COMPANYPRIVATE UNLIMITED COMPANYLIMITED LIABILITY COMPANYCHARITY OR CHURCH BODYPARTNERSHIPSOLE TRADERTRUSTCLUB/SOCIETY

As an FCA regulated financial company, we are required to ask several questions about your employment status and financial health. Assure Hedge treats this information in the strictest confidence and stores the encrypted information securely. More information can be found in our Privacy Policy.

Please select all that apply

COMPANY BALANCE SHEET TOTAL EXCEEDS £20,000,000 *
YESNO

COMPANY NET TURNOVER EXCEEDS £40,000,000 *
YESNO

YOUR OWN FUNDS EXCEED £2,000,000 *
YESNO

It is necessary for us to make enquiries regarding your trading experience and level of understandings as part of this application. We ask that you answer accurately and fairly to all of the following sections, as the answers provided will help us in meeting these obligations. We will not assess whether the Foreign Exchange products we provide meet your particular financial requirements.

Currency (FX) experience

FOREIGN EXCHANGE TRANSFERS *
NONE1 TO 12 MONTHS13 TO 24 MONTHSMORE THAN 24 MONTHS

CURRENCY OPTIONS *
NONE1 TO 12 MONTHS13 TO 24 MONTHSMORE THAN 24 MONTHS

CURRENCY FORWARDS *
NONE1 TO 12 MONTHS13 TO 24 MONTHSMORE THAN 24 MONTHS

Average number of previous transactions per financial year

FOREIGN EXCHANGE TRANSFERS *
1-56-2526-50more than 50

CURRENCY OPTIONS *
1-56-2526-50more than 50

CURRENCY FORWARDS *
1-56-2526-50more than 50

FOREIGN EXCHANGE TRANSFERS *
NONE£1 - £50,000£50,001 - £500,000MORE THAN £500,000

CURRENCY OPTIONS *
NONE£1 - £50,000£50,001 - £500,000MORE THAN £500,000

CURRENCY FORWARDS *
NONE£1 - £50,000£50,001 - £500,000MORE THAN £500,000

FORECASTED TRADING VOLUME OVER THE NEXT 12 MONTHS *
NONE£1 - £50,000£50,001 - £500,000MORE THAN £500,000

CURRENCIES EXPECTED TO TRADE OVER THE NEXT 12 MONTHS. (SELECT ALL THAT APPLY) *
Select CurrencyDirham AEDAustralian Dollar AUDBahraini Dinar BHDCanadian Dollar CADSwiss Franc CHFChinese Yuan CNHCzech Koruna CZKDanish Krone DKKEuro EURBritish Pound GBPHong Kong Dollar HKDHungarian Forint HUFJapanese Yen JPYNorwegian Krone NOKNew Zealand Dollar NZDPolish Zloty PLNQatari Riyal QARRomanian Leu RONSwedish Krona SEKSingapore Dollar SGDThai Baht THBTurkish Lira TRYUS Dollar USDSouth African Rand ZARBulgarian Lev BGNBrazilian Real BRLChinese Yuan CNYCroatian Kuna HRKIndonesian Rupiah IDRIsraeli Shekel ILSIndian Rupiah INRJordanian Dinar JODKenyan Schilling KESMexican Peso MXNPhilippine Peso PHPRussian Rubel RUBSaudi Arabian Real SARUgandan Schilling UGXAlbanian Lek ALLArgentinian Peso ARSBolivian Boliviano BOBBotswana Pula BWPChilean Peso CLPColombian Peso COPAlgerian Dinar DZDGhanaian Cedi GHSSouth Korean Wong KRWKuwaiti Dinar KWDSri Lankan Rupee LRKLesotho Loti LSLMoroccan Dirham MADMauritian Rupee MURMalaysian Ringgit MYRNigerian Naira NGNNepalese Rupee NPROmani Rial OMRPeruvian Sol PENPakistani Rupee PKRSerbian Dinar RSDSwazi Lilangeni SZLTunisian Dinar TNDTaiwanese Dollar TWD

DO YOU UNDERSTAND THAT WE WILL NOT PROVIDE ADVICE OR RECOMMENDATIONS ON THE MERITS OF A PARTICULAR OPTION CONTRACT IN ANY RESPECT?

Yes I understand

INCORPORATION DOCUMENTATION

PASSPORT ID

PROOF OF ADDRESS

I AGREE WITH THE ABOVE DECLARATION *
TO THE BEST OF MY KNOWLEDGE, THE ANSWERS PROVIDED HEREIN ARE FAIR, CORRECT AND NOT MISLEADING. I HAVE PROVIDED COMPLETE DISCLOSURE AS REQUIRED AND I ACCEPT THAT ASSURE HEDGE’S ASSESSMENT OF ME OR MY FIRM REPRESENT SUITABILITY AND APPROPRIATENESS TO TRANSACT FX OPTIONS FOR THE PURPOSE OF REDUCING FOREIGN CURRENCY EXPOSURE. I CONFIRM THAT I HAVE CONSIDERED FX OPTIONS AS APPROPRIATE FOR ME OR MY FIRM’S NEEDS, HAVING GIVEN CONSIDERATION TO THE OBJECTIVES, RISK TOLERANCE AND FINANCIAL POSITION. I/WE ACCEPT AND UNDERSTAND THE RISKS ASSOCIATED WITH TRANSACTING FX OPTION PRODUCTS.PLEASE BE AWARE THAT CALLS WITH ASSURE HEDGE ARE RECORDED FOR TRAINING AND COMPLIANCE PURPOSES AND THAT FX CONTRACTS CAN ONLY BE TRANSACTED WITH ASSURE HEDGE BETWEEN THE HOURS OF 8AM AND 6PM GMT.