Step One Step Two Step Three 1. Legal entity details Legal entity name : * Company registration number: * Incorporation date: * Registration Country: * -- Please Select -- AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntiguaArgentinaArmeniaArubaAscension IslandAustraliaAustralian External TerritoriesAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HercegovinaBotswanaBouvet Is.BrazilBritish Virgin IslandsBrunei DarussalmBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCapr Verde IslandsCayman IslandsCentral African RepublicChadChileChinaColombiaComoros and MayotteCook IslandsCosta RicaCote dIvoire (Ivory Coast)CroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDomincaEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe (Faeroe) Islands (Denmark)FijiFinlandFranceFrench AntillesFrench GuianaGabon (Gabonese Republic)GambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenada/CarricouGuadeloupeGuamGuatemalaGuernsey (Channel Islands)GuineaGuinea-BissauGuyanaHaitiHoly See (Vatican City State)HondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle Of ManIsraelItalyJamaicaJapanJersey (Channel Islands)JordanKazakhstanKenyaKiribatiKorea, Republic ofKuwaitKyrgyz RepublicLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNevisNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorth KoreaNorth Mariana Islands (Saipan)NorwayOmanPakistanPalauPalestinian Territory, OccupiedPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussian FederationRwandaSaipanSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSt. HelenaSt. LuciaSt. Pierre and MiquelonSt. Vincent and The GrenadinesSudanSurinameSwedenSwitzerlandSyrian Arab Republic (Syria)Tahiti (French Polynesia)TaiwanTajikistanTanzania (includes Zanzibar)ThailandTogo (Togolese Republic)TokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos Is.TuvaluU.S. Minor Outlying IslandsU.S. Virgin Is.UgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin IslandsWallis and FutunaWestern SamoaYemenZaireZambiaZimbabwe Company Trading Name : 2. Address details Registered Office address: Building/Number/Street * Town:* Post/Zip Code: * Country: * -- Please Select -- AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntiguaArgentinaArmeniaArubaAscension IslandAustraliaAustralian External TerritoriesAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HercegovinaBotswanaBouvet Is.BrazilBritish Virgin IslandsBrunei DarussalmBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCapr Verde IslandsCayman IslandsCentral African RepublicChadChileChinaColombiaComoros and MayotteCook IslandsCosta RicaCote dIvoire (Ivory Coast)CroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDomincaEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe (Faeroe) Islands (Denmark)FijiFinlandFranceFrench AntillesFrench GuianaGabon (Gabonese Republic)GambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenada/CarricouGuadeloupeGuamGuatemalaGuernsey (Channel Islands)GuineaGuinea-BissauGuyanaHaitiHoly See (Vatican City State)HondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle Of ManIsraelItalyJamaicaJapanJersey (Channel Islands)JordanKazakhstanKenyaKiribatiKorea, Republic ofKuwaitKyrgyz RepublicLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNevisNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorth KoreaNorth Mariana Islands (Saipan)NorwayOmanPakistanPalauPalestinian Territory, OccupiedPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussian FederationRwandaSaipanSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSt. HelenaSt. LuciaSt. Pierre and MiquelonSt. Vincent and The GrenadinesSudanSurinameSwedenSwitzerlandSyrian Arab Republic (Syria)Tahiti (French Polynesia)TaiwanTajikistanTanzania (includes Zanzibar)ThailandTogo (Togolese Republic)TokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos Is.TuvaluU.S. Minor Outlying IslandsU.S. Virgin Is.UgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin IslandsWallis and FutunaWestern SamoaYemenZaireZambiaZimbabwe Trading correspondence address (if different from above): Building/Number/Street Town: Post/Zip Code: Country: -- Please Select -- AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntiguaArgentinaArmeniaArubaAscension IslandAustraliaAustralian External TerritoriesAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HercegovinaBotswanaBouvet Is.BrazilBritish Virgin IslandsBrunei DarussalmBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCapr Verde IslandsCayman IslandsCentral African RepublicChadChileChinaColombiaComoros and MayotteCook IslandsCosta RicaCote dIvoire (Ivory Coast)CroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDomincaEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe (Faeroe) Islands (Denmark)FijiFinlandFranceFrench AntillesFrench GuianaGabon (Gabonese Republic)GambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenada/CarricouGuadeloupeGuamGuatemalaGuernsey (Channel Islands)GuineaGuinea-BissauGuyanaHaitiHoly See (Vatican City State)HondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle Of ManIsraelItalyJamaicaJapanJersey (Channel Islands)JordanKazakhstanKenyaKiribatiKorea, Republic ofKuwaitKyrgyz RepublicLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNevisNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorth KoreaNorth Mariana Islands (Saipan)NorwayOmanPakistanPalauPalestinian Territory, OccupiedPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussian FederationRwandaSaipanSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSt. HelenaSt. LuciaSt. Pierre and MiquelonSt. Vincent and The GrenadinesSudanSurinameSwedenSwitzerlandSyrian Arab Republic (Syria)Tahiti (French Polynesia)TaiwanTajikistanTanzania (includes Zanzibar)ThailandTogo (Togolese Republic)TokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos Is.TuvaluU.S. Minor Outlying IslandsU.S. Virgin Is.UgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin IslandsWallis and FutunaWestern SamoaYemenZaireZambiaZimbabwe 3. Main contact details Full Name:* Position:* Email address:* Contact no:* Next 4a. Funding Volume (incoming) Please indicate the total value of incoming funds that will flow across the platform(same Currency and FX). Value of incoming funds to be transcated per annum (GBP)* -- Please Select -- 0 - 99,999 100,000 - 249,999 250,000 - 499,999 500,000 - 999,999 1000,000 - 2,499,999 2,500,000 Plus Funding transactions number per annum:* -- Please Select -- 0 - 24 25 - 48 49 - 72 73 - 96 97 - 120 121 Plus 4b. Payment Volumes (outgoing) Please indicate the total value of outgoing payments that will flow across the platform(same Currency and FX). Total value of account debits per annum (GBP)* -- Please Select -- 0 - 99,999 100,000 - 249,999 250,000 - 499,999 500,000 - 999,999 1000,000 - 2,499,999 2,500,000 Plus Outgoing payment number per annum:* -- Please Select -- 0 - 24 25 - 48 49 - 72 73 - 96 97 - 120 121 Plus 4c. Foreign Exchange requirement Business rationale for using the platform* Noting the payment Volumes totals above, what values apply to foreign exchange? Value of currency to be transcated per annum (GBP)* -- Please Select -- 0 - 99,999 100,000 - 249,999 250,000 - 499,999 500,000 - 999,999 1000,000 - 2,499,999 2,500,000 Plus Trade number per annum:* -- Please Select -- 0 - 24 25 - 48 49 - 72 73 - 96 97 - 120 121 Plus Typical payment destination:* Currencies to be traded:* Principle place of business:* Source of Fund:* Source of Wealth:* 4b.Payment Authorisation Will outgoing Payments need to be authorised? None Required Single Dual Other PreviousNext Current Directors/Partners and Company Secretary: Full Name:* Position:* DELETE This director is also a shareholder Add another director Shareholders/Partners with 25% or more ownership: Full Name:* Holding%:* DELETE Add another shareholder It is our legal duty and a condition of our regulators that we carry out identity checks on: *The company/Partnership opening an account with eFx solutions: *The company/Partners of the company/Partnership: *Any shareholder/Partner owning more than 25% or more of shares of the business: Noting some entities are owned by Corporate vehicles, where this is the case and the entity name is quoted above, please enter here the name/s of the individual person/s who are the ultimate beneficial owners : Name: Holding%: DELETE Add another shareholder Beneficiary Terms and Conditions of Business: * I/We confirm that an account in the name of the legal entity can be created, and we have read and accept the Terms and Conditions. Full Name:* Full Name: Please print and sign the form. Please print and sign the form. Previous