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ACCOUNT APPLICATION FORM - CORPORATE CFH CLEARING L IMITED · V01/14 The information contained herein is the property of CFH Clearing Limited and its associated entities and may not be copied, used or disclosed in whole or in part outside of the group of companies without prior written permission.

ACCOUNT APPLICATION FORM – CORPORATE

CFH CLEARING LIMITED

Warwick House · 25 Buckingham Palace Road · SW1W 0PP · London · United Kingdom Phone: +44 (0) 203 455 8751 · Fax: +44 (0) 207 127 4353 · Email: [email protected] · Web: www.cfhclearing.com

Registered in England and Wales, No. 6557752

Authorised and regulated by the Financial Conduct Authority, FRN. 481853

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INTRODUCTION

The Application Form (”Form”) is required to be fully completed in order to open a corporate trading account with CFH Clearing Limited (“CFH Clearing”). Please therefore ensure that the following is in order:

> All fields of the Form are duly completed and page 10 is signed by an official Director and a Secretary (if applicable) or by two official Directors of the company; > All pages of the Form are initialized by an official Director; and > All documentation listed on page 3 of these guidelines is provided together with the Form (as applicable).

C O N T E N T I N T H I S F O R M

> Guidelines and checklists (pages 2-3) > Corporate Resolution (page 4) > Application Form (pages 5-8) > Power of Attorney to a Fund Manager (only applicable to managed funds accounts) (page 9) > Signatures and consent (page 10-11) > Authorisation Card (page 12) > Guidelines to certification of documents (page 13) > Certification template (page 14)

APPLICATION PROCESS

When applying for a corporate account with CFH Clearing your Form and all supporting documents will be reviewed together with the provided documents (a full list of documents is provided on page 2 of these guidelines). Please therefore ensure when submitting the Form that you have also pro vided all the requested documents to enable us to assess your application in a timely manner and revert back to you in due course.

F A S T P R O C E S S I N G O F T H E F O R M For fast processing of the form, please return the duly completed form and all supporting documentation (please refer to page 2 of these guidelines for further information) directly to CFH Clearing by either: Email scan the form and all relevant documentation and email it to [email protected]. Fax Fax a copy of the Form and all relevant documentation to +44 (0) 207 127 4353. Please note that in the event you submit your application by email or fax, you are required to submit the original Form within seven (7) days of submitting the Form by standard mail or courier (as applicable to meet the timeframe).

RETURN OF THE ORIGINAL DOCUMENTS

It is a requirement of CFH Clearing that all of the below listed documents are returned to CFH Clearing in original to the below listed address within seven (7) days from submitting the Form. Failing to do so may result in the account with CFH Clearing to be terminated.

D O C U M E N T S T O B E R E T U R N E D I N O R I G I N A L

> Certified photo ID(s) and proof of residency(ies) > Application Form > Authorisation Card(s) > Compliance Letter (if applicable) > Language Letter (if applicable)

R E T U R N A D D R E S S Warwick House 25 Buckingham Palace Road London, SW1W 0PP United Kingdom Attn: Onboarding Team

APPROVAL

of the account by CFH Clearing

Return of Notice Letter

by the Account Holder

Issue of Notice Letter

by CFH Clearing

Review

of the Form and supporting

document(s) by CFH Clearing

Submission

of the Form and supporting

document(s) by the Account

Holder

mailto:[email protected]






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TERMINOLOGY IN THE FORM

Articles of association The articles of association can also be referred to as the ‘bylaws’, ‘constitution’, ‘operating agreement’ or the likes. Please note that it is a requirement that the articles of association are appropriately signed.

Certificate of incorporation Any document from the local companies house confirming that the company is in fact duly registered in the applicable jurisdiction with the relevant companies house.

Certification of documents In order to verify the true copy of the photo ID and proof of residency, it is a requirement by CFH Clearing that all copies of the documents are produced as a certified copy if not the original (see Certification Guidelines attached to this Form).

Compliance Letter In the event the activity which you are to conduct with CFH Clearing is considered to be regulated by our financial services regulator but not by the financial services regulator which you are to conduct your business activity under, we may request a Compliance Letter from you to confirm the same.

Language Letter In the event the corporate documents are in a language different than the English, a Language Letter can be provided on request for translation of the documents. The Language Letter can be completed by any individual(s) also qualifying to certify documents (see Certification Guidelines attached to this Form).

License In the event you are applying to become a White Label, Proprietary Branded Platform Client, Fund Manager, Introducing Broker or a Business Partner with CFH Clearing, a license issued by the applicable Financial Services Authority may be required and should be forwarded together with this Form.

Limited Power of Attorney The Limited Power of Attorney is the agreement authorising your Fund Manager to trade your funds on your behalf. The Limited Power of Attorney is also referred to as the “POA” and sets out the parameters under which the Fund Manager is authorised to act on your behalf.

Photo ID

A valid government issued identification document (“ID”) such as passport, drivers’ license and national ID with photo. Please ensure the following requirements are met:

> The photo ID is not expired; > The photo clearly displays the individual in question; > The signature is clear and readable; and > The full name and birthdate is printed on the photo ID.

Proof of residency

A document confirming the residency of the individual in question. This can be provided with either of the following documents issued within the past three (3) months:

> Utility bill (e.g. gas, water, electricity, land line phone, oil, internet or cable TV connections); > Bank statement; or > National ID with address (if not provided as an ID).

CHECKLIST

In order to ensure that you have provided all the required documents for your account opening, please refer to the below list in accordance with the account type you are applying for with CFH Clearing:

C O R P O R A T E A C C O U N T · S T A N D A R D F O R A L L C L I E N T S ( E X C E P T T R U S T S – S E E B E L O W )

Duly completed Form

Duly completed Authorisation Card

Certificate of incorporation

Signed articles of association

Shareholder's register

License (where applicable) to operate the account with CFH Markets in accordance

with the compemplated agreement*

Certified photo ID and proof of residency for all individuals marked as either of the

following in the Authorisation Card:

> Beneficial Owner

> Director

> Authorised Dealer

> Authorised Signatory

C O R P O R A T E A C C O U N T · T R U S T

Duly completed Form

Duly completed Authorisation Card

Trust deed fully specifying the below information:

> Nature and prupose of the trust

> Name(s) of all trustees

> Name and address of any protector and/ or controller of the trust (if

applicable)

> Name(s) of all Beneficial Owners

Certified photo ID and proof of residency for all individuals marked as either of the

following in the Authorisation Card:

> Authorised Dealer

> Director

> Authorised Signatory

> Beneficial Owner






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CORPORATE RESOLUTION

The undersigned Secretary/ Director of , a corporation duly

organized and incorporated under the laws of and having its registered

office at , ,

, (the “Account Holder”),

DOES HEREBY CERTIFY that on at a meeting of the Board of Directors of the Account Holder, held in

accordance with its governing instruments, at which a quorum was at all times present and acting for (or, by unanimous written consent of the

Board of Directors of the Account Holder), the following resolutions were duly adopted and said resolutions have not been amended, rescinded or

revoked and do not conflict with any of the provisions of the governing instruments of the Account Holder:

NOW THEREFORE BE IT RESOLVED, that a trading account in the name of the Account Holder be opened with CFH Clearing Limited, Warwick House, 25 Buckingham Palace

Road, SW1W 0PP, London, United Kingdom (“CFH Clearing”) for the purpose of margined forex exchange trading.

RESOLVED, that the Account Holder shall hold harmless CFH Clearing from any loss, damage, liability, claims and expenses whatsoever and

howsoever arising as a result of CFH Clearing honouring the signature(s) and/ or instructions provided by phone or email of any Authorised

Individual(s) as listed in the Authorisation Card provided by the Account Holder and/ or refusing to honour any signature(s), instruction(s) or phone

call(s) not so certified by the Account Holder.

RESOLVED, that the Account Holder has obtained all consent(s), license(s) and/ or authorisation(s) required to open the requested account with CFH

Clearing as required from time to time by companies house and/ or the financial services authority in the relevant jurisdiction(s) as applicable to the

business of the Account Holder.

IN WITNESS WHEREOF

I/ We have hereunto subscribed my/ our name to this Resolution on this date:

SIGNATURE OF THE ACCOUNT HOLDER

D i r e c t o r D i r e c t o r o r S e c r e t a r y ( i f a p p l i c a b l e )

Full name of Director Full name of Director/ Secretary (if applicable)

Official title with Account Holder Date (DD/MM/YYYY) Official title with Account Holder Date (DD/MM/YYYY)

Signature Signature

C OM P A N Y N A M E

C OU N T RY

S T RE E T A N D N U M BE R P OS T C OD E

C I T Y C OU N T RY

D D M M Y Y Y Y






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BASIC ACCOUNT INFORMATION

A c c o u n t T y p e P r e v i o u s A c c o u n t w i t h C F H C l e a r i n g

Corporate Account

Please complete the below in the event you have/ had an account with CFH Clearing.

Business Partner Account

Account type

Introducing Broker Account

Account number (if applicable)

Fund Manager Account

Additional information (if applicable)

Proprietary Branded Platform Account

White Label Account

REFERENCE ( I F A P P L I C A B L E )

Please kindly complete this section of this Form in the event you have been introduced to CFH Clearing by a third party. Please ensure to provide the full name of the third party introducer.

Business Partner

Name of Business Partner

Introducing Broker

Name of Introducing Broker

Fund Manager

Name of Fund Manager

REQUESTED TRADING PLATFORM ( S E L E C T O N E O R M ORE )

Please indicate the trading platform(s) you wish to use by selecting one or more of the below tick boxes.

ProTrader

MT4

FIX

WebTrader

tradable

24 HOUR CONTACT INFORMATION Where appropriate and in particular in an emergency situation or in the event of any breakdown in communication between the Account Holder and CFH Clearing, the Account Holder hereby authorises CFH Clearing to contact the following individual(s), and the Account Holder hereby declares that it accepts full responsibility for the consequences that may arise from such contact.

Title with Account Holder (e.g. Director, Secretary etc.) Title with Account Holder (e.g. Director, Secretary etc.)

Full name of contact person Full name of contact person

24 hour phone number (incl. country code) 24 hour phone number (incl. country code)

Email Email

Authorised to communicate with regards to

IT emergencies Trading emergencies

Authorised to communicate with regards to

IT emergencies Trading emergencies






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CORPORATE DETAILS ( A S S T A T E D I N T H E C O M P A N Y P A P E RS )

Please ensure that all information provided in this section of the Form is as highlighted in your corporate papers.

R E G I S T E R E D I N F O R M A T I O N R E G I S T E R E D A D D R E S S

Registered name and type of entity (e.g. limited, PLC, partnership etc.) Street

Registered trading name (if applicable) Zip/ Post code

Company register number City

Nature of business Country

C O N T A C T I N F O R M A T I O N P O S T A L A D D R E S S ( I F D I F F E R E N T F R O M A B O V E ) Main phone number (incl. country code) Street

Secondary phone number (incl. country code) Zip/ Post code

Primary email City

Secondary email Country

SOURCE OF FUNDS

Please specify the source of funds to be deposited with CFH Clearing by the Account Holder

No

No

No

No

No

No

No

No

..………………………………………………………………………………………...

LICENSE(S) AND REGISTRATION(S)

L I C E N S E E X C H A N G E L I S T I N G

Is the Account Holder regulated by a Financial Services Authority

Is the Account Holder listed on an exchange

If yes, name of Financial Services Authority If yes, name of exchange

If yes, license number If yes, please state ticker symbol






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TRADING EXPERIENCE

Do/ Does the responsible officer(s) of the Account Holder who will be trading on its behalf have previous investment and trading experience in either in any of the below instruments?

Forex exchange or any other margined traded instrument and/or: No

Yes - please complete the below sections

Contracts for Difference (“CFDs”):

No

Yes - please complete the below sections

Only to be completed if “Yes” was selected in the above section.

Has/ Have the responsible officer(s) of the Account Holder (“Officer(s)”) been employed, or are they currently employed in the financial sector in an area which requires knowledge of the transactions envisaged with CFH Clearing?

No

Yes, for months - please specify position and period

……………………………………………………………………………………………………………………..

Yes, for years - please specify position and period

……………………………………………………………………………………………………………………..

How many years has/ have the Officer(s) been trading in the financial markets?

Less than 1 year

1 to 3 years

3 to 5 years

More than 5 years

Which product(s) has/ have the Officer(s) been trading?

CFDs

Equities

Futures/ Commodities

FX

Other - specify: .......................................................................................................................................

What is the investment profile of the Account Holder?

Capital preservation/ hedging (minimise the potential loss for any principal)

Growth (increase investment value over time whilst accepting fluctuations)

Speculation (assume the highest degree of risk for potentially highly returns)

What is the size of the Account Holder’s current financial instrument portfolio, incl. cash deposits (in EUR)?

Below 500,000

500,000 to 1,000,000

More than 1,000,000

Has/ have the Officer(s) of the Account Holder carried out a minimum of 10 trades of significant size per quarter for the past four (4) quarters?

Yes

No

Is the Account Holder a company that is required to be authorised, regulated or licensed to operate in the financial markets?

Yes

No

Is the Account Holder a national or regional government or a public body that manage public debt or international and supranational institutions?

Yes

No

Is the Account Holder a collective investment scheme? Yes

No






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BANK DETAILS

The below listed bank details will be used for all transfers from CFH Clearing to the Account Holder.

Name of bank

SWIFT ID (BIC)

Branch name (or city) (if applicable) Clearing Code (sort code, BLZ, ABA, etc.)

Street Account number/ IBAN

Zip/ Post code City Currency

Country

I N T E R M E D I A R Y B A N K D E T A I L S ( i f a p p l i c a b l e )

Please include intermediary bank details if your bank does not have a direct relationship with HSBC Bank Plc. in the United Kingdom for international transfers. If you are in doubt, please contact your own bank manager/ advisor.

Intermediary bank name Intermediary bank street and number

Intermediary bank identifier (i.e. SWIFT or BIC address) Zip/ Post code City

Intermediary bank account number Intermediary bank country

BASE CURRENCY FOR THE ACCOUNT

Please indicate the base currency for the account(s) with CFH Clearing (select one).

EUR

GBP

USD

Other - please specify:…………………………………………………………………………………

SECURITY QUESTIONS

Please indicate in the boxes below a security word consisting of minimum six (6) letters and a security number consisting of minimum four (4) digits. CFH Clearing will use this information amongst other information to verify your identity when making contact with you. In the event you will need to reset the security question in the future, please contact the Legal & Compliance Department at [email protected].

S E C U R I T Y W O R D ( m i n i m u m 6 l e t t e r s )

S E C U R I T Y N U M B E R S ( m i n i m u m 4 d i g i t s )

In the event your account is being managed by a Fund Manager please proceed with carefully reading the Limited Power of Attorney on the following pages. In the event you do not assign a Fund Manager to trade on your behalf, please continue the Form on page 10.

FINANCIAL DETAILS OF THE ACCOUNT HOLDER

Total value of balance sheet (in EUR) Value of own funds (in EUR)

Net turnover (in EUR)

mailto:[email protected]






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LIMITED POWER OF ATTORNEY TO FUND MANAGER

I M P O R T A N T I N F O R M A T I O N

This Limited Power of Attorney (“POA”) is only applicable where you assign a Fund Manager to trade on your trading account with CFH Clearing on your behalf. The POA sets out the parameters under which the Fund Manager is authorised to trade on your behalf, so please ensure to take the time to carefully read and understand the content of the POA. It is a requirement for CFH Clearing that the Fund Manager you assign to trade on your behalf is already approved as a Fund Manager with CFH Clearing. In the event you will not assign a Fund Manager to trade on your behalf, please disregard the below and continue to page 10 of the Form.

DESIGNATED FUND MANA GER

The Account Holder hereby designates and authorises the below listed individual/ company as to trade on behalf of the Account Holder under the terms listed in this POA.

Full name of designated Fund Manager ( “Fund Manager”)

E xc lu s i o ns , L im i t a t i on s a n d i n d em n i t y ( C o n t i n u e d )

A u th o r i sa t i o n

The undersigned Account Holder hereby authorises Fund Manager as Account Holder’s agent and attorney-in-fact, and revokes all prior powers of attorney relating to Account Holder’s foreign exchange currency trading account at CFH Clearing, with full power of authority to purchase, sell or trade in over the counter foreign currency transactions, including non-deliverable transactions, on margin or otherwise, in one or more accounts (collectively, the “Accounts”) opened by and maintained with CFH Clearing in the Account Holder’s name and on the Account Holder’s behalf. Fund Manager is authorised to act on behalf of the Account Holder in the same manner and with the same force and effect as the Account Holder might or could act in respect to such transactions, as well as with respect to all other things necessary or incidental to the furtherance and/ or conduct of the Accounts. CFH Clearing is hereby authorised to follow instructions of Fund Manager in all such foreign currency transactions communicated through entry on CFH Clearing’s trading system (“CFH Online Facility”) or such other written or oral instructions that CFH Clearing may accept as well as management decisions relating to the Account. CFH Clearing will have no liability for following the instructions of Fund Manager, including but not limited to any instruction to aggregate orders of Account Holder with orders for or on behalf of Fund Manager’s other clients, and Account Holder will not attempt to hold CFH Clearing liable for Fund Manager’s actions or inactions.

E xc lu s i o ns , L im i t a t i on s a n d i n d em n i t y

Account Holder understands that CFH Clearing does not, by implication or otherwise, endorse the operating methods of such Fund Manager. Account Holder hereby releases CFH Clearing from any and all liability to Account Holder or to anyone claiming through Account Holder with respect to any damages, losses or loss of profits sustained or alleged to have been sustained as a result of CFH Clearing following Fund Manager’s instructions or for any matter arising out of the relationship between the Fund Manager and Account Holder and will, in addition to any other indemnity provided to CFH Clearing by Account Holder, indemnify CFH Clearing from any losses, damages, liabilities and expenses, of any kind or nature whatsoever, arising there from. Account Holder also agrees to hold CFH Clearing harmless and to indemnify it as to any expense, damage or liability (including legal fees) sustained by it with respect to any and all acts and practices of Fund Manager regarding the Account, including all losses arising there from and debit balance(s) due thereof. Account Holder acknowledges that Account Holder and Fund Manager, by separate agreement, have agreed on the method by which Fund Manager will be compensated for services rendered to Account Holder. Account Holder hereby agrees to indemnify and hold harmless CFH Clearing and its affiliates and employees from any loss, damage or dispute arising out of or relating to the calculation and payment of such fees to Fund Manager.

All statements, notices, correspondence and the like generated in the Account will be sent or given to Fund Manager at the address shown for this Account and to Account Holder at the address indicated in Account Holder’s Account documents, and to such other person or address as Account Holder has granted trading authority to Fund Manager. Account Holder acknowledges and understands that it is the sole responsibility of Account Holder to review the account statements as available on the CFH Online Facility, and that it is Account Holder’s obligation to contact CFH Clearing in the event Account Holder has any questions concerning the statements.

Account Holder understands and agrees that there are many strategies that can be used in trading foreign exchange, some of which have unlimited risk of loss and could result in Account Holder sustaining a total loss of all funds in the Account and, furthermore, that Account Holder is liable for any deficit in the Account resulting there from. Account Holder acknowledges and agrees that Account Holder has had the opportunity to discuss with Fund Manager, and understands the nature and risks of the strategy to be used in connection with foreign currency transactions effected for Account Holder’s Account.

Risk wa r n i n g

This authorisation is a continuing one and will remain in full force and effect until revoked by Account Holder, or by an authorised person on Account Holder’s behalf, by written notice given to CFH Clearing. Such revocation will become effective only upon the confirmation of receipt thereof by CFH Clearing but will not affect any liability in any way resulting from transactions initiated prior to its confirmation. Upon receipt of the revocation, CFH Clearing will have the right to close positions in Account Holder’s Account at the prevailing market prices as determined by CFH Clearing in its sole discretion and return funds to Account Holder. This authorisation will inure to the benefit of CFH Clearing, its successors and assigns. The provisions hereof will be in addition to, and will in no way limit or restrict, any right that CFH Clearing may have under any agreement with Account Holder. In the event termination is effected in accordance with the above, thus a revocation of the POA, the Account Holder’s assigned Fund Manager will continue to have access to the Account Holder’s account until close of business at 22:00 GMT, at which point the account balance will be settled. In the event the Account Holder suspects any irregular/ unauthorised activity by its Fund Manager, the Account Holder must notify CFH Clearing immediately.

T e rm i na t i o n

Ju r i s d i c t i o n This Limited Power of Attorney is governed by and construed in accordance with English Law.






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S IGNATURE AND CONSENT

I/ We the undersigned hereby certify:

> That this Form is completed by and on behalf of the Account Holder and not by a third party;

> That I/ we have carefully read and completed this Form and affixed my/ our initials to attest this on all pages of this Form submitted to CFH Clearing;

> That all information provided in this Form is correct and that I/ we shall be obliged to inform CFH Clearing immediately should any of the provided information

change;

> I/ We acknowledge and understand that CFH Clearing will act on instructions by my Fund Manager in accordance with the authorisations granted by me/ us to my

Fund Manager under the Power of Attorney in this Form on this date (if applicable);

> That any damages suffered by CFH Clearing as a result of CFH Clearing relying on the information in this Form that is inaccurate or false shall be borne by the

Account Holder;

> That personal information submitted by me/ us to CFH Clearing may:

o be used with by entity within CFH Clearing and its group companies (please see www.cfhclearing.com for a full list of all group companies) for the

purpose of providing sales and marketing information including new products and services;

o be shared with a third party introducer (if indicated so on this Form) for the purpose of completing the due diligence and approving my/ our application;

o be used to undertake a search with credit reference agencies or other organisations to reduce the incidence of fraud and/ or in the course of carrying

out identity fraud prevention or credit control checks;

> That this Form is signed in one (1) original copy which shall at all times be kept with CFH Clearing.

Signature(s)

D I R E C T O R D I R E C T O R O R S E C R E T A R Y ( i f a p p l i c a b l e )


Official title Date (DD/MM/YYYY) Official title Date (DD/MM/YYYY)

Signature Signature

http://www.cfhclearing.com/






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IMPORTANT INFORMATION REGARDING THE AUTHORISATION CARD

The Corporate Account Authorisation Card (“Authorisation Card”) sets out the individual(s) authorised by the Account Holder w ith their specimen signature, email or phone call (as required from time to time by CFH Clearing Limited (“CFH Clearing”)) in accordance with the boxes selected on the Authorisation Card. It is also a requirement for the Account Holder to indicate whether or not the individual is a beneficial owner of the Account Holder and/ or if the individual is an official Director with the Account Holder.

A U T H O R I S A T I O N S

> Authorised Signatory: An individual authorised to enter into and execute any agreement with CFH

Clearing, and to ratify and renew the same (jointly or solely as indicated) (“Authorised Signatory”).

> Authorised Dealer:

An individual authorised to execute trades, request inter-account transfers, activate and deactivate clients on behalf of the Account Holder (“Authorised Dealer”).

> Support Contact/ Authorised Operator: An individual authorised to request account information, trade and system

queries. The Support Contac/ Authorised Operator will not be authorised to execute any trades on behalf of the Account Holder, unless the Support Contact/ Authorised Operator is also an Authorised Dealer (“Support Contact/ Authorised Operator”).

> Beneficial Owner: An individual owning or controlling (directly or indirectly) 25% or more of

the Account Holder. Please ensure to also provide the shareholder’s list/ share certificates when submitting this Authorisation Form in order for CFH Clearing to verify the same (“Beneficial Owner”).

> Director: An individual registered as an official Director with the Account Holder

(“Director”).

SUPPORTING DOCUMENTATION FOR AUTHORISED INDIVIDUAL(S)

Please kindly ensure to provide a certified copy of a valid photo ID and proof of residency no older than three (3) months for each individual marked as an Authorised Signatory and/ or Authorised Dealer and/ or Beneficial Owner.

I D R E Q U I R E M E N T S Please ensure the photo ID fulfils all of the below listed criteria, otherwise the photo ID may be rejected by CFH Clearing:

> It is a passport, driver’s license with picture or a national ID with picture. > It is not expired. > It must specify the full name and birthdate. > All information is clearly readable. > The signature is present and visible.

P R O O F O F R E S I D E N C Y R E Q U I R E M E N T S Please ensure the proof of residency fulfils all of the below listed criteria, otherwise the proof of residency may be rejected by CFH Clearing:

> It is either a bank statement, utility bill (for gas, electricity or a land line), national ID with address, driver’s license with address (if not provided as an ID) or a letter issued by a national government.

> It is issued within the last three (3) months. > The name and address of the individual it is addressed to is clearly visible.

MORE THAN TWO (2) AUTHORISED INDIVIDUALS

In the event the Account Holder has more than two (2) Authorised Individuals, please complete the Authorisation Card as many times as needed in order to list all Authorised Individuals. Please ensure that all Authorisation Cards are duly signed by two (2) Directors or a Director and one (1) Secretary (if applicable).

RETURN OF ORIGINAL AUTHORISATION CARD

It is a requirement of CFH Clearing that all Authorisation Cards are returned in original to the below listed address within seven (7) days submitting the Form. Failing to do so may result in the account with CFH Clearing to be terminated. Warwick House 25 Buckingham Palace Road London, SW1W 0PP United Kingdom

Attn: Onboarding Team






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ACCOUNT HOLDER DETAILS

Name of Account Holder (hereafter “Account Holder”) Account number (if applicable)

STATUS OF THIS AUTHORISATION CARD

This Authorisation Card is:

New

Cancels and replaces any previous Authorisation Card issued by the Account Holder

Is supplementary to the current Authorisation Card

AUTHORISED INDIVIDUAL(S)

A U T H O R I S E D I N D I V I D U A L A U T H O R I S E D I N D I V I D U A L

First name(s) First name(s)

Surname Surname

Phone number (incl. country code) Phone number (incl. country code)

Email Email

Signature Signature

This individual is (select one or more as applicable and please refer to the definitions if in doubt):

This individual is (select one or more as applicable and please refer to the definitions if in doubt):

Beneficial Owner by ...................... %

Official Director of the Account

Holder

Beneficial Owner by ...................... %

Official Director of the Account

Holder

Authorised Signatory by one (1) signature

Authorised signatory with other

Authorised Signatory

Authorised Signatory by one (1) signature

Authorised signatory with other

Authorised Signatory

Authorised as:

Authorised Dealer

Authorised as:

Authorised Dealer

Authorised Operator

Authorised Operator

Support Contact

Support Contact

SIGNATURE

The undersigned Account Holder hereby certifies having carefully completed this Authorisation Form and acknowledges and understands that instructions made by the Authorised Individual(s) listed herein binds the Account Holder in its contractual relationship with CFH Clearing, and shall remain valid independently of any entries made in the register of commerce or any other official publication as long as a revocation is not explicitly notified to CFH Clearing. The Account Holder furthermore attests that any damages suffered by CFH Clearing as a result of relying on instructions from the Authorised Individual(s), shall be borne by the Account Holder.

D I R E C T O R D I R E C T O R O R S E C R E T A R Y ( I F A P P L I C A B L E )


Official title Date (DD/MM/YYYY) Official title Date (DD/MM/YYYY)

Signature Signature

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