Account Application Form

Please complete this form. Even if not all the fields are filled in, you can download the form and print it to complete it manually and send it to accountmanagement@iticapital.com

We will need this information to open an account.

1. Personal information

Full Name
Address
Date of Birth

18 and older
Choose gender
Male Female
Nationality
- Afghanistan
- Albania
- Algeria
- Andorra
- Angola
- Antigua & Deps
- Argentina
- Armenia
- Australia
- Austria
- Azerbaijan
- Bahamas
- Bahrain
- Bangladesh
- Barbados
- Belarus
- Belgium
- Belize
- Benin
- Bhutan
- Bolivia
- Bosnia Herzegovina
- Botswana
- Brazil
- Brunei
- Bulgaria
- Burkina
- Burundi
- Cambodia
- Cameroon
- Canada
- Cape Verde
- Central African Rep
- Chad
- Chile
- China
- Colombia
- Comoros
- Congo
- Congo {Democratic Rep}
- Costa Rica
- Croatia
- Cuba
- Cyprus
- Czech Republic
- Denmark
- Djibouti
- Dominica
- Dominican Republic
- East Timor
- Ecuador
- Egypt
- El Salvador
- Equatorial Guinea
- Eritrea
- Estonia
- Ethiopia
- Fiji
- Finland
- France
- Gabon
- Gambia
- Georgia
- Germany
- Ghana
- Greece
- Grenada
- Guatemala
- Guinea
- Guinea-Bissau
- Guyana
- Haiti
- Honduras
- Hungary
- Iceland
- India
- Indonesia
- Iran
- Iraq
- Ireland {Republic}
- Israel
- Italy
- Ivory Coast
- Jamaica
- Japan
- Jordan
- Kazakhstan
- Kenya
- Kiribati
- Korea North
- Korea South
- Kosovo
- Kuwait
- Kyrgyzstan
- Laos
- Latvia
- Lebanon
- Lesotho
- Liberia
- Libya
- Liechtenstein
- Lithuania
- Luxembourg
- Macedonia
- Madagascar
- Malawi
- Malaysia
- Maldives
- Mali
- Malta
- Marshall Islands
- Mauritania
- Mauritius
- Mexico
- Micronesia
- Moldova
- Monaco
- Mongolia
- Montenegro
- Morocco
- Mozambique
- Myanmar, {Burma}
- Namibia
- Nauru
- Nepal
- Netherlands
- New Zealand
- Nicaragua
- Niger
- Nigeria
- Norway
- Oman
- Pakistan
- Palau
- Panama
- Papua New Guinea
- Paraguay
- Peru
- Philippines
- Poland
- Portugal
- Qatar
- Romania
- Russian Federation
- Rwanda
- St Kitts & Nevis
- St Lucia
- Saint Vincent & the Grenadines
- Samoa
- San Marino
- Sao Tome & Principe
- Saudi Arabia
- Senegal
- Serbia
- Seychelles
- Sierra Leone
- Singapore
- Slovakia
- Slovenia
- Solomon Islands
- Somalia
- South Africa
- South Sudan
- Spain
- Sri Lanka
- Sudan
- Suriname
- Swaziland
- Sweden
- Switzerland
- Syria
- Taiwan
- Tajikistan
- Tanzania
- Thailand
- Togo
- Tonga
- Trinidad & Tobago
- Tunisia
- Turkey
- Turkmenistan
- Tuvalu
- Uganda
- Ukraine
- United Arab Emirates
- United Kingdom
- United States
- Uruguay
- Uzbekistan
- Vanuatu
- Vatican City
- Venezuela
- Vietnam
- Yemen
- Zambia
- Zimbabwe
Passport No.*
National Insurance Number
E-mail address
Telephone number

2. Account information

Account type

Execution Only

Advisory

FOREX

Custody

Custody of Digital assets
- Additional Telephone No.
- Additional Telephone No.
  
  Telegram
  
  WhatsApp
  
  Skype
- Additional E-mail address
- Withdrawal Wallet for BTC
- Withdrawal Wallet for ETH/ERC20
Choose base currency
EUR GBP USD
ITI will NOT ask you to transfer any digital assets until you are onboarded, receive account Opening Notification, and ITI validate the Wallet Address via an alternative communication method entered in this Application form

3. Trading Information

What is your Investment Objective?

Growth

Hedging

Income

Speculation
What would you like to trade?

Equities

Futures

Options

Foreign Exchange

Option Writing

Contracts for Differences

Mutual Funds

ETF's

Fixed Income

4. Financial Information

Do you have or have you had any other account(s) with ITI Capital?

Yes No
- Account number
- Add Account number
What is your total estimated annual income?

Under £25,000

£25,000 — £49,999

£50,000 — £99,999

£100,000 — £249,999

£250,000 — £1,000,000

Over £1,000,000
What are your total estimated savings and investments?

Under £25,000

£25,000 — £1,49,999

£50,000 — £99,999

£100,000 — £249,999

£250,000 — £1,000,000

Over £1,000,000
Will any person other than Trader control, manage or direct the trading in this account?

Yes No
- Please request or supply a Limited Power of Attorney
Employment status

Employed

Self-employed

Retired

Student

Unemployed
- Occupation
- Industry
- What are your total estimated savings and investments?
  
  Savings
  
  Other
  
  Gift
- Occupation

5. Trading Experience Information

Over the past 12 months, how often have you traded the following products?

Forex, Futures, CFDs

Rarely/Never

Sometimes

Frequently
Shares, Derivatives, Other:

Rarely/Never

Sometimes

Frequently
Have you worked for a financial services company and/or are you qualified as a professional trader?

Yes No
In each of the last four quarters, have you placed at least ten trades? This must be in the same product that you are opening your account for.

Yes No
For how many years have you been trading?
Do you intend to trade securities on the US markets?

Yes No
- If you reside outside the United States, in a country that has a tax treaty with the USA, you are required to send a signed copy of the W-8BEN form to ITI Capital Limited. Otherwise, you may be subject to a higher rate of tax withholding on income (dividends, interest, etc.) in your account.

6. Acknowledgement

Select all
I have read, understood, and agree to the Professional Terms of Business
I have read, understood, and agree to the Retail Terms of Business
I have read, understood, and agree to the Digital Assets Custody Services Supplement
I have read, understood, and agree to the following documents:
— Risk Disclosure Notice

— Order Execution Policy

— Client Categorisation Notice

— Conflicts of Interest Policy

— Counterparty Risk Policy
I agree and acknowledge that the Company may execute an order on my behalf outside a regulated market or multi-lateral trading facility (as such terms are defined by FCA rules).
I agree and acknowledge that in the case of a limit order in shares admitted to trading on a regulated market which is not immediately executed, the Company is not bound to facilitate the earliest possible execution of that order by making it public in an easily accessible manner.
I agree and acknowledge that the Company may enter into arrangements for securities financing transactions in respect of financial instruments held by the Company on my behalf (including an omnibus account held by a third party) or otherwise use such financial instruments for its own account or the account of another client.
I agree that my financial instruments may be registered in the Company’s name or in the name of the Company’s Nominee.
I consent to electronic communication in accordance with these terms.
I consider the Company’s offered product(s) (as relevant) as being suitable products for me.
CUSTOMER INFORMATION. I hereby represent that the information provided by me is true and correct. I further represent that I will notify ITI Capital Limited of any material changes in writing. ITI Capital Limited reserves the right, but has no duty, to verify the accuracy of information provided, and to contact such bankers, brokers and others as it deems necessary.

THIS IS A CONTRACTUAL AGREEMENT. YOU WILL BE BOUND HEREBY. DO NOT SIGN UNTIL YOU HAVE READ ALL OF THE FOREGOING CAREFULLY. I acknowledge that this Client Agreement is a legally binding contractual agreement. I have read the Client Agreement carefully, and by signing, I agree to be bound by every term and condition. No modification of this Client Agreement is valid unless accepted by ITI Capital Limited in writing. I confirm that I have received a full set of account documents and I have not made any alterations or deletions to this agreement or any such documents from the original forms. In the event that there are any alterations or deletions to this agreement, such alteration and deletions shall not be binding on ITI Capital Limited and said original forms shall govern Trader account relationship with ITI Capital Limited.

Where I sign in a representative capacity, I confirm that I have full power and authority to enter into this Agreement.

Download your form. Please print, sign, scan and send it to
accountmanagement@iticapital.com

1. Personal information

2. Account information

3. Trading Information

4. Financial Information

5. Trading Experience Information

6. Acknowledgement

Account Application

Sign in

Classification of Investor and Investor type

A message from ITI Capital on operations during COVID-19

ITI Capital Limited has made the decision to exit the retail client business in the UK.

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