Business Details

Investors number (if it exists)

Bank Account Details

Correspondent Bank and Account Number (if applicable)

Contact Details

Communication Methods

Instructions from the Client to the Company:
Email Fax
Written Instruction Mail
Recorded Phone Call
Bloomberg / Reuters
Notices from the Company to the Client:
By Hand
Recorded Phone Call
Bloomberg / Reuters
Report Frequency :
Daily Weekly
Monthly Yearly

Disclosure of Board Membership or Insider Position :
The client is a board member in the following UAE Shareholding / Listed Companies :
The client is Currently an Executive/ Insider in the following UAE Shareholding / Listed Companies :

The Client hold 5% or more of the following UAE Shareholding / Listed Companies Shares :
Information of The Ultimate Beneficiar (IES) of The Account (Select one):

The client is the owner of the account (real and sole beneficiary)

The account is for the following beneficiary / beneficiaries : *

Financial Information

Approximate Amounts of other Sources of Income (Per Annum In AED)
Amount allocated for investment (in AED )
Ownership Structure and Control
Name of Parent Company (if applicable)

List of Board of Directors:

Power of Attorney

Do you have an Attorney/Attornies:
Yes (Addtiional Terms and conditions applly)
We hereby authorize :

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The Client Declares The Following

We are consent of being a client of the Company

We shall conduct business with The Company based on The agreed Terms And Condition

Client hereby appoints the Company on a non-exclusive basis to provide brokerage services (including general dealing and execution services) and the Company accepts such appointment

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