Nova Partners Limited: Corporate Account Application

General Information

Fields marked with an asterisk are mandatory.

Please provide your contact details*

First Name*

Last Name*

Mobile/Cellphone*

Email Address*

Please provide your Incorporation Date*

Please provide your registered address*

Type*

Street/Number*

Street

City/Town*

County/State*

Post Code/Zip Code*

Country*

Is your operating address the same as your registered address ?*

Please provide your operating address*

Type*

Street/Number*

Street

City/Town*

County/State*

Post Code/Zip Code*

Country*

Please provide your company name*

Please confirm Company Registration number:*

Fields marked with an asterisk are mandatory.

Trading and Regulatory Information

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Please tick to confirm you wish to open a Collateral account, and the base currency you wish to be applied to your Collateral account.*

Please confirm a four-digit telephone PIN Number (this will be used to identify you when you contact us)*

Please confirm your company Entity Identifier Number (LEI – Legal Entity Identifier or IEI – Interim Entity Identifier):*

LEI or IEI information

This is a unique 20‐character alphanumeric code. If you do not have an Entity Identifier, a LEI can be

acquired from the following link: https://www.gmeiutility.org/actions/CreateNewAccount/begin/

Please confirm details if you are a member of a regulatory or governmental agency:*

Name of Governmental Agency or Regulator:*

Regulation Number:*

Fields marked with an asterisk are mandatory.

Director Details

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Please provide the contact details for ALL Director(s) of the applying Company.

First Name

Last Name

Mobile/Cellphone

Email Address

Please provide the address details for ALL Director(s) of the applying Company.*

Type*

Street/Number*

Street

City/Town*

County/State*

Post Code/Zip Code*

Country*

Please provide the passport number for ALL Director(s) of the applying Company.*

Please provide the contact details for ALL Director(s) of the applying Company.

First Name

Last Name

Mobile/Cellphone

Email Address

Please provide the address details for ALL Director(s) of the applying Company.*

Type*

Street/Number*

Street

City/Town*

County/State*

Post Code/Zip Code*

Country*

Please provide the passport number for ALL Director(s) of the applying Company.*

Fields marked with an asterisk are mandatory.

Shareholder Details

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Please provide contact details for ALL Shareholder(s) of the applying company.

First Name

Last Name

Mobile/Cellphone

Email Address

Please provide the address details for ALL Shareholder(s) of the applying Company.*

Type*

Street/Number*

Street

City/Town*

County/State*

Post Code/Zip Code*

Country*

Please provide the amount of shares, of which the Shareholder retains, direct or indirect.

Please provide the passport number for ALL Shareholder(s) of the applying Company.*

Please provide contact details for ALL Shareholder(s) of the applying company.

First Name

Last Name

Mobile/Cellphone

Email Address

Please provide the address details for ALL Shareholder(s) of the applying Company.*

Type*

Street/Number*

Street

City/Town*

County/State*

Post Code/Zip Code*

Country*

Please provide the amount of shares, of which the Shareholder retains, direct or indirect.

Please provide the passport number for ALL Shareholder(s) of the applying Company.*

Fields marked with an asterisk are mandatory.

UBO Details

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Please provide the address details for the UBO of the applying Company.*

Type*

Street/Number*

Street

City/Town*

County/State*

Post Code/Zip Code*

Country*

Please provide the details for the UBO of the applying Company.

First Name

Last Name

Mobile/Cellphone

Email Address

Please provide the passport number for the UBO of the applying Company.*

Please provide the address details for the UBO of the applying Company.*

Type*

Street/Number*

Street

City/Town*

County/State*

Post Code/Zip Code*

Country*

Please provide the details for the UBO of the applying Company.

First Name

Last Name

Mobile/Cellphone

Email Address

Please provide the passport number for the UBO of the applying Company.*

Fields marked with an asterisk are mandatory.

Financial Information and Account Requirements

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Please confirm what the purpose is for applying for an account with Nova Partners Ltd*

Hedging or Capital Preservation Growth Speculation

Please confirm how many trades you typically place on a monthly basis:*

Please confirm approximately how much you plan to deposit with the Company:*

Please confirm the original source of your funds:*

Please confirm an estimate of the Company’s current assets:*

Please read the following Information

MANDATORY RISK DISCLOSURE

INFORMATION ABOUT THE CHARACTERISTICS OF CERTAIN COMPLEX PRODUCTS AND THE RISKS ASSOCIATED WITH THEM

Below is an overall description of the characteristics of certain complex products and their markets and of the risks associated with these products. Trading in financial products always involves a risk and you should only trade in financial products if you understand the products and the risks associated with them.

CFDs

The product allows you to speculate in future increases or decreases in the value of a specific asset, for instance a share. If your speculations show to be correct you will make a profit (less any costs) from the difference in value, however you will have to pay the difference in value (plus any costs) if your speculations prove to be wrong. Being tied to an underlying asset, the value of a CFD depends on that asset. CFDs are always margin traded allowing you to take a larger position than you would otherwise be able to, based on the funds you hold with the Company. Therefore, a relatively small movement in the underlying instrument can have a significant effect on your investment whether that be negative or positive. CFD trading therefore involves a relatively high level of risk. If your total exposure on margin trades exceeds your deposit, you risk losing more than your deposit.

Fields marked with an asterisk are mandatory.

Declaration

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Please read the following declaration

By signing the below, you confirm the following:

You guarantee there is no breach to any regulations in your country of residence in trading with the Company and you shall be responsible for any taxation requirements of that country.
Your source of funds, and the source of funds of your clients does not derive from any proceeds of crime, money laundering or any illegal or illicit activities.
To have read and agreed to the Client Agreement (General Terms of Business)
To have read and agreed to the Risk Disclosure Notice.
To have read and agreed to the Privacy Policy Notice.
To have read and understood the product information shown on the Market Information Sheet.
You have received satisfactory answers to all your questions regarding the terms, conditions and other issues relating to the relevant products.

I/We also agree and acknowledge that any personal information provided to the Company:

- - - May be shared with my Introducing Broker or the Company’s Bank for the purpose of providing any due diligence documentation and for approving my/our application in case I have appointed such Introducing Broker.
    - May be shared with any group company, related or affiliate company of the Company, and with anyone within such group company, related or affiliate company.
    - May be used to undertake a search with a 3rd party service provider for the purposes of verifying my identity. In order to do this, the 3rd party authentication provider may use the details against any particulars on any database (public or otherwise) to which they have access. They may also use my details in the future to assist other companies for verification purposes. A record of the search will be retained.

Please note that funds remitted into the bank account of Nova Partners Limited will have to be returned to source bank account of the client from where Nova Partners Limited received. The Company will NOT make any third-party payments.

Any funds remitted to the Nova Partners Limited wallet address will be subject to the relevant charges by our providers and the sum placed on to your account will be less any charges incurred. The Company will send any USDT back to the same wallet address received from.

Company Title*

Fields marked with an asterisk are mandatory.