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Title
Mr.
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First & Middle Name
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Last Name
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E-mail
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Country of Residence
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Ascension Island
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
British Indian Ocean Territory
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling)Islands
Colombia
Comoros
Congo(DRC)
Congo
Cook Islands
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CoteD’Ivoire
Croatia
Cuba
Cyprus
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Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
ElSalvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (IslasMalvin
Faroe Islands
Fiji Islands
Finland
Former Yugoslav Republic of Ma
France
French Guiana
French Polynesia
FrenchSouthern and Antarctic
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
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Madagascar
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Malaysia
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Mali
Malta
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Mayotte
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Nauru
Nepal
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Netherlands
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Nicaragua
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Nigeria
Niue
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Northern MarianaIslands
Norway
Oman
Pakistan
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Palestinian Authority
Panama
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Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
PuertoRico
Qatar
Reunion
Romania
Russia
Rwanda
Samoa
San Marino
Sao Tome andPrincipe
Saudi Arabia
Senegal
Serbia andMontenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
SolomonIslands
Somalia
South Africa
South Georgia South Sandwich I
Spain
Sri Lanka
St. Helena
St. Kitts and Nevis
St. Lucia
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Sudan
Suriname
Svalbardand Jan Mayen
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
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Tristan daCunha
Tunisia
Turkey
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Turksand Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
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Uzbekistan
Vanuatu
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VirginIslands
Wallis and Futuna
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Zimbabwe
Phone Number
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Date of Birth
You need to be at least 18 to open a live account with us.
State Or Province
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Address
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Postcode
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Account Type
MT4
MT5
Account Currency
USD
Leverage
1:20
1:50
1:100
1:200 - To be reviewed
1:400 - To be reviewed
1:500 - To be reviewed
Financial
Employment Status
Employed
Self-employed
Retired
Student
Unemployed
Source of Income
Employed
Self-employed
Family Income
Friend
Gift
Government Support / Social Security
Inheritance
Investments / Dividends
Loan
Pension
Rental Income
Sale of Property / Real Estate Income
Savings from Prior Employment
Gross Annual Income
Less than $20,000
$20,000 - $49,999
$50,000 - $79,999
$80,000 - $119,999
$120,000 - $199,999
Over $200,000
Saving & Investments
Less than $500
$500 - $1,999
$2,000 - $9,999
$10,000 - $49,999
$50,000 - $149,999
$150,000 - $499,999
Over $500,000
Are you a Politically Exposed Person
(PEP)*;
closely associated with;
or an immediate family member to a PEP?
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Yes
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ID
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front and back side
Passport
OR
National ID
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last 3 months
Bank Statements
OR
Electricity, Water
Gas, Phone Bill
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or
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I agree to all
I/We hereby consent and confirm that all information revealed above is correct and truthful and I/We agree to promptly notify you in writing of any change in this information.
I/We authorise ETO Markets Limited to request an identity verification via a third party system based on my provided personal data.
I/We confirm that I have read and understood ETO Markets Limited Client Agreement, and hereby agree to be bound by the terms of the document.
I/We have understood the risks associated with the trading of CFD contracts, and hereby consent to be bound by the terms of Risk Disclosure.
I/We act in my/our own name as specified in this application form and not on behalf of a third party in respect of all matters related to this client relationship. Accordingly, all funds to be deposited and traded on the account with ETO Markets Limited are my/our own funds.
By registering with ETO Markets, you consent to receiving materials that may contain information about ETO Markets products and services. You further agree to and accept our
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