*Salutation：Mr.MrsMs.

*Surname：

*Given Name：

Primary Identification Document Information

*Primary ID Type：

*Number：

*Issue Country：

*Issue Date：

*Expiry Date：

Secondary Identification Document Information

*Secondary ID Type：

*Number：

*Issue Country：

*Issue Date：

*Expiry Date：

*Date of Birth：

*Nationality：

*Education Level：PrimarySecondaryUniversity or aboveOther

*Marital Status：SingleMarriedDivorcedWindowed

*Residential Phone Number：

Office Phone Number：

*Mobile Phone Number：

Fax Number：

*Email Address：

Permanent Residential Address

*City：

*Street：

*Building：

*Street Number：

*Postal Code：

*Country：

Mailing Address

Yes,same as Residential AddressNo(Please complete the details below)

*City：

*Street：

*Building：

*Street Number：

*Postal Code：

*Country：

Employment Status

*Employment Status：retiredNot Currently EmployedPart-Time Employed
Full-Time EmployedSelf-EmployedOthers,please Specify

*Occupation：

*Nature of Business：

Job Title：

*Years of Service：

*Name of Employer/Company：

Company Web site：

*Company Address：

*Telphone：

*Fax：

*Annual Salary (USD)：1,000,000 or above600,000 - 999,999300,000 - 599,999100,000 - 299,999100,000 or below

Identity

*Are you (as the Principal Account Holder) a US citizen?
YesNo

*Are you (as the Principal Account Holder ) a Green Card Holder?
YesNo

*Are you a senior officer or director of any (listed) company whose shares are traded on any exchange or market?
Yes, please specify the company name and stock code.No.

Name of Exchange：

Company Name：

Stock Number：

*Do you (as the Principal Account Holder) hold any other Citizenship?
YesNo

*Do you (as the Principal Account Holder) hold permanent right of abode in any other country?
YesNo

Financial Details

*what is your annual income level in AUD before tax?：
Under AUD 50KAUD 50K to Aud 100KAUD 100K to AUD 150KAUD 150K to AUD 200KAUD 200k to AUD 300KAUD 200k to AUD 300

*what is your net worth in AUD?：
Under AUD 100KAUD 100K to AUD 200KAUD 200K to AUD 500KAUD 500K to AUD 1 MillionAUD 1 Million to AUD 2 MillionAbove AUD 2 Million

*Are you now or have you ever been declared a bankrupt?
YesNo

Trading History and Investment Experience

*Cash Equities Market Access Style
NilPhoneOnline

*Equity Derivatives Market Access Style
NilPhoneOnline

*CFDs Market Access Style
NilPhoneOnline

*Margin Foreign Exchange Market Access Style
NilPhoneOnline

*Spot FX Market Access Style
NilPhoneOnline

*FX Forward Outrights Market Access Style
NilPhoneOnline

*Foreign Exchange Options Market Access Style
NilPhoneOnline

*Exchange Traded Futures Market Access Style
NilPhoneOnline<

*Exchange Traded Options Market Access Style
NilPhoneOnline

*Bonds Market Access Style
NilPhoneOnline

By submitting the application form, you should have understood and agreed that you accept all the rules of Ayers Alliance Pty. Ltd., including but not limited to all related Terms & Conditions ,Risk Disclosure and fully understand the risks of all the products, make own judgment of the transaction and take its responsibilities.

Application Process:
①Fill in the online account open application form.
②Print the form and confirm it, then sign it under signature on each page.
③We will examine and verify all the submitted documents. But your application may be rejected. Thanks for your understanding.