Deltastock Inc.

*First Name:
Middle Name:
*Last Name:
*Gender:	male female
*Date of Birth:
*Marital Status:
*Citizenship:
*Primary Email:
*Re-type Email:
*Day Phone:
*Evening Phone:
Mobile Phone:
Fax:
*Permanent Address, Line 1:
Permanent Address, Line 2:
*City:
State:
*Postal Code:
*Country:
Mailing address:

*I choose to receive the information, which Deltastock Inc. is obligated to provide to its clients by:

E-mail
Fax
Internet site of the company
Post

*Investment targets:

*What is your experience in stock trading?

*What is your experience in Spot, forward or option currency trading?

*What is your experience in trading CFDs on Shares and Indices?

*What is your experience in trading CFDs on Commodity Futures?

*Annual income (in US Dollars):

*Risk Capital (in US Dollars):

This information is for reference
purposes only

*Approximate number of transactions per month:

*Average amount of money involved in one transaction:

*Choose the base currency of your account:

*Choose the financial instruments you wish to trade:

Forex
Forex and precious metals
CFDs

*Set the margin requirement on Forex trading as a percentage-based rate within the range from 0.50% to 100%:

*Do you have a numerate university degree? (For example: economics, mathematics, physics, accounting)?

No
Yes

If yes, please provide details:

*Do you have a relevant professional qualification that you consider would assist your understanding of leveraged products in general?

No
Yes

If yes, please provide details:

*I have read and understood the information on the web site of Deltastock Inc. regarding trading shares, forex, CFDs, precious metals and the risks involved, prior to my decision to open a live trading account.

*I have read the Conditions and Criteria for Classification of Clients as Professional or Non-Professional. Click to view.

*As a natural person and pursuant to the Markets in Financial Instruments Act, you fall into the category of "non-professional client". You have the right to request that your classification be changed to "professional client". Please, note that any such change will lead to a lower level of client protection.

I do not wish to be classified as "professional client".
I do wish to be classified as "professional client".

To be classified as "professional client", you need to meet at least two of the following criteria:
During the past year the individual has conducted at least 10 deals per quarter, of a substantial size on the respective market;
The individual’s investment portfolio value, which includes financial instruments and cash deposits, is greater than 500 000 Euro or its equivalent in other currency;
The individual has worked in the financial sector no less than one year at a position, which requires knowledge concerning the respective deals and services.

*I understand the nature of the financial instruments specified above and the risks associated with them. Click to view.

*I have read and accept the Policy for the Execution of Clients’ Orders.Click to view.

*I have read and accept the General Terms and Conditions Applicable to Contracts with Clients of Deltastock Inc. Click to view.

*In light of my circumstances and financial position, I confirm that the financial instrument/s selected above is/are suitable for my investment objectives.

How did you find out about us?:

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