PERSONAL DETAILS
 
 
 
 
 
 

 
 
 
 
 

 
 
 
 
 

 
 
 
 

 
 

  Yes

  No

 

  Yes

  No

 
 

 

DECLARATION FOR TAX PURPOSES—COMMON REPORTING STANDARD (CRS)

Only complete this section if you are a tax resident to more/other countries than your country of residence as stated above.

 
 
 
 
 
 
 
 
 

  Yes

  No

 

  Yes

  No

 
 
 
FINANCIAL DETAILS
 
 

 Employed/Self-employed

 

 Retired

 Unemployed

 

 Student

 
 
 
 
 
 
 

 

ANNUAL INCOME

 
 
 

  0–50,000

 

  50,001–100,000

 

  100,001–150,000

 

  150,001–200,000

 

  200,001–500,000

 

  500,001–750,000

 

  750,001–1,000,000

 

  1,000,001–2,000,000

 

  2,000,001–3,000,000

 

  3,000,001–4,000,000

 

  4,000,001–5,000,000

 

  5,000,001+

 
 
 
 

  Dividends/interests from stocks/bonds etc.

 

  Dividends/interests from own company

  Royalties

 

  Other (please state)

 
 
 
 

  0–50,000

 

  50,001–100,000

 

  100,001–150,000

 

  150,001–200,000

 

  200,001–500,000

 

  500,001–750,000

 

  750,001–1,000,000

 

  1,000,001–2,000,000

 

  2,000,001–3,000,000

 

  3,000,001–4,000,000

 

  4,000,001–5,000,000

 

  5,000,001+

 
 

 

TOTAL WEALTH AND INVESTABLE ASSETS

 
 
 

  Profit from selling own company

 

  Royalties

 

  Trading profit

  Inheritence

 

  Savings from salary/pension

 

  Other (please state)

 
 
 

  0–5,000

 

  5,001–10,000

 

  10,001–50,000

 

  50,001–100,000

 

  100,001–200,000

 

  200,001–300,000

 

  300,001–400,000

 

  400,001–500,000

 

  500,001–750,000

 

  750,001–1,000,000

 

  1,000,001–1,500,000

 

  1,500,001–2,000,000

 

  2,000,001–3,000,000

 

  3,000,001–4,000,000

 

  4,000,001–5,000,000

 

  5,000,001+

 
 
 
 
ACCOUNT INFORMATION
 
 

 MetaTrader 4

 MetaTrader 5

 
 
 

  Retail

 
 
 

  EUR

  USD

  GBP

  CHF

 
 
 

  0–5,000

 

  5,001–10,000

 

  10,001–50,000

 

  50,001–100,000

 

  100,001–200,000

 

  200,001–300,000

 

  300,001–400,000

 

  400,001–500,000

 

  500,001–750,000

 

  750,001–1,000,000

 

  1,000,001–1,500,000

 

  1,500,001–2,000,000

 

  2,000,001–3,000,000

 

  3,000,001–4,000,000

 

  4,000,001–5,000,000

 

  5,000,001+