SCFXA SEACAPITAL Exe jafocmiad Employment Status Employed: O Self-employed: Racle a Goemployeds OF - Student O Homemaker: Nature of business Administrative / Clerical O Airlines: QO ‘Brokers / Dealer O Edueation / Training i ‘Financial Services and Banking: C) Executive Management: Position Haye ever declared Bankruptcy within the last 10 years? Yes Qo or No? Qa If yes, please indicate date of discharge : Do you have or have you ever had another account with us? Yes: oa or No? a If yes, please provide your account number: Are you a relative of, or do you share the same home with — an officer, director, and employce or associated person with SCEX? Yes oO or No? Qa If yes, Please deseribe the relationship : Were you referred by another introducing Broker? SCFXwe SEACAPITAL Yes orNo? =O se provide Pe IB’s Name: Declaration: By signing below, I acknowledge that I am signing your clientagreement and related document and that this is a legally binding agreement. | confirm I understand the full nature and risks of foreign exchange, and other derivative markets, Tconform that I have read and understood the current Terms of business, orders of execution policy, conflicts of interest policy and risk disclosure notice set out by SCFX (Sea Capital) and by submitting this customer agreement and the required documentation listed in Appendix A, I agree to be bound by the terms of these documents. If referred by another introducing Broker, I also agree to be bound by the terms of the introducing Broker Disclosure. T have access to the internet and consent to SCFX (Sea Capital) providing me with information about changes to the customer agreement, Terms of Business, Order of Execution Policy, Conflict of Interest policy, and Risk Disclosure Notice by posting such information on the company website www.seacapital.co.uk T confirm that I am age 18 years or over and that the information provided by me in this account opening process is true and correet and that I will notify SCFX (Sea. Capital) in writing of any material changes, I further confirm that I do not breach any regulations of my country of residence in trading and or Introducing as a Partner withSCFX (Sea Capital), another potential clients to use the SCFX ‘Technology. Signature: Print name: Date: Place: SCFX