Professional Documents
Culture Documents
Date:
LOGIN DETAILS
I I I I I I
y y I I I I
EMPLOYMENT DETAILS
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DISCLOSURES
Are you a director, officer,
□ Yes (please specify) □ Yes (please specify)
salesman, or shareholder of a
□ No □ No
broker dealer?
Do you have accounUs with □ Yes (please specify) □ Yes (please specify)
another broker dealer? □ No □ No
Have you or your immediate family □ Yes (Immediate family refers to your spouse, parent, □ Yes (Immediate family refers to your spouse, parent,
at any time been employed by a parent-in-law, child or your child's spouse) parent-in-law, child or your child's spouse)
government entity? □ No □ No
Net Worth □ < 1 Million □ < 5 Million □ < 10 Million □ < 20 Million □ Over 20 Million
Source of Funds
(choose all that apply) □ Salary □ Investment □ Inheritance □ Retirement / Pension □ Others:
Investment Objective □ Capital Preservation □ Long Term □ Growth □ Quick Trade □ Speculation
I hereby grant my consent to the collection, retention, use, storage, updating and processing by Abacus Securities Corp. ("ASC") of my personal information which I am
required to furnish in the account opening form and to be updated every two (2) years;
I hereby grant my consent to the disclosure by ASC of my personal information to third parties when a need to disclose it is necessary in accordance to applicable laws set
forth in the Data Privacy Act of 2012;
I hereby voluntarily grant my consent to the storage and retention by ASC of my personal information throughout the period allowed by law and the applicable rules and
regulations of the SEC and PSE;
I acknowledge and agree that ASC made sure that appropriate organizational, physical and technical security measures to protect my personal information are in place.
Notwithstanding the said privacy protection measures that have been put in place by ASC, I am aware there is a risk that my information may be subject to unauthorized
disclosure processing or breach. With this, I agree to hold ASC, its directors, officers, employees, and agents, free and harmless from any damage, loss, liability or injury
that I may suffer on account of any unauthorized disclosure, processing or breach of my personal information, provided no bad faith or gross negligence on the part of ASC
or any of its directors, officers, employees or agents was made.
Finally, I hereby declare that I have read and understood the Online Trading Services Agreement and agree to be bound by its terms and conditions, as the same may
be amended from time to time. I hereby affix my signature to signify my conformance to the foregoing.
Please sign 3 times below to confirm your agreement and consent with the above:
PRIMARY ACCOUNT HOLDER SECONDARY ACCOUNT HOLDER
Signature ✓ Signature ✓
Signature ✓ Signature ✓
Signature ✓ Signature ✓
Date Signed: Date Signed:
1. Name
2. US. Complete Address
7. Current Power of Attorney or signatory authority granted to a person with a US. address