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PRIMEA1

Application Form
Effective of 1st October 2019

ACCOUNT GUIDELINES
Personal Information

Title
First Name
Surname

Email Address
Contact Number

Building Name/Number
Street
Town
City
Country
Postal/Zip Code

Date of Birth DD/MM/YYYY

Nationality
National ID

Occupation
Annual Income

Trading Experience Months Years


Trading Style

Account Size Requested


Currency

Bank Account Details

Account Holders Name


Sort Code
Account Number
Name of Bank

Print Name Date

Signed

Check list:
All fields complete
Copy of Passport or Driver’s License
Copy of Utility Bill or Bank Statement dated within last 3 months

Once complete, please email directly to contact@primea1.com

By completing and submitting this form, you agree to our Terms and Conditions
and Privacy Policy.

We will consider your application and inform you by email within the next
5-10 business days.

If your application is successful, your account will be set up and funded


within 48 hours.

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