Application receipt

Thanks for your interest in opening an account with us here at Capital Markets Elite Group. This receipt shows all
the details you have entered into the onboarding application which will be used to conduct our review. If you see
any issues or have any questions about the process, you can reach out to us via email at
newaccounts@cmelitegroup.com.

NOTE: This document is for informational purposes only. It is not an indication of and approved
account with Capital Markets Elite Group. This document only represents the submission of a new
account application.

Basic information

Full name: Erik Blake

Date of birth: 1970-09-14

Gender: Male

City of birth: Washington DC

Country of birth: United States Of America

Country of citizenship: United States Of America

Contact information

Apt/House number: 221

Street name: Glenmoor Ct

City/Town: Concord

State/County/Provence/Region: NC

Postal code: 28027

Country of residence: United States Of America

Primary phone contact: +19806800908

Trader profile

Knowledge level: Beginner

Trading experience: 0-1 years

Products that are interesting to you: Equity Trader

Other products:

Financial information

Employment status: Unemployed

Annual income (USD): 100,001 - 150,000 ($)

Net worth (USD): 200,001 - 500,000 ($)

Primary source of funds: Professional Salary/Employment Income

Initial deposit (USD): 15000 ($)

Monthly deposit(USD): 500 - 2,500 ($)

Tax information

Social security number: 248555331

General business terms & agreements

Signed bundle agreement: Yes

Documents uploaded
Photo identification 1: Yes

Proof of address: Yes

FATCA W9: Yes

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