Springboard Capital Limited Application Form

This is a 5 page application form. Each page is short, please read further instructions below. When all 5 sections have been completed a summary of your entries will show for you to check. Once checked you can edit or submit. Once submitted you should see a notice - Your Details Sent Successfully. You will be contacted thereafter normally within one business day.

If you need assistance or have any questions, please contact Client Support

Please Note: All fields marked with a ' * ' symbol must be completed. If the page does not move forward look for one of the ' * ' symbol that has turned red. This will indicate that the field has not been completed or has been completed incorrectly.

For email you must enter a correctly formated email including the ' @ ' symbol. For Phone number entry please only use ONLY numbers, at least 10 digits, and should include the country code so for example if you lived in Malaysia with the country code being ' +60 ' your number should look like this 60123456789, with no spaces or ' + ' sign.

There is a tickbox on the final page to accept the terms and conditions, this must be clicked on to accept them.

1. Account Registration Details

All Entries Marked * Must Be Completed Please Use A Strong Password (More Info)
Account Type: *
Login Name: *
Password: *
Retype Password: *	Those passwords didn't match. Try again.
This Account Will Trade: *
Account Management: *
Source of Trading Account Funds:*
Transferring from an existing broker to (company)?: *	Yes No

2. Account Security Question

All Entries Marked * Must Be Completed

In line with our policy on Client Account Security, please provide the answer to a security question below. You may be asked to provide this information should you need to reset your online account log-in details to confirm you are the registered account holder of record. Please make a note of all your log-in credentials and keep them in a safe place, and never disclose your log-in details to any person not associated with your account.

Security Question: *
Your Answer: *

3. Personal Information (Primary Account Holder)

All Entries Marked * Must Be Completed
Title: *
First Name: *
Middle Name:
Surname: *
Date of Birth (DD MM YYYY) : *
Current Address: *

City / State *
Postal Code:
Country of Residence: *
Citizenship: *
Preferred E-Mail Address: *	This value is not an E-mail
Alternative E-Mail Address: *	This value is not an E-mail
Preferred Contact Phone #: *
Alternative Phone #:
Current Employment Status: *
Employment Industry/ Sector:

5. Acknowledgement and Acceptance

All Entries Marked * Must Be Completed
TRADING ACCOUNT – CLIENT AGREEMENT 1. Contained in this agreement are the terms applicable to the account owner named on this application (client) for purchasing and selling of stocks, options, bonds, securities and private placements by SCL - Springboard Capital Limited 2. All transactions undertaken on behalf of the client are subject to regulations, rules, constitution, and industry practice in relation to the exchanges and clearing houses. Client acknowledges that securities can fluctuate in value depending on trading conditions. 3. Instructions from the client will be either verbal or written concerning transactions that SCL will carry out on behalf of client. 4. All written correspondence to client shall be accepted as accurate, unless written objection is immediate, or not longer than 3 days from initial receipt, sent to SCL by registered mail. All confirmations of trading transactions will be sent by fax, electronic mail (email), or private courier. Ordinary correspondence will be sent by fax, electronic mall (email), or airmail. Any change of clients mailing address must be notified to SCL in writing. 5. Currency "Slip" notices (buy/sell order on trade confirmation) are quoted in the currency applicable to country where the shares are traded and in currency of client resident country SCL is not responsible in any way for any losses and/or damages suffered by exchange rate fluctuation. 6. The directors and/or officers of SCL cannot be held responsible or liable for any loss and/or damages incurred by client. 7. The "Trading Account - Client Agreement" can be terminated by SCL or client within any thirty (30) days period in writing only with the commencement date the receiving time of the written notice by the party not causing / requesting the termination. When such period is expired, SCL has obligation to send to client any proceeds of sales made under "best effort" situation, or actual share certificates.
By checking this box and by typing my/our signature(s) below and forwarding this application form to (company) via the Internet, I/we acknowledge, understand and agree to the Customer Agreement as set forth above and verify that all information submitted in this application to be true and correct. Further, I/we understand and agree that my/our electronic signature(s) is/are the equivalent of a manual signature and that (company) may rely upon it/them as such.
Primary Account Holder: *
Secondary Account Holder:
Date (DD MM YYYY): *

ACCOUNT APPLICATION FORM (Preview)

Edit

Sending..

All Entries Marked * Must Be Completed
Annual Income (USD):	Less than $25,000 $25,001 - $99,999 $100,000 - $499,999 $500,000 +
Liquid Net Worth (USD):	Less than $50,000 $50,001 - $99,999 $100,000 - $499,999 $500,000 - $999,999 $1,000,000 +
Your Trading Experience:	Novice Semi-Experienced Experienced Advanced
Experience Trading Specific Equities:	Stocks/Equities Currencies Options and Futures Exchange Traded Funds Other
Amount Currently Invested (USD):	less than $25,000 $25,001 - $99,999 $100,000 - $499,999 $500,000 - $999,999 $1,000,000 +

1. Account Registration Details

2. Account Security Question

3. Personal Information (Primary Account Holder)

4. Additional Information

5. Acknowledgement and Acceptance

ACCOUNT APPLICATION FORM (Preview)