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Latitude GT Live Account Application

You're just one step away from saving money- just fill out the form and get access to our great exchange rates!

Which best describes you?* Individual Company Trust

Company Information

Trust Information
*
*
   

Contact Information
First Name *
  Last Name *
Email Address *
  Phone *
Date of Birth *
 
   
   

Address
Country * *
  * * *
 

Security Question & Answer

For security purposes, when you call us with an inquiry about your account, we will ask you a question to verify that you are the account holder. Please provide an answer to one of the following questions:
Question * Answer *
   

Trading Account Details
Please choose the currency in which you would like to operate your trading account.
Currency *
How would you classify your trading experience? *
Professional Experienced Beginner
   

Tax Details

ONLY FOR NEW ZEALAND RESIDENTS.

Please provide your IRD number and select the rate in which you would like your earnings to be taxed at. If you choose not to complete this section we are required to deduct Withholding Tax from any interest you earn on your trading account at the default rate of 39%.
IRD Number *    
Election Rate * 0% (Exemption Certificate Required)
  19.5% 33% 39%
       

Destination for Withdrawals

This is the account we will transfer your money to when you make a withdrawal from your Velocity Trade trading account. The account you nominate here must be in your name. Our prudential standards preclude transfers to third party accounts. This account information can be provided at the time of the withdrawal; however this may prolong the process and delay funds from being sent to your account.
Account Name (Your Name) *
Bank Account Number *
Swift Code *
Bank Code, Sort Code or Routing Code *
Bank Name *
Bank Address *

Primary Dealing Contact
Title * Surname *
Given Name * Date of Birth *
Gender *    
Address * Address 2 *
Email Address * Phone *
Mobile * Position *
       

Authorised Person 2
Title * Surname *
Given Name * Date of Birth *
Gender *    
Address * Address 2 *
Email Address * Phone *
Mobile * Position *
       

Authorised Person 3
Title * Surname *
Given Name * Date of Birth *
Gender *    
Address * Address 2 *
Email Address * Phone *
Mobile * Position *
       
Title * Surname *
Given Name * Date of Birth *
Gender *    
Address * Address 2 *
Email Address * Mobile *
Phone * Position *
       
Title * Surname *
Given Name * Date of Birth *
Gender *    
Address * Address 2 *
Email Address * Mobile *
Phone * Position *
       

Shareholders
Shareholder 1 Name *
Shareholder 1 Holding *
Shareholder 2 Name *
Shareholder 2 Holding *
Shareholder 3 Name *
Shareholder 3 Holding *
Shareholder 4 Name *
Shareholder 4 Holding *
   

Confirmation
Where did you hear about us? *
Please State *
*

I understand that margin FX and CFDs are traded with leverage that can result in both significant gains and significant losses that are substantially more than my initial investment and any margin payments. I agree to trade only with money I can afford to lose.
*

I have read, understood and agree to the terms and conditions in the combined Product Disclosure Statement (PDS), Financial Services Guide (FSG) document, and in the Client Agreement.
*

I agree to allow Velocity Trade to contact me by email in relation to other Velocity Trade products and research.