velocity
 

 
  Account Size: Standard
  Email Address:
  First Name:
  Last Name:
  Middle Name:
  Gender:
  Marital Status:
  Passport or Drivers License #:
  Date of Birth:
  Citizenship:


 

 
  Street:
  City:
  State:
  Zip Code:
  Country:
  Phone #:
  Mobile Phone #:
  Fax #:


 

 
  Employment Status:
  Name of Current Employer:
  Nature of Business:
  Occupation:
  Years with Current Employer:
  Street:
  City:
  State:
  Zip Code:
  Country:
  Phone #:
  Mobile Phone #:
  Fax #:



 

  Bank Name:
  Bank Address:
  Bank Account #:
  Bank Account Holder Name:
  SWIFT Code:
  ABA #:
  Contact at Bank:
What is your total estimated annual income:
Net Worth (assets minus liabilities):
Liquid Assets (assets that can be quickly converted to cash)
Risk Capital, including initial deposit in this account (Risk Capital -- if lost would not change your lifestyle). Must be greater than intial investment.
Have you ever declared Backruptcy?
If yes, provide Date and Details:
 
Will any person other than Trader control, manage, or direct the trading in this account?
Do you have or have you ever had any other account(s) with OrientFX?
If yes, provide Account Numbers:



 

Do you have experience trading securities?    Years:
Do you have experience trading options?    Years:
Do you have experience trading commodities?    Years:
Do you have experience trading futures?    Years:
Do you have experience trading currencies through interbank or OTC foreign exchange?    Years:
Do you plan on using an automated trading strategy (Expert Advisor) in this account?   Name:
Do you have an OrientFX Demo Account? Number:


 
 
  Signature
 
  Referral
 
How did you hear about OrientFX?

Final Step & Submission

Download Document Individual Account Signature Form

Download Document Velocity Contract Specs

Download Document W-9

Download Document W-8

Download Document Attachment - D If Applicable

Submit supporting documentation to OrientFX via email (scan and attach to email) to:

Email: support@orientfx.com

These documents are required to complete your online form:
1) Identification For Signing Members (i.e. Passport, Official ID, must include a photo)
2) Proof of Address (i.e. copy of utility bill or bank statement)
3) Signature Form (Download this file above)
4) w-9 (US citizens) or W-8BEN (Non-US citizens)

 

 


When clicking submit, your application will be sent to Orient FX using a secure connection.
We highly recommend printing this application first as a backup, and for your records.