WGI Individual Form

Individual Application
Welcome to the Wealth Gen Investor account application. If you have any questions along the way, please don't hesitate to contact us at info@wealthgeninvestor.com.

You can return to your application at any point before it has been submitted. Please ensure that you fully complete this application and supply all the required documents (If not provided already) as we will be unable to process your account with incomplete details.
What you will need for an Individual Application
- Copy Of Drivers Licence and/or Passport
- Tax File Number
- Your employer name, address and phone number
- You will be required to give information regarding your financial circumstances
Salutation*
Full Legal Name*

First NameMiddle NameLast Name
Date of Birth

DayMonthYear
Date
Marital Status*
Number of Dependents
Contact Phone Number*
Please enter a valid phone number.
Primary Email Address *
example@example.com

Residential Address
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Terms and Conditions & Financial Services Guide
Before your account can be finalised, you will need to ensure that you read, understand and accept the terms and conditions that will apply:

DOWNLOAD FSG

By signing below you have consented and acknowledge that you have been provided with a copy of our Financial Service Guide (FSG) & Terms and Conditions (T&C's). You also acknowledge that you understand and agree to our FSG & T&C's.
Signature*

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Proof of Identification:
Were you born in Australia?*

YesNo
Please upload copy of Drivers Licence or Passport:*

Cancelof
Please upload a Copy of your DRIVERS LICENCE & PASSPORT: PLEASE NOTE WE REQUIRE BOTH*

Cancelof

Personal Financial Information
Tax File Number*
Employment Type*

Employment
Employer Name*
Nature of Business*
Occupation*
Employer Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Income
Do you have additional sources of income?*
Source of income?*
What is the approximate percentage of your total income from the above source of income?*
Description

Security Questions

The answers to these questions will be use to verify your account should you need to make amendments to your account or request your password to be changed.
Security Question 1*
Answer 1*
Security Question 2*
Answer 2*
Security Question 3*
Answer 3*

Regulatory Information
Is the account holder or any immediate family member who resides in the same household, registered as a broker-dealer or an employee, director or owner of a securities or commodities brokerage firm, employee of a bank, hedge fund, or other financial services company?*
Is the account holder a director, a 10% shareholder or a policy-making officer of any publicly traded company?*
Is the account holder a member, employee, associated or affiliated person of a regulatory or a self-regulatory organisation or exchange?*
Has the account holder ever been the subject of, or initiated litigation, arbitration or any other type of dispute or settlement procedure with another broker or dealer?*
Has the account holder ever been the subject or an investigation or proceeding by any commodities or securities exchange or regulatory authority or self-regulatory authority?*
Net Worth and Net Income

Provide the financial information below, which will be used by our Compliance Department to determine whether you are eligible to trade the investment products you select now or in the future. We never sell your information to any third parties, nor will we call you and suggest investments for you.
Net Worth*
The total value of all assets you own, less what you owe (including all mortgages and debts).Your Net Worth cannot be less than your Liquid Net Worth.
Liquid Net Worth *
The total value of any assets you own that can be quickly converted into cash.
Annual Net Income*
The total amount of your earnings for one year minus any taxes or other deductions taken from your pay. These other deductions could include health insurance, retirement contributions, court ordered judgements or support payments.
Thank you very much for completing the account application. Please check your email inbox for further instructions.
Investment Objectives & Intended purpose of Trading

Preservation of Capital and Income GenerationGrowthHedgingProfits from Active Trading & Speculation
Trading Experience and Knowledge Level for Stocks
Select Trades Per Year
Select Knowledge Level
Should be Empty:

Individual Application

Residential Address

Personal Financial Information

Employment

Income

Security Questions

Regulatory Information

Net Worth and Net Income