New Customer Registration Form

Private Client Application
SECTION 1: Information on the client
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number *
Please provide a valid phone number where we can contact you.Format: (000) 000-0000.
E-mail *
Please provide a valid email address where we can contact you.
Are you a Politically Exposed Person?

YesNo
RESIDENCE FISCALE

Please indicate in the table below THE INTEGRITY of the jurisdictions in which you are considered to be a tax resident, as well as the Tax Identification Number (TIN) or Taxpayer Identification Number (NIF).
Tax residence(s)
Tax Identification Number
Please upload the following Documents:

All documents provided will be used solely for the specified purpose and deleted from our systems once the process is complete. We comply with the UK General Data Protection Regulation (UK GDPR – Regulation 2016/679), ensuring the security and confidentiality of your information at all times.
1. A picture of the identity documents (Driving License or Passport) is required, showing both sides in color and good quality. Note: Scanned images in PDF format will not be accepted.*

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2. A Proof of address not older than 3 months. (Example: Utility/energy bill).*

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SECTION 2: Elements of knowledge
Please explain the professional activities currently (and/or formerly (if applicable) carried out
Please specify the currencies involved in your transactions. Example: EUR, USD, GBP, MXN, JPY*
Please specify the originating and destination countries for each transaction. Example: Spain → USA*
Amount of annual gross professional, replacement, or movable income:

< 25 000 EURBetween 25 000 and 50 000 EURBetween 50 000 and 100 000 EURBetween 100 000 and 250 000 EUR> 250 000 EUR
Estimated total amount of assets (real estate, bank accounts, life insurance, financial instruments, real estate, securities, deposits, etc.)

< 250 000 EURBetween 250 000 and 500 000 EURBetween 500 000 and 1 000 000 EURBetween 1 and 3 000 000 EUR> 3 000 000 EUR
Please upload the following Documents:

All documents provided will be used solely for the specified purpose and deleted from our systems once the process is complete. We comply with the UK General Data Protection Regulation (UK GDPR – Regulation 2016/679), ensuring the security and confidentiality of your information at all times.
1. A Proof of bank account in the name of the client (e.g., bank statement or bank ownership certificate).*

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2. Source of funds document (recent salary sheet; recent tax returns; bank statement; inheritance audited accounts of companies owned; trust deeds etc.)*

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3. Supporting documentation for the reason for payment (e.g., proof of purchase, sale deed, or investment) is required if available.

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Please double-check all your information before submitting to ensure a faster and smoother process. Kindly keep an eye on your email and phone, as we may contact you if any additional details are required.
Should be Empty:

Private Client Application