Have you personally traded in any of the following in the past two years?

Occupational experience: I have a good understanding of leveraged derivatives due to involvement in the financial services sector.(i.e. working in the financial services sector during the past 5 years in a full/ part time capacity):

Qualifications: I have a good understanding of trading in leveraged derivatives due to a relevant professional qualification or by education:

I have used a demo platform to gain experience of trading BP Prime capital’s products:

Please tick if your investment portfolio, including cash and other financial instruments, is greater than €500k:

Please confirm that you have considered and understood the nature of these products and the risks involved:

Are you a citizen of the United States of America or Canada?

Please attach your Identity and proof of address documents below.

For example, a copy of your passport, national ID card or photocard drivers licence.

Please ensure the copies are clear, in colour and include both the front and back of cards if applicable.

Where necessary, please ensure the copies are certified.

For more specific information about what is required please click here

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By submitting this application form I confirm that:

1. I have access to the internet and consent to BP Prime providing me with information about changes to the Client Agreement by posting such information on the Company website www.bpprime.com

2. I understand that CFDs and margined FX are leveraged products and am sure they are suitable for me; I have been advised of my ability to seek independant financial advice

3. I am over 18 and confirm that the information represented here is true and accurate and not misleading in any respect. I agree to inform BP Prime promptly in writing should any of the information provided here cease to be correct

4. I have carefully considered and understood the nature and the risk of the product(s) that I intend to trade in this account;

5. I act in my name as specified on this application form and not on behalf of another party in respect of all matters related tothis account. Accordingly, all funds to be deposited and transacted on the account are my own funds;

6. I am not aware that I have any health or other conditions that may affect the proper operation of the account;

7. I acknowledge and understand that Black Pearl Securities Ltd may in its sole discretion request additional information and/or documentation than what is listed in this application form in order. To open the account. I further more understand and accept that Black Pearl Securities Ltd may not accept my application based on the provided documents/information.