Apply for an account

Full registered company name: Other trading names (if applicable): Registered company number: Please detail your main business activities including your revenue sources: Reason for opening a corporate account:

Address:

Address: Town: County: Post code: Country:

Business tel. no: Company website address:

Address

Address Line 1: Town: County: Post code: Country:

Business tel. no:

Is the company authorised and regulated by a financial regulator (e.g. FCA in the UK) in any country or territory?

Yes No

Is the company listed on a regulated stock exchange (e.g. London Stock Exchange in the UK) in any country or territory?

Yes No

Does the company have any pending litigation, disputed accounts or other unresolved matters in any country or territory?

Yes No

Has the company even been subject to bankruptcy/insolvency proceedings in any country or territory?

Yes No

Do you have financial statements that are less than 12 months old?

Yes No

Please upload the most recent audited and/or unaudited financial statements in the final step of this form. Use the upload feature to attach the files

Please detail why?

Amount of company fiat currency to be deposited with LMAX Digital: Amount of company crypto currency to be depositied with LMAX Digital: Total value of crypto currency held: Base currency:

Select one or more sources (we may require you to provide supporting documentation for the sources).

Normal commercial activities

Nature of business: Annual revenue/profit:

Investments held at another brokerage firm/crypto currency exchange

Current value of investments/funds/crypto currency at the brokers/crypto currency exchange:

Others (please specify and provide value of funds)

Are the funds to be deposited entirely from the entity and/or its shareholders/principals?

Yes No

If yes, you declare that all funds to be deposited with LMAX Digital are corporate proprietary funds, resulting exclusively from:
a. Paid in capital from the entity's shareholders/principals and/or
b. Business profit and/or retained earnings from regular business operations

Individual empowered by the firm to provide account instructions & whitelisting of crypto addresses

Title:

Mr

Mrs

Ms

Miss

Dr

Other

First name: Surname: Date of birth: Contact tel. no.: Email address: Position within the company: Residential address:

Country:

Title:

Mr

Mrs

Ms

Miss

Dr

Other

First name: Surname: Contact tel. no.: Email address: Position within the company:

Has your company traded crypto currency in the past 12 months?

Yes No

For how long? How many crypto currency transactions has your company made in the past 12 months? < What is the average size of your crypto currency transactions?

< 10,000 USD

10,001 USD - 50,000 USD

> 50,000 USD

In signing and returning this form I confirm for and on behalf of the applicant that:

We have full power and authority to enter the LMAX Digital Agreement with LMAX Digital for and on behalf of the named applicant.
We have read and understood and agree to be bound by the LMAX Digital Agreement, comprised of the current versions published on the website of: (a) the Terms of Business, (b) the Risk Warning Notice, (c) the Order Execution Policy, (d) the Privacy Policy, (e) the Cookie Policy, (f) the API Agreement (if applicable) and any other relevant documents stated in the said Terms of Business.
We declare that the information we have provided as part of this application process is true and complete.
We will notify LMAX Digital promptly, with at least two weeks' notice, in advance if we cease to be employed or engaged as an employee, agent or contractor by my/our company, or if we cease have authority to act on behalf of the applicant, whether under the terms of this Agreement or otherwise.
I confirm that I have read and understood the nature of the trading services and the risks that the applicant is exposed to, and am happy to proceed with the application.

By ticking this box, I hereby acknowledge that I have completely read and fully understand the LMAX Digital Agreement

Name of authorised signer: Email of authorised signer:

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Please list any shareholders or beneficial owners with a holding of 25% or more.

Title

Mr

Mrs

Ms

Miss

Dr

Other

First name Surname Date of birth Holding % Address

Please list any company directors Title

Mr

Mrs

Ms

Miss

Dr

Other

First name Surname Date of birth Address

To help smooth and efficient processing of your Company's account application please ensure the following supporting documentation, if available, is submitted along with it. (click the item to upload)

Memorandum and Articles of Association Certificate of Incorporation Latest financial statements Copy of company bank statement Copy of Register of Shareholders Copy of Register of Directors Verification of Authorised Representative (copy of passport) Individual verification of all active Directors (copy of passport)
(plus residential utility bill dated within 3 months) Individual verification of Shareholders/Beneficial Owners with a holding of 25% or more Individual shareholders (copy of a passport and residential utility bill dated within the last 3 months) Corporate shareholders (organisational chart showing ultimate beneficial owner)

Company details

Company details

Operating address (if different to your registered address)

More information on the company

Financials

Source of funds

Authorised representative

Authorised traders

Trading experience

Declaration

Authorised signer

Shareholders/beneficial owners

Directors / Controllers

Supporting documents