Open Account

Name Title First Last Suffix
Date of birth / DD / MM YYYY
Current address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Previous address if you have lived at your current address for less than 3 years
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Daytime telephone number
Evening telephone number
Mobile:
Email
If you are in paid employment, please enter your employer's address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Approximate annual income before tax £
Approximate value of savings and investments (excluding property) £
Value of the above which will be available to Cornhill Capital £
Source of your wealth Employment Inheritance Investment Other, please specify
Do you understand the nature and the risks of margined or geared transactions? Yes No
Do you have experience of trading margined or geared products, e.g, Spot FX futures, options, warrants or spread betting? Yes No
If 'YES' what type of investments do you have experience of?

How large are these transactions

How many times a month do you make these transactions?

In years and months, how long have you been making these transactions?
Do you have any experience of share dealing? Yes No
If 'YES' what capacity do you deal? Advisory Managed Execution Only

How large are these transactions

How many years have you been making these transactions

Do you have any other investment experience? Yes No
If 'YES' please specify
Do you have any investment restrictions? Yes No
If 'YES' please specify
Do you intend to trade derivative products? Yes No
If 'YES' which products CFD Stock Indices Currencies Commodities
Are you interested in Hedge Funds or other unregulated collective investments? Yes No
Are you or do you have any investments in either SIPPs or ISAs? SIPPs ISAs
Which of the following best describes your overall investment objectives Capital preservation Growth Income
Which of the following best describes your overall attitude to risk Low risk, targeting conservative returns Medium risk targeting reasonable returns High risk, targeting more aggressive returns
Cornhill Capital considers conservative returns to be less than 4% per annum (e.g deposits and top rated bonds) Cornhill Capital considers reasonable returns to be between 4% and 10% per annum (e.g lower rated bonds and large capitalisation equities Cornhill Capital considers more aggressive returns to be in excess of 10% per annum (e.g samll capitalisation equities, derivatives, geared products, FX and unrated debt instruments)
Cornhill Capital Limited focuses on high risk products. Are you prepared to accept a higher degree of risk for your investments with Cornhill Capital in pursuit of higher potential returns? Yes No
By agreeing to the Terms of Business and the points below, you are committed for Cornhill Capital Limited to proceed with opening an account You agree that information we hold about you can be held on computer and or paper You agree that all information you provide to ourselves, may be disclosed to third parties, such as credit reference agencies and product providers, for the purpose of processing your application form You agree that we may use the information that we hold about you, to contact you from time to time by post, email or telephone, to bring to your attention additional products or services, which we feel may benefit you You agree that any information given to us may be shared with the Cornhill Group of Companies
You agree to the Terms of Business set out on this website

Cornhill Capital

7th Floor

One Angel Court

Copthall Avenue

London, EC2R 7HJ

Authorised and Regulated by the Financial Services Authority (449720)

Financial Services Authority

tel. +44 (0) 207 710 9610

fax: +44 (0) 207 710 9660/p>

info@cornhillcapital.com

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