Account Opening – Climax Group

Please select the appropriate form

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Name (insert FULL legal name exactly as it appears in on Legal Documents) *

Correspondence Address *

Street No.

Apartment / Plot *

Number

Zip Code

City *

Country *

Mailing Address (if different from above)

City

Country

Occupation *

Mobile Number *

Telephone

Fax

Email Address *

Website

Country of Resident *

Citizen Status *

Citizen Non-Citizen

National ID or Passport Number *

Issue Date

Expire Date *

Full Legal Name of Next of King *

Address *

Address Line 2

Zip Code

City *

Country *

Email Address

Contact Number *

Relation *

We apply for Offshore Account with Climax Capital Group. The information provided in this form and in any other document(s) provided to CCG is true, accurate and complete.

CCG may decline our application without providing any reason in which event no contractual relationship
will arise between CCG and us. We further acknowledge that we have received, read and understood CCG’s prevailing Terms, applicable Country Supplement and the terms contained in this form and we agree to be bound by them in connection with all applications with CCG. We further agree to be bound by any additional terms and conditions governing any facilities, products and/or services offered by CCG as we may apply for and/or utilize from time to time.

We declare that we have the authority to sign the Application Form on behalf of the company/applicant and that we are acting on behalf of the company/applicant and not on behalf of a third party.

Client Signatory:

Signature

Date

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Url

Name (insert FULL legal name exactly as it appears in the Constitutional Documents) *

Country of Incorporation *

Date of Incorporation *

Commercial Registration Number (if any)

Contact Person

Correspondence Address *

Street No.

Apartment / Plot *

Number

Zip Code

City *

Country *

Account Mailing Title and Address (if different from above)

City

Country

Telephone *

Mobile

Fax

Email Address *

Website

Business Activities

Manufacturing Financial Export/Import Services Trading Retailing Consultant Wholesaler Commission Agents

Others

Commodities Handled

Legal Status

Limited Company Limited Company with Bearer Shares Partnership Sole Proprietorship Society/Association/Club SPC

Others

We apply for Offshore Account with Climax Capital Group. The information provided in this form and in any other document(s) provided to CCG is true, accurate and complete.

We declare that we have the authority to sign the Application Form on behalf of the company/applicant and that we are acting on behalf of the company/applicant and not on behalf of a third party.

Approving Signatory:

signature

Date