Limited Power of Attorney This limited power of attorney ... - Alpari UK

Limited Power of Attorney
This limited power of attorney is made on__________ (Date) by __________ (Name of principal) of
______________________________ (Address) (‘Principal’)
1. Appointment and Powers
Subject to clause 3 below, the Principal appoints __________ (Name of Attorney) of
______________________________ (Address) (‘Attorney’) as his attorney and in the Principal’s name
or otherwise and on his behalf:
1.1 to act on the Principal’s behalf in giving all instructions, orders, directions, receipts and performing
such other acts, discretions or duties under any agreement between the Principal and Alpari UK
Limited (Company Number 05284142 and whose registered office is 201 Bishopsgate, London,
EC2M 3AB) (‘Alpari’);
1.2 to receive all documents, notes, contracts and notices sent by Alpari relating to the Principal or any
transaction entered into with or through Alpari by the Principal or on his behalf;
1.3 to accept amendments relating to any agreement between the Principal and Alpari;
1.4 to take any steps or do anything which the Attorney in his absolute discretion considers desirable in
connection with the opening, administration or closing of any accounts and/or the execution of
transactions, including those of a contingent nature. For the avoidance of doubt the Attorney is not
entitled to withdraw or credit the Principal’s trading account; and
1.5 to communicate on behalf of the Principal with regard to any complaints or expressions of
dissatisfaction relating to Alpari.
2. Ratification
The Principal undertakes to ratify and confirm whatever the Attorney does or purports to do in good
faith in the exercise of any power conferred by this limited power of attorney.
3. Validity
The Principal declares that a person who deals with the Attorney in good faith may accept a written
statement signed by the Attorney to the effect that this limited power of attorney has not been
revoked as conclusive evidence of that fact.
4. Indemnity
The Principal undertakes to indemnify the Attorney and Alpari fully against all claims, losses, costs,
expenses, damages or liability which the Principal sustains or incurs as a result of any action taken or
omission by the Attorney and/or Alpari in good faith pursuant to this limited power of attorney, or in
the event Alpari refuses to act on the Attorney’s directions (including any costs incurred in enforcing
this indemnity and/or in reversing any incorrect or erroneous instructions submitted by the Attorney
that require Alpari to reverse).
Registered Office: 201 Bishopsgate, London, EC2M 3AB. Registered in England number 5284142
Alpari (UK) Limited is authorised and regulated by the Financial Services Authority

5. Termination
The Principal must provide written notice to revoke this limited power of attorney. Any such notice
shall not be effective until five business days after it has been received by Alpari. Alpari can decide,
acting in its absolute discretion, to no longer accept instructions from the Attorney by providing prior
notice to the Principal. Alpari is not obliged to specify its reasons.
6. Jurisdiction
This limited power of attorney (and any dispute, controversy, proceedings or claim of whatever nature
arising out of or in any way relating to this limited power of attorney or its formation or any act
performed or claimed to be performed under it) shall be governed by and construed in accordance with
the law of England and Wales.
This document has been executed as a deed and is delivered and takes effect on the date stated at the
beginning of it.
Signature (Principal):
Print Name (Principal):
Date:
____________________
____________________
____________________
Witnessed by (a third party):
Name (Witness):
Address (Witness):
____________________
____________________
____________________
____________________
Occupation (Witness):
Signature (Witness):
____________________
____________________
Please kindly return the signed document by email, fax or post:
Email: partnerships@alpari.com
Fax Number: +44(0)20 7426 2879
Postal Address: Alpari UK Limited, Partnerships Department, 201 Bishopsgate, London, EC2M 3AB, U.K.
Registered Office: 201 Bishopsgate, London, EC2M 3AB. Registered in England number 5284142
Alpari (UK) Limited is authorised and regulated by the Financial Services Authority