Account Opening Form - Alpari UK

Acknowledgement of receipt of documentsDateTo,Alpari Financial Services India Pvt LtdBandra Kurla Complex,MumbaiSub: Acknowledgement of Receipt of Signed DocumentsWith reference to the provision of the Sebi circular MIRSD/ SE /Cir-19/2009 dated December 3, 2009, we herebystate that we have received signed copy of Member client documents, Risk Disclosure Documents and othermandatory/voluntary documents executed by meThanking youSignature : _________________________________Client Code : ________________________________Client Name : ________________________________CONSENT FOR VERIFICATION THROUGH THIRD PARTYI/We, the undersigned, hereby give my/our consent to Alpari Financial Services (India) Pvt Ltd to undertake theverification for my/our identity through a third party agency.I/We further consent for the said agency executives/employees to visit my/our office and residential premises and askfor the necessary information and documents as required to complete the KYC procedure in compliance with theRules, Regulations and Norms of exchanges/SEBI.For _____________________________________________________________________________________Client's Signature