IB_form_EN

BDSwiss IB Partner Application Form
Title:
Surname:
Telephone:
City:
Name:
Date of Birth:
Email address:
Country:
Preferred Language:
BDSwiss Account Number (If applicable):
Referred By:
Individual
Corporate
If Corporate, please complete the below:
Company Name:
Nature of Business:
Country Registered:
Registration Number:
Regulated:
YES
NO
Regulatory Authority:
License Number:
License Web link:
Have you ever been convicted of a crime or are there any charges/investigations pending against you?
YES
NO
If yes, state reasons:

Are you an IB with other Brokers?
YES
NO
If yes, please state the Brokers:
Do you have an active client base?
YES
NO
If yes, how many clients:
Are you looking to move any clients?
YES
NO
How many clients will you introduce to BDSwiss in the first 3 months of your registration?
What services do you provide to your clients?
If Personal Network/Other please clarify:
Please provide the relevant website(s) URL:
How do you market your products/services/website(s)?
Do you use social media for promotional purposes?
YES
NO
Facebook
Twitter LinkedIn Instagram Google+ Other
Do you collaborate with other networks? YES NO

If yes, please provide information:
What type of clients will you introduce?
New to Trading Experienced Trader Professional Trader
Which countries will you be targeting?
Average client deposit size:
Average client trading volume per month (lots):
What do your clients trade?
Forex Futures Indices Shares Metals Energies
Commodities
Please add any further comments you feel may support your application:
Signature:
Date: