Individual Account Opening Form

Account Opening Requirements

1. Personal Information

2. Identification

3. Employment Information

4. Bank Account Details

5. Joint Account Holder

6. Next of Kin Details

7. Initial Investment

8. Online Access & Research/Market Reports

9. Due Diligence

i.

ii.

10. Attestation & Signature

I/We hereby confirm that:

(a) All information provided by me/us herein is true and accurate, I/We have not withheld any material fact. Any changes will be communicated promptly to Quantum Zenith Securities & Investments Limited for the update of my/our profile.

(b) I/We authorise Quantum Zenith Securities & Investments Limited to carry out relevant checks in relation to my/our personal information that is provided herein for account opening.

c) I/We agree to be contacted by Representative(s) of Quantum Zenith Securities & Investments Limited for verification of my/our personal details to discuss trade instructions which may be time and price sensitive. Quantum Zenith Securities & Investments Limited may use my/our e-mail address(es) to send me/us information such as trade confirmations and other important notifications. My/our failure to provide Quantum Zenith Securities & Investments Limited with valid email address will limit my/our ability to receive the above.

11. Mandate