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Registration

Please complete the online form below. We will then contact you to arrange provision of appropriate supporting documentation and complete account opening.

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11. APPLICANT
TYPE

22. ACCOUNT DETAILS

33. CHESS SPONSORSHIP

44. DIRECT DEBIT/CREDIT

55. TRADE CONFIRMATION

Type of Applicant*

Registration Address:

Registration Address Line 2:

State:

Postcode:

Country:

A/C DESIGNATION:

(e.g. Trust Name, Super Fund Name. Not to be used for Individual Accounts)

Chess Sponsorship / Settlement Details

Select one of the following options:

NEW CHESS SPONSORSHIP

TRANSFER YOUR EXISTING CHESS SPONSORSHIP FROM ANOTHER BROKER

ISSUER SPONSORED

By ticking this box, you appoint FinClear Execution Ltd to act as your agent to transfer your existing CHESS sponsored HIN to FinClear Execution Ltd.

By ticking this box, you appoint FinClear Execution Ltd (FinEx )to establish a new SPONSORED HIN and act as your CHESS sponsoring broker.

Name of existing Broker

PID:

HIN:

Account Name:

Designation:

Street Address:

State

Postcode:

Country:

If client is a Company, please tick the appropriate box:

Sole Director / Sole Secretary

Two or more directors – (two or more directors must sign)

Direct Debit / Credit Authority

For Direct Debits all bank account holders must sign this section.

A. Default/Nominated Bank Account

The Applicant authorises FinEx’s Third Party Clearer (FinClear Pty Ltd (FinClear)) to directly credit/debit the Nominated Bank Account

Please tick applicable box:

Credit

Debit

Both

Financial Institution Name:

Account Name:

BSB:

Account Number:

B. Non Default Bank Account

(only complete if required for Dividend purposes)

Financial Institution Name:

Account Name:

BSB:

Account Number:

C. Non Default Bank Account

(only complete if required for Dividend purposes)

Dividend bank account choice

I / we request that FinEx provide the Default / Nominated Bank Account (as specified in Section A above) to all share registers where available, for the purposes of dividends.

I/we request that FinEx provide the Non Default Bank Account (as specified in Section B above) to all share registries where available, for the purpose of dividends.

If client is a Company, please indicate which office held:

Sole Director / Sole Secretary

Two or more directors – (two or more directors must sign)

If you have elected to authorise FinEx’s Third Party Clearer to direct debit your Nominated Bank Account and by signing this Direct Debit / Credit Authority Form, you agree to be bound by the Third Party Clearer’s Direct Debit Terms and Conditions and the Direct Debit Request Service Agreement.

Trade Confirmations

Authorisation of the dispatch of Trade Confirmations (previously Contract Notes) via e-mail

By completing this section and providing an a-mail address for the despatch of Trade Confirmations you authorise Trade Confirmations to be dispatched electronically to you at:

Primary Email Address:

Additional Copies of Trade Confirmation:

FinEx will arrange for a copy of your Trade Confirmations to be sent to your FSP. If you would like additional copies to be sent to other parties, please provide the email address/es below:

Email Address 1:

Email Address 2:

Email Address 3:

Email Address 4:

Registration

Open an Account

Trustee/ Superannuation Client

Company / Corporate Client

Shareholder Details

SHAREHOLDER (#1)

SHAREHOLDER (#2)

SHAREHOLDER (#3)

Individual Client / Director (#1)

Individual Client / Director (#2)

Individual Client / Director (#3)

Appointee & Settlor Details - Unregulated Australian Trust

Appointee Details

Settlor Details

Chess Sponsorship / Settlement Details

Direct Debit / Credit Authority

A. Default/Nominated Bank Account

B. Non Default Bank Account

C. Non Default Bank Account

Trade Confirmations

Authorisation of the dispatch of Trade Confirmations (previously Contract Notes) via e-mail

Additional Copies of Trade Confirmation:

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