FX TRADING (CORPORATE) APPLICATION FORM
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1 FX TRADING (CORPORATE) APPLICATION FORM JUNE 2017
2 FMDQ OTC SECURITIES EXCHANGE FX TRADING (CORPORATE) APPLICATION FORM Name of Body Corporate/Entity: APPLICANT INFORMATION RC Number: Registered Office Address: Date of Incorporation: Place of Incorporation: Nature of Business: Company Telephone Numbers: Company Address: Corporate Website Address: KEY OFFICERS MANAGING DIRECTOR/CHIEF EXECUTIVE OFFICER Telephone/Mobile No: TREASURER/CHIEF FINANCIAL OFFICER Telephone/Mobile No: CHIEF COMPLIANCE OFFICER FMDQ SUPPORTING DOCUMENTS 1 (TICK IF ENCLOSED) Duly Completed Application Form Telephone/Mobile No: Letter of introduction from an FMDQ-licenced Dealing Member (Bank) [Letter must be signed by the Chief Compliance Officer or an Executive Director of the Bank] The letter must state that due KYC has been carried out and BVN requirement has been fulfilled 1 Note: FMDQ reserves the right to request additional information and documentation from time to time, where necessary. Upon successful filing of the above documents, the company will be required to execute a membership agreement (see page 4 below) with FMDQ OTC PLC before the registration can be completed FX Trading (Corporate) Membership Application Form 1
3 Company Profile Company Overview Details of Business Services Certificate of Incorporation Memorandum and Articles of Association or other equivalent documentation Particulars of Directors or other equivalent documentation (e.g. CAC Form 7 for Nigerian Companies) Particulars of Shareholders or other equivalent documentation for Private Companies (e.g. CAC Form 2 for Nigerian Private Limited Companies) Most recent one (1) year audited financial statements, not exceeding 18 months from the previous financial year end Two (2) Primary Contact Details Name & Designation Address Telephone/Mobile Number Evidence of Payment of Onboarding Fee Existing Thomson Reuters Clients [If applicable, please provide Thomson Reuters Account ID below] Thomson Reuters Account ID All documents MUST be forwarded to FMDQ Membership Management Unit: mmu@fmdqotc.com Physical copies can be sent to: Market Regulation Group FMDQ OTC Securities Exchange 1, Olosa Street Victoria Island Lagos Nigeria Attention: Membership Management Unit APPLICANT DECLARATION By submitting this application to become FX Trading (Corporate) of FMDQ OTC Securities Exchange: I/We declare that the information provided is complete and accurate and I/we agree, if approved, to comply with and be bound by all FMDQ Rules, Guidelines and such other regulation as may be in force from time to time. I/We shall notify FMDQ of any additional information which is relevant to the application and of any significant changes in the information provided in this application which occur after the date of submission of the application. I/We understand that misleading or attempting to mislead representatives of FMDQ during the application process shall render this application null and void. FX Trading (Corporate) Membership Application Form 2
4 : Name Designation Date FEE PAYMENT INFORMATION Accepted Modes of Payment: Cheque/Bank Draft/Online Transfer All cheques are payable to FMDQ OTC PLC Account Details: Bank Access Bank PLC Account Name FMDQ OTC PLC Account Number Sort Code In the case of online transfers, kindly specify payment reference in the format below: FMDQ/(Category of Membership)/(Company or Individual Name)/(Payment Date: DD.MM.YYYY) For example: FMDQ/FX Trading (Corporate)/Company Limited/ FX Trading (Corporate) Membership Application Form 3
5 FMDQ OTC PLC FX TRADING (CORPORATE) AGREEMENT We/I (FX Trading [Corporate]) on this day of 20 hereby agree to be an FX Trading (Corporate) on FMDQ OTC PLC ( FMDQ or the OTC Exchange ), a Securities Exchange organised under the laws of the Federal Republic of Nigeria (together, the Parties ), subject to the terms and conditions below. AS AN FX TRADING (CORPORATE) OF FMDQ WE UNDERTAKE TO: 1. Abide by all the FMDQ Rules, Guidelines, Bulletins and such other regulation as FMDQ may introduce to the market from time to time 2. Abide by the provisions of the Foreign Exchange (Monitoring and Miscellaneous Provisions) Act 2004 and all Circulars issued by the Central Bank of Nigeria (CBN) from time to time 3. Use the FMDQ Thomson Reuters FX Trading System (TRFXT) strictly for the purpose of engaging in FX trading activities with CBN FX Authorised Dealers 4. Ensure that all our Authorised Representatives 2 act in good faith in respect of all our affairs with FMDQ and in relation to all activities as a Member on FMDQ 5. Notify FMDQ immediately in writing of any material changes to the information submitted during the course of our membership application 6. Notify FMDQ of any facts or circumstances which may affect the legal form of our organisation and any such occurrences that may affect our FX Trading (Corporate) membership status on FMDQ 7. Promptly pay the annual subscription fee and other charges, where applicable, as may be prescribed by the OTC Exchange WE UNDERSTAND THAT: 8. This FX Trading (Corporate) membership category of FMDQ only grants the FX market Authorised participants access to the FMDQ Thomson Reuters FX Trading System strictly for the purpose of engaging in FX trading activities with CBN FX Authorised Dealers 9. This FX Trading (Corporate) membership category does not confer upon us participatory rights as a full Member of the Exchange, but only allows us to engage in FX trading as outlined above 2 Authorised Representatives are persons authorised by the Member to perform activities on its behalf on the Exchange FX Trading (Corporate) Membership Application Form 4
6 The Parties have caused their authorised signatories to execute this Agreement in the manner below, the day and year first above written. Signed for and on behalf of the aforementioned FX Trading (Corporate): Signed for and on behalf of FMDQ OTC PLC: FX Trading (Corporate) Membership Application Form 5
7 ONBOARDING ON THOMSON REUTERS FOREIGN EXCHANGE (TRFXT) SYSTEM All Thomson Reuters documentation MUST be forwarded via to and Documents Format All documents must be current and identity documents must be valid. Documents Certification Personal Identity documents and Corporate documents must be certified by a solicitor (lawyer), qualified accountant or notary public, using the following language: I, [name of certifying person] a [position] have seen the original document from which this copy was produced and I can confirm that it appears to me to be a genuine document. [signed & dated] THOMSON REUTERS SUPPORTING DOCUMENTS 3 - TICK IF PROVIDED Certificate of Incorporation Memorandum and Articles of Association or other equivalent documentation Particulars of Directors or other equivalent documentation (e.g. CAC Form 7 for Nigerian companies) Evidence of regulatory status from a financial regulator Certified company ownership structure Names and contact details of the FX traders Public IP address and Internet Service Provider (ISP) 3 Note: Thomson Reuters reserves the right to request additional information and documentation from time to time, where necessary. FX Trading (Corporate) Membership Application Form 6
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