Education level? PHD Master Bachelor Lower than Bachelor Skill

Knowledge regarding to derivative? Participated in training course about derivative product Used to/are having work experience related to derivative product Used to/are trading derivative Have never had derivative trading experience

Investment purpose? Short term Long term Others

Experience of trading in other financial market?

Monthly Income?

Monthly Income after tax deduction (USD)? (0-250) (251-500) (501-750) (751-1,000) (More than 1,000)

Other income source if have? Dividend/Interest from securities/bond Bank Interest Dividend/Company Interest Others

Are you qualification investor? No Have gross current asset at least 1,000,000,000 Riels (250,000 USD), or Have yearly income at least 80,000,000 Riels (20,000 USD), or Used to invest in securities sector at least 100,000,000 Riels (25,000 USD)

Are you permitted person?

Who is beneficial owner?

Who is controlling person?

Money laundry record in the last 3 years?

Have any relationship with governor or employee of derivative broker?

Have any relationship with governor or employee of central counterparty who derivative broker is the representative?

Trading platform Please select

Account leverage Please select

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Risk Recognition

Agreement for Derivative Trading

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