Know your Client - Hallbar Group Capital Pty Limited

Email *

REGISTRATION DETAILS.

Account Juristiction

Australia
USA

Type of Account

Single Account
Joint Account
Corporate Account

PRIMARY ACCOUNT HOLDER IDENTIFICATION

Title

Full Name *

Date of Birth *

Nationality *

Country of Birth *

Place of Birth *

Government Issued Photo ID Number *

Country of Issue *

Governt Issued Photo ID Expiration Date *

Profession *

TAX RESIDENCY

Country of Tax Residency

Tax Identification Number

If tax resident in multiple countries, please provide the additional details below

Country of Tax Residency

Tax File Number

Address Details *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Contact Details

Email *

Mobile Number *

Home Number

Work Number *

SECONDARY ACCOUNT HOLDER IDENTIFICATION

Title

Full Name

Date of Birth

Nationality

Country of Birth

Place of Birth

Government Issued Photo ID Number

Country of Issue

Government Issued Photo ID Expiration Date

Profession

CORPORATE ACCOUNT ENTITY IDENTIFICATION

Full Name of Entity

Registration Number

Type of Entity

Business Activity

Country of Establishment

Creation Date

Business Number

Email

Entity Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

KYC - Know Your Client

Please provide the primary account holder's financial details, including annual income, net worth, liquidity, risk level and source of wealth and funds. This information is essential for assessing the account holder's financial profile and ensuring compliance with regulatory standards.

Layout Number Activity

Annual Income

$0 - $99,999
$100,000 - $249,000
$250,000 - $500,000
$500,00+

Approximate Net Worth

(not including primary residence)

Approximate Liquid Worth

(not including primary residence)

Risk Level

Conservative
Moderate
Growth
Aggressive Growth

Source of Wealth / Funds

AFFILIATIONS

Primary Account Holder

Legal Affiliation

If the primary Account Holder, their spouse, any member of their immediate families living in the same household, including parents, in-laws, siblings, and dependents is a member of the board of directors, 10% shareholder, or policymaking officer of a publicly traded company please specify.

Financial Affiliation

If the primary Account Holder, their spouse, any member of their immediate families living in the same household, including parents, in-laws, siblings, and dependents is a member of the board is a licensed, employed by, or associated with, a broker-dealer firm, a financial services regulator, securites exchange, or member of a securities exchange

Anti-Money Laundering (AML)

We must confirm the identity of all prospective clients and co-account holders (if applicable) before we can transfer funds to you. To complete this process, please provide one document from Group A and one from Group B for each account holder. For bank Statements and Utility Bills, make sure they are no older than three months.

Group A

Click or drag files to this area to upload. You can upload up to 2 files.

Government issued Identification Document(s)

Group B

Click or drag files to this area to upload. You can upload up to 2 files.

Bank Statement, Utility Bill or Local Authority Document(s)

Settlement Details

Please provide your bank account details below for any withdrawal payments. Payment will be made in your chosen settlement currency indicated below.

Bank Account Details

Account Name

Bank Name

Settlement Currency

BSB Number (copy)

Account Number