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

Account Full Layout

Country of Tax Residency

Tax File Number

Address Details *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Contact Details

Home Number

Mobile 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.

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

Please disclose if you, your spouse, or any close relative living at your address — including parents, in-laws, siblings, or dependents — hold an executive or governance role, own a substantial shareholding (10% or greater), or participate in key decision-making within any company listed on a public exchange.

Financial Affiliation

Kindly indicate if you, your spouse, or any family member residing with you are registered with, employed by, or affiliated in any capacity with a licensed brokerage, financial market regulator, securities exchange, or an organisation that is a member of such an exchange.

Anti-Money Laundering (AML)

In accordance with Anti–Money Laundering regulations, we are required to verify the identity of every applicant and any joint account holder prior to releasing or transferring funds.
To satisfy this requirement, please supply one document from Group A and one from Group B for each individual listed on the account.
Please ensure that any bank statement or utility bill submitted is issued within the past 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

Account Number