CPA Affiliate Program Registration

1Personal Information

2Remittance Information

3CPA Program

4Acknowledgement

- Name*
  First Last
- Driver License No./ Passport No.*
- Upload Your Driver's Licence/ Passport*
  Max. file size: 2 MB.
- Email*
- Gender*
Correspondence Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Proof of Address*
Accepted file types: jpg, gif, png, pdf, word, ppt, pptx, Max. file size: 2 MB.
- Mobile*
- WeChat

- Beneficiary Bank*
- Beneficiary*
- Beneficiary A/C No.*
- BSB
- Beneficiary Bank Address
  Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Initial Deposit		Round-trip Trading Volume Required (lot)		Client Account Trading Period Required	CPA
≧	AUD500	FX & BULLION	≧ 2	1 CALENDAR MONTH WHEN TRADING ACCOUNT IS CREATED	AUD	900
		INDICES & OILS	≧ 20
		CRYPTO	≧ 10

- I represent that the information I provided on this CPAA Registration Form is true, complete and correct.
- I have read, understood and agreed to be bound by the related Terms and Conditions which are separated from this CPAA Registration Form. And I understand that the Terms and Conditions is subject to change without prior notice.
- If HMA accepts my application to register as CPAA, it will formally communicate its acceptance by Notice to me as set out in the Agreement. Only then will there be a binding agreement between HMA and me.
- I understand that I should seek independent legal, financial and taxation advice in relation to the Agreement and this CPAA Registration Form prior to signing it.

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