International Client Application Form
About this Application
This is an International Client Application Form. Please read it carefully, as you select products and services, please advise the best way to communicate with us, and agree
to certain provisions that will govern our relationship. Once accepted, this application and all accompanying or supplemental documents form the entire agreement between
us for this account.
Unless otherwise indicated in this application, the words “you,” “your,” “yourself,” and “yours” mean the applicant(s). The words “we,” “us,” and “our” mean Newman Jiang Inc,
HNA Poly Plaza, 235 Minsheng Road, Yuzhong District, Chongqing, 400010, China and our branches, subsidiaries, and affiliates.
Getting Started
Please complete and sign this application and forward along with any required supplemental forms identified through this application process.
In order to complete this application, you will need the following information:
• Identification information, such as a driver’s license, passport, or another type of government-issued identification
• Social Security Number
• W-8BEN Form
• Information about your annual income, debt, expenses, and net worth
• Back-up contact information
• All fields are required unless marked as optional.
The above information helps us comply with various securities regulations and rules and the USA PATRIOT Act, a Federal law that requires all securities firms to obtain, verify,
and record information that identifies each applicant. The information also helps us more fully understand your investment profile and identify what types of investments or
strategies may be suitable for you. Please note: if we cannot verify the information you provide, we may be required to restrict or deny your account. To qualify for tax
exemption in the US markets, we require an original copy of the completed Form W-8BEN and International Client Application Form within 30 days. If any information on
Form W-8BEN becomes incorrect, you must also submit a new form within 30 days.
Please remember to notify us if you experience a significant life change, such as the birth of a child, marriage, divorce, death of a spouse, loss of a job, change in financial
situation, etc.
Your Account
Account Type
What type of investor are you?
Individual
Corporate
Joint
Trust
Do you have other accounts with us?
Yes
|
No
Details :
Initial Transaction Type :
Buy
Sell
ACAT
Amount :
Your Account Information
Primary Applicant
Title:
Mr.
Ms.
Mrs.
Dr.
Other:
Suffix :
Sr.
Jr.
Other:
First Name
Middle Name
Last Name
Address and Contact Information
Apt/Suite No.
Bldg.
Street
City
State
Postal Code (Zip)
Country
Home Phone
Mobile Phone
Work Phone
Email
Please check if you have been at your current address for less than one year.
Company Information
Company Name
Company Number
Address
City
State
Postal Code (Zip)
Country
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International Client Application Form
Civil Status and Dependents
No. of Dependents
Single
Married
Domestic Partner
Divorced
Widowed
Employment Status
Employed
Self-Employed
Not Employed
Retired
Student
Other :
Job Title
Occupation
Employer
Years with this Employer
Mailing Address If Different From Above
Apt/Suite No.
Bldg.
Street
City
State
Postal Code (Zip)
Country
Industry and Other Affiliations
Are you, your spouse, or any other immediate family members, including parents, in-laws, siblings, and dependent(s):
Employed by or associated with the securities industry (for example, a sole proprietor, partner, officer, director, branch manager,
registered representative or other associated person of a broker-dealer firm) or a financial services regulator?
If yes, please specify entity below. If this entity requires its approval for you to open this account, please provide a copy of the required
authorization letter (with this Application).
Broker-Dealer or Municipal Securities Dealer
FinRa or other Self-Regulatory Organization*
Yes
|
No
Investment Adviser
State or Federal Securities Regulator
(*Including a national securities exchange, registered securities association, registered clearing agency or the Municipal
Securities Rulemaking Board.)
Name of entity(ies) :
An officer, director, or 10% (or more) shareholder in a publicly-owned company? Name of company and symbol :
Yes
|
No
A senior military, governmental or political official in a non-US country? Name of country :
Yes
|
No
Financial Investment Experience
Please provide the following information below in order for us to fully understand your investment experience. We are aware that the information you provide may
change over time as you work with us. Please check the boxes below to best describe your investment experience to date.
Transactions per year
Investment
Years experience
(excluding automatic investments)
Mutual Funds/ Exchange Traded Funds
0
1-5 yrs.
Over 5 yrs.
0-5
6-15
Over 15
Individual Stocks
0
1-5 yrs.
Over 5 yrs.
0-5
6-15
Over 15
Bonds
0
1-5 yrs.
Over 5 yrs.
0-5
6-15
Over 15
Options
0
1-5 yrs.
Over 5 yrs.
0-5
6-15
Over 15
Securities Futures
0
1-5 yrs.
Over 5 yrs.
0-5
6-15
Over 15
Annuities
0
1-5 yrs.
Over 5 yrs.
0-5
6-15
Over 15
Alternative1
0
1-5 yrs.
Over 5 yrs.
0-5
6-15
Over 15
Margin
0
1-5 yrs.
Over 5 yrs.
0-5
6-15
Over 15
1. May include structured products, hedge funds, etc.
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International Client Application Form
Financial Situation and Needs, Liquidity Considerations, And Tax Status (please tell us your estimates)
ANNUAL INCOME2
NET WORTH3
LIQUID NET WORTH4
TAX RATE
(from all sources)
(excluding your residence)
(highest marginal)
$25,000 and under
$25,000 and under
$25,000 and under
0-15%
$25,001-50,000
$25,001-50,000
$25,001-50,000
16-25%
$50,001-100,000
$50,001-100,000
$50,001-100,000
26-30%
$100,001-200,000
$100,001-200,000
$100,001-250,000
31-35%
$200,001-500,000
$250,001-500,000
$200,001-500,000
Over 35%
$500,001-1,000,000
Over $500,000
$500,001-1,000,000
$1,000,001-3,000,000
$1,000,001-3,000,000
Over $3,000,000
Over $3,000,000
ANNUAL EXPENSES5
SPECIAL EXPENSES6
LIQUIDITY NEEDS
(recurring)
(future, non-recurring)
$50,000 and under
$50,000 and under
The ability to quickly and easily convert to cash all or a portion of the
$50,001-100,000
$50,001-100,000
investments in this account without experiencing significant loss in value
$100,001-250,000
from, for example, the lack of a ready market, or incurring significant
$100,001-250,000
costs or penalties is (check one)
$250,001-500,000
$250,001-500,000
Over $500,000
Over $500,000
Very important
Important
Timeframe for special expenses:
Somewhat important
Within 2 years
Does not matter
3-5 years
6-10 years
2. Annual income includes income from sources such as employment, alimony, social security, investment income, etc.
3. Net worth is the value of your assets minus your liabilities. For purposes of this application, assets include stocks, bonds, mutual funds, other securities, bank accounts,
and other personal property. Do not include your primary residence among your assets. For liabilities, include any outstanding loans, credit card balances, taxes, etc. Do
not include your mortgage.
4. Liquid net worth is your net worth minus assets that cannot be converted quickly and easily into cash, such as real estate, business equity, personal property and
automobiles, expected inheritances, assets earmarked for other purposes, and investments or accounts subject to substantial penalties if they were sold or if assets were
withdrawn from them.
5. Annual expenses might include mortgage payments, rent, long-term debts, utilities, alimony or child support payments, etc.
6. Special expenses might include a home purchase, remodeling a home, a car purchase, education, medical expenses, etc.
Investment Risk Tolerance
Different investment products and strategies will involve different levels of risk. When choosing different products and strategies you must understand that
higher expected returns will involve different degrees of risk and therefore it may cause you to lose the majority of your investment. Investments should be
chosen based on your objectives, timeframe, and tolerance for market fluctuations.
Please select the degree of risk you are willing to take with the assets in this account.
Conservative. I want to preserve my initial principal in this account, with minimal risk, even if that means this account does not generate
significant income or returns and may not keep pace with inflation.
Moderately Conservative. I am willing to accept low risk to my initial principal, including low volatility, to seek a modest level of portfolio
returns.
Moderate. I am willing to accept some risk to my initial principal and tolerate some volatility to seek higher returns and understand I could
lose a portion of the money invested.
Moderately Aggressive. I am willing to accept high risk to my initial principal, including high volatility, to seek high returns over time, and
understand I could lose a substantial amount of the money invested.
Significant Risk. I am willing to accept maximum risk to my initial principal to aggressively seek maximum returns and understand I could
lose most, or all, of the money invested.
Decision-Making (check all that apply)
I consult with my broker, investment adviser, CPA, or other financial professional.
I generally make my own decisions.
I discuss investment decisions with family and/or friends.
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International Client Application Form
Other Investments
Please provide us with additional information about your other investments to help us more fully understand your investment profile and identify what types of
investments or strategies may be suitable for you.
Investment Type / Description
Firm Holding Investment
Amount (US$)
How You Intend to Use This Account
Please answer the following questions regarding your investment targets and investment period of time in order for us to determine which investment
products and strategies are suitable for you.
Investment Objectives and Investment Time Horizon
I plan to use this account for the following
The investments in this account will be (check one):
(check all that apply):
Generate income for current or future expenses
Less than 1/3 of my financial portfolio
Roughly 1/3 to 2/3 of my financial portfolio
Partially fund my retirement
More than 2/3 of my financial portfolio
Wholly fund my retirement
Steadily accumulate wealth over the long term
Preserve wealth and pass it on to my heirs
Pay for education
Pay for a house
Market speculation
Other :
The expected period of time you plan to invest to achieve your financial goal(s):
Under 1 year
1-2 years
3-5 years
6-10 years
11-20 years
Over 20 years
Investment Objectives and Investment Time Horizon
In order for us to fully understand your investment profile and type of investment and strategies that are suitable for you, please provide any additional information that
has not been requested above, so that it will help us more fully understand your investment profile and identify what types of investments or strategies may be suitable for
you.
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Newman Jiang Inc - International Client Application Form © 2012-2022
International Client Application Form
Tell Us How You Will Fund This Account
Please tell us how you are funding this account (check all that apply):
Income
Insurance payout
Pension or retirement savings
Inheritance
Funds from another account
Social Security benefits
Gift Sale of business or property
Home Equity Line of Credit/Reverse Mortgage
Other :
Tell Us How You Want To Work With Us
Account Features
Please note
: You may change your account features and options at any time, with advance written notice to us.
Borrowing Money to Buy Securities (Buying “On Margin”) Please Read Carefully
You will have a “cash account,” unless you choose to have a “margin loan account” (customarily known as a “margin account”). To help you decide whether a margin loan
account is right for you, please read this information, the Margin Loan Agreement, and the Margin Disclosure Statement.
You may apply for a margin account at a rate of 10% APR after a period of one (1) year of trading with the firm.
In a cash account, you pay for your securities in full by the settlement date of the purchase (generally three business days from the purchase). In a margin loan account, we
may lend you a portion of the purchase price. This is called buying securities “on margin.” For example, when you buy equity securities (such as common stock) on margin, you
typically must deposit at least 50% of the purchase price, and we would loan you the balance. You are liable for repaying the borrowed funds and the interest incurred.
If you borrow funds in your margin loan account and the value of your holdings declines below the firm’s and/or regulatory maintenance margin requirement, you may be
subject to a “margin call.” This means that we can either (1) require you to deposit additional cash or margin-eligible securities to your account immediately, or (2) sell any of
the securities in your account to cover any shortfall, without informing you in advance. We will decide which of your securities to sell. Even if we notify you that you have a
certain number of days to cover the shortfall, we may still sell your securities before that timeframe expires. Further, we may increase at any time the level of equity that you
must maintain in your margin account without triggering a margin call.
We have the right to lend shares held in your margin loan account to others. This should not impede your ability to sell these shares, but may cause you to lose voting rights
and the right to preferred tax treatment on certain dividend payments.
Managing Your Cash
Sometimes there is cash in your account that hasn’t been invested. For example, you may have just deposited money into your account without giving instructions on how to
invest it, or you may have received cash dividends or interest. We will automatically place—or “sweep”—that cash into one of the cash management programs listed below—
also called “cash sweep programs.” Cash management programs offer different benefits and risks, including different interest rates, customer protections, and insurance
coverage (namely, FDIC or SIPC coverage). Some may have certain eligibility criteria, such as minimum cash balances and specific account types.
Please choose one of the cash management programs listed below. You may instruct us to change your selected cash management program at any time to another if you
meet the eligibility criteria of the new cash management program. If you do not choose one, we will automatically place your un-invested cash into the default cash
management program, which will be Money Market Deposit Account with an interest rate of 0.98% APR. We will give you advance notice of any change in your choice or of
the options generally available to you. We may need your consent for certain changes, but not for others.
Sales Proceeds (check one)
Dividends/Interest (check one)
Mail a cheque to the address of record
Mail a cheque to the address of record
Send directly to your bank account.
Send directly to your bank account.
Please provide bank name and account number:
Please provide bank name and account number:
Sweep into Money-Market Fund
Sweep into same investment as indicated at left
Securities Investor Protection Corporation (SIPC7) Protected
Reinvest in the same security
Sweep into Money-Market Deposit Account
Federal Deposit Insurance Corporation (FDIC8) Insured
Other :
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Newman Jiang Inc - International Client Application Form © 2012-2022
International Client Application Form
Communications Options
Unless you choose otherwise, we will use postal mail to send you any communications. As an alternative, you may choose to be notified by email when certain
communications are available for you to access online. If you wish to be notified by email instead of receiving communications by postal mail, please select one of the
options below:
All communications - I wish to be notified by email about the online availability of any communications, including trade confirmations,
prospectuses, account statements, proxy materials, tax-related documents, and marketing and sales documents.
All communications except trade confirmations, account statements, and tax-related documents - I wish to be notified by
email about the online availability of all communications except trade confirmations, account statements, and tax-related documents,
which I still wish to receive by postal mail.
All communications except tax-related documents - I wish to be notified by email about the online availability of all communications
except tax-related documents, which I still wish to receive by postal mail.
If you choose email for any communications, please tell us the email address we should use :
Postal Mail Options (if you requested postal mail delivery in the previous section)
By checking the boxes below, you request that all communications for the applicants listed on this application be delivered to the following single postal mailing address:
Primary Applicant’s Mailing Address
Other. Please specify :
Duplicate Copies (optional)
Please send duplicate copies of the following documents to the person listed below:
All Communications Trade Confirmations, Account Statements, and Tax-Related Documents Only
Title:
Mr.
Ms.
Mrs.
Dr.
Other:
Suffix :
Sr.
Jr.
Other:
First Name
Middle Name
Last Name
Apt/Suite No.
Bldg.
Street
City
State
Postal Code (Zip)
Country
Relationship to Primary Applicant :
Review and Submit This Application
Confirmations and Signatures (Please Read Carefully)
By signing this application, you affirm that you have received and read this application and any supplemental documents governing this relationship. You affirm that the
information you have provided is accurate and you agree to notify us of any changes in the information provided.
Primary Applicant
Non-Resident Alien : I certify that I am not a U.S. citizen, U.S. resident alien, or other U.S. person for U.S. tax purposes,
and I am submitting the applicable Form W-8 with this form to certify my foreign status and, if applicable, claim tax treaty
benefits.
The Internal Revenue Service does not require your consent to any provision of this document other than the certifications required to avoid backup withholding.
Signatures
Name of Primary Applicant (please print)
Signature of Primary Applicant
Date
Past performance is not a guarantee of future performance, and any investment you make and the income it generates can fluctuate dramatically. Many factors influence
performance. As a result, you may lose some or all of the money invested. Professional advice should always be sought for investment decisions.
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Newman Jiang Inc - International Client Application Form © 2012-2022