IB Health Check

iFX Profile Number* My E-Mail Address*

Account Holder

First name* Surname Mobile Phone No.* If Corporate account, please state the name of the entity and nr of directors/partners or shareholders

Please select the appropriate answer that best describes your trading experience

No trading experience 1-2 years 3+ years

Do you have an existing IB Status with any other Broker

YES NO If yes, which broker(s)

Expected clients to be referred over 3 months

0-10 10-50 50+

Please describe briefly how our services will be marketed and if there are any additional tools or services you may require from us to meet your goals?

Social Media Live Training Seminars Workshops Fund Manager Word of Mouth Blogger Other

Are there any specified requirements, comments, or insights into how you envisage iFX could assist in any way? If yes, please provided detailed information