Declaration of Deposit I, __________________________ , bearer of Passport / National ID / Driver's license (circle the certificate you sent us for identification) number ____________________, email address: _________________________, Client’s account number: ____________________ hereby declare that: ❏ The transaction/s appearing in the table below were made by me & authorized by me to be cleared on my behalf, with a purpose of funding my personal trading account at SMPFX.com ❏ I have complete legal right and authority to make the below listed transactions ❏ I understand that this document is essential in order to comply with the Anti Money Laundering Policy, worldwide regulatory bodies, and the major credit card issuing bodies involved in the transaction ❏ I understand that my personal account with SMPFX.com is for my own personal use and my personal license to use the platforms is my responsibility ❏ If I allow a third party to trade on my behalf, it will be done at my own risk I acknowledge that each deposit I make or authorize to be cleared on my behalf, may require a Declaration of Deposit as an appendix, and I shall provide it upon request ❏ I understand that all the trading activities on my account are my responsibility and made by my own decision ❏ I acknowledge there is risk of financial loss associated with trading Forex, Commodities, Stocks or other assets; and that in any case I won't hold SMPFX.com liable Client Signature: ___________________________ Deposit date 1 Wire Transfer Credit Card last 4 digits Signature required for each of the transactions separately Amount Currency Client’s signature1
