Client Signature Specimen Form

 

SIGNATURE SPECIMEN

Please complete the information below, sign in both boxes, and have the form verified by a notary republic, a government official, or by your bank manager.

Client information:

Title(Mr./Mrs./Miss):_________________________                                     Date:______________

Full Name:_________________________________

Email address:______________________________

Passport or I.D. card number___________________

Country of residence:_________________________

Sign in BOTH boxes

 Signature specimen 1  Signature specimen 2

 

To be completed by a notary republic, government official, or bank manager:

Name of official:________________________________________________

Official Status:__________________________________________________

I hereby certify that the above named person signed this document in my presence.

 

Signature & official stamp________________________

 

EuroTradeRoom is operated by Novox Capital Ltd which is authorized and regulated by the Cyprus Securities and Exchange Commission (CySEC) with CIF license number 224/14