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Congratulations on opening your Individual account at optionsXpress Singapore Pte Ltd! Please use the following documentation checklist we have put together to help you complete the
account opening requirements.
Please bring the following documents in person down to our office or mail notarized copies at:
optionsXpress Singapore Pte Ltd
1 George Street
#07-01A
Singapore 049145
New Account Application Checklist
Login Now To www.optionsxpress.com.sg To Complete Your W-8BEN
The W-8BEN is an official IRS document that requires you to detail your country of residence for tax withholding purposes. The W-8BEN will present to you when you successfully login the
first time.
Note: Use the Username & Password you selected during this application to login.
You can find the IRS tax forms listed here, and many more, along with instructions on how to fill them out, in the Forms and Publications section of www.IRS.gov.
This information is not intended to be a substitute for specific individualized tax, legal, or investment planning advice. Where specific advice is necessary or appropriate, Schwab
recommends consultation with a qualified tax advisor, CPA, financial planner, or investment manager.
Send In Your Completed Tax Declaration Form(s)
The W-8BEN-E and W-8IMY are official IRS documents that require you to detail your country of residence for tax withholding purposes. You can find the IRS tax form(s) listed here, and
many more, along with instructions on how to fill them out, in the Forms and Publications section of www.IRS.gov.
This information is not intended to be a substitute for specific individualized tax or legal advice. Where specific advice is necessary or appropriate, optionsXpress recommends consultation
with a qualified tax advisor.
This is the first document that will print off immediately following the checklist, which includes your profile information as well as the corresponding new account agreements. Please be sure
that this has been signed and dated by all account holders/authorized signers on the account.
Photo Identification (ID)
To complete the new account process, we must receive a copy of a non-expired government-issued photo ID and proof of address.
In addition, we must also receive from each account holder a copy of a non-expired government-issued visa or long term stay pass for each account holder/authorized signer that is not a
Singapore citizen or Permanent Resident of Singapore.
For Non face to face application, we will require the copy of the non-expired government-issued photo id to be certified and notarized and mailed in to us together with the other documents
required.
Proof of Address
In addition to the photo identification required above, each account holder/authorized signer will need to provide a bill or bank statement that evidences their name and address as displayed
in the application form. This document should be no older than 90 days from date of presentation to optionsXpress Singapore Pte Ltd.
Signed Risk Warning and Customer Account Review Form
These are the documents that will print off after the new account application. Please be sure that you have provided one signed copy for each account holder/authorized signer on the
account.
If you have any questions about any of the information required, please feel free to contact us at:
(+65) 6536-3922, or via info@optionsxpress.com.sg [mailto:info@optionsxpress.com.sg] .

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Individual Account Application

Username jagooption
Account Entity Individual
Account Preferences Cash Margin Option
Trade Options
Name MR. MUHAMMAD
IQBAL
Mailing Address jalan bung tomo 31
mojokerto
east java 61382
Indonesia
Phone Number 082112876773
Email jagooption@gmail.com
Marital Status single (never
married)
Dependents 0

Date of Birth 10/19/1989


Citizenship non-resident
alien
Passport# 3516081910890002
Liquid Net Worth $25,000 to $50,000
Net Worth $25,000 to $50,000
Annual Income Less than $25,000
Tax Bracket 0 to 15%
Trade Stocks Since 2013
Trade Options Since 2013
Investment Objectives growth,income
Country of Ctizenship Indonesia
Singapore Sweep Yes

Employment Status unemployed


Employer
Nature of Business
Occupation
Years Employed

I am not associated or employed by a FINRA, NFA, or an Exchange Member Firm.


e-Delivery Settings Confirms: Electronic Only
Statements: Electronic Only
Tax Statements and Forms: Electronic
Only

1311576

This document may print across multiple pages. Please read and include all printed pages when submitting this application.

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All confirmations, statements, tax statements and forms shall be delivered electronically only and subject to, the electronic delivery agreement between you and optionsXpress.
Options Agreement Terms: I represent that I am aware of the inherent risks associated with options trading and that I am financially able to bear such risks and withstand options
trading losses. I have read and understood the terms and conditions that govern this options account and the special risk statement for uncovered option writers, where applicable, and
agree to be bound by them as currently in effect and as amended from time to time. I have also fully read and understood the disclosure document entitled Characteristics and Risks of
Standardized Options issued by the Options Clearing Corporation and delivered to me by optionsXpress Singapore Pte Ltd either electronically or in hard copy.
Loan or Pledge of Securities (Margin Customers Only): I hereby authorize optionsXpress Singapore and optionsXpress, Inc. (collectively, "optionsXpress") to lend either to itself or to
others any securities held by the broker in your margin account and to carry such property in its general loans. I agree to the terms contained in the "Appendix A Margin Account Terms"
and will be charged interest in accordance with such terms. Such property may be pledged, repledged, hypothecated or rehypothecated without notice to you either separately or in
common with other such property for any amounts due to optionsXpress shall have no obligation to retain a like amount of similar property in its possession and control. By signing this
agreement you acknowledge that the securities in your margin account may be loaned to optionsXpress or loaned out to others. I also acknowledge optionsXpress' right to liquidate
securities held in my account at any time and without prior notice to me, in optionsXpress' sole discretion when such action is anticipated or deemed necessary to protect optionsXpress
from potential loss.
Agreement to " Account Terms and Conditions": I (or we) hereby request that optionsXpress Singapore Pte Ltd, ("optionsXpress") open an account as indicated above, and I
acknowledge that I have read and understood both the " Account Terms & Conditions" agreements that govern this account and all agreements regarding use of data and exchange
quotes, and I agree to be bound by these agreements as currently in effect and as amended from time to time that may be applicable to my account including, if applicable, additional
terms and conditions that may apply, and such other agreements posted on the optionsXpress website. I have legal capacity to enter into and be bound by this legal contract. I agree to
promptly advise optionsXpress Singapore Pte Ltd in writing of any change in my residential, employment, and financial or legal status. I agree to receive all account notices, including all
confirmation of trades, by electronic means and to access my account regularly to receive such notices. As a condition of optionsXpress opening and maintaining my non-U.S. account, I
understand and agree that I am required to receive legal account notices by electronic means, including confirmation of trades and the required statement of transactions, and I agree to
the suppression of all U.S. Postal mailed notifications. I EXPRESSLY ACKNOWLEDGE THAT I AM SOLELY RESPONSIBLE FOR ALL INVESTMENT DECISIONS MADE REGARDING
MY ACCOUNT, AND THAT optionsXpress DOES NOT MAKE RECOMMENDATIONS REGARDING INVESTMENTS, TAXES, OR LEGAL MATTERS.
Singapore Sweep Disclosure Statement: I acknowledge that I understand that the uninvested cash balance in my brokerage account will be swept to the Singapore Sweep while I
decide how those funds should be invested. I understand that I should also consider higher-return options for funds that are not needed immediately by visiting
www.optionsxpress.com.sg/cash [http://www.optionsxpress.com.sg/cash] for investment alternatives.

X
CUSTOMER SIGNATURE

Date

|STK|CSP|CC|DSP|LPC|

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Overseas-Listed Investment Products


Risk Warning
An overseas-listed investment product* is subject to the laws and regulations of the jurisdiction it is listed in. Before you trade in an overseas-listed investment product or authorise
someone else to trade for you, you should be aware of:
The level of investor protection and safeguards that you are afforded in the relevant foreign jurisdiction, as the overseas-listed investment product would operate under a
different regulatory regime.
The differences between the legal systems in the foreign jurisdiction and Singapore that may affect your ability to recover your funds.
The tax implications, currency risks, and additional transaction costs that you may have to incur.
The counterparty and correspondent broker risks that you are exposed to.
The political, economic and social developments that influence the overseas markets you are investing in.
These and other risks may affect the value of your investment. You should not invest in the product if you do not understand or are not comfortable with such risks.
*An "overseas-listed investment product" in this statement refers to a capital markets product that is listed for quotation or quoted only on overseas securities exchange(s) or
overseas futures exchange(s) (collectively referred to as overseas exchanges).

1. This statement is provided to you in accordance with paragraph 29D of the Notice on the Sale of Investment Products [SFA04-N12].
2. This statement does not disclose all the risks and other significant aspects of trading in an overseas-listed investment product. You should undertake such transactions only if you
understand and are comfortable with the extent of your exposure to the risks.
3. You should carefully consider whether such trading is suitable for you in light of your experience, objectives, risk appetite, financial resources and other relevant circumstances. In
considering whether to trade or to authorise someone else to trade for you, you should be aware of the following:
Differences in Regulatory Regimes
(a) Overseas markets may be subject to different regulations, and may operate differently from approved exchanges in Singapore. For example, there may be different rules providing
for the safekeeping of securities and monies held by custodian banks or depositories. This may affect the level of safeguards in place to ensure proper segregation and
safekeeping of your investment products or monies held overseas. There is also the risk of your investment products or monies not being protected if the custodian has credit
problems or fails. Overseas markets may also have different periods for clearing and settling transactions. These may affect the information available to you regarding transaction
prices and the time you have to settle your trade on such overseas markets.
(b) Overseas markets may be subject to rules which may offer different investor protection as compared to Singapore. Before you start to trade, you should be fully aware of the
types of redress available to you in Singapore and other relevant jurisdictions, if any.
(c) Overseas-listed investment products may not be subject to the same disclosure standards that apply to investment products listed for quotation or quoted on an approved
exchange in Singapore. Where disclosure is made, differences in accounting, auditing and financial reporting standards may also affect the quality and comparability of
information provided. It may also be more difficult to locate up-to-date information, and the information published may only be available in a foreign language.
Differences in legal systems
(d) In some countries, legal concepts which are practiced in mature legal systems may not be in place or may have yet to be tested in courts. This would make it more difficult to
predict with a degree of certainty the outcome of judicial proceedings or even the quantum of damages which may be awarded following a successful claim.
(e) The Monetary Authority of Singapore will be unable to compel the enforcement of the rules of the regulatory authorities or markets in other jurisdictions where your transactions
will be effected.
(f) The laws of some jurisdictions may prohibit or restrict the repatriation of funds from such jurisdictions including capital, divestment proceeds, profits, dividends and interest arising
from investment in such countries. Therefore, there is no guarantee that the funds you have invested and the funds arising from your investment will be capable of being remitted.
(g) Some jurisdictions may also restrict the amount or type of investment products that foreign investors may purchase. This can affect the liquidity and prices of the overseas-listed
investment products that you invest in.
Different costs involved
(h) There may be tax implications of investing in an overseas-listed investment product. For example, sale proceeds or the receipt of any dividends and other income may be subject
to tax levies, duties or charges in the foreign country, in Singapore, or in both countries.
(i) Your investment return on foreign currency-denominated investment products will be affected by exchange rate fluctuations where there is a need to convert from the currency of
denomination of the investment products to another currency, or may be affected by exchange controls.
(j) You may have to pay additional costs such as fees and brokers commissions for transactions in overseas exchanges. In some jurisdictions, you may also have to pay a premium
to trade certain listed investment products. Therefore, before you begin to trade, you should obtain a clear explanation of all commissions, fees and other charges for which you
will be liable. These charges will affect your net profit (if any) or increase your loss.
Counterparty and correspondent broker risks
(k) Transactions on overseas exchanges or overseas markets are generally effected by your Singapore broker through the use of foreign brokers who have trading and/or clearing
rights on those exchanges. All transactions that are executed upon your instructions with such counterparties and correspondent brokers are dependent on their respective due
performance of their obligations. The insolvency or default of such counterparties and correspondent brokers may lead to positions being liquidated or closed out without your
consent and/or may result in difficulties in recovering your money and assets held overseas.
Political, Economic and Social Developments
(l) Overseas markets are influenced by the political, economic and social developments in the foreign jurisdiction, which may be uncertain and may increase the risk of investing in
overseas-listed investment products.

ACKNOWLEDGEMENT OF RECEIPT OF THIS RISK WARNING STATEMENT


I acknowledge that I have received a copy of the Risk Warning Statement and understand its contents.
Signature of customer:
Name of customer:
Date:

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CUSTOMER ACCOUNT REVIEW FORM:


PLEASE TAKE NOTE - THIS FORM DOES NOT APPLY TO:
1) NON-RESIDENTS OF SINGAPORE
2) CORPORATE APPLICANTS
3) ACCREDITED INVESTORS
4) EXPERT INVESTORS
For your convenience we set out below the relevant definition of accredited investor and expert investor at the end of this document. Additionally, if you are a non-resident of
Singapore, we would like to draw your attention to the disclosure at the end of this document.
As part of optionsXpress Singapores ongoing legal and regulatory requirements, you, as a Retail Singapore Customer, are required to provide some specific information about your
qualifications, experience and/or your knowledge of the products we offer.
You are therefore requested to provide complete and accurate information (and, if so required by us, supporting documentation or other evidence) to enable us to properly assess that
you have the relevant knowledge or experience to understand the risks and features of the products you intend to continue trading in accordance with the criteria set down by the
Monetary Authority of Singapore.
Inaccurate and incomplete information may affect the outcome of this assessment.

OR

1) Do you hold a degree or diploma in economics, accounting, commerce, actuarial science, finance, financial engineering, financial planning, business studies/business
management/business administration or similar?
( ) Yes
( ) No
2) Do you hold any professional finance-related qualifications (CFA, ACCA, or similar)?
( ) Yes
( ) No
If Yes, please provide details (Please state full name of qualification and issuing body):

OR
3) Have you been employed or are you currently employed by a financial institution (3 consecutive years in the past 10 years), in the development of, sale of, trading of, analysis of
investment products, or have work experience in accountancy, actuarial science, treasury or financial risk management?
( ) Yes
( ) No
If you have not answered Yes to any of the three questions above, proceed to questions 4. The below is a separate assessment to the trading experience questions
already answered in the application process:
4) In the last 3 years please indicate your level of trading activity Shares (traded on stock exchanges other than in Singapore):
( ) Less than a total of 6 trades in the last 3 years
( ) More than a total of 6 trades in the last 3 years
Options (traded on the exchanges in the United States or any other international Stock Exchange):
( ) Less than a total of 6 trades in the last 3 years
( ) More than a total of 6 trades in the last 3 years
Futures:
( ) Less than a total of 6 trades in the last 3 years
( ) More than a total of 6 trades in the last 3 years
If you have answered Less than a total of 6 trades in the last 3 years for Futures, optionsXpress will not be able to proceed with the opening of a Futures account. If you have answered
Less than a total of 6 trades in the last 3 years for either Shares or Options, optionsXpress will not be able to proceed with the opening of a securities account.
However, if you have answered Less than a total of 6 trades in the last 3 years for any of the above products, but would still like to proceed with undertaking transactions in that product,
you would need both to register for, undergo and successfully complete the Online Education Programme offered by the Singapore Exchange, found at https://onlineeducation.sgx.com
/specifiedinvestmentproducts/ [https://onlineeducation.sgx.com/specifiedinvestmentproducts/] and provide confirmation of the modules attended and successfully completed. Only once this is
received will we be able to proceed with opening your account.
SGX ONLINE EDUCATION PROGRAMME
Have you completed the SGX Online Education Programme and successfully passed the Quiz? (https://onlineeducation.sgx.com/specifiedinvestmentproducts
[https://onlineeducation.sgx.com/specifiedinvestmentproducts] )
( ) Yes
Pass mark attained: _______________
( ) No
I verify that I have understood the requirements of the assessment and that the information provided above is true and accurate.
Customer Signature
Name:
Email Address:

Date
_______________________________________
_______________________________________

Definitions and additional disclosures:


Accredited Investor and Expert Investor definitions:
(a) accredited investor means
(i) an individual
(A) whose net personal assets exceed in value $2 million (or its equivalent in a foreign currency) or such other amount as the Monetary Authority of Singapore (MAS) may
prescribe in place of the first amount; or
(B) whose income in the preceding 12 months is not less than $300,000 (or its equivalent in a foreign currency) or such other amount as the MAS may prescribe in place of the
first amount;
(ii) a corporation with net assets exceeding $10 million in value (or its equivalent in a foreign currency) or such other amount as the MAS may prescribe, in place of the first amount, as
determined by
(A) the most recent audited balance-sheet of the corporation; or
(B) where the corporation is not required to prepare audited accounts regularly, a balance-sheet of the corporation certified by the corporation as giving a true and fair view of the
state of affairs of the corporation as of the date of the balance-sheet, which date shall be within the preceding 12 months;
(iii) the trustee of such trust as the MAS may prescribe, when acting in that capacity; or
(iv) such other person as the MAS may prescribe, who are at present (by virtue of the Securities And Futures (Prescribed Specific Classes of Investors) Regulations 2005):
(A) the trustee of a trust of which all property and rights of any kind whatsoever held on trust for the beneficiaries of the trust exceed $10 million in value (or its equivalent in a
foreign currency);
(B) an entity (other than a corporation) with net assets exceeding $10 million in value (or its equivalent in a foreign currency);
(C) a partnership (other than a limited liability partnership within the meaning of the Limited Liability Partnerships Act 2005 (Act 5 of 2005)) in which each partner is an accredited
investor;
(D) a corporation, the sole business of which is to hold investments and the entire share capital of which is owned by one or more persons, each of whom is an accredited
investor.
(b) expert investor means

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(i) a person whose business involves the acquisition and disposal, or the holding, of capital markets products, whether as principal or agent;
(ii) the trustee of such trust as the Authority may prescribe, when acting in that capacity; or
(iii) such other person as the Authority may prescribe.
Non-Resident Non Application of CAR Notification:
The CAR process was expressly enacted to apply only where the holder of a capital markets services license holder (such as ourselves) being also an exempt financial adviser is also
obliged to provide or offer to provide financial advisory services. Pursuant to relevant regulations under the Financial Advisers Act (Chapter 110), no such obligation applies to persons
who are not Singapore citizens or Singapore Permanent Residents or a dependent of either. We are however required by our regulators to also formally notify all of our customers or
potential customers who are not Singapore citizens or Singapore Permanent Residents or a dependent of either that we are not required to and will not conduct any Customer Account
Review with respect to such customers and potential customers where we are not conducting such Customer Account Review.
optionsXpress Singapore Pte Ltd. makes no investment recommendations and does not provide financial, tax or legal advice. All Products and services offered in Singapore will be
provided by optionsXpress Singapore Pte Ltd. and may not be available or offered in all other jurisdictions.
optionsXpress Singapore Pte Ltd. (a holder of a capital markets services license issued by the Monetary Authority of Singapore) and Charles Schwab & Co., Inc. (Member SIPC) are
separate but affiliated companies and subsidiaries of The Charles Schwab Corporation. Nothing here is an offer or solicitation of securities, products or services by Charles Schwab &
Co., Inc. in any jurisdiction where their offer or sale is not qualified or exempt from registration.
Options involve risk and are not suitable for all investors. Please read Characteristics and Risks of Standardized Options available on our website or available by calling (+65) 6536
3922. Futures involve substantial risk and are not appropriate for all investors. Please read Risk Disclosure Statement for Futures and Options (available on our website) prior to
applying for an account. An investor should understand these and additional risks before trading.
All rights reserved 2013 optionsXpress Singapore Pte Ltd (Singapore Company Registration No. 200504402C).
1 George Street
#07-01A
Singapore 049145
c t: +65 6536 3922
f: +65 6536 1151
e: support@optionsxpress.com.sg
w: www.optionsxpress.com.sg

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