FC Exchange

Open a free account as a private client

Please complete the form below to open an account as a private client.

*Title:

*First Name(s):

*Surname:

*Date of Birth (dd/mm/yyyy):

*Email Address:

*Telephone Number:

Mobile number:

Fax number:

*Address:

*City:

*Postcode:

*Country:

Occupation:

*Place of Birth:

*Nationality:

*Reason for Currency Transfer:

Other:

*Sources of funds:

Other:

Currency Required:

Approximate Amount Required:

*Destination Country of Currency Transfer:

*Security question – Mother's maiden name:

Have you spoken to anyone FC Exchange?

Where did you hear about FC Exchange?

Any other requirements:

* - Required fields

Please note that money laundering regulations require that we obtain the information above and that we receive proof of identification and 1 form of proof of address before we are able to transact with you.

I confirm that I have read, understood and agreed to the Foreign Currency Exchange Terms and Conditions.

I confirm that the information provided by myself is correct and that Foreign Currency Exchange will be notified immediately of any changes.