Open an Account - Argonaut

Client Application Form
* Asterisk = required field.
Account Type*
Select your account type
How Many Individuals?*
How Many Directors?*
Individual 1 Details
Please provide details for your account.

* Asterisk = required field.
Title*
Date of Birth*

Day
Month
Year
Name*
First Name Surname
Country of Birth*
Country of Citizenship or lawful permanent residency*
Individual 2 Details
Please provide details for your account.

* Asterisk = required field.
Title*
Date of Birth*

Day
Month
Year
Name*
First Name Surname
Country of Birth*
Country of Citizenship or lawful permanent residency*
Individual 3 Details
Please provide details for your account.

* Asterisk = required field.
Title*
Date of Birth*

Day
Month
Year
Name*
First Name Surname
Country of Birth*
Country of Citizenship or lawful permanent residency*
Company Details
Please provide your company details.

* Asterisk = required field.
Company Name*
ABN / ACN*
Country of Incorporation*
Company Type*
Number of Directors*
ARBN or foreign registration number*
Place of Incorporation
Director 1 Details
* Asterisk = required field.
Title*
Date of Birth*

Day
Month
Year
Name*
First Name Surname
Country of Birth*
Country of Citizenship or lawful permanent residency*
Director 2 Details
* Asterisk = required field.
Title*
Date of Birth*

Day
Month
Year
Name*
First Name Surname
Country of Birth*
Country of Citizenship or lawful permanent residency*
Director 3 Details
* Asterisk = required field.
Title*
Date of Birth*

Day
Month
Year
Name*
First Name Surname
Country of Birth*
Country of Citizenship or lawful permanent residency*
Trust / Superannuation Fund Details
Please provide details.

* Asterisk = required field.
Name of Trust*
ABN / ARBN*
Country of Establishment*
Type of Trust*
Name of the Trustee*
Account Designation
Trust name, Superannuation Fund Name, Minor (child). Must not be more than 28 characters.

* Asterisk = required field.
Designation*
Authorised Agent
If you wish to authorise a third party to operate your account, please complete the below details. Until you notify us in writing that the authority has been revoked, the following person is authorised to act on your behalf, including giving dealing and other instructions, information and requests and/or receive account information.

* Asterisk = required field.
Are You Authorised?*
Title*
Date of Birth*

Day
Month
Year
Name*
First Name Surname
Address*
Street Address Address Line 2 City ZIP / Postal Code
Country of Birth*
Country of Citizenship or lawful permanent residency*
Position Held*
Phone Number*
Do you have Power of Attorney or signatory authority to a person with a U.S. address?*
- Yes
- No
Address
This cannot be a PO Box.

* Asterisk = required field.
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Contact Details
* Asterisk = required field.
Mobile Phone*
Note: Provide at least one contact phone number.
Home Phone
Work Phone
Fax Number
Email*
Confirm Email*
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Open an account with Argonaut

Client Application Form

Individual 1 Details

Individual 2 Details

Individual 3 Details

Company Details

Director 1 Details

Director 2 Details

Director 3 Details

Trust / Superannuation Fund Details

Account Designation

Authorised Agent

Address

Contact Details