Broker Verification

Applicant details

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Broker data

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Additional Comments

If you are seeking payment of a sum of money please provide any relevant calculations of your claim(s)

Supporting documents

Please attach copies of all documents you have that relate to your dispute. If your financial services provider has written to you about your dispute, please ensure that you provide a copy of its response.

Please do not submit the following information:

  • Personal ID documents: passports, driver’s licenses or other forms of personal identification
  • Financial documents: bank statements, debit/credit card details
  • Login information: usernames or passwords for trading, banking or other accounts
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