Suite 3, 35A Carrington Road, Box Hill VIC 3128
Tel: +61 3 90412580 Email: info@ageforex.com.au
Full Name（姓名）*
Date of Birth（生日）*
Address / Post address（家庭住址 / 邮寄地址）*
Email （电子邮箱）*
Mobile（手机号）*
Home Phone（住宅电话）*
2 Identification Documents（需提供 2 个身份证件）* Passport with signature / ID Card / Driver License 护照 （需要有签字页） / 身份证 / 驾照
护照照片 *
须是清晰彩色原件电子版本。可以是扫描件或数码拍摄照片，支持Jpg、Png、Jpeg的图片格式。
请上传证件1的照片附件！
手持本人护照自拍照 *
确保护照文字清晰(应为他拍角度,请勿镜面反拍)；确保脸部无遮挡,露出肩膀和手臂!
Occupation（职业 / 公司信息）*
Employer Name（雇主名称）*
Source of Income（收入来源）*
I declare the information that I have provided is TRUE and CORRECT.
我在此声明，所提供的一切信息是真实并且准确的。
I declare I am NOT political exposed person (PEPs), all my funds are not sourced from any kinds of corruption, money laundering and terrorist financing activities.
我在此声明，我本人不是政治人物或政治人物的亲属或密切联系人，我声明我，以及我的资金来源不是通过贪污腐败，洗钱， 犯罪，恐怖活动等途径获取。
By providing phone number and email, I authorize AGE Group Pty Ltd to contact me by phone or email. Any transaction or fund transfer conducted over the registered phone or email is legal bound. I understand that I should notify AGE Group Pty Ltd as soon as possible once there are any changes to above information.
我本人授权优选全球汇以电话和电子邮件的方式与我联系，可以通过注册的电话，电子邮件进行交易和转账都将视为本人的交 易。我明白，如果有任何信息更改我需要第一时间通知优选全球汇。
I have read and understand all the terms and conditions which are listed on AGE Group Website. My information is collected to conduct business with AGE Group Pty Ltd and to comply with Anti-Money Laundering Laws.
我确认我已经阅读，理解并同意优选全球汇网站上的汇款服务条款，我已了解 AGE Group 因遵守反洗钱法和打击恐 怖主义行为而收集我个人资料的要求。
Signature 签名*
