AT Global Markets Intl Ltd
HOME VISIT FORM
Confirmation of Residential Address
24 08 2022
Date: ____/____/______
Client Information:
Client Full Name:
Abdiel Ismael Calero Quiroz
Client Contact No:
593939995596
Client Nationality:
Ecuadorian
Gender: x Male
☐ ☐ Female
Marital Status:
Single
Country of Residence:
Ecuador
Client Email Address:
caleroismael3112@gmail.com
Type of Home Visit: x Home ______________________________________________
☐
Client’s Full Address:
(Mention country and city)
Via Quevedo km2, Santo Domingo, Ecuador
10 years
Number of years at the mentioned address __________
Documents reviewed at the home visit:
Type of Document Document Number
Identity card
1. __________________________ 1723054928
1. __________________________
2. __________________________ 2. __________________________
3. __________________________ 3. __________________________
4. __________________________ 4. __________________________
5. __________________________ 5. __________________________
Was the document provided in original form? x Yes ☐No ____________________________________________________________________
☐
The risk of loss in leveraged foreign exchange trading can be substantial. This may not be suitable as you may sustain losses in excess of your initial margin funds. Leverage can work against
you. Placing contingent orders, such as "stop-loss" or "stop-limit" orders, will not necessarily limit losses to the intended amounts. Market conditions may make it impossible to execute
such orders. You may be called upon at short notice to deposit additional margin funds. If the required funds are not provided within the prescribed time, your position may be liquidated.
You will remain liable for any resulting deficit in your account. You should therefore carefully consider whether such trading is suitable in light of your own financial position and investment
objectives. Do not speculate with capital that you cannot afford to lose. If you decide to trade products offered by ATFX, you must read and understand the terms and conditions provided
by ATFX.
AT Global Markets Intl Ltd
HOME VISIT FORM
Confirmation of Residential Address
Client Statement: I confirm that my permanent residential address is at the address detailed on this form. If such an address should
change or I should move, I will immediately notify the company of all or any such changes.
_____________________________
Signature:
ATFX Staff Declaration:
ATFX Staff Name:
Jorge Luis Martínez Hernández
Staff ID Code:
M0464
Staff title Account Manager
Full Name of Employer AT Global Markets Intl Ltd
Staff Statement: I confirm that this client resides at the residential address detailed on this form, and confirm I visited them at the
address above on dd/mm/yy
24/08/2022
_____________________________
Signature:
If you have any questions, please email us at cs.intl@atfx.com
The risk of loss in leveraged foreign exchange trading can be substantial. This may not be suitable as you may sustain losses in excess of your initial margin funds. Leverage can work against
you. Placing contingent orders, such as "stop-loss" or "stop-limit" orders, will not necessarily limit losses to the intended amounts. Market conditions may make it impossible to execute
such orders. You may be called upon at short notice to deposit additional margin funds. If the required funds are not provided within the prescribed time, your position may be liquidated.
You will remain liable for any resulting deficit in your account. You should therefore carefully consider whether such trading is suitable in light of your own financial position and investment
objectives. Do not speculate with capital that you cannot afford to lose. If you decide to trade products offered by ATFX, you must read and understand the terms and conditions provided
by ATFX.
