This document is an Introducing Broker (IB) Partnership Request form that collects personal and professional information from potential IBs. It requests details such as name, date of birth, contact information, education, job title, industry, and experience working as an IB. It also asks about the potential IB's client acquisition methods, typical client deposit amounts, monthly trading volumes, languages spoken, and target countries for client sourcing. Signing and returning the completed form along with identification allows the brokerage to contact the potential IB and provide more information about becoming an IB partner.

1. INTRODUCING BROKER (IB) PARTNERSHIP REQUEST
Please complete, sign and email this form to ib@lqdmarkets.com together with a copy of your passport/ID and a copy of your utility
bill. One of our team members will then contact you with more information and assistance.
► PERSONAL INFORMATION
First Name:
Last Name:
Date of Birth:
Telephone Number:
Email:
Country City:
Highest level of education:
Job Title: Industry:
Are you interested in becoming an
IB as a Private Client or a Company?
If company, what is the company’s
name?
Do you have a Website (if yes, what
is the URL)?
► EXPERIENCE
Have you ever worked as an
Introducing Broker (IB) before?
If yes, for which company?
How many clients do you intend to
introduce as soon as you get started
with LQD Markets Ltd:
How many clients will you introduce
on an average monthly basis?
How do you find your clients? (e.g.
from websites, social circles,
seminars, etc.)
What will be the initial deposit of your
clients on average?
What volume do your clients generally
trade per month (in lots)?
What language (s) do you speak?
What countries will your clients be
from?
Signature: Date:
For Office use only :
Date in: Check by :
Processed
Date processed: by :
Account Number: Visa:
Ref. Code :MYIB13