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Broker portal

To apply as a broker, you will need to provide a completed Prospective Intermediary Profile (PIP) to confirm this is your main line of business.
All information provided is strictly confidential and allows us to proceed further with your application. Before getting started, here is some helpful information about this form.

Broker details

Provide your personal information

First Name*

Please enter a valid First name*

Last Name*

Please enter a valid Last name*

Nationality*

  • Afghan

  • Albanian

  • Algerian

  • American

  • Andorran

  • Angolan

  • Antiguan, Barbudan

  • Argentine

  • Armenian

  • Australian

  • Austrian

  • Azerbaijani, Azeri

  • Bahamian

  • Bahraini

  • Bangladeshi

  • Barbadian

  • Basotho

  • Belarusian

  • Belgian

  • Belizean

  • Beninese, Beninois

  • Bhutanese

  • Bissau-Guinean

  • Bolivian

  • Bosnian or Herzegovinian

  • Brazilian

  • British, UK

  • Bruneian

  • Bulgarian

  • Burkinabe

  • Burmese

  • Burundian

  • Cabo Verdean

  • Cambodian

  • Cameroonian

  • Canadian

  • Central African

  • Chadian

  • Chilean

  • Chinese

  • Colombian

  • Comoran, Comorian

  • Congolese

  • Congolese

  • Costa Rican

  • Croatian

  • Cuban

  • Cypriot

  • Czech

  • Danish

  • Djiboutian

  • Dominican

  • Dominican

  • Dutch, Netherlandic

  • Ecuadorian

  • Egyptian

  • Emirati, Emirian, Emiri

  • Equatorial Guinean, Equatoguinean

  • Eritrean

  • Estonian

  • Ethiopian

  • Fijian

  • Finnish

  • French

  • Gabonese

  • Gambian

  • Georgian

  • German

  • Ghanaian

  • Greek, Hellenic

  • Grenadian

  • Guatemalan

  • Guinean

  • Guyanese

  • Haitian

  • Honduran

  • Hungarian, Magyar

  • I-Kiribati

  • Icelandic

  • Indian

  • Indonesian

  • Iranian, Persian

  • Iraqi

  • Irish

  • Italian

  • Ivorian

  • Jamaican

  • Japanese

  • Jordanian

  • Kazakhstani, Kazakh

  • Kenyan

  • Kittitian or Nevisian

  • Kuwaiti

  • Kyrgyzstani, Kyrgyz, Kirgiz, Kirghiz

  • Lao, Laotian

  • Latvian

  • Lebanese

  • Liberian

  • Libyan

  • Liechtenstein

  • Lithuanian

  • Luxembourg, Luxembourgish

  • Macedonian

  • Malagasy

  • Malawian

  • Malaysian

  • Maldivian

  • Malian, Malinese

  • Maltese

  • Marshallese

  • Mauritanian

  • Mauritian

  • Mexican

  • Micronesian

  • Moldovan

  • Mongolian

  • Montenegrin

  • Monégasque, Monacan

  • Moroccan

  • Motswana, Botswanan

  • Mozambican

  • Namibian

  • Nauruan

  • Nepali, Nepalese

  • New Zealand, NZ

  • Ni-Vanuatu, Vanuatuan

  • Nicaraguan

  • Nigerian

  • Nigerien

  • North Korean

  • Norwegian

  • Omani

  • Pakistani

  • Palauan

  • Panamanian

  • Papua New Guinean, Papuan

  • Paraguayan

  • Peruvian

  • Philippine, Filipino

  • Polish

  • Portuguese

  • Qatari

  • Romanian

  • Russian

  • Rwandan

  • Saint Lucian

  • Saint Vincentian, Vincentian

  • Salvadoran

  • Sammarinese or San Marinese

  • Samoan

  • Saudi, Saudi Arabian

  • Senegalese

  • Serbian

  • Seychellois

  • Sierra Leonean

  • Singaporean

  • Slovak

  • Slovenian, Slovene

  • Solomon Island

  • Somali, Somalian

  • South African

  • South Korean

  • South Sudanese

  • Spanish

  • Sri Lankan

  • Sudanese

  • Surinamese

  • Swedish

  • Swiss

  • Syrian

  • São Toméan

  • Taiwanese

  • Tajikistani

  • Tanzanian

  • Thai

  • Timorese

  • Togolese

  • Tongan

  • Trinidadian or Tobagonian

  • Tunisian

  • Turkish

  • Turkmen

  • Tuvaluan

  • Ugandan

  • Ukrainian

  • Uruguayan

  • Uzbekistani, Uzbek

  • Vatican

  • Vatican

  • Venezuelan

  • Vietnamese

  • Yemeni

  • Zambian

  • Zimbabwean

Please select a valid nationality

State of Health*

  • Good

  • Fair

  • Poor

Please select a valid State of health*

+44

  • Flag of Afghanistan Afghanistan +93

  • Flag of Albania Albania +355

  • Flag of Algeria Algeria +213

  • Flag of Andorra Andorra +376

  • Flag of Angola Angola +244

  • Flag of Antigua and Barbuda Antigua and Barbuda +1 268

  • Flag of Argentina Argentina +54

  • Flag of Armenia Armenia +374

  • Flag of Australia Australia +61

  • Flag of Austria Austria +43

  • Flag of Azerbaijan Azerbaijan +994

  • Flag of Bahamas Bahamas +1 242

  • Flag of Bahrain Bahrain +973

  • Flag of Bangladesh Bangladesh +880

  • Flag of Barbados Barbados +1 246

  • Flag of Belarus Belarus +375

  • Flag of Belgium Belgium +32

  • Flag of Belize Belize +501

  • Flag of Benin Benin +229

  • Flag of Bhutan Bhutan +975

  • Flag of Bolivia Bolivia +591

  • Flag of Bosnia and Herzegovina Bosnia and Herzegovina +387

  • Flag of Botswana Botswana +267

  • Flag of Brazil Brazil +55

  • Flag of Brunei Brunei +673

  • Flag of Bulgaria Bulgaria +359

  • Flag of Burkina Faso Burkina Faso +226

  • Flag of Burundi Burundi +257

  • Flag of Cabo Verde Cabo Verde +238

  • Flag of Cambodia Cambodia +855

  • Flag of Cameroon Cameroon +237

  • Flag of Canada Canada +1

  • Flag of Central African Republic Central African Republic +236

  • Flag of Chad Chad +235

  • Flag of Chile Chile +56

  • Flag of China China +86

  • Flag of Colombia Colombia +57

  • Flag of Comoros Comoros +269

  • Flag of Congo Congo +242

  • Flag of Costa Rica Costa Rica +506

  • Flag of Cote d`Ivoire Cote d`Ivoire +225

  • Flag of Croatia Croatia +385

  • Flag of Cuba Cuba +53

  • Flag of Cyprus Cyprus +357

  • Flag of Czech Republic Czech Republic +420

  • Flag of Denmark Denmark +45

  • Flag of Djibouti Djibouti +253

  • Flag of Dominica Dominica +1 767

  • Flag of Dominican Republic Dominican Republic +1 849

  • Flag of Ecuador Ecuador +593

  • Flag of Egypt Egypt +20

  • Flag of El Salvador El Salvador +503

  • Flag of Equatorial Guinea Equatorial Guinea +240

  • Flag of Eritrea Eritrea +291

  • Flag of Estonia Estonia +372

  • Flag of Ethiopia Ethiopia +251

  • Flag of Fiji Fiji +679

  • Flag of Finland Finland +358

  • Flag of France France +33

  • Flag of Gabon Gabon +241

  • Flag of Gambia Gambia +220

  • Flag of Georgia Georgia +995

  • Flag of Germany Germany +49

  • Flag of Ghana Ghana +233

  • Flag of Greece Greece +30

  • Flag of Grenada Grenada +1 473

  • Flag of Guatemala Guatemala +502

  • Flag of Guinea Guinea +224

  • Flag of Guinea-Bissau Guinea-Bissau +245

  • Flag of Guyana Guyana +592

  • Flag of Haiti Haiti +509

  • Flag of Holly See Holly See +379

  • Flag of Honduras Honduras +504

  • Flag of Hungary Hungary +36

  • Flag of Iceland Iceland +354

  • Flag of India India +91

  • Flag of Indonesia Indonesia +62

  • Flag of Iran Iran +98

  • Flag of Iraq Iraq +964

  • Flag of Ireland Ireland +353

  • Flag of Italy Italy +39

  • Flag of Jamaica Jamaica +1 876

  • Flag of Japan Japan +81

  • Flag of Jordan Jordan +962

  • Flag of Kazakhstan Kazakhstan +7 7

  • Flag of Kenya Kenya +254

  • Flag of Kiribati Kiribati +686

  • Flag of Kuwait Kuwait +965

  • Flag of Kyrgyzstan Kyrgyzstan +996

  • Flag of Laos Laos +856

  • Flag of Latvia Latvia +371

  • Flag of Lebanon Lebanon +961

  • Flag of Lesotho Lesotho +266

  • Flag of Liberia Liberia +231

  • Flag of Libya Libya +218

  • Flag of Liechtenstein Liechtenstein +423

  • Flag of Lithuania Lithuania +370

  • Flag of Luxembourg Luxembourg +352

  • Flag of Madagascar Madagascar +261

  • Flag of Malawi Malawi +265

  • Flag of Malaysia Malaysia +60

  • Flag of Maldives Maldives +960

  • Flag of Mali Mali +223

  • Flag of Malta Malta +356

  • Flag of Marshall Islands Marshall Islands +692

  • Flag of Mauritania Mauritania +222

  • Flag of Mauritius Mauritius +230

  • Flag of Mexico Mexico +52

  • Flag of Micronesia Micronesia +691

  • Flag of Moldova Moldova +373

  • Flag of Monaco Monaco +377

  • Flag of Mongolia Mongolia +976

  • Flag of Montenegro Montenegro +382

  • Flag of Morocco Morocco +212

  • Flag of Mozambique Mozambique +258

  • Flag of Myanmar Myanmar +95

  • Flag of Namibia Namibia +264

  • Flag of Nauru Nauru +674

  • Flag of Nepal Nepal +977

  • Flag of Netherlands Netherlands +31

  • Flag of New Zealand New Zealand +64

  • Flag of Nicaragua Nicaragua +505

  • Flag of Niger Niger +227

  • Flag of Nigeria Nigeria +234

  • Flag of North Korea North Korea +850

  • Flag of North Macedonia North Macedonia +389

  • Flag of Norway Norway +47

  • Flag of Oman Oman +968

  • Flag of Pakistan Pakistan +92

  • Flag of Palau Palau +680

  • Flag of Panama Panama +507

  • Flag of Papua New Guinea Papua New Guinea +675

  • Flag of Paraguay Paraguay +595

  • Flag of Peru Peru +51

  • Flag of Philippines Philippines +63

  • Flag of Poland Poland +48

  • Flag of Portugal Portugal +351

  • Flag of Qatar Qatar +974

  • Flag of Republic of the Congo Republic of the Congo +242

  • Flag of Romania Romania +40

  • Flag of Russia Russia +7

  • Flag of Rwanda Rwanda +250

  • Flag of Saint Kitts and Nevis Saint Kitts and Nevis +1 869

  • Flag of Saint Lucia Saint Lucia +1 758

  • Flag of Saint Vincent and the Grenadines Saint Vincent and the Grenadines +1 784

  • Flag of Samoa Samoa +685

  • Flag of San Marino San Marino +378

  • Flag of Sao Tome and Principe Sao Tome and Principe +239

  • Flag of Saudi Arabia Saudi Arabia +966

  • Flag of Senegal Senegal +221

  • Flag of Serbia Serbia +381

  • Flag of Seychelles Seychelles +248

  • Flag of Sierra Leone Sierra Leone +232

  • Flag of Singapore Singapore +65

  • Flag of Slovakia Slovakia +421

  • Flag of Slovenia Slovenia +386

  • Flag of Solomon Islands Solomon Islands +677

  • Flag of Somalia Somalia +252

  • Flag of South Africa South Africa +27

  • Flag of South Korea South Korea +82

  • Flag of South Sudan South Sudan +211

  • Flag of Spain Spain +34

  • Flag of Sri Lanka Sri Lanka +94

  • Flag of Sudan Sudan +249

  • Flag of Suriname Suriname +597

  • Flag of Sweden Sweden +46

  • Flag of Switzerland Switzerland +41

  • Flag of Syria Syria +963

  • Flag of Taiwan Taiwan +886

  • Flag of Tajikistan Tajikistan +992

  • Flag of Tanzania Tanzania +255

  • Flag of Thailand Thailand +66

  • Flag of Timor-Leste Timor-Leste +670

  • Flag of Togo Togo +228

  • Flag of Tonga Tonga +676

  • Flag of Trinidad and Tobago Trinidad and Tobago +1 868

  • Flag of Tunisia Tunisia +216

  • Flag of Turkey Turkey +90

  • Flag of Turkmenistan Turkmenistan +993

  • Flag of Tuvalu Tuvalu +688

  • Flag of Uganda Uganda +256

  • Flag of Ukraine Ukraine +380

  • Flag of United Arab Emirates United Arab Emirates +971

  • Flag of United Kingdom United Kingdom +44

  • Flag of United States United States +1

  • Flag of Uruguay Uruguay +598

  • Flag of Uzbekistan Uzbekistan +998

  • Flag of Vanuatu Vanuatu +678

  • Flag of Vatican City Vatican City +379

  • Flag of Venezuela Venezuela +58

  • Flag of Vietnam Vietnam +84

  • Flag of Yemen Yemen +967

  • Flag of Zambia Zambia +260

  • Flag of Zimbabwe Zimbabwe +263

Please select a valid Preferred Telephone*

Time Zone*s

  • CET (Central European Time) (CET +0:00)

  • GMT (Greenwich Mean Time) (CET -1:00)

  • UTC (Coordinated Universal Time) (CET -1:00)

  • EST (Eastern Standard Time) (CET -6:00)

  • PST (Pacific Standard Time) (CET -9:00)

  • JST (Japan Standard Time) (CET +8:00)

  • IST (Indian Standard Time) (CET +4:30)

  • AEDT (Australian Eastern Daylight Time) (CET +10:00)

  • NZDT (New Zealand Daylight Time) (CET +12:00)

  • ART (Argentina Time) (CET -4:00)

  • AST (Arabian Standard Time) (CET +2:00)

Please select a valid Time Zone*

You’ll receive a call during Swiss working hours 9am – 5pm CET

Country of Residence

  • Afghanistan

  • Albania

  • Algeria

  • Andorra

  • Angola

  • Antigua and Barbuda

  • Argentina

  • Armenia

  • Australia

  • Austria

  • Azerbaijan

  • Bahamas

  • Bahrain

  • Bangladesh

  • Barbados

  • Belarus

  • Belgium

  • Belize

  • Benin

  • Bhutan

  • Bolivia

  • Bosnia and Herzegovina

  • Botswana

  • Brazil

  • Brunei

  • Bulgaria

  • Burkina Faso

  • Burundi

  • Cabo Verde

  • Cambodia

  • Cameroon

  • Canada

  • Central African Republic

  • Chad

  • Chile

  • China

  • Colombia

  • Comoros

  • Congo

  • Costa Rica

  • Cote d`Ivoire

  • Croatia

  • Cuba

  • Cyprus

  • Czech Republic

  • Denmark

  • Djibouti

  • Dominica

  • Dominican Republic

  • Ecuador

  • Egypt

  • El Salvador

  • Equatorial Guinea

  • Eritrea

  • Estonia

  • Ethiopia

  • Fiji

  • Finland

  • France

  • Gabon

  • Gambia

  • Georgia

  • Germany

  • Ghana

  • Greece

  • Grenada

  • Guatemala

  • Guinea

  • Guinea-Bissau

  • Guyana

  • Haiti

  • Holly See

  • Honduras

  • Hungary

  • Iceland

  • India

  • Indonesia

  • Iran

  • Iraq

  • Ireland

  • Italy

  • Jamaica

  • Japan

  • Jordan

  • Kazakhstan

  • Kenya

  • Kiribati

  • Kuwait

  • Kyrgyzstan

  • Laos

  • Latvia

  • Lebanon

  • Lesotho

  • Liberia

  • Libya

  • Liechtenstein

  • Lithuania

  • Luxembourg

  • Madagascar

  • Malawi

  • Malaysia

  • Maldives

  • Mali

  • Malta

  • Marshall Islands

  • Mauritania

  • Mauritius

  • Mexico

  • Micronesia

  • Moldova

  • Monaco

  • Mongolia

  • Montenegro

  • Morocco

  • Mozambique

  • Myanmar

  • Namibia

  • Nauru

  • Nepal

  • Netherlands

  • New Zealand

  • Nicaragua

  • Niger

  • Nigeria

  • North Korea

  • North Macedonia

  • Norway

  • Oman

  • Pakistan

  • Palau

  • Panama

  • Papua New Guinea

  • Paraguay

  • Peru

  • Philippines

  • Poland

  • Portugal

  • Qatar

  • Republic of the Congo

  • Romania

  • Russia

  • Rwanda

  • Saint Kitts and Nevis

  • Saint Lucia

  • Saint Vincent and the Grenadines

  • Samoa

  • San Marino

  • Sao Tome and Principe

  • Saudi Arabia

  • Senegal

  • Serbia

  • Seychelles

  • Sierra Leone

  • Singapore

  • Slovakia

  • Slovenia

  • Solomon Islands

  • Somalia

  • South Africa

  • South Korea

  • South Sudan

  • Spain

  • Sri Lanka

  • Sudan

  • Suriname

  • Sweden

  • Switzerland

  • Syria

  • Taiwan

  • Tajikistan

  • Tanzania

  • Thailand

  • Timor-Leste

  • Togo

  • Tonga

  • Trinidad and Tobago

  • Tunisia

  • Turkey

  • Turkmenistan

  • Tuvalu

  • Uganda

  • Ukraine

  • United Arab Emirates

  • United Kingdom

  • United States

  • Uruguay

  • Uzbekistan

  • Vanuatu

  • Vatican City

  • Venezuela

  • Vietnam

  • Yemen

  • Zambia

  • Zimbabwe

Please select a valid Country of Residence

Have you been a resident of another country in the past 10 years?*

Yes

No

Please upload a copy of Passport*

Clear Colour Copy - Maximum upload size: 10MB

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Please upload a valid file*

Please upload a copy of a Utility bill*

Dated within 3 months - Maximum upload size: 10MB

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Please upload a valid file*

Prospective Intermediary Profile

Provide information about your Brokerage

Is this your main line of business?*

Yes

No

Are you a qualified broker?*

Yes

No

Is your Brokerage Licensed or Regulated*

Yes

No

Name of your Brokerage*

Please enter a valid Brokerage name

Registration Number

Please enter a valid registration number

Date you started Trading*

Select a year

> Select a month

Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec

> > Select a day

Please select a valid date*

Trading Address*

Please enter a valid Trading Address

Professional Qualifications

Please enter a valid Professional Qualifications

Copy of Professional Qualifications

if applicable - Maximum upload size: 10MB

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Please upload a valid image

Copy of Certificate of Incorporation*

if applicable - Maximum upload size: 10MB

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Please upload a valid file*

About your Company

Provide your Company details

Catchment Area of your Business

  • Africa

  • Asia

  • Europe

  • North America

  • Oceania

  • South America

  • World Wide

Please enter a valid catchment area

Type of Incorporation

  • Limited Company

  • Limited Liability Partnership

  • Partnership

  • Public / Listed Company

Please enter a valid incorporation type

What is the main line business of your Brokerage*

Please enter a valid Main line of business

Your Position within the Company*

  • Beneficial Owner

  • Authorised Director

  • Majority Shareholder or Senior Partner

  • Other, please state

Please select a valid position*

Anticipated Commission Turnover*

  • Under €100,000

  • €100,000 to €250,000

  • €250,000 to €500,000

  • Over €500,000

Please select a valid commission turnover*

Estimated customer introductions per quarter*

  • 1

  • 2-3

  • 4-10

  • 10+

Please select a valid Estimated customer introductions per quarter*

Address for all Correspondence*

Please enter a valid Main line of business*

Ever been made subject to bankruptcy or insolvency order or have been made bankrupt?*

Yes

No

Ever entered into a Individual Voluntary Arrangement (IVA) or Company Voluntary Arrangement (CVA)?*

Yes

No

Ever been banned from acting as a Company Director?*

Yes

No

Been convicted of a criminal offence for anything other than motoring offences?*

Yes

No

I confirm I've read the Privacy Policy , Terms & Conditions , and have provided true and accurate information.*

ICS Phase Two Forms - Broker (PIP)

Maximum file size: 134.22MB

Maximum file size: 134.22MB

Maximum file size: 134.22MB

Maximum file size: 134.22MB