Client Information Profile

NEW - Client Information Profile

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Please provide additional information to verify your identity.

First name *

Last name *

Preferred Telephone *

Time zone *

Email address *

Country of residence *

Date of birth *

Nationality *

Your Residential Address *

Town *

Postal / Zip Code *

State of Health *

Marital Status

If Married: Full Name of Spouse

Number of Dependants

Occupation or Profession

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

Please upload a utility bill as proof of address (dated within the last 3 months) *

Maximum file size: 134.22MB

Please upload copies of professional qualifications/curriculum vitae

Maximum file size: 134.22MB

If you are human, leave this field blank.

IntaCapital Swiss SA,
Rue du Rhône 80 - 84,
CH - 1204 Genève,
Switzerland