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Personal details of individual or company representative.
Name of Company(if not an individual)
Registration Number
Member Type
Member
Broker
Title
Names
Last Name
Call Name
Work Phone Number
Fax Number
Home Phone Number
Mobile Number
E-Mail Address
Language Preference
Afrikaans
English
Contact Preference
Mail
E-Mail
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Phone
By Hand
Gender
Male
Female
ID Number
Birth Date
Address
Address Type
Physical
Postal
Delivery
Address Line 1
Address Line 2
Address Line 3
City / Suburb
Post Code
Province
Gauteng
Mpumalanga
North-West
Free State
KwaZulu-Natal
Limpopo
Northern Cape
Western Cape
Eastern Cape
Country
Afghanistan
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Algeria
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Angola
Anguilla
Antarctica
Antigua And Barbuda
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Australia
Austria
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Bangladesh
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Belarus
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Bolivia, Plurinational State Of
Bosnia And Herzegovina
Botswana
Bouvet Island
Brazil
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Burkina Faso
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Cameroon
Canada
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Cook Islands
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Gabon
Gambia
Georgia
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Ghana
Gibraltar
Greece
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Guinea
Guinea-Bissau
Guyana
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Heard Island And Mcdonald Islands
Honduras
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Hungary
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Iran, Islamic Republic Of
Iraq
Ireland
Isle Of Man
Israel
Italy
Jamaica
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Jordan
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Kenya
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Korea, Democratic People's Republic Of
Korea, Republic Of
Kuwait
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Latvia
Lebanon
Lesotho
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Libyan Arab Jamahiriya
Liechtenstein
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Macao
Macedonia, The Former Yugoslav Republic Of
Madagascar
Malawi
Malaysia
Maldives
Mali
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Martinique
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Moldova, Republic Of
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Panama
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Poland
Portugal
Puerto Rico
Qatar
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Romania
Russian Federation
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Saint Barthélemy
Saint Helena, Ascension And Tristan Da Cunha
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Saint Lucia
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Samoa
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Saudi Arabia
Senegal
Serbia
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Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia And The South Sandwich Islands
Spain
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Sudan
Suriname
Svalbard And Jan Mayen
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Province Of China
Tajikistan
Tanzania, United Republic Of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad And Tobago
Tunisia
Turkey
Turkmenistan
Turks And Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Vatican City State
Venezuela, Bolivarian Republic Of
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis And Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Korea
Laos
Taiwan
UAE
Vietnam
Document uploads
Proof of Payment(if any)
ID Document
Proof of Address
Bank Statement
Company Registration
and Proxy
Terms and conditions
Accept conditions in terms of agreement / Aanvaarding van bepalings in terme van ooreenkoms.
I hereby apply for membership of Amara Capital together with the acquisition of one share at R1, and unconditionally:
accept that Amara Capital commits and invests members’ funds in physical precious metals and derivates
understand and accept that members’ funds are affected and dependant on the fluctuations in value of precious metals and derivates in the various Amara Capital pools, that derivate trading and other related instruments comes with high risk and associated with losses
accept that Amara Capital is not a financial service provider and that it provides no financial service, no advice, no intermediary service and no guarantees in respect of profits as contemplated in any Financial Advisory and Intermediary Services Act, regulation or otherwise
that Amara Capital is regulated by the Co-operatives Act [as amended], the Regulations and its Constitution and subject myself to the rules and regulations of Amara Capital as may lawfully be amended from time to time
accept and agree that Amara Capital exercises members’ rights as a collective right on behalf of members and that no individual rights vest with members
accept that Amara Capital transaction fees, monthly payment of insurance in respect of precious metal holdings, administration and other costs are to be borne by members pro rate to their precious metal holdings and syndicated pool participations
accept that my membership may be terminated by Amara Capital under circumstances where I have no precious metal holdings or no financial involvement in any of the structured pools whether directly or as a syndicated participant
accept that the approval and termination of my Amara Capital membership to be at the sole discretion of the Amara Capital board
It is noted that the entity comply with POPI Act 2013
I have read and accept conditions of membership / Ek het die bepalings en vereiste gelees en aanvaar
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