INDIVIDUAL - Account Application

INDIVIDUAL - Account Application

Identifying and Citizenship Information

First Name Joaquín

Middle Name

Last Name Rotzait

Address Line 1 784 José Mármol

Address Line 2

City Buenos Aires

State CABA

Zip/Postal Code C1236

Country AR

Primary Phone +54 1140922435

Secondary Phone

Email Address caco.rotzait@gmail.com

Date of Birth 06/23/1996

Citizenship AR

SSN

Is US Citizen No
National ID 39643300

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 INDIVIDUAL - Account Application

EMPLOYMENT INFORMATION

Employment Record: 1

Employer Name Unemployed

Nature of Business

Employment Record: 2

Employer Name

Nature of Business

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 INDIVIDUAL - Account Application
FINANCIAL INFORMATION AND INVESTMENT EXPERIENCE

Please enter financial data for the entity applying for an account. Do not include personal funds. NinjaTrader may need to
request supporting documentation during the account application process.

Annual Income Under $25,000

Net Worth Under $25,000
Estimated Liquid Net Worth Under $25,000

Source of Risk Capital

Savings

Stocks/Bonds

If "Yes" - No. of Years

Funds

If "Yes" - No. of Years

Futures/Commodities

If "Yes" - No. of Years

Trading Objective Speculator

Nature of Business

Do you understand the following:

The risk of loss in commodity futures trading? Yes

The leverage provided in commodity futures and options trading? Yes
The possibility of incurring a debit balance? Yes
That you may be required to deposit additional funds to margin your account? Yes

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INDIVIDUAL - Account Application

Affiliations Information

Do any of the following apply to you? A member of NFA or any exchange, Registered with the CFTC, Employee of or
related to employee of an IB, FCM, CFTC, NFA, and/or Exchange*: No

If Yes, Id:

If "Yes", Briedfly explain Affiliation

Have you or your spouse, or any organization of which you were a director, officer, manager, partner, or owner filed for
bankruptcy, been subject to receivership, made an assignment for benefit of creditors, or similar actions, voluntarily or
involuntarily in the last 3 years? *: No

If "Yes", Please list a reason:

Has this bankruptcy been resolved?:

Bankruptcy cleared on:

Does anyone else have a financial interest in, guarantee or control of this account?: No
Full Name

Relationship

Address

State/Province

City

Country

Zipcode

Does any person other than the

owner(s) of the account have the No
authority to trade this account?*:

First Name

Last Name

SSN or GovId or TaxId Number

Relationship to Account

Is Person Being Compensated

If Yes – Explain

Manager's Phone

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INDIVIDUAL - Account Application
Manager's Email

Is this person affiliated with or

employed by a futures or securities
exchange, NFA, FINRA, a member
firm of either of those entities, or by
your introducing broker?

Affiliated With

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