Account Application

Dear Investor
Thank you for applying for a Credential Direct account. To ensure your account is activated as soon as
possible, please send us the following documentation.
Account Application Checklist:
(For both the primary and joint applicant (if any)
 Date and sign all forms included with the New Account Application Form.
Note: Tax-Free Savings Accounts (TFSA) must also include a signed TFSA Application form. Margin
and Option Accounts require additional signatures on the Account Agreement page
 Banking verification to verify your identity and to validate your chequing account for electronic funds
transfers (EFTs). Please send either:

A bank account confirmation letter – Bring to your financial institution for completion (included
with your application) OR

A $10 personal cheque payable to Credential Direct – There will be a 5 business day hold on
account activity while your cheque clears. For Margin accounts, the required minimum is $2,000
 Provide a copy of valid-government issued photo ID (driver’s license, passport, or permanent
resident card) if not already provided. Please ensure the copy is fully legible.
 Enclose a registered Plans Transfer Form or an Authorization to Transfer Account Form if you
are transferring an account to Credential Direct. Include a copy of a recent account asset list statement
from the delivering institution. A transfer can take between 10 to 25 business days.
 Other documentation may be required (see applicable account opening checklists online):
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If
If
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If
If
someone other than the account holder will be doing the trading in the account
you are opening a(n):
Locked-In Registered Account
Registered Education Savings Plan (RESP)
Corporate, Investment Club, or Estate Account
Legal Trust or an informal trust account
you have a share certificate to deposit to your account
you are a US Citizen or other foreign citizen
Please forward your entire application package to:
Credential Direct
700 – 1111 West Georgia Street
Vancouver, BC V6E 4T6
We appreciate your interest in Credential Direct and look forward to assisting you.
If you have any questions or concerns, please contact us at 1.877.742.2900 or email
support@credentialdirect.com
Credential Direct
877.742.2900 Toll Fee
700 – 1111 West Georgia Street
877.742.2901 Fax
Credential Direct is a division of Credential Securities Inc. and operates as a separate business unit.
Vancouver, BC V6E 4T6
credentialdirect.com
Credential Securities is a Member of the Canadian Investor Protection Fund (CIPF). V2.2 (2015 02)
Promotion Code: _____________________
New Account Application Form
(Order Execution Only)
All questions must be answered. Securities regulators require that we obtain your personal and financial information.
Are you requesting a:  New Account
 Update to an Existing Account
 English
Language Preference
 French
Account Type and Ownership
Cash & Margin (Personal or Joint)
Registered Accounts
Account Type
Ownership (select one)
Account Type (select one)



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 Individual


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


Cash Trading (cash settlement)
 Corporate
 Partnership
Margin Long (borrowing against equity)  Joint (WROS)
Margin Short (short selling)
Margin Long with Option Trading




Long Calls & Puts (level 1)
Covered Call Writing (level 2)
Spreads (level 3)
Uncovered Writing (level 4)
 Other:

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
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 Sole Propietorship
Formal Trust
Estate
Association
Investment Club



Locked-in Retirement Account (LIRA)

Restricted Locked-in Savings Plan (RLSP) 
Registered Education Savings Plan (RESP) 
Tax Free Savings Account (TFSA)
Retirement Savings Plan (RSP)
Spousal RSP
 Individual
Charitable Organization
Registered Account Features
Joint (WROS) Informal Trust
 Option Trading
Life Income Fund (LIF)
Restricted LIF (RLIF)
Prescribed RIF (PRIF)
 Covered Call Writing (level 2)
 Long Calls + Puts (level 1)
Complete if applicable:
Locked-in RIF (LRIF)
 Family
Individual Informal Trust*
Other:
Retirement Income Fund (RIF)
Spousal RIF
If Locked-in, please indicate:
In Trust For
In Trust For
*1
Pension Plan Sponsor
Province of Legislation
2
Pro Account

You are a “PRO” if you or someone in your household is employed with an IIROC member firm. Please provide a letter from the firm’s compliance department to open the account.
NOTES: Both CDN and US Currency Accounts will be opened for non-registered account. Registered accounts are in CDN funds only. One registered account per application.
For Locked-in plans, attach appropriate Addendum and applicable Spousal/Common-law Partner Consent form.
Tell Us about Yourself as the Applicant / Corporate or Annuitant’s Information
Title
First Name
Business/Charity Number
Middle Name
Entity Type
Social Insurance Number
Unit
Last Name
Legal Entity Name
Social Security Number (if applicable)
Citizenship
Street Address
Country
Marital Status
Date of Birth (dd/mmm/yyyy)
City
Phone Number
Alternate Phone Number
Street or PO Box Mailing Address (if different from above)
Province
Postal Code
Postal Code
Country
Email Address
City
Province
Occupation
Applicant Employer’s Name
Type of Business
Full Name of Spouse or Common-law Partner
Spouse’s Occupation
Spouse or Common-law Partner Employer’s Name
For Joint Accounts, Tell Us About the Joint Applicant (Not applicable to TFSA, RSP or RIF accounts)
Title
First Name
Middle Name
Social Insurance Number
Unit
Social Security Number (if applicable)
Street Address
Country
Last Name
Marital Status
Citizenship
Date of Birth (dd/mmm/yyyy)
City
Phone Number
Alternate Phone Number
Street or PO Box Mailing Address (if different from above)
Province
Postal Code
Postal Code
Country
Email Address
City
Province
Occupation
Applicant Employer’s Name
Type of Business
Full Name of Spouse or Common-law Partner
Spouse’s Occupation
Spouse or Common-law Partner Employer’s Name
Financial Information
Please include a cheque in the amount of $10.00 payable to Credential Direct drawn from this account. The information provided will be used to electronically transfer funds
between your Credential Direct account and your financial institution account. A personalized cheque is required for all accounts in support of the information below. (Counter
cheques are not accepted.) This information can be found on most cheques.
Financial Institution Name
*CD_OPS_NAF_ACT*
Address
Bank Transit Number
#700 - 1111 WEST GEORGIA STREET, VANCOUVER, B.C. V6E 4T6
Institution Number Account Number
TEL: 1.877.742.2900 FAX: 1.877.742.2901
CD V2.2 (2016 11)
PAGE 1 OF 5
(Order Execution Only)
Tell us the Nature of Your Investment Experience
1.
Identify your past investment experience in the following
Applicant or Annuitant
2.
Joint Applicant






Stocks
Bonds
Mutual Funds
Options
Commodities/Futures
None
5.
How did you hear about Credential Direct?
Through
How






Financial Institution
Please specify (ie: Financial Institution Branch / Website, Newspaper Ad, Online Ad,
Referral (name), Search Engine, Promo Code, Other)
6.
Are you considered an Insider¹ and/or a Control Person² (CP) of
any public companies listed in Canada or the U.S.?
Applicant or Annuitant
Joint Applicant




No
Yes
How do you rate your investment knowledge?
If “Yes”, provide the following information:
Applicant or Annuitant
Joint Applicant







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Sophisticated
Good / Average
Limited
Poor / Nil
Company
Symbol
Market
Insider Reporting¹
3.
Please state the following:
Applicant or Annuitant
Annual Income
Applicant or Annuitant
Joint Applicant








No
Yes
$
Joint Applicant
Control Person²
No
Yes
$
Spouse or Common Law Partner Annual Income:
Annual Income
4.
$
7.
$
Do you have any other accounts at Credential Direct or, other
brokerage firms, or control the trading in any other accounts?
What is your approximate net worth?
Applicant or Annuitant
Total Net Worth
Applicant or Annuitant
Joint Applicant




No
Yes
$
If “Yes”, provide the following information:
Joint Applicant
Brokerage Firm(s)
Account Number(s)
$
8. After all deposits and transfers, what will the size of this account be?
Cash/Margin Account
 $50,000 - $250,000
 up to $50,000
 $250,000 - $1,000,000
 $1,000,000
9. What is the Purpose of the Account you are opening? (select one or add your own)
Cash/Margin Account
 Short-term Investing  Long-term Investing  Market Speculation  Retirement  Education  Other:
10. Is the applicant a registered Charity?  No
11. Third Party Determination Statement
 Yes
Does the Charity solicit charitable funds from the public?
 No  Yes
Will any party be associated with the account in any of the following capacities:
A. Trading Authority
 No
 Yes
D. Controlling Person3 (of a legal entity)
 No
 Yes
B. General Power of Attorney
 No
 Yes
E. Financial Interest: Other party, not named, providing
instructions for, or exerting control
 No
 Yes
C. Guarantor
 No
 Yes
If the Third Party is a United States citizen, complete an IRS Form W9
If “Yes” to any of (A) to (E), provide supporting documents/forms, as applicable.
NOTES:
¹An "Insider" is an officer, director, or promoter of a publicly traded Canadian or U.S. company and/or a person with direct or indirect beneficial ownership of, control or direction over (or combination
thereof) 10% or more of the voting rights attached to the securities of a publicly traded company listed in Canada (5% or more for a publicly listed company in the U.S.).
2
A "Control Person" holds or exercises control or direction over, or has any agreement, arrangement, commitment, or understanding (whether or not in writing) individually or w ith any other persons
with respect to 20% or more of the voting rights attached to the securities of a publicly traded company listed in Canada (10% or more for a publicly listed company in the U.S.)
3
“Controlling Person” means: (i) in the case of a corporation, each director and each person who owns or controls 10% or more of the corporation; (ii) in the case of a trust, each settlor, trustee,
beneficiary and any other natural person exercising ultimate control over the trust; (iii) in the case of an entity other than a corporation or a trust, each persons is an equivalent or similar position.
*CD_OPS_NAF_ACT*
#700 - 1111 WEST GEORGIA STREET, VANCOUVER, B.C. V6E 4T6
TEL: 1.877.742.2900 FAX: 1.877.742.2901
CD V2.2 (2016 11)
PAGE 2 OF 5
(Order Execution Only)
Verification of Identity
To comply with the Proceeds of Crime (Money Laundering) Act and Terrorist Financing Act in Canada and Internal Revenue Service requirements in the United States, Credential
Securities must ascertain the identity of all Applicant(s). Credential Direct must verify your signature and identity, and that of any joint applicant, by clearing a personal cheque
drawn upon your personal account at your Financial Institution, or provide a Bank Confirmation Letter. Please include with this application:
Applicant
Joint Applicant
ID Type
ID Type
Place of Issue
ID Number
Place of Issue
ID Number
Account Fees
If applicable, please pay any account fees that may be due (e.g.quarterly account maintenance fee, paper subscription) from (select only one):

My Financial Institution bank account via EFT as indicated on page 1 of this Application

My non-registered Credential Direct Trading Account
U.S. Tax Status Self-Certification
Are you a U.S. resident for U.S. tax purposes or a U.S. citizen?
Applicant
I
1
 No  Yes1
Joint Applicant  No  Yes1
If “yes” please provide the U.S. tax identification number in the SSN field if applicable, and complete a W9 to determine whether the account will be subject to U.S. withholding taxes
Politically Exposed Foreign Person(s)
Are you a Politically Exposed Foreign Person or a family member of a Politically Exposed Foreign Person?
Applicant
 No  Yes If Yes, complete the PEFP information below.
Joint Applicant  No  Yes If Yes, complete the PEFP information below.
A Politically Exposed Foreign Person is an individual who holds or has held one of the
following offices or positions in or on behalf of a foreign country irrespective of current
citizenship or residency:

a head of state or government;

a member of the executive council of government or member of a legislature;

a deputy minister (or equivalent);

an ambassador or an ambassador’s attaché or counsellor;

a military general (or higher rank);

a president of a state-owned company or bank;

a head of a government agency;

a leader or president of a political party in a legislature,

a judge
Full Name (if different from Investor)
A Politically Exposed Foreign Person also includes the following immediate family
members of the individual described above irrespective of current citizenship or residency:
 mother or father;
 child;
 spouse or common-law partner;
 spouse’s or common-law partner’s mother or father and
 brother, sister, half-brother or half-sister (that is, any child of the individual’s mother or
father).
Relationship to Investor (if applicable) Office or Position
Country
Start Date (dd/mmm/yyyy)
End Datte(dd/mmm/yyyy)
From where did you obtain the funds you are investing?
Shareholder Communication (NI 54-101)
(See Account Agreements and Disclosure Document booklet for details on shareholder rights.)
1. Disclosure of Beneficial Ownership Information
2.
Please mark the corresponding box to show whether you DO NOT OBJECT or
whether you do OBJECT to us disclosing your name, address, electronic mail address,
securities holdings and preferred language of communication (English or French) to
issuers of securities you hold with us and to other persons or companies in
accordance with securities law.
If you indicate that you OBJECT, security holder materials that are required to be sent
to you under securities law will be sent by us and a fee per delivery may be charged to
your account with us.
Please mark the corresponding box to show what materials you want to receive.
Securityholder materials sent to beneficial owners of securities consist of the following
materials:
(a) proxy-related materials for annual and special meetings;
(b) annual reports and financial statements that are not part of proxy-related materials; and
(c) materials sent to securityholders that are not required by corporate or securities law to
be sent.
 I DO NOT OBJECT to your disclosing the information described above.

3.
I OBJECT to you disclosing the information described above. I understand that
required material will be delivered to me by a reporting issuer or other person or
company that is entitled to send these materials to me at its expense.
Preferred Language of Communication
I understand that the materials I receive will be in my preferred language of
communication (as indicated on Page 1 of this application form) if available in that
language.
Receiving Securityholder Materials
 I WANT to receive ALL securityholder materials sent to beneficial owners of
securities.
 I DECLINE to receive ALL securityholder materials sent to beneficial owners of
securities. (Even if I decline to receive these types of materials, I understand that a
reporting issuer or other person or company is entitled to send these materials to me
at its expense).
 I WANT to receive ONLY proxy-related materials that are sent in connection with a
special meeting.
4.
Electronic Delivery
Please mark the corresponding box below to indicate your preferred method of delivery of
security holder materials.
 I DO CONSENT to receive materials by email, when available. Please send materials
to the email address indicated on the first page of this application.
 I DO NOT CONSENT to receive materials by email and prefer to receive documents
by regular mail.
*CD_OPS_NAF_ACT*
#700 - 1111 WEST GEORGIA STREET, VANCOUVER, B.C. V6E 4T6
TEL: 1.877.742.2900 FAX: 1.877.742.2901
CD V2.2 (2016 11)
PAGE 3 OF 5
(Order Execution Only)
Registered Account Information
2)
A) Successor Annuitant /Designation of Beneficiary
Retirement Income Fund Payments
(a) Minimum Payments
In some provinces or territories, a designation of beneficiary can only be made by including
a specific clause in your Will.
For the purpose of calculating the minimum amount payable each year from
the Fund, I hereby elect to use: (select one)
Caution: In some provinces, your designation of beneficiary by means of a designation form
will not be revoked or changed automatically by any future marriage or divorce. If you wish
to change your beneficiary, you will have to do so by means of a new designation.
 my age; or
 my spouse’s or common-law partner’s age, and I certify that his or her
birthdate as set out above is correct.
Note: Once minimum has been established, the age base cannot be changed.
1) RSP Accounts Only
I hereby revoke any previous designation of beneficiary made by me for this Plan and I
hereby designate the person named below, if then living, as beneficiary of the proceeds
payable under the Plan in the event of my death. I am solely responsible for ensuring
that this designation of beneficiary is legally valid.
(b) Payment Amount
I request a payment of: (select one)
 the minimum amount payable (Note this will be $0 in 1st year); or
 elected Amount of Gross $____________ or Net $ ____________ per
Name of Beneficiary
Beneficiary SIN
payment. (The amount will be subject to the minimum required by Law.
For LIF, LRIF & RLIF, amount must be between the minimum and
maximum).
Relationship to Applicant
 the maximum Payment (LIF, LRIF, RLIF only)
2) RIF Accounts Only
I hereby revoke any previous designations of beneficiary made by me for this Fund and I
hereby (select one or none):
NOTE: The maximum payment option will result in withholding tax being
applied to amounts greater than the minimum payment amount. Standard
withholding tax rates apply unless specified
 elect to have my spouse or common-law partner, if then living, become the
successor annuitant of the Fund upon my death, and I certify that his or her
personal information as set out in Section c)(i) below is correct; or
(c) Special Withholding Tax Instructions
I elect the amount of $______________ or______________% (whole numbers
only) withholding tax to be deducted per payment. Note: The Withholding Tax
elected will be subject to the minimum withholding tax required by Law.
 designate the person named below, if then living, as beneficiary.
Name of Beneficiary
(d) Where to Send Payments
Beneficiary SIN
Relationship to Applicant
Please send my payments to:
 my Credential Direct Trading Account ____________________
 my Financial Institution account via EFT as indicated on page 1 of this
I understand that I am solely responsible for ensuring that the above designation of
beneficiary is legally valid.
application.
Please attach a void cheque.
B) Spousal or Common-Law Partner Contributor
(For Spousal or Common-Law Partner RSP Accounts only.)
(e) Payment Frequency
Complete this section only if the Spouse or Common-Law Partner of the Annuitant will
be contributing to this Registered Plan:
Please select a date from Column A, the frequency of payment from Column B,
and the date you would like the payments to begin.
Title
Payment Date and Payment Frequency
Contributor Name
Social Insurance Number
Column A
Date of Birth (dd/mmm/yyyy)
Column B
 On the 15th
 On the 30th




C) Information for Retirement Income Funds (RIFs) Only
1) Spouse or Common Law Partner
Complete this section for Spousal or Common-Law Partner RIF; or if Spouse or CommonLaw Partner is being named as Successor Annuitant in Section (a)(ii) above or if his or her
age is being elected for the calculation of the minimum amount payable each year from the
Fund.
Title
Monthly
Quarterly
Semi-Annually
Annually
Payment Start Date: ________/__________
(mmm / yyyy)
Contributor Name
D) Internal Transfer Request/Authorization
Social Insurance Number
Date of Birth (dd/mmm/yyyy)
I hereby request the transfer of securities and cash from my Registered Account.:
_____________________________________________________________
 All securities & cash; or
 Partial (please specify)
_________________________________________
To: Computershare Trust Company of Canada (the “Trustee”)
I hereby apply for a CREDENTIAL SECURITIES INC. SELF-DIRECTED RETIREMENT SAVINGS PLAN (the "Plan") or a CREDENTIAL SECURITIES INC. SELF-DIRECTED
RETIREMENT INCOME FUND (the "Fund") in accordance with the terms and conditions of this Application and the Declarations of Trust included in the Credential Securities
Inc. Account Agreements & Disclosure Documents booklet.. By signing below, I have agreed that:
1. I have read, understood and agree to the terms of the Declaration of Trust.
2. I declare that the information given in this Application is true, correct and complete.
3. I request that the Trustee apply for registration of the Plan as a registered retirement savings plan or the Fund as a registered retirement income fund under the Income Tax
Act (Canada).
4. I am solely responsible for determining my contribution limits, my investment decisions and whether an investment is permitted under the tax laws, and I am aware of the
consequences of acquiring and holding investments which are prohibited or not qualified. (Contribution limits applicable to RRSP accounts only.)
5. The Trustee may delegate certain of its duties relating to the Plan or the Fund to Credential Securities Inc. as its Agent.
6. The Trustee and the Agent have no obligation to give me investment advice in connection with the purchase, retention or sale of any investment.
7. Any benefit received under the Plan or Fund is taxable under the Income Tax Act (Canada).
8. In the event of my death, the proceeds of the Plan or the Fund will be paid to the beneficiary, if any, whom I have designated, if permitted by law. Otherwise, such proceeds will
be paid to my estate.
For RRSP and RRIF, please sign here:
X
Annuitant’s Signature
*CD_OPS_NAF_ACT*
#700 - 1111 WEST GEORGIA STREET, VANCOUVER, B.C. V6E 4T6
Date (dd/mmm/yyyy)
TEL: 1.877.742.2900 FAX: 1.877.742.2901
CD V2.2 (2016 11)
PAGE 4 OF 5
(Order Execution Only)
Account Agreement
In this application, “I” and “my” refer to me, the applicant (or joint applicant as the case may be). “You” refers to Credential Direct.
Disclosure Statement
Credential Securities Inc., is a wholly-owned subsidiary of Credential Financial Inc. (“CFI”). CFI is owned by five Provincial Central Credit Unions and The CUMIS Group Limited and makes its
services available in association with participating financial organizations and their aliases and subsidiaries (collectively the “Financial Organization”). Credential Direct is a trade name and
operates as a division of Credential Securities Inc., and is a separate business unit. Unless Credential Direct tells you otherwise regarding a specific security account balances with and securities
purchased through Credential Direct are not insured by Canada Deposit Insurance Corporation or any other government deposit insurer. Credential Securities Inc. is a member of the Canadian
Investor Protection Fund (CIPF). Customer’s accounts are protected by CIPF within specified limits. A brochure describing the nature and limits of coverage is available upon request. The value
of many securities may fluctuate.
Account Agreements and Disclosure Documents
I acknowledge that I have read and understood the appropriate sections relating to my Cash and/or Registered Account and have read and understood the Electronic Brokerage Services
Agreement in the Account Agreements and Disclosure Document booklet (www.credentialdirect.com/pdf/disclosure.pdf) and agree to the terms therein.
Electronic Funds Transfer (EFT)
I acknowledge that I have read and understood the Electronic Funds Transfer (EFT) section in the Account Agreements and Disclosure Documents booklet
(www.credentialdirect.com/documents/AA&DD.pdf), and agree to the terms therein, and I authorize Credential Direct to transfer funds (upon request) between my banking account at my financial
institution and my Credential Direct account.
Credit Information
I acknowledge and consent to and authorize Credential Direct to obtain credit information about you to the extent permitted by law, and to give other credit grantors and credit bureaus information
about the application and any credit experience with us.
Sharing of Information
Credential Securities works in partnership with your Financial Organization to provide you with an array of wealth management products and services. As your Financial Organization and
Credential Securities are separate legal entities we require your permission to share information with your Financial Organization. This information is used by your Financial Organization to
ensure that they are able to provide you with the best possible service for all your financial needs. Respecting the confidential nature of your personal information is very important to us and your
Financial Organization. Credential Securities and your Financial Organization safeguard your information against disclosure to unauthorized companies, and will not sell or rent your information
to outside companies.
I have read Section 17 - "Protection of Your Privacy" in the Account Agreements and Disclosure Document booklet. I agree that Credential Securities may share my personal information with the
Financial Organization with whom I have a relationship and that referred me to Credential Securities ( my Referring Organization) for the purposes of promoting to me products and services
ordered by my Referring Organization and products and services ordered by other Credential Companies* which may be of interest to me or for the purposes of collecting information which will
allow my Referring Organization to better manage its total relationship with me.You may revoke your consent by writing to us at the address on the bottom of this form. *Credential Companies
includes Credential Asset Management Inc., Credential Insurance Services Inc. and Credential Financial Strategies Inc

I/We consent
 I/We do not consent
Suitability
I acknowledge that Credential Direct and its Registered Representatives will not give me investment advice or recommendations and will not be responsible for the determination of my general
investment needs and objectives regarding the purchase or sale of any security. I acknowledge that Credential Direct and its Registered Representatives do not accept any responsibility to advise
me on the suitability of any of my investment decisions or transactions. I acknowledge that I alone am responsible for the financial impact of my investment decisions. I understand that orders
entered by me may be sent directly to the exchange or market without prior review by Credential Direct. I acknowledge my obligation to comply with the requirements regarding entry and trading of
orders of the exchanges and markets where my orders are executed. However, Credential Direct reserves the right to review any of my transactions prior to their entry to the exchange or market. I
acknowledge that Credential Direct has the right to reject, change or remove any order entered by me or to cancel any trade resulting from an order entered by me.
Without this consent Credential Direct will not be able to open this account.
 Applicant’s Acknowledgement
 Joint Applicant’s Acknowledgement
FOR ALL ACCOUNT TYPES, PLEASE SIGN HERE:
BY SIGNING BELOW, I CONFIRM I HAVE CAREFULLY READ THE APPLICATION AND UNDERSTAND THE INFORMATION IN IT. I CONFIRM MY AGREEMENT TO THOSE
TERMS AND CONDITIONS AS INDICATED ABOVE AND THAT CREDENTIAL DIRECT MAY SEND ME ADDITIONAL AGREEMENTS AND/OR DISCLOSURES, DEPENDING ON
THE TYPE OF ACCOUNT I HAVE SELECTED. I HEREBY DECLARE THAT THE INFORMATION PROVIDED IS FULL, TRUE AND COMPLETE. CREDENTIAL DIRECT MAY RELY
ON THE INFORMATION I HAVE PROVIDED UNTIL I SEND YOU WRITTEN NOTICE OF ANY CHANGES.
X
X
Applicant or Annuitant Signature
Joint Applicant Signature (not for TFSA, RSP or RIF accounts)
Date (dd/mmm/yyyy)
FOR MARGIN ACCOUNTS ONLY, PLEASE SIGN HERE: (IN ADDITION TO YOUR SIGNATURE “FOR ALL ACCOUNTS TYPES”):
IF I AM APPLYING TO HAVE A MARGIN ACCOUNT, MY SIGNATURE(S) BELOW CERTIFIES THAT I ACKNOWLEDGE RECEIPT AND HAVE READ THE CREDENTIAL DIRECT
“MARGIN AGREEMENT” SECTION IN THE BOOKLET CALLED ACCOUNT AGREEMENTS AND DISCLOSURE DOCUMENTS AND AGREE TO THE TERMS THEREIN.
(www.credentialdirect.com/documents/AA&DD.pdf).
X
X
Applicant or Annuitant Signature
Joint Applicant Signature (not for TFSA, RSP or RIF accounts)
Date (dd/mmm/yyyy)
FOR MARGIN AND/OR REGISTERED ACCOUNTS WITH OPTIONS ONLY, PLEASE SIGN HERE: (IN ADDITION TO YOUR SIGNATURE “FOR ALL ACCOUNTS TYPES”):
IF I AM APPLYING TO HAVE A MARGIN ACCOUNT AND/OR REGISTERED ACCOUNT WITH OPTIONS, MY SIGNATURE(S) BELOW CERTIFIES THAT I ACKNOWLEDGE
RECEIPT AND HAVE READ THE CREDENTIAL DIRECT “MARGIN AGREEMENT” AND “OPITONS TRADING AGREEMENT” SECTION IN THE BOOKLET CALLED ACCOUNT
AGREEMENTS AND DISCLOSURE DOCUMENTS AND AGREE TO THE TERMS THEREIN (www.credentialdirect.com/documents/AA&DD.pdf).
X
X
Applicant or Annuitant Signature
Joint Applicant Signature (not for TFSA, RSP or RIF accounts)
Date (dd/mmm/yyyy)
For Internal Use Only
X
Branch Manager Signature
X
Date (dd/mmm/yyyy)
FA Code
DROP/AROP Signature
Level Permitted
Date (dd/mmm/yyyy)
Comments:
Accepted on behalf of the Trustee by its Agent
X
Authorized Officer Signature
*CD_OPS_NAF_ACT*
#700 - 1111 WEST GEORGIA STREET, VANCOUVER, B.C. V6E 4T6
Date (dd/mmm/yyyy)
TEL: 1.877.742.2900 FAX: 1.877.742.2901
CD V2.2 (2016 11)
PAGE 5 OF 5
Account Confirmation Letter
Account Information
Fax to: 1.877.742.2901 or 604.742.2901
To Credential Direct:
1. Please accept this as confirmation that the following Chequing or Savings Account Number information
belongs to the specified individual(s), or Corporation (or non-personal entity) as indicated:
Transit Number
Institution Number
Account Holder Name (Print Name)
Joint Account Holder Name (Print Name)
Account Number (refer to micro encoding on the cheque)
Residential / Corporate Address
2. Account requirements and status (Complete information as indicated)
a) Account is enabled for Electronic
Funds Transfer (EFT)* (chequing
privileges)
 Yes
 No
* NOTE: Not applicable for TFSA or Registered accounts.
b) Account Denomination
 Cdn Dollars
 US Dollar
c) Account Type
 Personal
 Corporate
d) Account Signature Requirements
 1 Signature
 2 Signatures
e) Account Standing:
 Yes
 No
The client(s) is known to the branch
and is in good standing.
If “No”, please specify reason:
 Other _________________
________________________________
Branch Authorization
Branch Representative Name (Print Name)
Title
Contact Phone
X
Branch Representative Signature
Date (dd/mmm/yyyy)
Branch Stamp:
Completing this Form
1. The account being confirmed must be enabled for EFT purposes and cannot be a credit card, Line of Credit account, TFSA or
Registered account.
2. Complete the information on this Account Confirmation Letter, and
3. Provide a Branch Stamp to satisfy Anti-Money Laundering Legislation and/or to establish an Electronic Funds Transfer (EFT)
link.
4. Submit the completed Account Confirmation Letter form to Credential Direct by either:
 Faxing a copy to: 604.742.2901 or 1.877.742.2901
or
 Including the form with the Credential Direct New Account Application form.
*CD_OPS_BNK_zzz*
V1.4 (2016 10)
PAGE 1 OF 1