Select type

Individual
  • Individual
  • Legal entity

 

If you need additional information you must fill the Customer Identification form below. Alternatively you can download the form and send it filled and signed to compliance@elements.vi.


Please, note that you should fill-in all fields in CI-IAR Form bellow. Please, use english language on this page


*Please attach the documents proving your identity and the address of residence


Personal information

Name
Invalid Name

Surname
Invalid Surname

Gender
Please, choose an option

Date of Birth
- - Invalid date

E-mail address
Invalid e-mail address

Phone number
Invalid number

Country of residense
Invalid value

City of residense
Invalid value

Passport
Invalid number

Passport Number

- - Invalid date

Date of issuance

Invalid value

Country of issuance

Please, attach scans of all relevant documents here


Invalid file

Invalid file

Invalid file

Invalid file

Invalid file

Investment Experience

Years Trading Experience

Stocks
Invalid value

Bonds
Invalid value

Options
Invalid value

Futures
Invalid value

Forex
Invalid value

Monies intended to invest

Stocks
Invalid value

Bonds
Invalid value

Options
Invalid value

Futures
Invalid value

Forex
Invalid value

I hereby confirm that I am a professional investor within the meaning of BVI Securities and Investments Business Act, 2010 in that: [check related]

Invalid value

Compliance

  • I confirm that I have such knowledge and experience in financial and business matters that the investor is capable of evaluating the merits and risks of an investment in the fund and of making an informed investment decision.

  • I confirm that I am (i) not an individual, entity or organization on any office of foreign assets control of the United States “watch list” and does not have any affiliation of any kind with any such individual, entity or organization; (ii) not a foreign shell bank; and (iii) not a person or entity resident in, or whose subscription funds are transferred from or through, a jurisdiction identified as non-cooperative by the financial action task force.

  • I confirm the accuracy of the information provided and consent to processing of my personal data. Under my personal data refers to any relevant to me information, and information on paper and/or electronic media that were or will be transferred to the Company by me personally or received (received) to the Company in any other way for the conclusion of civil law contract between me, the Company and other persons. Under the processing of personal data means actions (operation) with personal data, including collection, systematization, accumulation, storage, clarification (update, change, verification), use, dissemination/transfer (including reproduction, electronic copying and transboundary transfer), depersonalization, blocking and destruction of personal data without and with the use of automation.


Invalid value

Signature
Invalid value

By typing my signature and sending it via the Internet, I acknowledge that I have read and understand all information provided during the application process; that I intend Threesixty Elements S.A. to rely upon it; that I intend to be bound thereby; and that I understand and agree that my electronic signature is the equivalent of a manual written signature.


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We protect this information according to Privacy Policy and Standards оf professional conduct

Select type

Individual
  • Individual
  • Legal entity

 

If you need additional information you must fill the Customer Identification form below. Alternatively you can download the form and send it filled and signed to compliance@elements.vi.


Please, note that you should fill-in all fields in CI-IAR Form bellow. Please, use english language on this page


*Please attach the documents proving your identity and the address of residence


Company information

Company name
Invalid Name

Certificate of incorporation number
Invalid Name

Country of incorporation
Invalid value

Date of incorporation
- - Invalid date

E-mail address
Invalid e-mail address

Website
Invalid website

Phone number of the headquarters
Invalid number

Address of headquarters residence (actual address)
Invalid address

Please, attach scans of all relevant documents here


Invalid file

Invalid value

Invalid value

Invalid value

Invalid value

Investment Experience

Monies intended to invest

Stocks
Invalid value

Bonds
Invalid value

Options
Invalid value

Futures
Invalid value

Forex
Invalid value

Personal information

Name
Invalid Name

Surname
Invalid Surname

Gender
Please, choose an option

Date of Birth
- - Invalid date

E-mail address
Invalid e-mail address

Phone number
Invalid number

Country of residense
Invalid value

City of residense
Invalid value

Passport
Invalid number

Passport Number

- - Invalid date

Date of issuance

Invalid value

Country of issuance

We hereby confirm that we are professional investor within the meaning of BVI Securities and Investments Business Act, 2010 in that: [check]

Invalid value

Compliance

  • We confirm that we have such knowledge and experience in financial and business matters that the investor is capable of evaluating the merits and risks of an investment in the fund and of making an informed investment decision.

  • We confirm that we are (i) not an individual, entity or organization on any office of foreign assets control of the United States “watch list” and does not have any affiliation of any kind with any such individual, entity or organization; (ii) not a foreign shell bank; and (iii) not a person or entity resident in, or whose subscription funds are transferred from or through, a jurisdiction identified as non-cooperative by the financial action task force.

  • We confirm the accuracy of the information provided and consent to processing of our personal and corporate data. Under our personal data refers to any relevant to us information, and information on paper and/or electronic media that were or will be transferred to the Company by us personally or received (received) to the Company in any other way for the conclusion of civil law contract between us, the Company and other persons. Under the processing of personal data means actions (operation) with personal data, including collection, systematization, accumulation, storage, clarification (update, change, verification), use, dissemination/transfer (including reproduction, electronic copying and transboundary transfer), depersonalization, blocking and destruction of personal data without and with the use of automation.


Invalid value

Signature
Invalid value

By typing my signature and sending it via the Internet, I acknowledge that I have read and understand all information provided during the application process; that I intend Threesixty Elements S.A. to rely upon it; that I intend to be bound thereby; and that I understand and agree that my electronic signature is the equivalent of a manual written signature.


We protect this information according to Privacy Policy and Standards оf professional conduct