Account Form » Grand Pine Investment Limited Hong Kong

Grand Pine Investment Limited

Open a Brokerage Account

1. Account Registration

Please select only one box.

Individual

The assets in your account will be paid to your estate in the event of your death.

Joint Tenants With Right of Survivorship (JTWROS)

Your share of the account will pass to a surviving owner in the event of your death.

Tenants in Common

Your share of the account will pass to your estate in the event of your death.

Other (appropriate documentation will be provided)

2. Account Holder Information

As required by law, Grand Pine Investment Limited will use the information provided to verify your identity.

Name First *

Middle

Last *

Suffix

Date of Birth (dd/mm/yyyy) *

Preferred Name or Moniker (if applicable)

Regulations require that you provide us with your legal address.

Home/Legal Street Address (no P.O. boxes) *

City *

State or Province *

Zip or Postal Code *

Country *

Mailing Address (Include mailing address if different from home/legal address. P.O. boxes may be used.)

Mailing Address

City

State or Province

Zip or Postal Code

Country

Telephone Number

Mobile Number *

Work Number

Extension

Email Address *

Mother's Maiden Name *

Country(ies) of Citizenship *

Country of Legal Residence (Select only one.) *

ID Number and Type (Please select only one box and provide the relevant information below.)

Passport Driver's License Gov't-Issued ID

Identification Number *

Country of Issuance *

State of Issuance (if applicable)

Issue Date (dd/mm/yyyy)

Expiration Date (dd/mm/yyyy) *

Marital Status

Single Married Divorced Widowed

Number of Dependents

Securities industry regulations require that we collect the following information.

Employment Information (Please select only one box.)

Employed Self-Employed Retired Homemaker Student Not Employed

Occupation (If you selected "Employed" or "Self-Employed," please select one option that best describes your occupation.)

Business Owner/Self-Employed Financial Services/Banking Professional Military Consultant Executive/Senior Management Information Technology Professional Educator Medical Professional Other Professional Sales/Marketing Legal Professional Clerical/Administrative Services Government Employee Accounting Professional Trade/Service (labor/manufacturing) Other (specify: )

Employer Name/Business Name

Business Street Address (no P.O. boxes)

City

State or Province

Zip or Postal Code

Country

The Next Two Questions Are Required by Industry Regulations

Are you or an immediate family member associated with or employed by a stock exchange or member firm of an exchange or FINRA, or a municipal securities broker-dealer?

No Yes (List company name: )

Are you a director, 10% shareholder, or policy-making officer of a publicly held company?

No Yes (Enter company name & trading symbol: )

Financial Information

Investment Experience (Please select only one box.)

None Limited Good Extensive

Annual Income (Please select only one box.)

Under $15,000 $15,000-$24,999 $25,000-$49,999 $50,000-$99,999 $100,000 or more

Trusted Contact Designation (Optional)

A Trusted Contact Person is a resource Grand Pine Investment Limited may contact on your behalf to address concerns regarding potential financial exploitation or confirm your contact details/health status.

Trusted Contact Person 1

Name First

Middle

Last

Suffix

Relationship

Spouse Partner Child Parent Sibling Friend Other

Mailing Address (no P.O. boxes)

City

State or Province

Zip or Postal Code

Country

Telephone Number

Mobile Number

Email Address

Trusted Contact Person 2

Name First

Middle

Last

Suffix

Relationship

Spouse Partner Child Parent Sibling Friend Other

Mailing Address (no P.O. boxes)

City

State or Province

Zip or Postal Code

Country

Telephone Number

Mobile Number

Email Address

3. Additional Account Holder Include Additional Account Holder

As required by law, Grand Pine Investment Limited will use the information provided to verify your identity.

Name First

Middle

Last

Suffix

Date of Birth (dd/mm/yyyy)

Preferred Name or Moniker (if applicable)

Home/Legal Street Address (no P.O. boxes)

Home Address

City

State or Province

Zip or Postal Code

Country

Mailing Address (Include mailing address if different from home/legal address. P.O. boxes may be used.)

Mailing Address

City

State or Province

Zip or Postal Code

Country

Telephone Number

Mobile Number

Work Number

Extension

Email Address

Mother's Maiden Name

Country(ies) of Citizenship

Country of Legal Residence

Identification Document

Passport Driver's License Gov't-Issued ID

Identification Number

Country of Issuance

State of Issuance (if applicable)

Issue Date (dd/mm/yyyy)

Expiration Date (dd/mm/yyyy)

Marital Status

Single Married Divorced Widowed

Number of Dependents

Employment Information

Employed Self-Employed Retired Homemaker Student Not Employed

Occupation (If you selected "Employed" or "Self-Employed," please select one option.)

Employer Name/Business Name

Business Street Address (no P.O. boxes)

City

State or Province

Zip or Postal Code

Country

Industry Regulations & Financial Information

Are you or an immediate family member associated with or employed by a stock exchange or member firm of an exchange or FINRA, or a municipal securities broker-dealer?

No Yes (List company name: )

Are you a director, 10% shareholder, or policy-making officer of a publicly held company?

No Yes (Enter company name & trading symbol: )

Investment Experience (Please select only one box.)

None Limited Good Extensive

Annual Income (Please select only one box.)

Under $15,000 $15,000-$24,999 $25,000-$49,999 $50,000-$99,999 $100,000 or more

4. Investment Objectives & Account Details

Overall Investment Objective of Account (Check all that apply.)

Capital Preservation

You are seeking to minimize the potential of losing your initial investment.

Income

You are seeking the continued receipt of current income while recognizing and accepting the risks of income-generating investments.

Growth

You are seeking to increase the value of your investments over time while accepting price fluctuations and volatility.

Speculation

You are willing to assume a higher risk of loss in exchange for potentially higher returns.

Required Information About the Account

Source of Funds in Account (Required - check at least one.)

Salary/Wages/Savings Investment Capital Gains Social Security Benefits Gifts Sale of Property or Business Gambling/Lottery Family/Relatives/Inheritance Other (specify: )

Purpose of Account (Required - check at least one.)

General Investing Investing for Estate Planning Investing for Tax Planning (e.g., municipal bonds, etc.) Investing for College Investing for Retirement Investing of Pooled Assets (e.g., funds from individual investors that are aggregated for investing purposes) Other (specify: )

5. Account Holder Declaration and Authorization

Each applicant confirms that they are of legal age and have the legal capacity and authority to open and operate this account. Each applicant requests that Grand Pine Investment Limited open the account in the name(s) of the account holder(s) identified in this application and confirms that the information provided is complete, accurate and current.

Each applicant authorizes Grand Pine Investment Limited to accept and act upon instructions communicated by any account holder or authorized signatory by telephone, email, facsimile, electronic platform or any other communication method accepted by Grand Pine Investment Limited. Grand Pine Investment Limited may rely on instructions it reasonably believes to be genuine and issued by an authorized person, without requiring separate written confirmation, subject to its verification procedures and applicable law. Each applicant acknowledges the risks associated with transmitting instructions through electronic or other remote means and accepts responsibility for instructions submitted using their authorized contact details or access credentials.

Each applicant acknowledges that fees and charges may apply to opening and maintaining the account, executing transactions, holding certain investments, and withdrawing or transferring assets. The applicable fees and charges have been disclosed or will be made available in accordance with the account terms.

Each applicant understands that investing in securities and other financial products involves risk, including market fluctuations, currency movements, reduced liquidity and the possible loss of some or all of the amount invested. Past performance does not guarantee future results, and neither the value of an investment nor any income derived from it is assured.

Each applicant further acknowledges that Grand Pine Investment Limited does not provide tax, legal or accounting advice. Account holders should obtain independent professional advice concerning the legal, tax and accounting implications of their investments and transactions, taking into account their individual circumstances and jurisdictions.

By signing below, each applicant confirms that they have read and understood this declaration and agree to be bound by it.

Signature: Account Holder *

Today's Date: 18/09/2026

Signature: Additional Account Holder

Today's Date: 18/09/2026

I certify that all information provided in this application is true and complete, and I agree to the declaration above.