Contact details
Info panel
Welcome
Fill in the require details in the form opposite. If you are unsure of what data to enter select the chosen field then check this panel.
A suggestion will appear informing you on the type of information we will require.
Title
Enter the title that you wish to be referred to in your application.
First name
Enter the first name of the main applicant.
Last name
Enter the last name of the main applicant.
Email
Enter the main email address to be used as a point of contact.
Telephone
Enter the main land line telephone number to be used as a point of contact.
Mobile
Enter the mobile phone number of the main applicant.
Fax
If you use a fax machine enter the number we can reach it on.
Trading name
Enter the trading name of your company. If you do not have a trading name enter your full name.
Address
Enter the full address of you business. Enter each line of your address in a separate field.
Postcode
Enter the postcode of your business.
Web address
If you own a website enter the the website's address (URL) in the space provided.
Account type
Enter the type of account you wish to open.
If you are regulated by the FSA select Broker.
If you are not regulated by the FSA select Affiliate.
FSA status
Please select if you are either directly regulated by the FSA, an appointed representative of an FSA authorised network or not authorised by the FSA.
Please note if you are an appointed rep you need to contact your network before applying to CETA.
FSA number
If you are directly regulated by the FSA or an appointed representation of an FSA authorised network enter your FSA or network's FSA number.
Part of network?
If you are an authorised member of a FSA regulated network select Yes.
Network name
If you are an authorised member of a FSA regulated network enter the network name.
White label
Please select if you require a white label website. For more information regarding white label website's click here
How did you find us
Please tell us how you found out about CETA.
How did you find us (other)
If you have selected Other to the question 'How did you find us' please specify the source.
Any other requirements
Please enter if you have any further requirements or information you wish to tell us about.
Bank
Enter the name of your bank that payments will be made to.
Account number
Enter the account number that payments will be made to.
Account name
Enter the account name that payments will be made to.
Sort code
Enter the sort code of the account that payments will be made to.
Key
This icon informs you the field is required.
This icon informs you incorrect information or no information has been entered in to a required field.
This icon informs you that correct information has been added to the field.
