Certificate - Junior Gold investment account

Please check that the certificate of the authorised repsonsible adult matches the information supplied and assign the Junior GIA No. in the next field.

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New Junior Gold Account No.

Information about Authorised Responsible Adult

Full name exactly as registered in RRdJ

RRdJ No

GIA No

Phone/Mobile

Information about the Junior

Junior's Full Name

Birthdate

Please accept this correspondence as my formal request to open a Junior Gold Investment Account on behalf of a minor, for the acquisition of gold and silver for investment and trading purposes, and for investment in short-term loans secured by property.

Date

Steward's Details

Steward's Name

Steward's Email

RRDJ No

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