FORMAL AUTHORISATION

I, the undersigned [Client’s Full Name], born on [date of birth] and residing at [full address], hereby formally authorise Mr Michele Novarese, legal representative of Condividiamo LTD, to submit, on my behalf, an official complaint to the Financial Services Authority (FSA) of Seychelles against the broker Ten Trade.

I declare that Mr Michele Novarese acts with my full consent and in my representation exclusively for the management of the complaint process and for all necessary communications with the Authority.

I attach a copy of my valid identification document as confirmation of my identity and the will expressed herein.

Signature: ______________________

Full Name: ______________________

Date: ______________________

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FORMAL AUTHORISATION

I, the undersigned [Client’s Full Name], born on [date of birth] and residing at [full address], hereby formally authorise Mr Michele Novarese, legal representative of Condividiamo LTD, to submit, on my behalf, an official complaint to the Financial Services Authority (FSA) of Seychelles against the broker Ten Trade.

I declare that Mr Michele Novarese acts with my full consent and in my representation exclusively for the management of the complaint process and for all necessary communications with the Authority.

I attach a copy of my valid identification document as confirmation of my identity and the will expressed herein.

Signature: ______________________

Full Name: ______________________

Date: ______________________

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