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Rev. Form U4 (05/2009) UNIFORM APPLICATION FOR SECURITIES INDUSTRY REGISTRATION OR TRANSFER INDIVIDUAL NAME: INDIVIDUAL CRD #: FIRM NAME: FIRM CRD #: 1. GENERAL INFORMATION FIRST NAME: MIDDLE NAME:
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Blank Form U4 is a uniform application for securities industry registration or transfer.
Individuals seeking registration or transfer in the securities industry are required to file Form U4.
Form U4 can be filled out electronically through the Central Registration Depository (CRD) system or in paper form.
The purpose of Form U4 is to collect information about individuals applying for registration in the securities industry, including their background and disclosure information.
Information such as personal background, employment history, disciplinary history, and regulatory disclosures must be reported on Form U4.
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