Form 133.4 "Request for Consideration of a Registration Application by a Military Applicant" - Texas

Form 133.4 or the "Request For Consideration Of A Registration Application By A Military Applicant" is a form issued by the Texas State Securities Board.

The form was last revised in February 24, 2016 and is available for digital filing. Download an up-to-date Form 133.4 in PDF-format down below or look it up on the Texas State Securities Board Forms website.

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Download Form 133.4 "Request for Consideration of a Registration Application by a Military Applicant" - Texas

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Form
133.4
Texas State Securities Board
P.O. Box 13167
Austin, Texas 78711-3167
Request for Consideration of a Registration Application by a Military Applicant
(§115.18 or §116.18)
1.
Name of Applicant:
2.
Application Type (check all that apply):
G
G
Dealer
Agent
G
G
Investment Adviser
Investment Adviser Representative
3.
CRD No. of Applicant (if applicable):
4.
SSN of Applicant:
5.
Name of Employer:
CRD or IARD No. of the Employer, if applicable:
6.
Applicant: (check all that apply)
F
is a G military service member; G military spouse; G military veteran; as those terms
are defined in §115.18(a) or §116.18(a).
F
holds a current registration issued by another state, the District of Columbia, or a territory
of the United States. Please list all such jurisdictions where the applicant holds a
comparable current registration:
F
was previously registered in Texas within the last five years preceding the date of the
application for registration for which expedited review is requested.
F
wishes to resolve any pending and/or deficient items identified in connection with my
registration before my registration becomes effective.
F
wishes to become registered at the earliest possible date and acknowledges that any
pending and/or deficient items identified in connection with my registration application
must be corrected within 12 months after my registration is granted or my registration will
be automatically terminated after that 12-month period.
02-24-2016
Form
133.4
Texas State Securities Board
P.O. Box 13167
Austin, Texas 78711-3167
Request for Consideration of a Registration Application by a Military Applicant
(§115.18 or §116.18)
1.
Name of Applicant:
2.
Application Type (check all that apply):
G
G
Dealer
Agent
G
G
Investment Adviser
Investment Adviser Representative
3.
CRD No. of Applicant (if applicable):
4.
SSN of Applicant:
5.
Name of Employer:
CRD or IARD No. of the Employer, if applicable:
6.
Applicant: (check all that apply)
F
is a G military service member; G military spouse; G military veteran; as those terms
are defined in §115.18(a) or §116.18(a).
F
holds a current registration issued by another state, the District of Columbia, or a territory
of the United States. Please list all such jurisdictions where the applicant holds a
comparable current registration:
F
was previously registered in Texas within the last five years preceding the date of the
application for registration for which expedited review is requested.
F
wishes to resolve any pending and/or deficient items identified in connection with my
registration before my registration becomes effective.
F
wishes to become registered at the earliest possible date and acknowledges that any
pending and/or deficient items identified in connection with my registration application
must be corrected within 12 months after my registration is granted or my registration will
be automatically terminated after that 12-month period.
02-24-2016
Form
133.4
F
has attached verification of the military service, training, or education that I wish to apply
towards the Texas registration requirements, other than the Texas examination
requirements contained in §115.3 or §116.3 of the Board rules.
The undersigned affirms that to the best of his or her knowledge, information, and belief the
statements made on this form are true.
Date:
(Signature)
(Printed name)
02-24-2016
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