DDC Online Trading Platform Application

DDC Authorized Retailer

Credit History and Background Check Form

Please fill out the following information below. This form utilizes Google's secure form software.

First Name

This is a required question

Last Name

This is a required question

Middle Initial

This is a required question

Social Security Number

This is a required question

Alien Registration Number

For U.S. residents who are not U.S. citizens

This is a required question

Previous Address

(If resident in current address for fewer than two years)

Street Address

This is a required question

City

This is a required question

State

This is a required question

Zip Code

This is a required question

Agreement

I understand that selecting "Yes" below authorizes the Diamond Dealers Club of New York to establish my eligibility as a user of the DDC trading platform by checking my credit history. If I ask, you will tell me the name and address of any credit bureau that has provided you consumer reports on me. I understand that application does not guarantee acceptance, and that the Diamond Dealers Club may reject my application for any reason, which it need not disclose. I understand that becoming a DDC Authorized Retailer does not grant me membership in the Diamond Dealers Club.

This is a required question

DDC Online Trading Platform Application​DDC Authorized Retailer

Credit History and Background Check Form

Previous Address

DDC Online Trading Platform Application

DDC Authorized Retailer