Disclosure Generator KWA ADV2B Generator DBA (Doing business as) Today's Date * Kingswood Start Date * First Name * Last Name * Date of Birth * CRD * Phone Number * Agent Address * City * State * Zip Code * Education History Or check here if no degree received Degree Type Degree Title School Name Date Graduated Add Employment history Note: Please add your employment history in order from your last work previous to starting at Kingswood Capital Partners for the previous 5 years. Your employment at Kingswood Capital Partners will automatically be added to the history. Most recent to oldest In order that they are added Title * Company Name * Start (mm/yyyy) * End (mm/yyyy) Currently working here (Present) Add Designations Optional Registered For? * Kingswood Capital Partner (Registered Representative) Start Date Kingswood Advisors (Investment Advisor) Start Date Did the rep have any disclosures? * Yes No Other business activities? * Yes No