investor retail application form - fedgroup€¦ · all charges are exclusive of value-added tax...

INVESTOR RETAIL APPLICATION FORM

1. INVESTOR DETAILS:

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Email

Title Initials Surname

If “Yes” please confirm number

Full name

ID number/passport number (if foreign national)

Contact number

Income tax number

Existing investor

NY

Physical address

Code

Postal address

Code

Please select your preferred method of communication

Email Call By post

Initial

CHECKLIST:

Please include:

• Completed applications for individuals

• Copy of a South African bar-coded ID, valid passport (if foreign national), or birth certificate (if minor), for the investor, contributor and authorised representative (where applicable)

• Proof of address (not older than three months), for the investor, contributor and authorised representative (where applicable)

• Proof of your bank details (cancelled cheque, bank statement, letter from the bank, etc.), not older than three months

• Proof of tax registration (required for all investors, including minors)

• Proof of payment of your investment contribution (if eletronically transferred)

• Dividend withholding tax exemption form (if applicable)

• CRS and FATCA self-certification form for individuals (where applicable)

Date of birth

DD MM YY YY

Are you a South African resident? NY

If “No”, what is your country of residency?

Please note that income tax numbers are required for all investors (irrelevant of age and/or occupation).

Fedgroup Management (Pty) Ltd (Reg. No. 2010/011671/07) an approved Manager registered under CISCA89 Bute Lane, Sandton. PO Box 782823, Sandton, 2146. T 011 305 2300 F 086 675 5297 E [email protected] W fedgroup.co.za

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3. INVESTMENT DETAILS:

Initial

Are you exempt from dividend withholding tax? NY

If “Yes” please complete the dividend withholding tax exemption form and submit to the administrator withyour investment application documentation.

Do you have tax obligations, liabilities or tax residencies outside of South Africa? NY

If “Yes” is selected, please complete a CRS and FATCA self-certification form for individuals.

2. DETAILS OF PERSON ACTING ON BEHALF OF THE INVESTOR

Please provide full details of the person who is authorised to act on behalf of the investor, together with proof of authority/appointment.

Capacity in which person is authorised:

Curator Guardian Power of attorneyExecutor of estate

Discretionary financial advisor

Email


Full name


Contact number

Physical address

Code

Postal address

Code

Please refer to each MDD for all information pertaining to your selected portfolio(s), including fees, minimums,benchmarks and mandate details.

Minimum investment amounts

Debit order amounts: R 500 per month

Please confirm how you will be making payment?

Electronic funds transfer (Internet) Debit order

Source of funds

Savings Bonus SalaryInheritance Other

If other, please specify:

1. INVESTOR DETAILS (CONTINUED):

Date of birth

DD MM YY YY

Collection date

DD MM YY YY


4. FEDGROUP BANKING DETAILS:

5. INVESTOR’S BANKING DETAILS:

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The only accounts accepted by electronic banking are: savings, current and transmission accounts. Payment into credit cards, money market accounts, call accounts and third-party accounts cannot be accepted.

Name of accountholder

Name of bank Account number

Account type Branch code/name

Fedgroup Management Pty Ltd(the administrator)

For company banking details, please mail us at:[email protected]

Fedgroup General Equity Fund

Fedgroup Income Plus Fund

Fedgroup Money Market Fund

Fedgroup Aggressive Fund of Funds

Fedgroup Balanced Fund of Funds

Fedgroup Conservative Fund of Funds

Fedgroup Flexible Fund of Funds

Fund name

Total

Class Lump-sum amount (R/%) Debit order amount (R/%)

Your investment may earn income distributions (interest and/or dividends). We will automatically reinvest income distributions earned on your investment, which means you will receive additional units.If you would prefer your income distributions to be paid into your bank account, please check this box.

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Special instructions

Initial

6. CONTRIBUTOR’S BANKING DETAILS (IF NOT INVESTOR):

Email

Full name


Contact number

Date of birth

DD MM YY YY

3. INVESTMENT DETAILS (CONTINUED):


Fedgroup Large Cap Equity Fund

Fedgroup Worldwide Flexible Fund

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7. DEBIT ORDER DETAILS:

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Total debit order amount

Annual debit order escalation % Debit order collection frequency

R

5% 10% 15% 20%

1. The investor hereby instructs and authorises the Fedgroup Management Company to collect the above sum from his/her bank account specified above, on the 1st of the applicable month. Furthermore, the investor understands that should the 1st fall on a Saturday, Sunday or public holiday, the amount will be debited the first working day thereafter.2. The investor understands that he/she may cancel this authority by providing the administrator with written notice before the 20th of the month preceding the next debit order.3. The investor agrees to pay any bank charges and costs relating to the debit order authority, and declares that all monies invested are not the proceeds of unlawful activities.4. The investor acknowledges that the administrator is authorised to effect the drawing(s) against his/her account and may not cede or assign any of its rights to any third party without the investor’s prior written consent. The investor agrees that he/she may not delegate any obligations in terms of this application to any third party without the prior written consent of the administrator.

Monthly Quarterly

Biannually Annually

Commencement date

DD MM YY YY

INVESTOR’S/CONTRIBUTOR’S SIGNATURE Date

DD MM YY YY

Initial

Deduction date

DD MM YY YY




Physical address

Code

Postal address

Code

Source of funds

Savings Bonus SalaryInheritance Other

If other, please specify:

If this accountholder is a legal entity, please complete Annexure A (where applicable), for that legal entity

6. CONTRIBUTOR’S BANKING DETAILS (CONTINUED):

0%


8. CHARGES:

Initial advice Fee (excluding VAT)Lump-sum investments Debit orders

Financial advisor fee % %

Administration fee 0% 0%

8. CHARGES (CONTINUED):

9. REGULAR WITHDRAWALS:

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Frequency

Withdrawal amount

R %

Withdrawal bank account (if different from the bank account details provided in Section 4 above). Withdrawals can only be paid into an investor’s account. If different, please provide proof of the banking details for the account stated below.




10. FINANCIAL ADVISOR:

Commencement date

DD MM YY YY

QuarterlyMonthly Biannually Annually


Full name/s

Company name

Contact number Financial advisor code

Initial

*The above fee excludes all underlying portfolio management charges.

All charges are exclusive of value-added tax (VAT)

Annual charges: (excluding VAT)


11. DECLARATION BY FINANCIAL ADVISOR:

FAIS Declaration:

The financial advisor warrants that it has either established and verified the identity of the investor in accordance with Section 21 of the Financial Intelligence Centre Act No 38 of 2001 (FICA), or that in terms of the financial advisor’s rules and procedures ordinarily applied in the course of establishing business relationships or concluding single transactions, they will have established and verified, in accordance with Section 21 of FICA, the identity of the investor on whose behalf they will establish business relationships or conduct single transactions with the Fedgroup collective investment scheme (Fedgroup) or that the financial advisor has, where it has not established and verified the identity of the investor, been exempted from having to do so by another (the primary) accountable institution and that the financial advisor will or has obtained a written undertaking from that accountable institution to this effect. The financial advisor further warrants that they will keep records of such identification in accordance with Section 22 of FICA or, where it has not established and verified the identity of the investor, another (the primary) accountable institution has provided the financial advisor with an undertaking that it will keep the requisite records.

Ongoing advice fee %

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FICA Declaration:

The financial advisor authorises Fedgroup to accept instructions by facsimile or email and waives any claim against Fedgroup and indemnify Fedgroup against any loss incurred as a result of Fedgroup receiving and/or acting upon such communication. Fedgroup will not be held responsible for any failure, malfunction or delay of any networks, any electronic or mechanical device, or any other form of communication used in the submission, acceptance and processing of this application form or any other instruction or transaction. Fedgroup will not be liable to make good or compensate the investor or third party for any damages (whether direct or consequential) losses, claims or expenses resulting from such failure, malfunction or delay, and the investor and financial advisor indemnify Fedgroup accordingly.

11. DECLARATION BY FINANCIAL ADVISOR (CONTINUED):

FINANCIAL PLANNER’S SIGNATURE Date

DD MM YY YY

12. ANNEXURE 1: INVESTMENT OBJECTIVES

1. The Fedgroup General Equity Fund shall be a domestic general equity portfolio. The primary investment objective of theFedgroup General Equity Fund is capital appreciation through investment, primarily in equity securities listed on the JSELimited and assets in liquid form. The portfolio will invest in a minimum of 75% of the market value of the portfolio in equitiesat all times. The manager will be permitted to invest on behalf of the Fedgroup General Equity Fund in offshore investmentsas well as listed and unlisted derivative instruments as legislation permits.

2. The Fedgroup Income Plus Fund shall be a domestic fixed-interest varied specialist portfolio. The primary investmentobjective of the Fedgroup Income Plus Fund is to earn a higher level of income over and above that achieved by a traditionalmoney market fund. The investments to be included in the portfolio will be assets in liquid form, non-equity securitiesincluding fixed interest, interest-bearing securities and listed and unlisted derivative instruments.

3. The Fedgroup Money Market Fund shall be a local money market portfolio. The investment objective of the portfolio is toprovide a medium whereby investors can obtain undivided participation in a diversified portfolio of money marketinstruments and assets in liquid form. The primary performance objective of the portfolio is to obtain as high a level ofcurrent income as is consistent with preservation and liquidity.

4. The Fedgroup Aggressive Fund of Funds shall be a domestic asset allocation prudential high-equity portfolio. The primaryinvestment objective of the Fedgroup Aggressive Fund of Funds is to achieve superior capital growth over the longer term atthe risk of greater short-term volatility of capital values. The Fedgroup Aggressive Fund of Funds will, apart from assets inliquid form, consist solely of participatory interests in collective investment schemes investing in equity, bonds, property andmoney market instruments, subject to the limits provided in the Pension Funds Act Regulation 28.

5. The Fedgroup Balanced Fund of Funds shall be a domestic asset allocation prudential medium-equity portfolio. The primaryinvestment objective of the Fedgroup Balanced Fund of Funds is to achieve long-term capital growth at the risk of anincreased probability of short-term volatility. The Fedgroup Balanced Fund of Funds will, apart from assets in liquid form,consist solely of participatory interests in portfolios of collective investment schemes investing in equity, bonds, propertyand money market instruments, subject to the limits provided in the Pension Funds Act Regulation 28.

6. The Fedgroup Conservative Fund of Funds shall be a domestic asset allocation prudential low-equity portfolio. The primaryinvestment objective of the Fedgroup Conservative Fund of Funds is to achieve long-term capital growth with reducedvolatility over the short term. The Fedgroup Conservative Fund of Funds will, apart from assets in liquid form, consist solelyof participatory interests in portfolios of collective investment schemes investing in equity, bonds, property and moneymarket instruments, subject to the limits provided in the Pension Funds Act Regulation 28.

7. The Fedgroup Flexible Fund of Funds shall be a domestic asset allocation flexible portfolio. The primary investmentobjective of the Fedgroup Flexible Fund of Funds is to aggressively manage the portfolio, with assets being shifted betweenvarious markets and asset classes to reflect changing economic and market conditions, to maximise total returns. TheFedgroup Flexible Fund of Funds will, apart from assets in liquid form, consist solely of participatory interests in collectiveinvestment schemes. The portfolio will invest in a flexible combination of equities, bonds, money and property, both localand foreign.

8. The Fedgroup Worldwide Flexible Fund aims to maximise long-term total returns by investing across a wide spectrum of assetclasses, in both local and foreign markets. The Investment Manager has substantial flexibility to vary the asset allocationbetween various markets, asset classes and countries, to reflect the changing economic and market conditions.

9. The Fedgroup Large Cap Equity Fund is to invest at least 80% of the market value in large market capitalisation shares in theFTSE/JSE Large Cap Top 40 index and have a minimum equity exposure of 80%. The portfolio may invest in listed andunlisted instruments as allowed by the Act and is suitable for investors seeking long-term capital growth.

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Initial


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1. The Fedgroup General Equity Fund shall be a domestic general equity portfolio. The primary investment objective of the Fedgroup General Equity Fund is capital appreciation through investment, primarily in equity securities listed on the JSE Limited and assets in liquid form. The portfolio will invest in a minimum of 75% of the market value of the portfolio in equities at all times. The manager will be permitted to invest on behalf of the Fedgroup General Equity Fund in offshore investments as well as listed and unlisted derivative instruments as legislation permits.

2. The Fedgroup Income Plus Fund shall be a domestic fixed-interest varied specialist portfolio. The primary investment objective of the Fedgroup Income Plus Fund is to earn a higher level of income over and above that achieved by a traditional money market fund. The investments to be included in the portfolio will be assets in liquid form, non-equity securities including fixed interest, interest-bearing securities and listed and unlisted derivative instruments.

3. The Fedgroup Money Market Fund shall be a local money market portfolio. The investment objective of the portfolio is to provide a medium whereby investors can obtain undivided participation in a diversified portfolio of money market instruments and assets in liquid form. The primary performance objective of the portfolio is to obtain as high a level of current income as is consistent with preservation and liquidity.

4. The Fedgroup Aggressive Fund of Funds shall be a domestic asset allocation prudential high-equity portfolio. The primary investment objective of the Fedgroup Aggressive Fund of Funds is to achieve superior capital growth over the longer term at the risk of greater short-term volatility of capital values. The Fedgroup Aggressive Fund of Funds will, apart from assets in liquid form, consist solely of participatory interests in collective investment schemes investing in equity, bonds, property and money market instruments, subject to the limits provided in the Pension Funds Act Regulation 28.

5. The Fedgroup Balanced Fund of Funds shall be a domestic asset allocation prudential medium-equity portfolio. The primary investment objective of the Fedgroup Balanced Fund of Funds is to achieve long-term capital growth at the risk of an increased probability of short-term volatility. The Fedgroup Balanced Fund of Funds will, apart from assets in liquid form, consist solely of participatory interests in portfolios of collective investment schemes investing in equity, bonds, property and money market instruments, subject to the limits provided in the Pension Funds Act Regulation 28.

6. The Fedgroup Conservative Fund of Funds shall be a domestic asset allocation prudential low-equity portfolio. The primary investment objective of the Fedgroup Conservative Fund of Funds is to achieve long-term capital growth with reduced volatility over the short term. The Fedgroup Conservative Fund of Funds will, apart from assets in liquid form, consist solely of participatory interests in portfolios of collective investment schemes investing in equity, bonds, property and money market instruments, subject to the limits provided in the Pension Funds Act Regulation 28.

7. The Fedgroup Flexible Fund of Funds shall be a domestic asset allocation flexible portfolio. The primary investment objective of the Fedgroup Flexible Fund of Funds is to aggressively manage the portfolio, with assets being shifted between various markets and asset classes to reflect changing economic and market conditions, to maximise total returns. The Fedgroup Flexible Fund of Funds will, apart from assets in liquid form, consist solely of participatory interests in collective investment schemes. The portfolio will invest in a flexible combination of equities, bonds, money and property, both local and foreign.

8. The Fedgroup Worldwide Flexible Fund aims to maximise long-term total returns by investing across a wide spectrum of asset classes, in both local and foreign markets. The Investment Manager has substantial flexibility to vary the asset allocation between various markets, asset classes and countries, to reflect the changing economic and market conditions. 9. The Fedgroup Large Cap Equity Fund is to invest at least 80% of the market value in large market capitalisation shares in the FTSE/JSE Large Cap Top 40 index and have a minimum equity exposure of 80%. The portfolio may invest in listed and unlisted instruments as allowed by the Act and is suitable for investors seeking long-term capital growth.

In order to offer you this product, we have to process your personal information. We will share your information with other service providers. This includes information about your product and payments. We do this to manage your investment. We will treat your personal information with caution and have put reasonable security measures in place to protect it. By signing this application, you agree to the processing and sharing of your personal information.

Fedgroup endeavours to provide accurate and timely information but make no representation or warranty, express or implied, with respect to the correctness, accuracy or completeness of any information or opinions. Fedgroup does not undertake to update, modify or amend the information on a frequent basis or to advise any person if such information subsequently becomes inaccurate. Any representation or opinion is provided for information purposes only. In the event that the investor decides not to appoint a financial advisor, the investor indemnifies Fedgroup from any loss or damage that the investor may suffer as a result of investing or transacting with Fedgroup without the advice of a financial advisor. Collective investment schemes in securities (unit trusts) are generally medium to long-term investments. The value of participatory interests (units) may go down as well as up and past performance is not necessarily a guide to the future. Fluctuations or movements in exchange rates may cause the value of underlying international investments to go up or down. Unit trusts are traded at ruling prices and the manager can engage in borrowing and scrip lending. Forward pricing is used. Trading of participatory interests on an exchange may incur additional costs, including brokerage fees, administration fees and uncertified securities tax. Non-quantifiable deductions included in the net asset value price may include brokerage fees, MST, auditor’s fees, bank charges, trustee fees and custodian fees. Fedgroup is a member of the Association for Savings and Investment SA (ASISA).

I/we confirm the MDD and complaints process were disclosed and are available at www.fedgroup.co.za.

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13. ANNEXURE 2: DISCLAIMER AND STATUTORY DISCLOSURES

The investor acknowledges and understands that Fedgroup cannot provide the investor with advice. Any information and opinions that may be provided by Fedgroup is of a general nature and are not intended to address the circumstances of any particular individual or entity. Fedgroup is not acting and do not purport to act in any way as an advisor or in a fiduciary capacity. The investor should not act upon such information or opinion without appropriate professional advice after a thorough examination of a particular situation.

Initial

Initial

14. ANNEXURE 3: DECLARATION

1. I/we have read, understand and agree to be bound by the provisions of this application form. If, on the date of signature of this application form, an updated application form exists and the fees are different on that form, the fees on the updated application form will apply.

2. I/we understand and/or warrant that: 2.1. The information contained herein is correct, and that, if this application form is signed in a representative capacity, I/we have the necessary authority to do so and that this transaction is within my/our powers. 2.2. Fedgroup reserves the right to request any additional evidence to identify the source of any investment made by the investor. 2.3. Fedgroup shall, at its discretion, have the option to pay or collect any amount (provided that I/we owe this amount to Fedgroup) through the automated clearing bureau or electronic funds transfer, or by direct debit or credit against my/our bank by means of a debit or credit note addressed to my/our bankers. Any amounts so received by Fedgroup will be deemed not to have been received by Fedgroup and no transaction in respect of such application may be made until the amount of the debit order, cheque or EFT payment has been unconditionally credited to the Fedgroup account with its bankers. 2.4. Any variations to the terms of this agreement made by my/our financial advisor or me/us will only be binding if accepted in writing by Fedgroup. No act or omission will be construed as an acceptance of a variation to this agreement. 2.5. All monies deposited in the applicable Fedgroup account for this investment were obtained from legitimate sources. I/we further warrant that I/we have complied and will continue to comply with all relevant legislation, including, but not limited to, money laundering and income tax legislation.

3. I am/we are acting for my/our own account and that I/we have made my/our independent decisions to enter into the investment and as to whether the investment is appropriate or proper for me/us, based upon my/our own judgment, and upon advice from such advisors as I/we may deem necessary. I/we warrant that I am/we are not relying on any communication from Fedgroup, whether written, oral or implied, as investment advice or as a recommendation to enter into the investment. It is understood that information and explanations relating to the terms of an investment shall not be considered investment advice or a recommendation to enter into the investment. I/we warrant that I/we have not received from Fedgroup any assurance or guarantee as to the expected return on this investment. I/we indemnify and hold Fedgroup harmless against any claim of whatsoever nature, which I/we may have resulting from conducting business telephonically, via the online services (including email), or by way of facsimile. I/we hereby consent to Fedgroup taking any security precautions it may deem necessary for it to proceed with my/our application.


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14. ANNEXURE 3: DECLARATION (CONTINUED)

4. I/we authorise Fedgroup Collective Investment Schemes (Fedgroup) to accept instructions by facsimile or email and hereby waive any claim that I/we may have against Fedgroup and indemnify Fedgroup against any loss incurred as a result of Fedgroup receiving and/or acting upon such communication. The financial advisor authorises Fedgroup Collective Investment Schemes to accept instructions by facsimile or email and waives any claim against Fedgroup and indemnify Fedgroup against any loss incurred as a result of Fedgroup receiving and/or acting upon such communication. Fedgroup will not be held responsible for any failure, malfunction or delay of any networks, any electronic or mechanical device, or any other form of communication used in the submission, acceptance and processing of this application form, or any other instruction or transaction. Fedgroup will not be liable to make good or compensate the investor or third party for any damages (whether direct or consequential) losses, claims or expenses resulting from such failure, malfunction or delay, and the investor and financial advisor indemnify Fedgroup accordingly.

5. I/we hereby acknowledge that I/we have the right and responsibility to conclude a discretionary investment mandate in terms of Board Notice 79 of 2003 of the Financial Advisory and Intermediary Services Act No 37 of 2002 with a financial advisor and that, if this appointment occurs, Fedgroup is authorised to act on any written instructions received from a financial advisor relating to investments into the Fedgroup funds.

6. In order to offer you this product, we have to process your personal information. We will share your information with other service providers. This includes information about your products and payments. We do this to manage your investment. We will treat your personal information with caution and have put reasonable security measures in place to protect it. By signing this application you agree to processing and sharing your information.

7. Confirm MDD and complaints processes were disclosed.

INVESTOR’S SIGNATURE Date

DD MM YY YY

NY

1. I/we have read, understand and agree to be bound by the provisions of this application form. If, on the date of signature of this application form, an updated application form exists and the fees are different on that form, the fees on the updated application form will apply.

2. I/we understand and/or warrant that: 2.1. The information contained herein is correct, and that, if this application form is signed in a representative capacity, I/we have the necessary authority to do so and that this transaction is within my/our powers. 2.2. Fedgroup reserves the right to request any additional evidence to identify the source of any investment made by the investor. 2.3. Fedgroup shall, at its discretion, have the option to pay or collect any amount (provided that I/we owe this amount to Fedgroup) through the automated clearing bureau or electronic funds transfer, or by direct debit or credit against my/our bank by means of a debit or credit note addressed to my/our bankers. Any amounts so received by Fedgroup will be deemed not to have been received by Fedgroup and no transaction in respect of such application may be made until the amount of the debit order, cheque or EFT payment has been unconditionally credited to the Fedgroup account with its bankers. 2.4. Any variations to the terms of this agreement made by my/our financial advisor or me/us will only be binding if accepted in writing by Fedgroup. No act or omission will be construed as an acceptance of a variation to this agreement. 2.5. All monies deposited in the applicable Fedgroup account for this investment were obtained from legitimate sources. I/we further warrant that I/we have complied and will continue to comply with all relevant legislation, including, but not limited to, money laundering and income tax legislation.

3. I am/we are acting for my/our own account and that I/we have made my/our independent decisions to enter into the investment and as to whether the investment is appropriate or proper for me/us, based upon my/our own judgment, and upon advice from such advisors as I/we may deem necessary. I/we warrant that I am/we are not relying on any communication from Fedgroup, whether written, oral or implied, as investment advice or as a recommendation to enter into the investment. It is understood that information and explanations relating to the terms of an investment shall not be considered investment advice or a recommendation to enter into the investment. I/we warrant that I/we have not received from Fedgroup any assurance or guarantee as to the expected return on this investment. I/we indemnify and hold Fedgroup harmless against any claim of whatsoever nature, which I/we may have resulting from conducting business telephonically, via the online services (including email), or by way of facsimile. I/we hereby consent to Fedgroup taking any security precautions it may deem necessary for it to proceed with my/our application.


investor retail application form - fedgroup€¦ · all charges are exclusive of value-added tax...

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