Investment Linked Policy NTUC Income

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					                                        NTUC Income Insurance Co-operative Limited
                                        NTUC Income Centre, 75 Bras Basah Road, Singapore 189557
                                        Tel: 63 INCOME/6788 1777 | Fax: 6338 1500
                                        Email: csquery@income.com.sg | Website: www.income.com.sg



              ABRIDGED FACT FIND FORM FOR INVESTMENT-LINKED PLAN
                                            Policyholder’s/Assignee’s Transaction Request(s)
     One Time Top-Up *                                  Increase in Regular Premium/Sum Assured
     Recurring Top-Up *                                 RevoSave ILP Account
     Fund Switch *                                      Add Rider
     Change in Fund Allocation *                        Increase Cover Term of Rider
This Abridged Fact Find Form is used for the recommendation of the following policies:

1.                                                                              3.

2.                                                                              4.

                                                Important Notice to Policyholder/Assignee
You would have provided your NTUC Income adviser information about you and in relation to your investment objectives, financial situation and
your particular needs before the purchase of the insurance product(s).
Please inform your NTUC Income adviser if your circumstances have changed in any way as it may affect your financial needs. Alternatively, you may
request for comprehensive financial review with your adviser using the My Financial Portfolio form before proceeding with this transaction request.
*SECTION A, SECTION B & SECTION C must be completed by you if you wish to proceed with certain ILP post-purchase transactions without any
advice from NTUC Income. You are responsible to ensure suitability of the ILP transaction(s) and you will waive the right to receive any advice as
to whether the product/funds is suitable under the Financial Advisers Act.

                                                    Policyholder’s/Assignee’s Particulars
Name of Policyholder/Assignee                                                                            NRIC/Passport No.



                                               Policyholder’s/Assignee’s Investment Profile

                                                    Section A: My Investment Knowledge
This questionnaire, also known as the Customer Knowledge Assessment, helps to assess if you have any relevant knowledge or investment
experience to understand the risks and features of unlisted “Specified Investment Products”, which includes investment-linked life insurance
policies (“ILPs”) or similar products.
Any inaccurate or incomplete information provided by you may affect the suitability of the recommendation.

Classification       Question

                     1. Do you hold any Diploma or higher qualification in the finance-related             Yes    No   Please specify details if you
                        disciplines as below?                                                                          have answered “Yes” to any
                        • Accountancy                               • Economics                                        of the questions:
                        • Actuarial Science                         • Finance
                        • Business/Business Administration          • Finance Engineering
                        • Business Management/                      • Financial Planning
 Educational              Business Studies                          • Computational Finance
Qualifications
                        • Capital Markets                           • Insurance
                        • Commerce
                     2. Do you have any other professional finance-related qualifications?                 Yes    No
                        Example:
                        • Chartered Financial Analyst (CFA)
                        • Association of Chartered Certified Accountants (ACCA)
                     3. Have you made at least 6 transactions in collective investment schemes             Yes    No
                        (“CIS”) (example: unit trusts) or ILPs in the last 3 years?
                     Transactions that would NOT qualify:
  Investment
                                                                                 ,
                     • Subsequent investments into a regular premium ILP recurring single
  Experience
                       premium ILP or instalment savings plan of Unit Trust after the first premium/
                       instalment.
                     • Shares listed in the Stock Exchange
                     4. Do you have a minimum of 3 consecutive years of working experience in              Yes    No
                        the past 10 years in the development of, structuring of, management of,
    Work                sale of, trading of, research on and analysis of investment products or the
  Experience            provision of training in investment products?
                        Note: Work experience in accountancy, actuarial science, treasury or financial
                        risk management activities will also be considered relevant experience.

                                                                                                                    NTUCINCOME/LI/AFF/07/2012 • Page 1 of 6
Outcome of Customer Knowledge Assessment

If you have indicated a “Yes” in at least one of the above questions, you are assessed to have the relevant experience and/or
knowledge to purchase an ILP  .
It is recommended that you seek advice from your NTUC Income adviser if you wish to transact in your ILP(s).
If you wish to proceed without any advice, please complete the section on “SECTION B: MY RISK PROFILE” and SECTION C of
this form.

If you have indicated a “NO” in all the above questions, you are assessed NOT to have the relevant experience and/or knowledge
to purchase an ILP .
You would need to seek advice from your NTUC Income adviser if you wish to transact in your ILP(s).


                                                         Section B: My Risk Profile
It is important to select suitable products that reflect your risk preferences. As a general rule, the higher the potential return, the higher the risk
that capital may not be returned. This Risk Profile questionnaire helps to assess your risk tolerance.
Please select one of the options for each question and circle the score accordingly.

Question                                                                                                                                     Score

1. Investment Objective
   • Capital preservation is my priority.                                                                                                       1
   • I like my portfolio to provide steady and regular returns over the long term. I am concerned about fluctuations in returns.                2
   • I like to see an overall growth in my portfolio and am less concerned about fluctuations in returns.                                       3
   • My primary objective is to maximize growth over long term. I am least concerned about fluctuations in returns.                             4

2. Investment Time Frame
   Assuming that I have made plans to meet short-term financial goals and to handle emergencies, how long would I keep
   my money invested before I would need to access it?
   • less than 5 years                                                                                                                          1
   • 5 to less than 10 years                                                                                                                    2
   • 10 to less than 15 years                                                                                                                   3
   • 15 years and above                                                                                                                         4

3. Investment Return Expectation
   • 0 to less than 3%                                                                                                                          1
   • 3% to less than 5%                                                                                                                         2
   • 5% to less than 8%                                                                                                                         3
   • 8% and above                                                                                                                               4

4. If my investment portfolio suffers a short-term decline, what is my reaction?
   • I would sell my investments and keep cash.                                                                                                 1
   • I would stay invested and if the decline is more than 10% in value, I would liquidate my investments.                                      2
   • I would liquidate my investments if the decline is more than 25% in value.                                                                 3
   • I would ride the lows and am willing to invest more money for greater growth opportunities.                                                4

5. In an extreme downturn event, what is the maximum decline I can tolerate?
   • I would be uncomfortable with any loss.                                                                                                    1
   • 10% decline is all I can tolerate.                                                                                                         2
   • I would not tolerate more than 50% decline.                                                                                                3
   • I would be able to tolerate a significant decline of more than 50%.                                                                        4

6. My investment mix preference where Portfolio A refers to fixed income instrument, bond, capital guaranteed product,
   Portfolio B refers to equity instrument, property and commodity.
   • 100% in Portfolio A                                                                                                                        1
   • 70% in Portfolio A and 30% in Portfolio B                                                                                                  2
   • 30% in Portfolio A and 70% in Portfolio B                                                                                                  3
   • 100% in Portfolio B                                                                                                                        4

TOTAL SCORE


                                                                                                                   NTUCINCOME/LI/AFF/07/2012 • Page 2 of 6
    Score        Policyholder’s Risk Profile                                                Portfolio Mix
   6 - 10                    Conservative       Objective is to preserve capital. Prefers high liquidity and reduced risk of capital loss.
                                                (e.g. Money Market fund and traditional policies)

   11 - 15                   Moderately         Objective is to obtain dependable regular stream of income from investment.
                             Conservative       Willing to accept some risks of principle loss. (e.g. Bond Funds)

   16 - 20                   Moderately         Objective is to strike a balance between fixed income and equity investment for growth opportunities.
                             Aggressive         (e.g. Balanced Funds)

   21 - 24                   Aggressive         Objective is to achieve above average growth over time and current income concerns will be minimal.
                                                Willing to take substantial risks in investment. (e.g. Equity Funds)

Do you agree with your risk profile?
   Yes
   No. Please indicate the Risk Profile deemed more suitable:
            Conservative       Moderately Conservative          Moderately Aggressive         Aggressive

                       Section C: Policyholder’s/Assignee’s Declaration Through Direct Submission
This section is only available to Policyholder/Assignee who is assessed to have the relevant experience and/or knowledge to purchase an ILP
and wishes to transact in one of the following post-purchase transactions to ILP(s) without seeking advice from NTUC Income.
   One Time Top-Up           Recurring Top-Up           Fund Switch           Change in Fund Allocation

1. I acknowledge that I have the option to complete “My Financial Portfolio” form but I wish to receive factual information only.
2. I am aware the outcome of my completed Customer Knowledge Assessment where I am assessed to have relevant knowledge and/or experience
   in ILPs.
3. I am aware of my risk profile, completed under Section B.
4. I am advised to read and understand the corresponding Product Highlight Sheet(s), Fund Report(s) or Monthly Fund Fact Sheet(s) available
   from www.income.com.sg with respect to the relevant investment fund(s) before deciding whether to invest/transact in such fund(s). Where
   appropriate, I understand that I can cease to proceed with this transaction at any time before the submission of this form and seek financial
   advice from a qualified NTUC Income insurance adviser, or seek independent legal, tax and/or other professional advice.
5. All investment decisions are made independently by me, as the policyholder/assignee, after duly considering and understanding the investment
   fund(s), benefits and risks. I understand that the information contained herein is not intended as financial advice and shall not be relied on
   as such by me. I am responsible to ensure the suitability of the fund(s) selected.



Name of Policyholder/Assignee                                                             NRIC/Passport No.


Signature                                                                                 Date                                            (dd/mm/yyyy)

Please proceed to complete the transaction request in the appending form.

               Section D: My Summary Of Needs (To Be Completed By Authorised NTUC Income Adviser)
Reasons for Recommendation
Policyholder’s/Assignee’s Objective/Time Horizon




Policyholder’s/Assignee’s Affordability/Budget




                                                                                Risk Classification of Fund(s)
 Policy No.          ILP Plans(s)              ILP Fund(s) Selected             according to Policyholder’s/                     Remarks
                                                                                   Assignee’s Risk Profile

                                                                                  Below       Within       Above


                                                                                  Below       Within       Above


                                                                                  Below       Within       Above


                                                                                  Below       Within       Above



                                                                                                                    NTUCINCOME/LI/AFF/07/2012 • Page 3 of 6
                                                Policyholder’s/Assignee’s Acknowledgement
1. I understand that the recommendation(s) is/are based on information and assumptions that I have provided in this form. Any inaccurate and
   incomplete information may affect the suitability of the recommendation(s).
2. I understand that I can request for a comprehensive financial review of my existing insurance policy(ies) before I proceed with this transaction(s).
3. I understand that a copy of the Product Highlight Sheet (if applicable) can be available for download at www.income.com.sg or can be requested
   from my adviser.
   I agree with the proposed recommendation(s).
   I agree with the proposed recommendation(s) with modification(s). My comments are as indicated below.
   I disagree with the proposed recommendation(s). My comments are as indicated below.

Comments




Additional Disclosure [To be completed if Policyholder/Assignee is assessed NOT to have knowledge or experience in ILP, and select a fund
that is higher than his/her risk profile.]
My adviser has confirmed and informed me of the following:
   I am aware that it is my responsibility to ensure the suitability of the ILP fund(s) chosen.
   I understand that NTUC Income may be contacting me to confirm this transaction.
   I understand that this application is subject to approval by NTUC Income.




Name of Policyholder/Assignee*                                                                 NRIC/Passport No.


Signature                                                                                      Date                                      (dd/mm/yyyy)
* Delete where applicable. For a policy with an assignee, assignee needs to complete and sign the form.

                                                                 Adviser’s Declaration
I have provided the Policyholder/Assignee with a reasonable recommendation(s) based on the information and assumptions he/she has provided
in this form.


Name of Adviser                                                                                Adviser’s Code


Signature                                                                                      Date                                      (dd/mm/yyyy)


                                                                Supervisor’s Validation
Based on the information provided and the Policyholder’s/Assignee’s choice,
   I agree with the recommendation made by my adviser.                     I disagree with the recommendations made by my adviser.

Comments




I have reviewed the ILP transaction request and noted that:
   Senior management’s confirmation is required.                           Senior management’s confirmation is NOT required.



Name of Supervisor                                                                             Date                                      (dd/mm/yyyy)


Signature




                                                                                                                   NTUCINCOME/LI/AFF/07/2012 • Page 4 of 6
                                             NTUC Income Insurance Co-operative Limited                                   For official use only
                                             NTUC Income Centre, 75 Bras Basah Road, Singapore 189557                     Scanning
                                                                                                                          1. CS (Regular Premium Change) with Green Barcode
                                             Tel: 63 INCOME/6788 1777 | Fax: 6338 1500
                                                                                                                          After scanning, please update ICM under “ILP Processing”.
                                             Email: csquery@income.com.sg | Website: www.income.com.sg



   INVESTMENT-LINKED PLAN POLICY REGULAR PREMIUM CHANGE FORM
                     STATEMENT UNDER SECTION 25(5) OF INSURANCE ACT, CAP. 142 (OR ANY FUTURE AMENDMENTS TO IT)
         You must reveal all facts you know, or ought to know, which may affect the insurance cover you are applying. Otherwise, the insurance policy may not be valid.

                                                                       Particulars of Insured
 Name of Insured (as shown in NRIC)                                                                         Policy No.                          NRIC No.


Please complete one form per policy and ensure all fields are completed.

                                                                  Change of Regular Premium

 From $                            to $                           (Refer to Terms below for the minimum regular premium based on your plan type)

                                                                             Questionnaire
 Please answer the following questions if you are requesting for an increase in regular premium. (To be based on Life Insured)
 1. Have you suffered from or received treatment for disease of the heart or circulatory system, stroke, high blood pressure,                                     Yes         No
    diabetes, cancer, growth, or other malignancy, kidney or bladder disorders, asthma, other respiratory disorders, liver disease
    such as Hepatitis, epilepsy, hereditary diseases, and eye disorder?
 2. Have you suffered from physical or mental impairment or deformity, or have undergone or are undergoing any medical                                            Yes         No
    treatment/surgical operation?
 If you have answered “Yes” to Question 1-2, please provide details below:




 Terms:
 1. For VivoLink (VL1) policies, the minimum regular premium is $150/monthly, $450/quarterly, $900/half-yearly or $1,800/yearly.
    To any decrease or increase of regular premium, it will be subjected to the respective allocation rates as set out in the policy contract.
    The new premium after any increase is capped at $500/monthly, $1,500/quarterly, $3,000/half-yearly or $6,000/yearly.
 2. For Ideal (ID2) policies, the minimum regular premium is $50/monthly, $150/quarterly, $300/half-yearly or $500/yearly.
    To any decrease of regular premium within the first three (3) years of policy inception date, the advisory fee on the initial regular premium
    will still be payable. To any increase of regular premium, a 45% advisory fee will be deducted upfront for the annualised portion that is in
    excess of the highest regular premium paid before the increase.
 3. For Ideal (ID5/ID6/ID7) policies, the minimum regular premium is $100/monthly, $300/quarterly, $600/half-yearly or $1,200/yearly.
    For Ideal (ID6) policies, any decrease of regular premium, the advisory fee will be based on the value of the amount of premium which you
    have paid at policy inception date. To any increase of regular premium, you must bear a monthly advisory fee equivalent to 25% of the increased
    portion for a period of twelve (12) months, in addition to any prevailing advisory fee being paid by you.
    For Ideal (ID7) policies, any increase of regular premium that is sold through an Insurance Adviser under your policy, you must bear a monthly
    advisory fee equivalent to 15% of the increased portion for a period of twelve (12) months, in addition to any prevailing advisory fee being
    paid by you.
 4. The increase/decrease in regular premium if accepted by us is usually effected from the next premium due date unless we notify you otherwise.
 5. All regular premiums due for the first twelve (12) months of this policy must be fully paid before any decrease in premium amount is allowed.
 6. After the premium change has been approved and completed, kindly pay the new premium in full. Partial payments are not allowed.
 7. For cash payment, the Offer Price is based on the date when NTUC Income receives the new premium before 3:00pm. Any submission after
    3:00pm will be considered as the next working day’s pricing.
 8. For policies that are on GIRO, the process of deduction takes place between 21st of the month to 8th of the next month. During this period, no
    changes to your premium can be made. If this form is received during this period, your request will be handled after the GIRO deduction
    process is completed.
 9. We will acknowledge fax requests by the next working day. Our acknowledgement does not constitute acceptance of your request. If you do
    not receive an acknowledgement from us within 3 working days, please call us at 6788 1122.
 10. Please be informed that you are allowed to invest up to two (2) Funds per policy except for GrowthLink (GL1) and VivoLink (VL1) policies.

                                                                       Change of Allocation
 Do you wish to change your future premium allocation? If no preference is indicated, the current fund allocation will remain.
 (Money Market Fund is not allowed to be allocated)
    Yes. I would like to change my future renewal premiums to be invested in the funds as indicated below.
 Funds                                                                                                                                                            Percentage




 Total                                                                                                                                                                    100%



                                                                                                                                    NTUCINCOME/LI/MISC/07/2012 • Page 5 of 6
                                                        Aim Now fund Distribution Option
     Encashment 1                                                                    Reinvestment
1
    Please note that this option is available for cash policy only and the default payment is by cheque.
Terms:
1. If no preference is indicated, the default option will be reinvestment.
2. For CPF/SRS policies (if applicable), distribution(s) shall be reinvestment only.
3. Any distribution below the amount of $50 (or such other sum as may be determined by NTUC Income) will be automatically reinvested and
   encashment will not be allowed.
4. The above selection of Fund distribution option will supercede your previous option (if any).

                                                            Declaration and Agreement
I/We declare and warrant that the answers given in this application are true, correct and complete and I/we accept full responsibility for them,
whether provided by me/us or anyone else on my/our behalf. I/We have not withheld any material information.
I/We agree to inform NTUC Income as soon as possible if there is any change in the state of my health or the Insured’s health or if I or the Insured
plan(s) to seek any medical consultation, investigation or treatment between the date of this application and before the date the Endorsement is
issued by NTUC Income. I/We understand that NTUC Income may impose special terms according to the information given by me/us.
And I/we agree and authorise:
(a) any doctor, insurer, or organisation to release to NTUC Income, and
(b) NTUC Income to release to any doctor, insurer or organisation, any relevant information in connection with me and the Insured ,whether:
    (i) this application is accepted or declined, or
    (ii) for the purpose of this application or any other purpose in respect of the policy.
I understand and agree that:
(a) This application is subject to the above Terms and NTUC Income’s acceptance, and if accepted by NTUC Income, will be subject to terms,
    conditions and exclusions imposed by NTUC Income;
(b) NTUC Income is not liable until I have been notified in writing that NTUC Income has accepted this application or issued and delivered an
    Endorsement to me;
(c) My application for change of regular premium is based solely on my own judgement and decision. I may be subjected to greater investment
    risks and that the value of the fund(s) may be volatile and fluctuate from time to time;
(d) All investment decisions are made independently by me, as the policyholder, after duly considering and understanding the investment fund(s),
    benefits and risks. I understand that the information contained herein is not intended as financial advice and shall not be relied on as such
    by me. I am responsible to ensure the suitability of the fund(s) selected; and
(e) I am advised to read and understand the corresponding Product Highlight Sheet(s), Fund Report(s) or Monthly Fund Fact Sheet(s) available
    from www.income.com.sg with respect to the relevant investment fund(s) before deciding whether to invest in such fund(s). Where appropriate,
    I understand that I can cease to proceed with this transaction at any time and seek financial advice from a qualified NTUC Income representative,
    or seek independent legal, tax and/or other professional advice.
Applicable to Takaful Fund Only:
I further understand and agree that no part of my premium contribution shall be used for the establishment of Tabaruu or risk fund for the purpose
of paying the difference between the minimum sum assured and the cash surrender value of the policy which I intend to subscribe. Such fund is
being financed solely by the insurer’s resources and if a payment is made under such circumstances, I shall regard this as donation from the insurer.
If a material fact is not disclosed in this form, any policy issued may not be valid. If you are in doubt as to whether a fact is material, you are
advised to disclose it. This includes any information that you may have provided to the adviser but was not included in this form. Please check
to ensure you are fully satisfied with the information declared in this form.




Signature of Policyholder/Assignee*                                                                    Date
*Delete where applicable. For policies with assignee, assignee needs to complete and sign the form.

                                                                   Details of Adviser
Adviser’s Name                                                                   Adviser’s Code




                                                                                                                NTUCINCOME/LI/MISC/07/2012 • Page 6 of 6

				
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