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Investment Platform application for individual investors

VIEWS: 7 PAGES: 9

									          9252092863                                                                                                      No. 4.0 June 2010




Investment Platform application for individual investors
Allan Gray Investment Services Limited ('The Administrator'), an authorised administrative financial services provider is the administrator of this
investment. Allan Gray Limited is an authorised financial services provider.
1. Important information
  1. Allan Gray's Investment Platform allows investors to access a range of portfolios from a number of managers through one
     administrative platform.
  2. You will need an Allan Gray Investment Platform fund list to complete this form. It is available from your financial adviser, the Client
      Service Centre at 0860 000 654 or at www.allangray.co.za
  3. Please complete all relevant sections of this application in order to process this investment.
  4. Certain portfolios are subject to availability. This can be confirmed by contacting the Client Service Centre.
  5. Please read the Terms and Conditions that apply to this investment. This is available from your financial adviser, the Client Service
      Centre or at www.allangray.co.za
  6. Please fax the required documents in the checklist below to investonline.co.za at: 086 586 0315
     or the Client Service Centre at 0860 000 655 or +27 (0)21 415 2492 or email instructions@allangray.co.za
  7. The Administrator will only process this application when all required documents are received and once the money reflects in the
      Administrator's bank account.
Document checklist
    Completed Investment Platform application for individual investors (pages 1 - 5 of this form)
        Copy of your bar-coded ID document, valid passport (if foreign national) or birth certificate (if minor)
        Proof of your residential address less than three months old (e.g. utility bill, telephone account)
        Proof of your bank details (e.g. cancelled cheque or bank statement)
        Proof of bank deposit / transfer into the Administrator's bank account
If a representative is acting on behalf of the investor, we need the following from the representative:
        Proof of authority (e.g. power of attorney)
        Signed copy of bar-coded ID document or valid passport (if foreign national)
        Proof of residential address less than three months old (e.g. utility bill, telephone account)
2. Investor details
Title                         Surname
First name(s)
Date of birth         d   d   /   m m   /   c   c   y   y   Nationality
ID number (passport number if foreign national)
Income tax number                     /                        /          /
Residential address



                                                                                                                       Postal code
Postal address
If the same as above, please tick this box.



                                                                                                                       Postal code
Telephone (h)                                                                     Telephone (w)
Fax                                                                               Cell
Email
Please provide your email address if you require online access, or if you prefer email communication.
Secure online access
I want secure online access to my investments     Yes             No
If a legal guardian is acting on behalf of the investor, he/she will be given online access to this investment.



        Page 1 of 5                                                                                                            www.allangray.co.za
        8892092862
Communication choice
Allan Gray sends two types of communications:
1. Transaction confirmations: Every time we receive an instruction on your account we will send a transaction confirmation containing
    details of the completed instruction.
2. Quarterly statements and other communications relating to your account.
Please indicate how you would like to receive these:          Email          Post
If you have a financial adviser, you may choose to have your communication sent to you, your financial adviser or to both.
1. Send transaction confirmations to:
Me                   My financial adviser                  Both
If no selection is made we will send transaction confirmations to both you and your financial adviser.

2. Send my statements and other communications to:
Me                 My financial adviser                          Both
If no selection is made we will send these communications to you only.

Person acting on behalf of the investor
Please insert name of legal guardians or persons with a power of attorney to act on behalf of this investor.
Title                    Surname
First name(s)
Date of birth      d   d   /   m m   /   c   c   y   y    Nationality
ID number (Passport number if foreign national)
Relationship
Residential address



                                                                                                                        Postal code
Telephone                                                                                  Cell
Email

3. Investment details
Investment amount
The minimum lump sum investment is R20 000 per account and R5 000 per portfolio. The minimum debit order is R500 per month per
portfolio.                                         Lump sum investment                               Debit order investment
                                                          R                                                   R
Investment allocation
Please see the latest Allan Gray Investment Platform fund list to confirm your selection of portfolios and which class and fee structure applies.
You may phase-in your lump sum investment. Do you require a phase-in?                Yes              No
If yes, please attach a completed 'Phase-in instruction' to this application.
                                                     Portfolio
 Portfolio name                                                         Lump sum investment                         Debit order investment
                                                       class
                                                                 R                     or              % R                        or                %
                                                                 R                     or              % R                        or                %
                                                                                       or              % R                        or                %
                                                                 R
                                                                 R                     or              % R                        or                %

                                                                 R                     or              % R                        or                %

                                                                 R                     or              % R                        or                %

  Total investment amount                                        R                     or 1       0   0 % R                       or 1    0   0 %

If you select a portfolio with a fixed financial adviser fee, please complete the 'Fixed financial adviser fee' form.
These forms are available from your financial adviser, the Client Service Centre or at www.allangray.co.za




     Page 2 of 5                                                                                                              www.allangray.co.za
      0416092866
Preferred fee portfolio
You may choose to have your annual administration and annual financial adviser fees deducted from your Allan Gray Money Market Fund.
This will be known as your preferred fee portfolio.
Do you require a preferred fee portfolio?      Yes      No
If the preferred fee portfolio does not have sufficient funds to pay fees, the Administrator will:
1. Deduct fees from the portfolio(s) where the fees have accrued,
2. If there is an insufficient balance in that portfolio the Administrator will deduct fees proportionately from the remaining portfolios with
    balances.
4. Payment details
Source of contribution
Existing Allan Gray account                       Bonus                       Savings                Inheritance                          Salary
Transfer from other financial services provider           Other (specify)
Method of payment
                                                  All cheques must be endorsed as non-transferable and deposited directly into the Administrator's
Cheque deposit
                                                  bank account.
                                                  Electronic / internet transfers may take up to two days to appear in the Administrator's bank
Electronic / Internet transfer
                                                  account.
Electronic collection by the Administrator        Electronic collection is restricted to a maximum of R500 000 per debit. An amount greater than
                                                  R500 000 will require the Administrator to make multiple debits which may result in additional
                                                  transaction costs. The Administrator will debit your account within two business days of
                                                  receiving the application form and all relevant documents. Please specify the amount below.
Debit order                                       Please complete the 'Bank debit authority' section below.

5. Bank debit authority
I authorise the Administrator to draw direct debits against the bank account below.
Bank accountholder details
Name of accountholder
Name of bank
Branch name                                                                                             Branch code
Account number
Type of account            Current             Transmission                 Savings
Electronic collection by the Administrator
Total amount                          R
Debit order details
Amount                                R                                commencing on 1st      or 15th         of    m m   /   c   c   y     y
Debit orders are applied on the first or the 15th of each month. If the selected day falls on a weekend or public holiday it will be effective on
the next business day. The cut-off for all debit order notices to be processed in a particular month is by 14:00, three business days before the
selected day.
Escalation rate per annum            0%           2.5%          5%            10%          15%          20%




Signature of bank accountholder                                                                           Date d d / m m / c                c      y   y

If the bank accountholder is a third party individual, a signed copy of their identity document is required. If the bank accountholder is a third
party legal entity, a copy of the resolution of signatories, a letter from the bank listing the authorised signatories on the account and signed
copies of the signatories' identity documents are required.
6. The Administrator's bank account details
Cheque deposits and electronic / internet transfers should be made to the bank account below. Please use the investor name as a reference to
make it easy for the Administrator to identify your money.
Account name:                 Allan Gray Investment Services Limited
Bank:                         First National Bank
Branch:                       Corporate Core Banking Cape Town
Branch code:                  20-41-09
Account number:               620 830 933 11


     Page 3 of 5                                                                                                              www.allangray.co.za
          4544092862
7. Regular withdrawal details
You may only schedule a regular withdrawal payment if you have more than R20 000 in your account. No minimum regular withdrawal amount
applies.
Payment frequency              Monthly         Quarterly         Biannually       Annually
Regular withdrawal payments are scheduled for the 27th of each month. Allan Gray must receive the instruction six business days before the
scheduled withdrawal payment date for payment to take place on that day. If not, the first withdrawal payment will be scheduled to take place
the next month.
 Portfolio name                                                                               Portfolio class       Amount per regular withdrawal
                                                                                                                R
                                                                                                                R
                                                                                                                R
                                                                                                                R
                                                                                                                R
                                                                                                                R
                                                  Total amount to be withdrawn per period                       R

Investor bank account details (for all withdrawal payment instructions)
You must keep the Administrator informed of any changes in your bank details.
Name of accountholder
Name of bank
Branch name                                                                                              Branch code
Account number
Type of account          Current             Transmission                 Savings
All payments are made electronically to the current, transmission or savings bank account of the registered investor only. No payments will be
made to credit card or market linked accounts.
8. Financial adviser details
Full name and surname i          n v e s t      o n l     i   n e .    c o .      z a
Practice name                T o r c h wa y    I n v e s t me n t s     Pt y     Lt d       T/ A       I nv es t onl i ne. c o. z a
FSB license number           4 0 5 9 2
Allan Gray adviser code C 2 6 6
Negotiable financial adviser fees
I confirm that the financial adviser above is my appointed financial adviser. I agree to pay the following negotiated fees on this and all future
transactions until otherwise specified:
Please specify the percentage (excluding VAT).
Initial             0   . 0 0 % Maximum 3.0% (excluding VAT) deducted prior to the investment being made. If it is agreed that no initial fee
                                is payable, please insert 0%. Where the annual fees are more than 0.5%, initial fees are capped at 1.5%.
                                Maximum 1.0% (excluding VAT) of the investment portfolio. Where the initial fee is more than 1.5%, the
Annual              0   . 5 0 %
                                maximum annual fee is 0.5%. If no annual fee is payable, please insert 0%.



Signature of investor                                                                                     Date            /   m m   /
                                                                                                                                    d   c   c   y    y

Financial adviser FAIS declaration
1. I have made the disclosures required, in terms of the Financial Advisory and Intermediary Services Act 37 of 2002, to the investor.
2. I have explained all fees that relate to this investment to the investor. I understand and accept that the investor may write to the
   Administrator to cancel my fees.
Financial adviser FICA declaration
1. I have identified all applicable parties to this transaction and verified their details under the requirements of Section 21 of the Financial
    Intelligence Centre Act, No. 38 of 2001 ('The Act'). I keep these parties' records as is required in terms of Section 22 of The Act.
    Yes           No
2. I understand that I am the primary accountable institution under The Act.
3. I understand that if I have selected 'No', the Administrator wil be responsible for the primary 'Know Your Client' requirements of The Act
    and that the application will be delayed until the administrator receives these documents.


Signature of financial adviser                                                                            Date d d / m m / c                c   y    y


      Page 4 of 5                                                                                                              www.allangray.co.za
       1391092869
9. Investor declaration
1.   I confirm that all information provided in this form and all other documents signed by me in connection with this application, whether in
     my handwriting or not, is correct.
2.   I am responsible for the accuracy and completeness of all answers, statements or other information provided by me or on my behalf.
3.   I have not received advice from the Administrator in respect of this application.
4.   I confirm that the Administrator may accept instructions from my financial adviser or any authorised third party only if appointed and
     authorised by me in writing.
5.   I confirm that the Administrator may accept signed instructions by facsimile or via other electronic means.
6.   I confirm that my appointed financial adviser will have access to my investment details via the secure section of www.allangray.co.za
7.   I have read and understood the Allan Gray Investment Platform fund list or pre-investment disclosure.
8.   I have read, understood and agree to the latest Terms and Conditions.



Signature of investor                                                                                  Date             m m




     Page 5 of 5                                                                                                           www.allangray.co.za
Investor declaration / record of advice:
Risk profiler:
I have completed the 15 questions on the Investonline.co.za risk profiler questionnaire by myself and understand what my
personal client risk profile tolerance level for unit trust investment risk is; and understand that this is the recommended risk
profile for me to select an Investonline.co.za pre-determined risk-profiled unit trust portfolio.
Clients investment objective:
I have a medium to long-term capital growth objective with an investment time horizon of 24-36 months and longer.
Financial situation:
I have little debt, want to create wealth in the medium to long term and am prepared to accept a certain level of risk and
volatility according to my risk profile.
Client’s product experience:
I have been on Investonline.co.za’s website and have read the various tutorials on unit trusts, the relevant unit trust fund
fact sheets of the Investonline.co.za recommended portfolio and have familiarised myself with the mechanics of how unit
trust investments operate and am now comfortable to invest my funds into a dedicated portfolio.
Products considered:
I have done the Investonline.co.za risk profiler and have considered all of the 10 recommended unit trust portfolios listed
and have selected the portfolio best suited to my risk profile, financial needs and my long-term investment objectives and
goals and have carefully read the unit trust fund fact sheets on each of the funds in my recommended portfolio.
Investonline.co.za’s motivation for recommendation:
I understand that the Investonline.co.za team have significant experience with compiling unit trust portfolios and that they
have recommended a diversified range of funds in their 10 risk profiled portfolios and have labelled each portfolio with the
respective risk rating from 1 (low) to 5 (high).
Important information highlighted to the client:
The important information regarding investment risk, reasons for diversification, liquidity, period of investment, tax status of
unit trusts and all the fees involved regarding unit trusts have been highlighted to me the client, clearly via the website.
Guarantees / risk profile / terms & conditions:
I understand that my funds will NOT be guaranteed under any circumstances and that I have read the definition of the risk
profile that I qualify for via the Investonline risk profiler and have read each one of the unit trust fund fact sheets that I have
invested into and have signed them off.
Financial needs analysis:
I understand the importance of a full financial needs analysis, however, due to insufficient time; I have postponed this event
to a later date, by arrangement.
Own unit trust portfolio:
I understand that if I elect to choose my own portfolio of unit trust funds and NOT one of the Investonline pre-determined
risk profiled portfolios then I do so entirely at my own risk.


This client declaration signed at _________________ on this _______day ____________ (month) of _________(year)


Client signature: ________________________________               Client name: ________________________________


[Pg 1 of 3] Fax (086 586 03 15 / 16 / 17) or email (invest@investonline.co.za) along with your application documentation.
CLIENT SERVICE AGREEMENT

Between___________________________________________________ (Full Name & I.D. number of client)
And
INVESTONLINE.CO.ZA – the online website division of Torchway Investments (Pty) Ltd.
FSB authorized financial services provider - FSP 40592.

In accordance with the Financial Advisors and Intermediary Services Act and the General Code of Conduct for Financial
Services Intermediaries it is our duty as an authorized financial services provider to inform you, as a valued client of our
business, of some of your principal rights in terms of the aforementioned legislation:
1.1      As a client of the financial services industry you have a right to a full analysis of your financial objectives before
         entering into any financial services related transaction.
1.2      As an authorized financial services provider we are compelled to perform this analysis with the necessary due skill,
         care and diligence and to then in consultation with you prioritize your needs and provide you with objective advice
         to address these needs.
1.3      At Torchway Investments (Pty) Ltd. T/A Investonline.co.za FSP 40592 - we embrace these requirements as being
         in the interest of our valued clients and the financial service industry as a whole. As a client you do however have
         the right to specify which needs you require to be focused on.
2.1      We respect this right, but should you decide to consult with us only regarding a certain need, we require that you
         take full cognizance and responsibility of the following –
2.1.1    when providing focused advice there may well be needs in your personal financial planning which require more
         urgent attention than the need being addressed at your request;
2.1.2    and that therefore there may well be limitations on the appropriateness of the advice being provided.
2.2      It is your explicit responsibility to ensure that the advice provided is appropriate given your current financial
         situation.

At Torchway Investments (Pty) Ltd T/A Investonline.co.za we provide financial advice and intermediary services regarding
the following aspects of financial planning:

RISK PROFILED DIVERSIFIED UNIT TRUST PORTFOLIOS
3.     By selecting any option other than a full financial needs analysis you hereby accept the responsibilities and risks
       associated with focused advice as set out in point 2 above as well as the following:
3.1    You acknowledge that you have been made aware of the services provided by Investonline.co.za and have
       declined advice regarding the other planning services offered by Investonline.co.za.
3.2    You acknowledge that due to you exercising your rights as a client of the financial services industry that you might
       well have needs that require urgent addressing, but have chosen to not have them addressed at this stage due to
       insufficient time to complete a full financial needs analysis
3.3    That you have voluntarily exercised your right and have not been unduly influenced by Investonline.co.za - to do so
       and are aware of your right to a full needs analysis and that Investonline.co.za has encouraged you to have such
       an analysis performed at a later date by arrangement.
3.4    In all instances you as a client have been informed and have acknowledged that any analysis of your personal
       financial situation can only be performed if you as client provide all relevant information to Investonline.co.za.
3.5    In all instances you have been informed and are aware that the accuracy of any analysis is critically dependent on
       the information provided by you to Investonline.co.za - in particular reference to the completion & accuracy of the
       Risk Profiler tool.
3.6    You have been informed of Investonline.co.za’s status as an accountable institution in terms of the Financial
       Intelligence Centre Act and its responsibilities in term of this act.
3.7    You hereby certify that any funds that Investonline.co.za is required to deal with on your behalf is not obtained from
       an illegal source and that you are not involved in any money laundering activities.

This client declaration signed at _________________ on this _______day ____________ (month) of _________(year)

Client signature: ________________________________           Client name: ________________________________

[Pg 2 of 3] Fax (086 586 03 15 / 16 / 17) or email (invest@investonline.co.za) along with your application documentation.
CLIENT DECLARATIONS

It is of utmost importance that you read this section carefully and understand it fully.
All 10 client declarations must be marked by the client to indicate understanding & acceptance.
                                                                                                                          CLIENT
                                                                                                                          AGREES


  I confirm that contact stage disclosure information, setting out Investonline.co.za’s full particulars, their
                                                                                                                           initial
  experience and services offered, has been provided to me via the Investonline.co.za Website.

  I confirm that I required the Financial Advisor (Investonline.co.za) to render the financial services set out in the     initial
  Client Service Level Agreement, a copy of which has been provided to me.

  Where I elected not to take up the financial advisor’s recommendation of a full financial needs analysis, I was
  advised and understand that I should take particular care to consider whether and ensure that the product (s)
                                                                                                                           initial
  purchased or selected by me is/are appropriate to my needs, objectives and circumstances.

  If I did not provide the financial advisor with any information requested, or there was insufficient time to
  conduct an analysis, I confirm that:
  a. I clearly understand that there may be limitations on the appropriateness of the advice provided, and

  b. I will take particular care to consider on my own whether the advice is appropriate considering my own
                                                                                                                           initial
  financial objectives and current financial position.

  I understand that the accuracy of a needs analysis is dependent on the information provided to or obtained by
  the financial advisor. The advice furnished and product recommendations made by the financial advisor are
  based largely on the information I provided to the financial advisor via the Investonline.co.za website risk
  profiler. I thus understand that material non-disclosures and misrepresentations could result in inappropriate
                                                                                                                           initial
  product(s) being recommended and purchased by me.


In accordance with the Financial Advisors and Intermediary Services Act and the General Code of Conduct for
Financial Services Intermediaries, it is our duty as an authorized financial services provider to inform you, as a valued
client of our business, of some of your principal rights in terms of the aforementioned legislation:
                                                                                                                          CLIENT
                                                                                                                          AGREES

  I confirm that I was provided with copies of all 45 unit trust fund fact-sheets & marketing brochures on the
  Investonline.co.za website for the product(s) selected. All material terms and conditions of the product(s)
  selected were explained to me prior to any decision made.                                                                initial


  I have been informed of and understand all costs, charges, penalties, liquidity limitations and tax implications
  where applicable. I understand the risks associated with the product(s) and /or underlying fund(s) selected. I
                                                                                                                           initial
  understand that there is NO GUARANTEE with unit trusts.

  I confirm that all documents signed by me were fully completed prior to my signing them. I have also read and
  signed off the relevant unit trust fund fact sheets that I have invested my money in and accessed these fund
  fact sheets under the Investonline.co.za "unit trusts available" tab. I understand it is my responsibility to initial
  each of the unit trust fund fact sheets and fax/email these to Investonline.co.za as part of their FAIS Act              initial
  compliance requirements documentation.

  Notwithstanding the information provided by Investonlione.co.za, I acknowledge that I have an obligation to
  familiarize myself with the terms and conditions of the product(s) that I have purchased – which are available           initial
  on the Investonline.co.za website - under terms and conditions.

  It is the duty of the client to inform Investonline.co.za of any changes to their factual circumstances as and           initial
  when they occur.


This client declaration signed at _________________ on this _______day ____________ (month) of _________(year)


Client signature: ________________________________              Client name: ________________________________

[Pg 3 of 3] Fax (086 586 03 15 / 16 / 17) or email (invest@investonline.co.za) along with your application documentation.
CONGRATULATIONS
YOU ARE NOW AN INVESTONLINE.CO.ZA CLIENT


FAX / EMAIL the following documents to Investonline.co.za to start your Investment:


1.        Signed copy of Allan Gray application form                    (4 pages)
2.        Signed copy of Investonline Record of Advice                  (3 pages)
3.        Clear copy of your Identity Document (I.D.)                   (1 page)
4.        Clear copy of Utility bill reflecting your physical address   (1 page)
5.        Proof of your bank details for Allan Gray to do the debit     (1 page)
          (i.e. copy of cancelled cheque or bank statment)


Email above documents to:         invest@investonline.co.za

Fax above documents to:                   086 586 0315
                                          086 586 0316
                                          086 586 0317




Allan Gray Bank Details for Lump sum deposits:
Account name:    Allan Gray Investment Services
Bank:            First National Bank
Branch:          Cape Town Corporate
Branch code:     20-41-09
Acc. number:     620 830 933 11

								
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