THE ALPHAWEALTH INVESTMENT PORTFOLIO

Transcription

1 THE ALPHAWEALTH INVESTENT PORTFOLIO Links AlphaWealth Investment Portfolio Application Information ocument Characteristics & Objectives ocument Forms of Verification ocument ividends Tax eclaration Form Regular Withdrawal Form Investment Application for Individuals STEP 1: Understanding your investment Before you invest: 1 Read the AlphaWealth Investment Plan Information ocument to ensure you understand the benefits and terms associated with your investment (you will need to acknowledge that you have read and understood this document when completing your application) STEP 2: Complete your application Please complete all fields to avoid delays in processing your investment. Read the Portfolio Characteristics and Objectives ocument which contains important information related to the Portfolio selection available to you. It is important to note that because the Administrator does not provide financial advice, you are able to appoint an approved and licensed Financial Advisor (provided they have a contract with us), should you require guidance with your Portfolio selection. 2 STEP 4: Send us your documents save@primeinvestments.co.za or contact us on +27 (0) Please include: Completed application for individuals STEP 3: Process payment Please transfer your initial investment contribution into the below trust account: Account Name: Global Nominees (AIP) Account Type: Current Bank: Standard Bank Branch: Sandton Branch Number: Account Number: Reference Code: Investor I No./Passport No. 3 4 A signed Portfolio Characteristics and Objectives ocument A copy of a bar coded I, valid passport (if foreign national), or birth certificate (if minor), for the Investor and authorised representative (where applicable) Proof of address (not older than 3 months), for the Investor and authorised representative (where applicable). Please refer to our Acceptable Forms of Verification document for further information Proof of your bank details (cancelled cheque, bank statement, letter from the bank etc.), not older than 3 months STEP 5: Look forward to your Investment Confirmation Please take note of the processing timelines pertaining to your investment instruction/s as set out in the AlphaWealth Investment Plan Information ocument Proof of tax registration (required for all investors including minors) Proof of payment of your investment contribution ividend Withholdings Tax Exemption Form (if applicable). Please also be aware that we will only be able to process your investment once all related investment documents have been received and your investment reflects in the trust bank account You will receive a confirmation from us once we have received a complete set of investment documentation, as well as an investment confirmation once your contribution has been invested. 5 Global Fund Administrators (Pty) Ltd is the Administrator of your investment Portfolio and is an authorised Financial Services Provider (FSP No : 43521). Global Nominees (Pty) Ltd is an independent nominee company approved by the Financial Services Board that holds assets for the Investor s exclusive benefit. 1

2 THE ALPHAWEALTH INVESTENT PORTFOLIO TOP 1. Investor etails Please provide us with your personal details/details of the Investor (if applying on behalf of someone else). Title First Names Surname ate of Birth I or Passport Number (if foreign national) Physical Address Code Postal Address Code Tel (Home) Tel (obile) Tel (Work) Fax Are you a Resident? Yes No 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). Income Tax No. Are you Exempt from ividend s Withholding Tax? Yes No If Yes please complete the ividend Withholdings Tax Exemption Form and submit to the Administrator with your investment application documentation. Are you registered for tax purposes anywhere other than South Africa? Yes No If Yes please list the country or countries in which you are registered for tax purposes, together with the relevant Tax number (eg : Tax Identification Number (TIN) if you are an American tax payer). Country of Tax Residency Tax Number Are you a Financial Institution e.g. stock broker, bank, etc? Yes No If Yes please provide the Global Intermediary Identification Number (GIIN). 2

3 TOP 2. etails 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 the authority/appointment. Capacity in which the person is authorised (Please provide proof of this authority when you submit your investment documentation): Curator Guardian Executor of Estate Power of Attorney iscretionary Financial Advisor Title First Names Surname I or Passport Number (if foreign national) Physical Address Code Tel (Home) Tel (Work) Tel (obile) Fax 3. Investment etails Please include a signed copy of the Portfolio Characteristics and Objectives ocument when you submit this application. inimum Investment Amounts Lump Sum Amounts: R in total across all Portfolios ebit Order Amounts: R 500 per month Please confirm how you will be making payment Electronic Funds Transfer (Internet) Cheque eposit Source of Funds Savings Bonus Inheritance Salary Other If other, please provide further details Total Investment Amount R Total ebit Order Amount R Investment/odel Portfolio Choice If you are investing via a odel Portfolio, please provide the odel Portfolio name in the table below (and not the names of the Investment Portfolios in which the odel Portfolio invests). You may invest into one or a combination of Investment Portfolio and/or odel Portfolios. Investment Portfolio Name/odel Portfolio Name Once-off investment % Recurring ebit Order % (Please complete ebit Order Authority in 4 below) % % % % % % % % % % % % 100 % 100 % 3

4 TOP Phase In s o you require a Phase-in? Yes No If Yes please complete the section below: Please note that Phase-in transactions will only be made from the Prime oney arket Portfolio, so please make sure you have elected this Portfolio in the table above. Amount to be Phased-in from the Prime oney arket Portfolio R OR Phase-in total value within the Prime oney arket Portfolio Phase in period: 3 months 6 months 9 months 12 months Portfolio Name Class Phase-in Percentage (%) If you require a regular withdrawal, please submit a completed Regular Withdrawal Form with this application.4 Income and Expense Account You can choose to have your annual administration fee, Financial Advisor and regular withdrawal deduction from a nominated Income and Expense account, designated as the Prime oney arket. Should you elect a monthly dealing fund it is compulsory for you to hold funds in a liquid Portfolio from which all fees will be deducted. o you require an Income and Expense account? Yes No If Yes, please ensure to select the Prime oney arket as one of your underlying investment portfolios. If the Income and Expense Account does not have sufficient funds at the time that annual fees and regular withdrawal payments are deducted, annual fees and regular withdrawals will be deducted proportionally from the remaining investment portfolios in the investment account. 4. ebit Order Authority Commencement ate 0 1 Preferred Collection ate 1st of month 25th of month Annual ebit Order Escalation % 0% 5% 10% 15% 20% ebit Order Collection Frequency onthly Quarterly Bi-Annually Annually Account holder Information Account Name Account No. Branch Bank Branch Code Type of Account Current Savings Transmission Is the above account the account of the Investor Yes No If No please include: Copy of the I/Passport of an individual account holder Copy of I s/passports of authorised parties on the acount for legal entities. 1. You hereby instruct and authorise the Administrator to collect the amount on the frequency noted above from your bank account specified above. Furthermore you understand that should your preferred collection date fall on a Saturday, Sunday or Public Holiday, the amount will be debited the first working day thereafter. 4

5 TOP 2. You understand that you may cancel this authority by providing written notice 10 working days prior to your preferred collection date. 3. You agree to pay any bank charges and costs relating to this debit order authority. You declare that all funds invested are not the proceeds of unlawful activities. 4. You acknowledge that the party hereby authorised to effect the drawing(s) against your account may not cede or assign any of its rights to any third party without your prior written consent and that you may not delegate any of your obligations in terms of this contract/authority to any third party without prior written consent of the authorised party. 5. Should you wish to withdraw your investment it s important to note that debit orders have a 45 calendar day clearance period. Signature of Account Holder 5. Investor s Banking etails Please attach proof of banking details when submitting this application. Account Name Account No. Branch Bank Branch Code Type of Account Current Savings Transmission 6. Fees (a) Initial Fees (Excl. Vat) These fees are deducted before the investment into your selected portfolios. Financial Advisor Fee: Lump Sum Investments % Per ebit Order % (b) Annual Fees (Excl. Vat) These fees are deducted monthly, proportionately from your investment balance by selling units. Financial Advisor Fee % Annual administration fee levied on 3rd party asset manager funds 0.30 % Annual Administration fee levied on Portfolios 0.15 % 7. Financial Advisor etails Please only complete the section below if you have appointed an approved Financial Services Provider as your Financial Advisor? The FSP is appointed by the Investor with: No iscretion *Full iscretion *If the FSP holds a Category II licence with the Financial Services Board (FSB), it is licensed to exercise discretion and submit instructions on your behalf. To do this for all your investments the FSP will need to enter into a signed mandate (instruction) from you. Financial Advisor Name Financial Advisor Code Tel (obile) Tel (Work) Tel (Fax) eclaration to be completed by the Financial Services Provider 1. I declare that all the information contained in this application was obtained from the Investor and was completed in his/her presence. 5

6 TOP 2. I hereby confirm that I am appropriately and timeously registered in terms of the Financial Advisory and Intermediary Services Act 2002 (FAIS Act) to act as the ember s Financial Advisor provider on record. 3. I warrant that I have either established and verified the identity of all Investors in accordance with section 21 of the Financial Intelligence Centre Act No 38 of 2001 ( FICA ), or that in terms of my rules and procedures ordinarily applied in the course of establishing business relationships or concluding single transactions, I will have established and verified, in accordance with section 21 of FICA, the identity of every Investor on whose behalf I will be establishing business relationships or conducting single transactions with the Administrator or that I have, where it has not established and verified the identify of any Investor, been exempted from having to do so by another (the primary) accountable institution and that I will or have obtained a written undertaking from the primary accountable institution to this effect. I further warrant that I will keep records of such identification in accordance with Section 22 of FICA or, where it has not established and verified the identity of Investors, another (the primary) accountable institution has provided me/us with an undertaking that it will keep the requisite records. 4. I authorise the Administrator to accept instructions by facsimile or and hereby waive any claim that I may have against the Administrator and indemnify the Administrator against any loss incurred as a result of the Administrator receiving and/or acting upon such communication. The Administrator will not be held responsible for any failure, malfunction or delay of any networks or electronic or mechanical device or any other form of communication used in the submission, acceptance and processing of application and/or transactions. The Administrator will not be liable to make good or compensate any Investor or third party for any damages (whether direct or consequential), losses, claims or expenses resulting there from. The Investor or any third party indemnifies the Administrator accordingly. Signature of Financial Advisor 8. Investor/Authorised Party eclarations 1. I/We have read, understand and agree to be bound by the provisions of this application. 2. I/We understand/warrant/confirm that: The information contained herein is correct, and that, if this application is signed in a representative capacity, I/we have the necessary authority to do so and that this transaction is within my/our powers The Administrator reserves the right to request any additional evidence to identify the source of this investment The Administrator shall, at its discretion, have the option to pay or collect any amount (provided that I/we owe this amount to the Administrator) 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 the Administrator will be deemed not to have been received by the Administrator 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 Administrator account with its bankers 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 the Administrator. No act or omission will be construed as an acceptance of a variation to this agreement All monies deposited in the applicable Nominee Trust 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 This application, ividend Withholdings Tax Exemption Form and Portfolio Characteristics and Objectives ocument together with all the information contained therein shall form part of the my/our contract with the Administrator I/We have read and understood all relevant documentation associated with this investment. 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 the Administrator, whether written, oral or implied as investment advice or as a recommendation to enter into the investment. I/We understand 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 the Administrator any assurance or guarantee as to the expected return on this investment; I/we indemnify and hold the Administrator harmless against any claim of whatsoever nature, which I/we may have resulting from conducting business telephonically, via the online services (including ), or by way of facsimile. I/We hereby consent to the Administrator taking any security precautions it may deem necessary for it to proceed with my/our application. 4. I/ We understand that should I/we be acting on behalf of the Investor, I/we warrant that I/we am/are legally entitled to do so. Furthermore, both the Investor and I/we indemnify the Administrator from carrying out instructions submitted by me/us in relation to this investment. 5. In support of environmental awareness, I/we hereby consent to the Administrator distributing all relevant communication to me/us via . I/we indemnify the Administrator for the security of information sent by at my/our request, for the proper and complete transmission of the information contained in the communication and for any delay in its receipt. 6. I/we authorise the Administrator to accept instructions by facsimile or and hereby waive any claim that I/we may have against the Administrator and indemnify the Administrator against any loss incurred as a result of the Administrator receiving and/or acting upon 6

7 TOP such communication. The Administrator will not be held responsible for any failure, malfunction or delay of any networks or electronic or mechanical device or any other form of communication used in the submission, acceptance and processing of application and/or transactions. The Administrator will not be liable to make good or compensate any Investor or third party for any damages (whether direct or consequential), losses, claims or expenses resulting there from. The Investor or any third party indemnifies the Administrator accordingly. 7. The Administrator s complaints procedure is available on the website and/or available on request. 8. I/we accept and bind myself/ourselves to the terms and procedural conduct within the AlphaWealth Investment Plan Information ocument, which is available on the Administrator s website or from my/our Financial Advisor. 9. I/we understand and agree to pay all the charges and investment fees applicable to this investment. Furthermore, I/we understand that the Administrator of the underlying Investment Portfolios will levy an Annual Portfolio anagement Fee and Initial anagement Fee (if applicable). The full lists of Portfolio fees are available within the Portfolio Characteristics and Objectives ocument. 10. I/we understand that until the Administrator has received all necessary documentation and monies, the investment will not commence. 11. I have not received advice from the Adminiatrator or any of its representatives regarding this investment. Signed at (Place) Signature of Investor Full name of Authorised Representative Signature of Authorised Representative 7

8 BACK TO APPLICATION ALPHAWEALTH INVESTENT PORTFOLIO: PORTFOLIO CHARACTERISTICS AN OBJECTIVES General Information Portfolio Overview Portfolio Fees (Excl. Vat) ASISA Classification anager Type Fund Name Objectives Benchmark Risk Rating Income istribution Fund Class Annual anagement Fee Range Performance Fees Implicit istribution Fees Global ulti Asset - Flexible Lynx Prime Global iversified Fund of Funds* To seek above average returns with below average risk for investors, with specific focus on asset allocation LIBOR US plus 2% Conservative Annually B 0.70% None None Equity - General Lynx Prime Opportunities Fund of Funds* To generate above average growth in capital over the medium to long term. Income generation will be a secondary objective of the portfolio FTSE/JSE All Share Index (Gross of fees) Aggressive Bi-Annually A2 0.70% None None Equity - Small & id Cap AlphaWealth Prime Small & id Cap Fund edium to long-term capital growth, through investments predominantly in equity securities which have a market capitalisation smaller than the company with the lowest market capitalisation in the FTSE/JSE Top 40 Index FTSE/JSE id Cap index Aggressive Bi-Annually B 0.90% 15% of Outperformance on Benchmark None Interest Bearing - Short Term Gryphon ividend Income Fund Prime oney oney arket Fund To obtain a high level of primarily dividend income while also achieving capital preservation and liquidity Preserve capital, maintain liquidity and generate a high level of income. The objective of the fund is to achieve a competitive return on capital in excess of the fund's benchmark 70% of STEFI Composite Index ean Return of the oney arket funds Conservative onthly A 0.91% None None Conservative onthly B 0.25% None None ulti Asset - Flexible Fund Prime Target Return Fund To obtain a steady growth of capital and the maximum stability for capital invested primarily in equity, bond, money market, property and derivative instruments CPI + 3% oderate Bi-Annually A 1.50% 10% of Outperformance on Benchmark 0.50% ulti Asset - High Equity Lynx Prime Balanced Fund of Funds* To generate a consistent annual growth rate of inflation plus 6% Inflation (CPI) + 6% over a rolling 3 year period oderate - Aggressive Bi-Annually A2 0.70% None None ulti Asset - Income Coronation Strategic Income Fund Prescient Income Provider Fund To provide a higher total return than a traditional money market or pure income fund. The fund`s objective is to produce a return of at least 110% of the 3-month STeFI index The Fund aims to return inflation + 3% per annum through a full interest rate cycle while providing stability by aiming never to lose capital over any rolling 3 month period 110% of the 3- month SteFI Index Conservative Quarterly B4 0.45% None None STeFI Call 110% Conservative onthly A2 0.50% None None

9 BACK TO APPLICATION ALPHAWEALTH INVESTENT PORTFOLIO: PORTFOLIO CHARACTERISTICS AN OBJECTIVES General Information Portfolio Overview Portfolio Fees (Excl. Vat) ASISA Classification anager Type Fund Name Objectives Benchmark Risk Rating Income istribution Fund Class Annual anagement Fee Range Performance Fees Implicit istribution Fees Coronation Balanced efensive Fund The fund aims to provide a reasonable level of current income and seeks to preserve capital in real terms, with lower volatility over the medium to long- term Alexander Forbes 3month (STeFI) Index + 3% Conservative Quarterly B4 0.00% % None None ulti Asset - Low Equity Lynx Prime Cautious Fund of Funds* To generate a consistent annual growth rate of inflation plus 3% Inflation (CPI) + 3% over a rolling 3 year period Conservative Bi-Annually A2 0.70% None None Prudential Inflation Plus Fund The primary objective is to outperform CPI by 5% (before fees) over a rolling 3 year period. The secondary objective is to reduce the risk of capital loss over any rolling 12 month period CPI+5% Conservative Bi-Annually B 0.60% + (0.95% %) on foreign assets None None ulti-asset - Income Prudential Enhanced Income Fund To maximise total returns in excess of the benchmark over a rolling 36-month period, while seeking to protect capital and reduce volatility through active asset management SteFI Composite Index measured over a rolling 36-month period Conservative- oderate Quarterly 0.50% None None Real Estate - General Catalyst SA Property Equity Prescient Fund The Catalyst SA Property Equity Prescient Fund is an actively managed portfolio, which has a total return objective and seeks to offer investors a return in excess of omestic property equity markets. The portfolio has a medium to long-term investment horizon FTSE/JSE SA Listed Property Index (SAPY) J253 oderate - Aggressive Quarterly B 0.75% 20% of Outperformance on Benchmark None Worldwide ulti-asset - Flexible Foord Flexible Fund of Funds* The fund aims to provide investors with a net-of-fee return of 5% per annum above the annual change in the South Africa Consumer Price Index, measured over rolling three year periods. Exploiting the benefits of global diversification, the portfolio continually reflects Foord s prevailing best investment view on all available asset classes in South Africa and around the world CPI + 5% per annum, which is applied daily using the most recently available inflation data and accordingly will be lagged on average by 5 to 6 weeks oderate Bi-Annually B2 0.60% 10% of Outperformance on Benchmark None Note: Fund of Funds & Feeder Funds : The annual management fee excludes the management fee of the underlying investments. A complete list of TER s is available on TER (Total Expense Ratio) : A measure that can be used by investors and advisors to determine how much of a Financial Product s underlying assets are relinquished as payment for services rendered in the administration of the Financial Product. This is expressed as a percentage of the daily NAV of the Financial Product calculated over a period of three years on an annualised basis. A higher TER does not necessarily imply a poor return, nor does a low TER imply a good return. The current TER may not necessarily be an accurate indication of future TER s. A complete list of TC s is available on TC (Transaction Cost ) : A measure that can be used by investors and advisors to determine the costs incurred in buying and selling the underlying assets of the Financial Product. This is expressed as a percentage of the daily NAV of the Financial Product calculated over a period of three years on an annualised basis. Investor Signature

10 IVIENS TAX ECLARATION BACK TO APPLICATION eclaration and undertaking to be made by the Beneficial Owner of a dividend (exemption from tax). Notes on completion of this Form: This Form is to be completed by the Beneficial Owner (of dividends, including dividends in specie) in order for the exemptions from ividends Tax referred to in section 64F read with section 64FA(2) or 64H(2)(a) of the Income Tax Act, 1962 (Act No 58 of 1962) (The Act) to apply In order to qualify for an exemption this declaration and written undertaking should be submitted to the withholding agent (declaring company or regulated intermediary) within the period required by the latter (provided it is before payment of an affected dividend). Failure to do so will result in the full fifteen percent (15%) ividends Tax being withheld/payable. SECTION A: Withholding Agent Registered Name Global Fund Administrators Pty (Ltd) SECTION B: Beneficial Owner This section is to be completed by the person entitled to the benefit of the dividend attaching to a share(s)/units Investor Name Company/CC/ship or Trust Name I No. Physical Address Code Postal Address Code Tel (Home) Tel (Work) Tel (obile) Fax Income Tax No. Nature of person/entity (Please check appropriate checkbox) : Individual Trust Retirement Fund (Pension/Provident/RA etc) Listed Company Unlisted Company RSA Government, Provincial Administration Other (if selected please provide a description) 1

11 BACK TO APPLICATION SECTION C: Exemption This section is to be completed by the person entitled to the benefit of the dividend attaching to a share(s)/units. Please indicate the reason why the Beneficial Owner is exempt from ividends Tax : Par (A) a company which is resident in South Africa Par (B) The Government, provincial government or municipality (of the Republic of South Africa) Par(C) a public benefit organization (approved by SARS ito section 30(3) of the Act) Par () a trust contemplated in section 37A of the Act (mining rehabilitation trusts) Par (E) an institution, body, or board contemplated in section 10(1) (ca) of the Act Par (F) a fund contemplated in section 10(1)(d)(i)or (ii) of the Act (pension fund, pension preservation fund, provident Fund, provident preservation fund, retirement annuity fund, beneficiary fund or benefit fund) Par (G) a person contemplated in section 10(1)(t) of the Act (CSIR, SANRAL etc) Par (H) A shareholder in a registered micro business as defined in the sixth schedule to the act to the extent that the aggre gate amount of the dividends paid by that registered micros business to its shareholders during the year of assessment in which that dividend is paid does not exceed R Par (J) a person that is not resident and the dividend is a dividend contemplated in paragraph (b) of the definition of dividend in section 64 (i.e. a dividend on a foreign company s shares listed in SA, such as dual listed shares). eclaration in terms of section 64FA(1)(a)(1. 64G(2)(a)(aa) or 64H(2)(a)(aa) I (print full name), the undersigned hereby declare that dividends paid to the Beneficial Owner are exempt, or would have been exempt had it not been a distribution of a distribution of an asset in specie, from the ividends Tax in terms of the paragraph of section 64F of the Act indicated above. Signed at (Place) Signature 2

12 ONCE OFF OR REGULAR WITHRAWAL FOR BACK TO APPLICATION Global Fund Administrators (Pty) Ltd is the Administrator of your investment Portfolio and is an authorised financial services provider (FSP No: 43521). Global Nominees (Pty) Ltd is an independent nominee company approved by the Financial Services Board that holds assets for the Investor s exclusive benefit. 1. Investor etails Investor Name Investment Number or alternatively, oes this form part of a new Investor Application? Yes No Are you acting on behalf of the Investor? Yes No If Yes please include the necessary authority. 2. Once Off Withdrawal (ONLY to be completed for a once off withdrawal ) Full Withdrawal Partial Withdrawal If Partial Withdrawal please provide the total amount you wish to withdraw. R Would you like the withdrawal to be processed proportionately across your investment Portfolios? Yes No If No please specify the value or percentage you would like withdrawn from each Portfolio below? Portfolio Name Class Rand Value (R) Percentage (%) Total 100 % Please take careful note that should the rand value of a partial withdrawal exceed 90% of the current value of your investment in any Portfolio(s), the Administrator will automatically convert the value requested to a percentage of your units held in that fund. This may result in a different rand value being paid out than what you have requested. Please confirm how you would like any existing regular withdrawal instructions changed as a result of the above once off withdrawal? Leave my existing regular withdrawal unchanged Cancel my regular withdrawal Amend my regular withdrawal (Please complete the regular withdrawal section below) % % % 3. Regular Withdrawal Regular Withdrawal Amount R Frequency of your Withdrawal onthly Quarterly Bi-Annually Annually Would you like the withdrawal to be processed proportionately across your investment Portfolios? Yes No 1

13 BACK TO APPLICATION If No please specify the value or percentage you would like withdrawn from each Portfolio below? Portfolio Name Class Rand Value (R) Total Please note that the above regular withdrawal immediately replaces any withdrawal currently in place. 4. Account holder Information Account Name Account No. Branch Bank Branch Code Type of Account Current Savings Transmission 5. Change to ebit Order Please confirm how the above withdrawal(s) will impact any debit order currently in place? Leave my existing ebit Order unchanged Cancel my ebit Order Amend my ebit Order (Please complete the ebit Order Form) 6. Investor eclaration We understand/warrant/confirm that: 1. The information contained herein is correct, and that, if this application 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. I/We have not received advice from the Administrator relating to this or any other instruction I/we would like processed. 3. I have read and understood the terms and business processes outlined within the AlphaWealth Investment Portfolio Information ocument Signature of Investor 2