Jaus Hederso Ivestors APPLICATION FORM Valid from 30 May 2017 You should use this form if you wish to ivest i the Hederso Ivestmet Fuds Limited rage. Further iformatio is cotaied i the Prospectus, the Additioal Ivestor Iformatio Documet ( AIID ), ad the Key Ivestor Iformatio Documet ( KIID ). If you wish to ivest i the Hederso Ivestmet Fuds Limited rage withi a ISA, please complete the separate ISA applicatio form istead of this oe. Please complete this form i BLOCK CAPITALS ad retur it to Jaus Hederso Ivestors, PO Box 9023, Chelmsford CM99 2WB. Cheques should be made payable to Hederso Ivestmet Fuds Limited. SECTION 1 About yourself Title Surame First ame(s) Email of birth Accout desigatio* (if applicable) EXTERNAL CODE: KIID Permaet residetial address Registered ame (if ot a idividual eg compay ame/trust) Occupatio (private idividuals) Postcode Daytime Tel No. Natioality (private idividuals) Accout umber (for existig accout holders) Eveig Tel No. Tax residecy (idividuals oly) Tax regulatios 1 require us to collect certai iformatio about each ivestor s tax residecy 2. I certai circumstaces (icludig if we do ot receive a valid self-certificatio from you) we may be obliged to share iformatio about your accout(s) with Her Majesty s Reveue ad Customs (HMRC) who may i tur share the iformatio with ay or all participatig tax jurisdictios 3. If you have ay questios about your tax residecy, please cotact your tax adviser. For further iformatio, please see HMRC s Quick Guide: Automatic Exchage of Iformatio which is available o their website at www.gov.uk. Please idicate all coutries i which you are residet for tax purposes ad the associated Tax Idetificatio Numbers i the table below. If you are a US citize or residet, please iclude Uited States i this table alog with your US Tax Idetificatio Number. Coutry/Coutries of Tax Residecy Tax Idetificatio Number Joit holder Joit Holder Details If there are more tha two holders (up to a maximum of four), the we eed to be advised o a separate sheet detailig the required iformatio cotaied i Sectio 1 to be set with this applicatio form. Title Email Surame First ame Permaet residetial address Daytime Tel No. Eveig Tel No. of birth Registered ame (if ot a idividual eg compay ame/trust) Occupatio (private idividuals) Postcode Natioality (private idividuals)
Coutry/Coutries of Tax Residecy Tax Idetificatio Number *Accouts for miors (childre uder 18 years of age) must be registered i the ame of a adult (or adults) ad desigated i favour of the mior usig their iitials. Ivestmets caot be registered i the ame of ay trust or executorship but must be registered i the ames of the idividual trustees ad their details iserted i Sectio 1 or provided o a separate sheet. Please also idicate the ame of the trust/estate here: Please isert the address of the trust if differet from the address i the sectio oe. Address: If this applicatio is o behalf of a trust please complete a separate Etity Self-Certificatio form. Aget s stamp To be completed by the aget if appropriate. By placig your details here ad/or by placig busiess with us, you cofirm that you have received, read ad are boud by our Itermediary Terms of Busiess, available at www.jaushederso.com/advisers. Agecy ref: Advice ot give by the aget to the customer. Discout %: Commissio payable %: Advice give by the aget to the customer. (where either box has bee ticked, we will apply your default status ( advised or executio oly ) to this trasactio) Media code: Beeficial owership - This sectio must be completed. A beeficial ower is a idividual or class of persos, such as a trust, who ultimately ow(s) a ivestmet that may be registered either i their ame or aother perso s ame o their behalf. Are you the beeficial ower of this ivestmet? Yes No. If o the please provide details: Private idividuals If the applicatio is desigated for the beefit of aother idividual(s), their details must be listed here. Body corporates or parterships Beeficial owers that are required to be listed are idividuals who ultimately ow or cotrol more tha 25% of the votig rights or are etitled to more tha 25% of its capital profits, or otherwise have a cotrollig iterest over the maagemet of the compay or partership of more tha 25%. Body Corporates must idicate what type of etity they are, from the followig list. UK ad EEA Regulated Firm Regulated Occupatioal Pesio Idepedet School/Uiversity No UK/EEA Regulated Firm Regulated Persoal Pesio UK Church or Place of Worship Trust Local Authority Pesio Scheme Parochial Church Coucil Nomiee Regulated Paret Uregulated UK & Irish Pesio Body Subject to Statutory Licesig Nomiee Uregulated Paret Icorporated Registered Charity Partership / Uicorporated Public Limited Compay Uregistered Charity Lawyer/Accoutat/Professioal Private Corporate Uicorporated Registered Charity Club or Society Sovereig Wealth Fud Public Sector/Local Authority Other Please specify Trusts or other similar arragemets Beeficial owers are all idividuals who are omiated to beefit from the trust property, or trustees that are ot already oted o the applicatio that may exercise cotrol over the maagemet of the trust or arragemet. If you are usure o how to complete this sectio, please cotact our Ivestor Services team o 0800 832 832.
Name of beeficial ower Permaet address of birth Cotrol percetage 1. 2. 3. 4. (If there is isufficiet space to complete the sectio above, please provide additioal iformatio o a separate sheet). SECTION 2 Ivestmet selectio Please select the fud(s) ad the share uit/class you wish to ivest i usig our ivestmet optios form ad write the fud details ad your ivestmet amout i the appropriate box, depedig o whether you wish to ivest a lump sum or by mothly savigs. Further iformatio o the fuds ad share/uit classes ca also be foud withi each fud s prospectus. Cheques should be made payable to Hederso Ivestmet Fuds Limited. If you are ivestig via regular savigs, remember to complete the Direct Debit madate o the last page of this applicatio. Please tur over to read, sig ad date the declaratio ad if you are a corporate etity (ot a idividual), please complete the Etity Declaratio Sectio. Fud Name Share/Uit Class Lump Sum Mothly Savig* Mothly Withdrawal Facility** Per Moth Per Aum (% of total ivestmet) Example: All Stocks Credit Fud A Acc 1000 100 % *Mothly Savig Please idicate the date o which you wish collectios to be made. If ot specified, we will collect o the 1st of each moth. 1st of the moth 15th of the moth **Mothly withdrawal facility Mothly withdrawal facility is oly available for certai fuds, please check our ivestmet optios form for more details. If you wish to use the mothly withdrawal facility, you should idicate from which fud(s) the withdrawals should be take ad the amout per moth or percetage per aum. You should also complete the icome ad redemptio paymets sectio below. The withdrawal amout will be paid mothly ito your bak/buildig society accout o the 15th of each moth (miimum 25 per moth ad maximum of 7.5% p.a. of total ivestmet). Otherwise, your icome will be reivested. SECTION 3 Icome ad Redemptio Paymets Icome Should you wish icome to be paid to you, please choose oe of the followig optios: Paid directly to your bak or buildig society accout Posted to you by cheque Alteratively, where applicable, icome will be automatically reivested for you. Redemptios Please tick here if you would like future redemptio proceeds paid to your bak accout. Otherwise, they will be set to you by cheque. Please provide verificatio of the bak or buildig society accout i the form of a spoilt cheque, bak statemet (o older tha 3 moths) or a blak payig i slip ad complete the details below: Bak/Buildig Society ame Accout ame* Bak/Buildig Society address Bak/Buildig Society accout umber Brach sort code Buildig Society roll umber Postcode (if applicable) *Please ote we do ot make paymets to third parties, oly to the amed accout holder.
SECTION 4 Declaratio ad authority I/We wish to purchase shares/uits i accordace with my/our istructios o this applicatio form. I am/we are over 18 years of age. I/We eclose a cheque made payable to Hederso Ivestmet Fuds Limited for the lump sum amout to be ivested ad/or the first mothly paymet ad cofirm that all these moies are my/our ow. I/We accept that uder Uited Kigdom legislatio ad regulatios cocerig the prevetio of moey lauderig ad terrorist fiacig, all ivestors must be idetified ad I/we may be required to provide additioal iformatio to verify my/our idetity. Hederso Ivestmet Fuds Limited ad the Registrar ad Trasfer Aget shall be idemified agaist ay loss esuig due to ay delays i processig this applicatio if such iformatio required has ot bee provided. I/We cofirm that I/we caot be classified as a US perso(s) (as defied i the Prospectus). I/We ackowledge that US persos caot hold shares i ay of the fuds listed. I/We have read ad agree to be boud by the Prospectus, icludig those parts that explai the basis o which Hederso Ivestmet Fuds Limited will provide certai services to me/us. I have received ad read a up-to-date versio of the KIID. The Prospectus, Key Ivestor Iformatio Documet ( KIID ), ad Additioal Ivestor Iformatio Documet ( AIID ) will costitute a writte agreemet betwee me/us ad Hederso Ivestmet Fuds Limited, may be updated ad/or ameded from time to time i accordace with their terms, ad ca be foud at the literature library, which ca be foud at www.jaushederso.com. I/we coset to beig provided with the KIIDs i this form via the website ad ot addressed to me/us persoally. I/We further cofirm that the medium of a website is appropriate i the cotext of the busiess betwee me/us ad Hederso Ivestmet Fuds Limited. I/We agree to otify Hederso Ivestmet Fuds Limited immediately i the evet that the iformatio relatig to tax residecy chages. I/We declare that the iformatio provided o this form is, to the best of my/our kowledge ad belief, accurate ad complete. I/We have read the Prospectus which explais that Hederso Ivestmet Fuds Limited may use the Delivery versus Paymet exemptio durig a oe day widow ad may ot therefore treat moey received from me/us o subscriptios ad payables to me/us o redemptios as cliet moey for that period; ad that moey i those circumstaces will ot be protected from the isolvecy of Hederso Ivestmet Fuds Limited. I/ We coset to Hederso Ivestmet Fuds Limited usig this Delivery versus Paymet exemptio. If there are joit applicats all of them must sig ad date. Corporate/Etity applicatio If you are completig this form o behalf of a compay, please also complete the separate Etity Self-Certificatio Form, which must be completed i full ad retured with this Applicatio Form i order for your applicatio to be processed. Please also be aware that we will require two authorised sigatures ad a compay stamp i order to proceed with this applicatio. Sigature Sigature Sigature Sigature Data Protectio Act Ay iformatio that you provide will be used to eable us to provide the service for which you have applied ad will oly be give to other compaies or agets of the Jaus Hederso Ivestors marketig ad regulatory group. The data cotroller is Hederso Ivestmet Fuds Limited. We would like to cotact you for market research purposes ad to provide you with iformatio o Hederso Ivestmet Fuds Limited s products ad services from time to time. If you do ot wish to receive such iformatio, please tick the box. You may, upo paymet of the appropriate fee, obtai a copy of the persoal data we hold o you, correct your persoal data or request to be removed from our mailig list by writig to us. SECTION 5 Importat Iformatio Mothly savigs If makig mothly savigs, you must fill i the direct debit form ad retur it with this applicatio form. Moey lauderig regulatios oblige us to request that your first mothly ivestmet is by a persoal cheque draw o the same accout as your direct debit. Lump-sum ad mothly savigs Lump-sum paymets ca be made i additio to mothly direct debits. Icome paid for lump-sum ivestors oly If you wat to receive icome please complete Sectio 3 with details of the bak/buildig society accout ito which you wat paymets to be made. Alteratively, where applicable, icome will be automatically reivested for you. Redemptio paymets Paymets will be issued by cheque uless you complete Sectio 3. Cacellatio rights If you apply directly to us, you will ot have the right to cacel your ivestmet. If you apply via a authorised fiacial adviser, you will receive a cacellatio otice which gives you 14 days to chage your mid. However, if the value of your ivestmet has falle betwee the time of issuig your shares or uits ad us receivig your cacellatio otice, we may deduct the amout by which it has falle from your paymet before returig your moey to you. Tax residecy 1 The term tax regulatios refers to the Iteratioal Tax Compliace Regulatios 2015 which implemets the Foreig Accout Tax Compliace Act (FATCA) ad the OECD Commo Reportig Stadard for Automatic Exchage of Fiacial Accout Iformatio (CRS). 2 I geeral, you are tax residet where you are liable to taxes, based o where you live ad work permaetly although differet jurisdictios have differet rules i relatio to tax residecy. If i doubt, please cotact your tax adviser. 3 Those coutries that have agreed to exchage iformatio uder FATCA ad the CRS 1. 4 You are ot required to provide your Tax Idetificatio Number or of Birth if you are tax residet 2 oly i the UK. If you are tax residet oly i a jurisdictio which is ot participatig uder these tax regulatios 1 you are ot required to provide your Tax Idetificatio Number.
Applicatio Checklist Please read the followig as icomplete applicatios may have to be retured. 1. Have you completed i full the About yourself iformatio i Sectio 1? 2. If there are more tha two holders, have their persoal details bee supplied o a separate sheet? 3. Have you selected the fud(s) i which you wish to ivest ad the amout you wish to ivest per fud? 4. Have all holders siged ad dated the applicatio form i the space provided or o a separate sheet? 5. If you are a lump-sum ivestor (icome shares/uits oly) ad wat icome paid out to you, have you completed the Icome ad Redemptio Paymets sectio ad provided verificatio of the bak accout? If you do ot complete this, your icome, where applicable, will automatically be reivested to purchase further shares/uits i the fud(s). If you are ivestig via mothly savigs, where applicable, your icome will automatically be reivested. 6. If you wish to make mothly savigs, have you completed the direct debit form ad idicated the date you wish collectios to be made? Please ote a cheque for your first mothly ivestmet must be eclosed. 7. Have you eclosed your cheque made payable to Hederso Ivestmet Fuds Limited? Please do ot use staples. Please retur your applicatio form ad cheque(s) to Jaus Hederso Ivestors, PO Box 9023, Chelmsford CM99 2WB. If you have ay questios relatig to your applicatio, please call our Ivestor Services team o 0800 832 832.
SECTION 6 Istructio to your bak or buildig society to pay by Direct Debit Please fill i the whole form usig a ball poit pe ad sed to: Jaus Hederso Ivestors, PO Box 9023, Chelmsford, CM99 2WB. Name ad full postal address of your bak or buildig society To: The Maager Address Bak/buildig society Service user umber 6 9 6 7 1 5 Referece Name(s) of accout holder(s) Bak/buildig society accout umber Postcode Istructio to your bak or buildig society Please pay Hederso Ivestmet Fuds Limited Direct Debits from the accout detailed i this Istructio subject to the safeguards assured by the Direct Debit Guaratee. I uderstad that this Istructio may remai with Hederso Ivestmet Fuds Limited ad, if so, details will be passed electroically to my bak/buildig society. Sigature(s) Brach sort code This Guaratee is offered by all baks ad buildig societies that accept istructios to pay Direct Debits Baks ad buildig societies may ot accept Direct Debit Istructios for some types of accout. This Guaratee should be detached ad retaied by the payer The Direct Debit Guaratee If there are ay chages to the amout, date or frequecy of your Direct Debit, Hederso Ivestmet Fuds Limited will otify you 5 workig days i advace of your accout beig debited or as otherwise agreed. If you request Hederso Ivestmet Fuds Limited to collect a paymet, cofirmatio of the amout ad date will be give to you at the time of the request If a error is made i the paymet of your Direct Debit, by Hederso Ivestmet Fuds Limited or your bak or buildig society, you are etitled to a full ad immediate refud of the amout paid from your bak or buildig society. - If you receive a refud you are ot etitled to, you must pay it back whe Hederso Ivestmet Fuds Limited asks you to. You ca cacel a Direct Debit at ay time by simply cotactig your bak or buildig society. Writte cofirmatio may be required. Please also otify us.
Jaus Hederso Ivestors is the ame uder which Hederso Global Ivestors Limited (reg. o. 906355), Hederso Fud Maagemet Limited (reg. o. 2607112), Hederso Ivestmet Fuds Limited (reg. o. 2678531), Hederso Ivestmet Maagemet Limited (reg. o. 1795354), AlphaGe Capital Limited (reg. o. 962757), Hederso Equity Parters Limited (reg. o. 2606646), Gartmore Ivestmet Limited (reg. o. 1508030), (each icorporated ad registered i Eglad ad Wales with registered office at 201 Bishopsgate, Lodo EC2M 3AE) are authorised ad regulated by the Fiacial Coduct Authority to provide ivestmet products ad services. Telephoe calls may be recorded ad moitored. H029754/0617 Applicatio