Miss Dr Prof Other Identification type: RSA ID number: years years years years 65+ years

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Financial Needs Analysis and isk Profile Analyser The rate of return on your invested capital is just one of many aspects to consider before making an investment. Income versus capital growth, the investment time horizon, and performance fluctuations are just as important to bear in mind. The isk Profile Analyser shows us how comfortable you are with investment risk or fluctuations in your return on investment. The Financial Needs Analysis provides us with the information required to assess your financial situation, your investment experience and your financial needs and objectives. With this information in hand, we can assist you in constructing a portfolio or selecting a product best suited to your unique financial position and risk profile. 1.Client information Surname: Language: First names in full: English Afrikaans Title: Mr Mrs Miss Dr Prof Other Identification type: SA ID SA ID number: SA Passport SA Passport expiry date: Y Y Y Y M M D D Other (please specify) Foreign passport: Passport number: Expiry date: Y Y Y Y M M D D Country of issue: Date of birth: Y Y Y Y M M D D Marital status: Marginal tax rate (%): % Anticipated retirement age: What do you believe your current risk profile to be? High Medium Low 2. isk profile analyser: Individual considerations 1. What is your age? 18 34 years 35 44 years 45 54 years 55 64 years 65+ years 2. What is the time horizon for your investment goals? 0-2 years 2 5 years 6-10 years 11-20 years 21+ years 2 4 6 8 10 3. What is your primary investment objective? Aggressive growth Capital appreciation Income Long term inflation hedge Capital protection 4. How secure are your current and future sources of non-retirement income? Not secure Somewhat secure Secure Expected to increase Very secure 5. In your opinion, which option most accurately describes our financial status? I do not save Pension fund is my source of savings I save 5% of my net monthly income in addition to pension I save 20% of my net monthly income in addition to pension I have sufficient savings for retirement Part A Score: FNB Securities (Pty) Ltd - a part of the Firstand Group. An authorised user of the Johannesburg Stock Exchange (JSE) and Financial Services Provider (FSP182). Page 1 of 5

3. isk profile analyser: isk tolerance 1. Which of the following would best describe your level of investment knowledge? Very limited (little to no knowledge) Basic (understand difference between stocks and bonds) Average (aware of different investment options and levels of risk) Extensive (thorough understanding of investment products and strategies) 1 2 3 4 2. How do you rate yourself when taking investment risks? I very rarely take risks I like certainty I am careful I take calculated risks I am comfortable taking risks 3. Approximately how often do you check the value of your investments? Once a year Once every quarter Several times a year Monthly Daily 4. What do you consider to be more important: The return your investment will generate (income) or the long-term capital growth? 100% income Mostly income with some capital growth Fairly even split between income and long-term capital growth Mostly capital growth with some income generation 100% capital growth 5. How long can you comfortably endure temporary losses in exchange for the prospect of higher returns over the long term? value for 5 years value for 3 years value for 1 year value for 6 months Not prepared to endure a decrease in value 6. If you owned an investment that fell by 20%, what would you do? Sell all of the remaining investment Sell a portion of the remaining investment Hold the investment and sell nothing Buy more of the investment 1 2 3 4 7. In general, investments that fluctuate the most carry the highest potential returns over the long term. What variation (range) of return would you be comfortable with? 30% 25% 20% 15% 10% 5% 0% -5% -10% -15% A B C Portfolio A 1 Portfolio B 2 Portfolio C 3 Expected return Potential excess Potential drawdown Part B Score: FNB Securities (Pty) Ltd - a part of the Firstand Group. An authorised user of the Johannesburg Stock Exchange (JSE) and Financial Services Provider (FSP182). Page 2 of 5

4. Investment objectives 1. Which of the following investments would you feel more comfortable owning? Cash Bonds and Preference Shares Property Shares Derivatives 2. How would you respond to the following statement? I would like to protect the money that I invest, even if it means getting very little long-term growth. 3. How would you respond to the following statement? I would like to get as much long-term growth from my investment funds as possible, regardless of the volatilty (fluctuations) in my investment returns. 4. How would you respond to the following statement? I have an adequate emergency fund that will cover most emergencies. Part C Score: Your score: Part A: Individual considerations Part B: isk tolerance Part C: Investment objectives Total 5. Your risk profile 0-19 Conservative A conservative investor considers investment losses in any given year to be unacceptable. Conservative investors are typically those with either a short term goal (less than 3 years), or those who are seeking a regular income stream. These portfolios tilt away from equity investments into more preservation investments. Typical Investments in Portfolio: Property, Fixed Income, Cash & Money Market 20-59 Moderate Moderate investors do not mind a measure of fluctuation in their investment returns, but you would be uncomfortable with significant upward and downward moves. The typical portfolio will combine equities with other less volatile asset classes. Typical Investments in Portfolio: Equity, Property, Fixed Income, Cash & Money Market 60-80 Aggressive Aggressive investors want long-term growth and understand that a loss in one year or short term volatility may occur in pursuit thereof. Aggressive investors are willing to take higher risks in order to achieve potentially higher returns and tend to concentrate on equity investments. Typical Investments in Portfolio: Equity and Property FNB Securities (Pty) Ltd - a part of the Firstand Group. An authorised user of the Johannesburg Stock Exchange (JSE) and Financial Services Provider (FSP182). Page 3 of 5

6. Summary of assets and liabilities Description Local Assets and Liabilities Offshore Assets and Liabilities Fixed property esidential Fixed property - Other Business interests Cash, money market etc Share portfolio, unit trusts Investments - Other Policies (for example, endowments) Pension Other Total assets* Short term liabilities Mortgage loans Other long term loans Total liabilities* Net value* 7. Summary of income and expenses Description Amount per annum Income Salary (commission, bonuses, allowances net of tax) Investment income (interest and dividends) Other income (rental, annuity, etc) Total annual income* Expenses Household and related including, vehicles, maintenance, groceries, home loans, etc. Other expenses Total expenses Net annual income 8. Details of dependants Surname First name Date of birth Gender elationship FNB Securities (Pty) Ltd - a part of the Firstand Group. An authorised user of the Johannesburg Stock Exchange (JSE) and Financial Services Provider (FSP182). Page 4 of 5

9. elationship Manager: Comments and proposed solution Signed at Date: Y Y Y Y M M D D FNB Securities representative (full names of duly authorised signatory): Signature of FNB Securities representative: 10. Client: Comments Signed at Date: Y Y Y Y M M D D The Client (full names): Signature of Client: FNB Securities contact details Johannesburg, Sandton: 0800 256 256 / +27 11 282 8734 Cape Town, Central Portside: 087 335 6015 Cape Town, Willowbridge: 087 736 6270 Durban, Umhlanga: 087 335 0925 Pretoria, Menlyn: 087 335 3833 BE AWAE OF FAUDSTES FNB Securities will never ask you for your password or OTP in an email, SMS or via a phone call. Visit the FNB Securities website for terms and conditions that apply. FNB Securities (Pty) Ltd - a part of the Firstand Group. An authorised user of the Johannesburg Stock Exchange (JSE) and Financial Services Provider (FSP182). Print Page 5 of 5