Global Client Application Form: Private Individuals FNB Securities Global is a registered business name of Ashburton (Jersey) Limited which has its registered office at 17 Hilary Street, St Helier, Jersey JE4 8SJ, Channel Islands and which is regulated by the Jersey Financial Services Commission. Before completing this Client Application, please ensure that you have read and understood the General Terms and Conditions of Business (including the Disclosure Notice), Terms and Conditions of Business for Securities Trading, the Order Execution Policy, the Online Terms and the Fees Schedule, as this information governs the Services, including the opening and operating of an FNB Securities Global Trading Account; and forms part of the agreement that regulates the relationship between you and FNB Securities Global. (Available on the Website). In order to apply for the Services and to open an Account you must be over the age of 18 years. Please complete in block letters and mark with an x where applicable. All alterations must be initialled, as well as each page as indicated. Draw a line through sections which are not applicable to your account. All fields marked with an asterisk (*) are mandatory and need to be completed. 1. Your personal information Surname*: Former/maiden surname (if applicable): First names in full*: Language*: English Afrikaans Gender *: Male Female Title*: Mr Mrs Miss Dr Prof Other Identification type*: RSA ID RSA ID number: RSA Passport RSA Passport expiry date: Y Y Y Y M M D D Other (Please Specify) Date of birth: Y Y Y Y M M D D Country of birth*: Foreign passport Passport number: Expiry date: Y Y Y Y M M D D Country of issue: RSA Permit Permit number: Expiry date: Y Y Y Y M M D D Country of domicile/residence*: Occupation*: Employer*: Which division of the FirstRand Group are you employed by? RMB WesBank FNB Ashburton FNB Securities FRCC FirstRand employee number: Are you related to an employee of FNB Securities?* Yes No If YES, state your relationship and the name of the FNB Securities Employee: Physical address* Unit number: Complex name: Street number: Street/Farm name: Suburb/District: City/Town: Country: Postal code: Page 1 of 6
Postal address* Same as physical address Postal address: Postal code: Contact details* (Please supply at least one) Home number: + Work number: + Cellphone number: + Fax number: + Email: 2. Income tax details Please list all of your issued tax registration details below*. No Tax registration number Tax identification number country of issue Are you considered a Citizen/ National in this country? Are you currently a tax resident of this country? 1 Yes No Yes No 2 Yes No Yes No 3 Yes No Yes No 4 Yes No Yes No Please provide a copy of SARS document as proof of your South African tax registration number. Where you have provided us with an IRS issued tax registration / identification number, please provide us with the appropriate IRS W-8/W-9 form. 3. Documents required for verification of identification and address The following documentary requirements must be satisfied within two weeks from date of signature of this Client Application. An Account will not be opened until all the necessary documents are received and in the reasonable opinion of ourselves are satisfactory. Please provide the following documents to us (only provide the documents that are applicable to you): Documents required for verification of identification and address 1. An identification document includes a certified copy of valid passport and / or ID book and / or smart card ID; 2. Evidence of current residential address include (PO Box address is not accepted): Utility bill (dated within the last three months, mobile phone and credit card bills are not acceptable). Bank or building society statement (no more than 3 months old) or passbook. Formal record of home visit (by suitable certifier, see below*). Local authority tax bill (current year). Mortgage statement (current). Suitable certifiers include: Lawyer or notary public or accountant holding a registered professional qualification. Director, officer or manager of a regulated financial services business i.e. recognised bank or building society branch. An embassy, consulate or high commission of the country of issue of documentary evidence of identity. A member of the judiciary, a senior civil servant or a serving police or customs officer. An actuary. The certifier must write the following on the document they are certifying: State I hereby certify that this is a true copy of the original and in the case of ID documents that the document bears a true likeness of the holder or wording to the same effect. Sign the copy document. Date the copy document. Provide their name (printed). Provide their qualifications. Contact details, which are required should verification of their credentials be necessary (address and telephone number or email address). Page 2 of 6
Please note: The copy should be clear and legible. If you want to send us your required documents and this completed mandate by email, you need to ensure that the email is accompanied by a covering note specifying the contents of the email, that is, that the emails contains your required documents and this completed mandate. Alternatively hand-deliver to your nearest FNB Securities branch. For further information contact us on 0800 256 256. We will email all correspondence to the email address provided by you in this Client Application. You must supply us with your correct contact details. We will not be responsible if your statements and other related information are sent to the wrong e-mail address. Kindly note that you will be receiving all trade notifications via SMS and email only, for security purposes. 4. Description of source of wealth and source of funds Please detail below the source of wealth and source of funds (source of wealth describes the activities which have generated your total wealth as a whole; source of funds is the activity which has generated the funding of this FNB Securities Global account) Source of Wealth* Sale of investments Bonus Savings/Bank account Salary Property sale Inheritance Transfer from other service provider Assets of trust/investment company Other If other, please specify: Source of Funds* Sale of investments Bonus Savings/Bank account Salary Property sale Inheritance Transfer from other service provider Assets of trust/investment company Other If other, please specify: Please note: In certain circumstances we may request additional information. 5. Opening and transfer of funds to and from your account You are able to open an account in one of three base currencies: GBP, EUR and USD. Please select the base currency you wish to open your account in. GBP EUR USD Value of investment*: R In order to fund the account there are two options you may choose from. Please select your option below: Option 1: Personal Offshore Investment Limit (This option allows you to transfer the funds directly to our offshore trust account using your personal offshore investment limit.) If using your Personal Offshore Investment Limit, please advise how you will be funding your account: Fund from Offshore Fund from Local via FNB Securities Option 2: FNB Securities Offshore Limit* (This option allows you to transfer funds to our offshore trust account using FNB Securities institutional investment capacity. Important restrictions apply.) * Please note that this institutional investment capacity is subject to an approval and authorisation process within the context of the limit of the entire FNB Securities institutional investment capacity. We and/or FNB Securities cannot guarantee successful approval to use this institutional investment capacity or the amount that you will be granted. If you wish to make use of both options, you will be required to complete another Client Application. You will be required to open an additional FNB Securities Global Trade profile to use the additional option as these will be operated independently of one another. Page 3 of 6
6. Request for withdrawal of funds If your investments were made via your Personal Offshore Investment Limit, you have the election to withdraw the funds and have us transfer the funds to your foreign currency denominated account, or your FNB Securities stock broking account denominated in ZAR. For security reasons, if you elect to have us pay funds to your foreign denominated account, funds will be paid only to the bank account as provided below. Please complete this section in full and advise us in writing of any subsequent change to these details. Name of bank: Branch code: Branch name: Account name: Country: Account no.: Type of account: Current Savings Please provide proof of your bank account details i.e. a bank statements certified by your bank not older that 3 (three) months or a cancelled cheque. 7. What mandate will FNB Securities have to manage your investments?* You hereby confirm that you have entered into a mandate with the Authorised Representative. You hereby give authorisation to the Authorised Representative to represent you in your business relationship with us in accordance with the mandate and as specified below: Option 1: Discretionary (Full Discretionary Service) (FNB Securities Global can execute or transact on your account and manage your investments without your prior consent or knowledge) By choosing this option, you understand that FNB Securities will for the purposes of achieving your investment objectives, manage your investments without the need to consult with you, and do the following on your behalf at its discretion: Vote on any ballot or elective corporate action Conduct money broking activities What this means FNB Securities will act on your behalf with the purpose of achieving your investment objectives; Once we have determined your Risk Profile, a model portfolio will be selected which matches your Risk Profile as well as your investment objectives; The model portfolio is standardised and centrally managed according to current allocations, which are reviewed on a regular basis; and Rebalancing of your model portfolio is done without consideration of any tax implications. In managing your investments, FNB Securities Global is required to take your investment objectives into account by conducting a Financial Needs Analysis, issue a Risk Profile and provide you with an Investment Proposal. For this service, you agree that FNB Securities Global charge you an annual portfolio management fee, brokerage and any other applicable fees as per the Fee Schedule. Important indemnity You will not hold FNB Securities Global responsible for any loss you suffer (whether actual and/or consequential) because of any actions it takes on your instruction set out above, with the exception of losses incurred as a result of FNB Securities Global gross negligence. For purposes of this clause FNB Securities Global includes its or its affiliates, officers, directors, and employees. Page 4 of 6
Option 2: Bespoke (Non-Discretionary: Advisory Service) (FNB Securities Global may not execute or transact on your account nor provide investment advisory services without your prior consent or knowledge) By choosing this option, you understand that FNB Securities Global will operate a bespoke investment advisory services account for you. What this means Once we have determined your Risk Profile, a portfolio will be constructed that best meets your investment requirements and Risk Profile; The portfolio will consist inter alia of stocks, selected in conjunction with you, from our standardised models, which constitute our stock universe. FNB Securities Global will purchase and/or sell agreed upon investments on your behalf with the specific objective of meeting your requirements as set out in your Investment Proposal; You remain responsible for updating the information supplied to us in your Investment Proposal; You may contact us to review your investments and receive updated recommendations or advice at any time; FNB Securities Global will act with limited authority to maintain your investments within the stated parameters as set out in your Investment Proposal, which will be amended from time to time and take decisions, including corporate actions, that facilitate meeting these investment objectives; FNB Securities Global will provide a dealing with advice service to you in relation to those investments for which we are authorised to advise; and FNB Securities Global may provide advice and recommendations on specific stocks or securities, as requested by you from time to time and without considering the whole of your portfolio or any of your specific needs and investment objectives. Corporate actions FNB Securities Global will notify you of any elective corporate action. Once FNB Securities Global has notified you of the elective corporate action you will be required to access your account and make an election. Failure to make an election will result in you receiving cash. In providing bespoke investment advisory services, FNB Securities Global is required to take your investment objectives into account by conducting a Financial Needs Analysis, issue a Risk Profile and provide you with an Investment Proposal. You agree that FNB Securities Global charge you an annual investment advisory fee and brokerage as per the Fee Schedule. Important indemnity You will not hold FNB Securities Global responsible for any loss you suffer (whether actual and/or consequential) because of any actions it takes on your instruction set out above, with the exception of losses incurred as a result of FNB Securities Global gross negligence. For purposes of this clause FNB Securities Global includes its or its affiliates, officers, directors, and employees. Option 3: Non-Discretionary (Non-Discretionary: Non-Advisory Service) (FNB Securities Global may not execute or transact on your account without your prior consent or knowledge) By choosing this option, you understand that FNB Securities Global will not operate on this account without your prior consent and will provide you solely with execution dealing and safe custody services. What this means You have control of your account and make decisions on it; We may offer you factual advice on specific stocks without taking into consideration your risk profile, and the relative appropriateness of these stocks for your portfolio; This is a reactive service and not a proactive one; In providing non-advisory services, you agree that FNB Securities Global charge you a brokerage as per the Fee Schedule; and You may contact us directly for execution of orders or alternatively, you may execute your orders online via the website at. Corporate actions FNB Securities Global will notify you of any elective corporate action. Once FNB Securities Global has notified you of the elective corporate action you will be required to access your account and make an election. Failure to make an election will result in you receiving cash. In providing non-advisory services, you agree that FNB Securities Global charge you brokerage as per the Fee Schedule. Important indemnity You will not hold FNB Securities Global responsible for any loss you suffer (whether actual and/or consequential) because of any actions it takes on your instruction set out above, with the exception of losses incurred as a result of FNB Securities Global gross negligence. For purposes of this clause FNB Securities Global includes its or its affiliates, officers, directors, and employees. 8. Declarations You hereby declare by your signature hereto that: 1. You have read and understood the terms and conditions of the Client Application, the General Terms and Conditions of Business (including the Disclosure Notice), the Terms and Conditions of Business for Securities Trading, the Order Execution Policy, the Online Terms and the Fees Schedule and agree to be bound by them. 2. You hereby authorise FNB Securities Global to perform the Services subject to the Client Application, the General Terms and Conditions of Business (including the Disclosure Notice), the Terms and Conditions of Business for Securities Trading, the Order Execution Policy, the Online Terms and the Fees Schedule and any other relevant terms and conditions (as amended from time to time) and the Applicable Law; and understand and accept that this applies to your entire trading relationship with FNB Securities Global. 3. You have been informed of the fees that apply as set out in the Fee Schedule and agree to them. You understand that FNB Securities Global can change the fees from time to time, as detailed in clause 13 of the General Terms. 4. You hold no other citizenships and/or residencies for tax purposes other than those disclosed in this application form and will inform FNB Securities in writing of any change of this status within 30 (thirty) days of the change of status. Page 5 of 6
5. You agree to be bound by your election in respect of any corporate action and accordingly indemnify FNB Securities Global against any losses or claims that may arise out of my election. Furthermore, you will not hold FNB Securities Global responsible and/or liable for any loss, damage or expense suffered by you, if your election is not processed for any reason whatsoever; provided that such loss, damage or expense has not been incurred as a result of the gross negligence, misconduct or wilful default on the part of FNB Securities Global. 6. You have been informed of the risks associated with investments and detailed in Schedule 1 of the General Terms (Disclosure Notice). You understand and accept that this includes the risk of financial loss to you. Risks include but are not limited to the following risks for foreign investments: currency risk, market risk, interest risk, exchange rate risk and the default or insolvency on the part of any local and/or foreign custodians, banks or other financial institutions that FNB Securities Global uses in the facilitation of your instructions. You will not hold FNB Securities Global legally responsible for any losses you suffer or cost you incur resulting from any foreign investment. You confirm that FNB Securities Global did not solicit my mandate to invest offshore and that you voluntarily entered into this agreement with FNB Securities Global. 7. You are aware that FNB Securities Global cannot guarantee a return on your investment. 8. You warrant that no other person has any rights in any and all Securities transferred by you to FNB Securities Global or held by FNB Securities Global or by its Counterparties on your behalf. You will ensure that your Securities shall at all times remain free from any charge, lien, pledge or encumbrance and shall be beneficially owned by you. 9. You warrant that any funds transferred do not or will not represent the proceeds of, or derive from, any activity, which would be considered illegal under the Anti-Money Laundering and Proceeds of Crime Legislation applicable in Jersey and South Africa. 10. You accept and understand that failure to have entered into a mandate with the Authorised Representative, in accordance with section 6 of the Client Application will result in the Client Application not being processed, as this is conditional upon you entering into a mandate. 11. You accept and understand that until such time as all satisfactory on boarding documentation has been received and accepted by FNB Securities Global, it will not be possible for your Client Application to be processed or for any instructions to be effected. 12. You accept and understand that no bank interest will be received by you on credit balances held during the normal operation of your account. 13. You understand that each transaction will incur charges resulting from registration, brokerage, commission and any other expenses in dealing in foreign exchanges and markets. These charges will be included within the cost of any investment acquisition, or deducted from the settlement proceeds of any investment disposal. 14. You understand that there are risks associated with sending instructions to FNB Securities by post or email. You agree to carry the risk of sending instructions to FNB Securities by post or email. 15. You hereby consent that FNB Securities, may process (collect, use or otherwise deal with) your information (including processing outside of the borders of South Africa) for the purposes of providing services and products, according to the terms and conditions ( ) and requirements of the law. Signed at Date*: Y Y Y Y M M D D The Client (Full name of entity): Signature of Client/authorised signatory on behalf of Client*: 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: Signed at Date*: Y Y Y Y M M D D Wealth Manager (if applicable) (Full names of duly authorised signatory): Signature of Wealth Manager: 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 06.10.17 BE AWARE OF FRAUDSTERS 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. Print Page 6 of 6