CAL BROKERS LIMITED (Licensed Dealing Member of the Ghana Stock Exchange) INDIVIDUAL ACCOUNT OPENING FORM

Transcription

1 CAL BROKERS LIMITED (Licensed Dealing Member of the Ghana Stock Exchange) INDIVIDUAL ACCOUNT OPENING FORM TO BE COMPLETED IN BLOCK LETTERS Client/Customer Code Securities A/C #.... Prof. Dr. Mr. Mrs. Ms. Alhaji Hajia Rev. Surname First Name..... Other Names In Trust For..... Previous Names. Postal Address.... Residential Address.... Occupation.... Date of Birth. No. of Children/Dependants. Marital Status Single Married Divorced Widow/Widower Name of Employer/School... Employer/School Address. Nationality... Contact Numbers: Country.. City/Town... Landline..... Mobile.... Fax National ID/Passport/Drivers License/NHIS/Voters ID No.:... Place of Issue Date of Issue.. Expiry Date Residential Status: (Tick where applicable) Resident Ghanaian Resident Foreigner Account Statement Non Resident Ghanaian Non Resident Foreigner Send statement by (tick where applicable) Post Hold Dividend Mandate A/C No.. A/C Name..... Name of Bank... Branch... For 2 nd Joint Account Holder (Optional) Title.. Surname.. First Name... Other Name(s).. Previous Name(s). Tel: Landline.... Mobile... Fax.. National ID/Passport/Drivers License/NHIS/Voters ID No.:.... Place of Issue... Date of Issue Particulars of Next of Kin (Optional) Full Name Relationship with applicant.... Address Supporting Documents: (copy of National ID/Passport/Driver s Licence/NHIS/Voters ID). 1

2 Additional Account Opening Information This form must be completed by any individual who wishes to open an account with CAL Brokers Ltd. 1. Are you a U.S. citizen? YES NO 2. Do you hold a U.S. Passport? YES NO 3. Do you hold a U.S. Green Card? YES NO 4. Are you a U.S Resident? YES NO 5. Have you spent more than 183 days in the U.S. for the past one year or average of 122 days in the past three years? YES NO If you have answered yes to any of the above questions, please provide the following information 1. Full Name: U.S. Place of Residence:.. 3. U.S. Place of Birth:. 4. U.S. current residential Address: U.S. Mailing Address. 6. U.S. Telephone Number(s), if any U.S. Tax Identification Number (TIN) I,, hereby confirm that the information provided above is true, accurate and complete. I further consent to notify CAL Brokers within a period of 30 days of any changes to my personal circumstances, which include but not limited to citizenship, residential and mailing address, and contact telephone numbers. Signature:... Date :.. (To be signed by all new clients) Undertaking (To be signed by only clients who answered yes to any of the questions above) Subject to applicable local laws, I hereby give my consent for CAL Brokers Limited (CBL) to share my information with foreign (U.S.) tax authorities where necessary to establish my tax liability. Where required by domestic or foreign (U.S.) tax authorities, I give my consent and agree that CBL may withhold from my investment account(s) such amount as may be required according to applicable laws, regulations and directives. Signature: Date :

3 INVESTMENT INFORMATION What Is Your Investment Objective? Different types of investments generate returns in different ways. Typically more conservative investments, such as treasury bills, generate returns through a steady flow of income payments. More aggressive investments, such as shares, tend to generate returns through dividend payments and capital gains. How would you characterize your investment objective for this portfolio? (A) (B) (C) (D) Emphasis on income generating investments Emphasis on income generating investments and some capital growth Emphasis on aggressive capital growth and some income Emphasis on aggressive growth of capital What Is Your Investment Time Horizon? When evaluating your investment time horizon, you should consider your requirements for meeting future needs, the availability of other income to meet such needs, and your long-term investment goals. What investment time horizon is most appropriate for your investment programme? Less than 1yr 1yr 3yrs 4yrs 10yrs More than 10yrs What Is Your Attitude Towards Risks? The process of investing requires careful consideration of risk. There is a trade-off between the risk associated with an investment and its expected return over time. Typically, one must endure greater risk in order to pursue higher returns. Each investor has different attitude towards risks. Which statement best describes your attitude towards risks? (A) (B) (C) (D) I cannot accept any loss of principal. Conservative: I am more concerned with preserving the value of my account than maximizing capital growth, and can tolerate some decline in value through a market cycle. Moderate: I am comfortable with fluctuations in my portfolio, and the possibility of large declines in value, in order to grow my portfolio over time. Aggressive: I am comfortable taking on high levels of risk, and the possibility of large fluctuations and substantial declines in the value of my portfolio, in pursuit of higher level of appreciation in my portfolio over time. What Is Your Overall Knowledge Of Investment? (A) (B) (C) Low: I have very little investment experience outside of bank savings and government treasury bills. Medium: I have some experience investing in shares and bonds High: I have been an active participant in the stock market Political Exposure 1) Have you held an office by political appointment before? Yes No 2) Are any of your family members a politician? Yes No 3) Are any of your family members MD, Governor, Captain etc. of any government institution? Yes No 4) How are you related to this person?... 3

4 Account Type & Annual Gross Income 1. Type of Account (please complete both (a) and (b): a) Individual Joint Group (specify) b) Discretionary 1 Non-Discretionary 2. Your Annual Gross Income ( ) Is: 5k and below 5k 100k 100k 200k 200k 400k 400k + 3. Source of Income Personal Savings Salary Inheritance/Gift What Is The Projected Use Of The Money In Your Investment Programme? (Rank the following according to order of importance on a scale of 1 to 5, with 1 being the most important) (1) To fund retirement... (2) To finance college education of children... (3) To fund the purchase of a home (improvements)..... (4) To build wealth.... (5) Other (please explain) What Is Your Investment Quantum? 5) What cedi amount are you considering for this investment programme?.. 6) Does your investment in this programme represent more than 50% of your total investible funds? Yes No Is There Any Additional Information You Would Like Us To Know About You?... 1 Discretionary Accounts attract an administrative fee of GH 50 p/a and a performance fee of 10% p/a of Capital gains made for you. 4

5 Declaration: I/We hereby i. request to open and maintain an account for securities in my/our names ii. affirm that all information on the form are correct iii. undertake to notify CAL Brokers Ltd of any change of particulars or information provided by me/us in this form I/We have read thoroughly and understood the contents of this application and have given my/our consent by virtue of my/our signature(s) on the form. That the information provided solely serves as a guide to CAL Brokers Limited (CBL) on my/our preferences in providing me/us with investment advice. Investment decisions are my/our prerogative without sole reliance on investment advice received from CAL Brokers Limited (CBL). CAL Brokers Limited (CBL) accepts no liability for any direct or consequential loss arising from my/our decision. I/We also declare that all debits incurred on my/our brokerage account(s) by virtue of my/our trade orders shall be settled accordingly. Name Signature.. Date.... Name Signature.. Date.... Please note that verification of account-opening documents for offshore investors include the following: An original utility bill The Identification document (international passports, drivers license etc) should be certified by a notary public in the country of residence of the investor 5

6 For Discretionary/Managed Clients Only PORTFOLIO MANAGEMENT AGREEMENT This PORTFOLIO MANAGEMENT AGREEMENT is made on this... Day of BETWEEN CAL BROKERS LIMITED (CBL) a Licensed Dealing Member of the Ghana Stock Exchange and The CLIENT.... Whose address is. and a discretionary client of CBL. STATEMENT, INFORMATION AND VALUATION (REPORTING OBLIGATIONS) Quarterly reporting on the Investors portfolio on valuation shall be issued by CBL to the Investor. INDEMNITIES The Investor hereby agrees to indemnify CBL against any liability in respect of any losses, claims, damages, cost and expenses incidental to the Manager s engagement herein except such as shall arise from a breach of the terms of this Agreement or as a result of the negligence, willful default or fraud of CBL, or its employees and agents or any other person appointed by it. FEES The administrative fee shall be a flat fee of GHC per annum AND a performance incentive fee of 10% of capital gains (both realized and unrealized) on your portfolio will be charged annually. CONFIDENTIALITY All information regarding the Investor s portfolio will be carefully handled with utmost confidentiality. TERMINATION This Agreement shall come into effect on the date of the last party signing and shall continue until termination. Until then, an administrative fee of GHC and a performance incentive fee of 10% of capital gains (both realized and unrealized) will be charged to any discretionary client. The Agreement shall be terminated on the day the last investment(s) of the client is/are disinvested or at the written direction of the Investor to transfer all the Assets jointly held by the Investor and CBL to the Investor. I have read and agree to ALL the terms set out in the above agreement. Name Signature.. Date.... Name Signature.. Date.... 6

7 FOR CAL BROKERS USE ONLY Supporting Documents: ID of account holder ID of account beneficiary Passport size pictures Specimen Signatures of Authorised Signatories/passport pictures Verified by... Signature Date Date:.... Signature:... Operations Manager FOR MANAGED/DISCRETIONARY ACCOUNTS USE ONLY Remarks:.. Portfolio Manager s Name:.. Signature:. Date: Operations Manager s Name:..... Signature:..... Date:... 7

8 SUBSCRIPTION TO ONLINE TRADING (ibroker Terminal) I wish to subscribe to ibroker (CBL s Online Brokerage Terminal). I prefer to: Track my portfolio and monitor trades on the Ghana Stock Exchange (GSE) Trade online on the Ghana Stock Exchange (GSE), track my portfolio and monitor trades. To purchase shares online through the ibroker, your brokerage account must be fully funded before the execution of the transaction. To sell shares online through the ibroker, you must have the shares earmarked for sale in your brokerage account before the execution of the transaction. I/We hereby declare to accept the use of the ibroker terminal (online brokerage account) upon the following terms and conditions: i) To undertake to take utmost care and responsibility in managing my/our online brokerage account; ii) To take due care to ensure the safety and confidentiality of my/our online brokerage account information; iii) That in the course of my/our activities on the online brokerage account CAL Brokers Ltd will not be liable to any action or iv) inaction, commission or omission which will give rise to third party access to my/our online brokerage account; That CAL Brokers Ltd accepts no liability or responsibility for my/our negligence or lack of due care in giving third party access to my/our online brokerage account; v) That CAL Brokers Ltd accepts no liability or responsibility for any loss which directly or indirectly may arise from my/our activities on the online brokerage account. Signature(s): Date:... 8

9 TO: CAL BROKERS LIMITED 23 INDEPENDENCE AVENUE P. O. BOX ACCRA INDEMNITY (OPTIONAL) We/I, [. ], of [ ] instruct and mandate CAL Brokers Limited of 23 Independence Avenue P. O. Box Accra to deal with our/my supersave/equity account at CAL Brokers Limited and carry out all investment/payment instructions given by us/me through via the following e- mail address [. ] only. That we/i shall call you on telephone and confirm our/my instructions to you within Twenty (20) minutes of giving investment/payment instructions to you through address [..]. We/I instruct and mandate you after receiving our/my confirmation to deal with our/my supersave/equity account and carry out all investment/payment instructions given to you by us/me through our/my said address. That in dealing with our/my supersave/equity account and carrying out all investment/payment instructions given to you through e- mail address [ ] WE/I UNDERTAKE to completely indemnify and hold harmless and absolve you CAL Brokers Limited from all forms of loss, liability, claim or damage that might be incurred by you or made against you and / or us/me as a result of instructing you through . We/I shall at our/my own expense defend any action or claim that any third party or person may bring against you in the event that you rely on our/my instructions and there is any loss. DATED THE. SIGNED AND DELIVERED BY Name:... Address:... Occupation:.... Signature IN THE PRESENCE OF Name:... Address:.. Occupation:... Signature 9

10 POWER OF ATTORNEY (POA) (OPTIONAL) We/I,.... of... hereby appoint CAL Brokers Limited of 23 Independence Avenue, P. O. Box Accra (CBL) to act on our/my behalf as brokers. In so doing, Directors, Authorised Dealing Officers or other officers of whom CBL has given instructions, may rely on this power of attorney without obtaining our /my further approval or counter signature. In this regard CBL s authority will include without limitation: - the authority to purchase, sell and/or transfer and deliver our/my shares and make, execute and deliver any written instruments of assignments and transfer in order to complete any instructions. We/I hereby undertake at all times to ratify whatsoever CBL shall do or cause to be done in our/my name and on our/my behalf by virtue of this power of attorney. Dated this.. SIGNED AND DELIVERED For and on behalf of.. In the presence of Name: Address: Occupation: 10

11 NAME OF INVESTOR SIGNATURE SPECIMEN NAME OF INVESTOR SIGNATURE SPECIMEN NAME OF INVESTOR SIGNATURE SPECIMEN 11