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New Investors
On receipt of this form, Prescient Fund Services will send you a subscription form in due course. Please note, that the transaction will only be completed upon receiving a signed subscription form. Any additional requirements will be sent via email.
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Email Address
*
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Surname:
*
Your answer
Forenames in full:
*
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Contact Number
*
Your answer
The remaining questions are optional, if you have the information at hand, please include, if not, please press submit, in which case someone at Prescient will follow up with you.
Investor type (optional)
Individual
Company
Trust
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Entity name if the investor is a Trust or Company (optional)
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Title (optional)
Mr
Mrs
Miss
Other
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Identity/ Registration number (optional)
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Source of Funds* (optional)
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*If you’re uncertain about the description for your Source of Funds, please leave it blank. Prescient Fund Services will provide you with guidance for an appropriate description.
If applicable: Wealth Manager/Investor Advisor Name
Your answer
If applicable: Wealth Manager/Investor Advisor Entity
Your answer
If applicable: Wealth Manager/Investor Advisor Email Address:
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Total Value (optional)
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Bank:
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Branch:
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Branch Code:
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Account Name:
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Account Number:
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FICA Requirements
SOUTH AFRICAN CITIZENS (NATURAL PERSON)
• ID document, drivers licence or a passport
• Proof of address. (e.g. utility bill or telephone account less than three months old)
• Proof of income tax number
• Proof of bank statement
SOUTH AFRICAN COMPANIES
• Certificate of Incorporation (CM1) and Notice of Registered Office and Postal Address (CM22)
• Proof of business address
• Proof of income tax number
• Proof of authority to act for the company e.g. a directors’ resolution
• ID documents in respect of all authorised representatives and also all individuals, or legal entities holding 25% or more of the voting rights
• Proof of bank statement
TRUSTS
• Letters of authority from the Master (SA trust) or foreign regulator (foreign trusts)
• Trust Deed
• Proof of income tax number
• Proof of authority to act for the trust e.g. resolution
• ID documents in respect of the all authorised representatives and also all beneficiaries mentioned by name in the trust deed
• Proof of bank statement
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