Sygnia Direct Investment Application Form User Guide

Sygnia Direct Investment Application Form

COMPANIES, CLOSE CORPORATIONS AND OTHER LEGAL ENTITIES

• No instruction will be processed unless all requirements have been met, all relevant documentation received and the funds reflected in Sygnia’s bank account.
• Please read the Terms and Information that apply to this investment. This is available from your financial advisor, the Sygnia Client Service Centre or www.sygnia.co.za.
• Completed forms and required documentation are to be e- mailed to [email protected].
• Should you have any queries regarding this application, please contact the Sygnia Client Service Centre on 0860 794 642 (0860 SYGNIA).

NOTE: If you are completing this form online, please save the form to your computer prior to completing any details to ensure a copy is kept for your records.

DOCUMENT CHECKLIST

• FICA documentation as set out in Annexure A
• Resolution on the Entity’s letterhead, signed by all directors/trustees/members/partners, appointing the authorised signatories Proof of banking details (e.g. bank statement or cancelled cheque)
• Proof of income tax registration number
• Proof of deposit/transfer in to the relevant Sygnia bank account
• If a unit transfer is required, please provide a recent statement of your current investment

FOR THE AUTHORISED REPRESENTATIVE

• South African bar-coded ID or valid passport (if foreign national)
  Proof of residential address less than 3 months old (Refer to Annexure A for examples)

• Proof of authority to act (e.g. power of attorney)

ENTITY DETAILS

SYGNIA FINANCIAL SERVICES (PTY) LTD REGISTRATION NO. 2010/015491/07

• CAPE TOWN: 7th Floor I The Foundry I Cardiff Street I Green Point I 8001 I T +27 446 4940 I F +27 86 680 8045
• JOHANNESBURG: Unit 40 I 6th Floor I Katherine & West Building I West Street I Sandton I 2196 | T +27 10 595 0550 I F +27 86 206 5173 DURBAN: Office 2 | 2nd Floor | Ridgeview | 1 Nokwe Avenue | Ridgeside | Umhlanga Ridge | 4319 |
  • T +27 31 001 0650 |
  • F +27 86 206 4421
  • [email protected] |
  • www.sygnia.co.za

Sygnia Financial Services (Pty) Ltd is a licensed Financial Services Provider [FSP 44426]

Please select only one of the following communication methods. If no selection is made, or if both are selected, communication will be made via e-mail.

Communication method:

• Post
• E-mail

Language preference:

• English
• Afrikaans (Please note that not all communication is available in Afrikaans.)

If you have a financial advisor, you may choose to have your communication sent to you, your financial advisor or to both.

Send communications to:

• Me
• My financial advisor
• Both

If no selection is made we will send communication to you only. Please keep me informed of the latest news, exclusive Sygnia Investor events and any additional products or services on offer via my chosen

communication method above:

• Yes
• No

MANAGE AND VIEW YOUR INVESTMENT ON THE SYGNIA ALCHEMY ONLINE PLATFORM:

Once your funds have been invested and unitised, you will be able to register on the Sygnia Alchemy Online Platform: https://online.sygnia.com/Account/Login to view your personal and investment details. Within 5 business days of your investment being finalised, you will receive your log-on details and Sygnia Welcome Pack. In order to grant you access to the platform and before registration can take place, an authentic e-mail address will be required.

DETAILS OF PERSON ACTING ON BEHALF OF INVESTOR

COMPANY INFORMATION DECLARATION – COMPULSORY

BENEFICIAL OWNER(S) OF THE COMPANY

The FICA Act defines “Beneficial Owner”, in respect of a legal person, as a natural person who, independently or together with another person, directly or indirectly, owns or exercises effective control of the legal person.

SOURCE OF FUNDS DECLARATION

The Source Of Funds can be described as the origin of the monies being used by the Company to execute the activities and operations of the Company.

It is furthermore hereby confirmed that the origin of the Source of Funds is not from illicit or corrupt activities:

Confirmed:

• Yes
• No

ANNUAL ADMINISTRATION FEE

SYGNIA UNIT TRUST AND UNITISED LIFE FUNDS NO ADMINISTRATION FEES apply on Sygnia unit trusts and unitised life funds. ALL EXTERNAL-MANAGER UNIT TRUST FUNDS Administration fees are charged as follows when you are invested in external-manager unit trusts:

• 0.40% (excl. VAT) is levied on the proportionate value of the external-manager funds below R2 million.
• 0.20% (excl. VAT) is levied on the proportionate value of the external-manager funds above R2 million.

Please note: While Sygnia does not charge any administration fees in respect of its own funds, Sygnia takes into account all your investments with us when assessing the R2 million threshold, including your investments in Sygnia funds. For the fees relating to the underlying investment managers please refer to the Sygnia Alchemy Funds document available on request or online at www.sygnia.co.za.

INVESTMENT DETAILS

I hereby instruct and authorise Sygnia or its assignees to draw against the Entity’s account the above electronic collection instruction with the bank account noted in this form.

• Name of account holder:
• Signature of authorised signatory of bank account:

FUND SELECTION:

NOTE: Only unit trust funds and not unitised life funds may be selected in respect of this product.

TOTAL

PHASING-IN

• The minimum amount for a phase-in is R100 000 and can only take place from the Sygnia Money Market Fund
• Phase-ins will be processed by the 7th of every month
• A new phase-in instruction must reach Sygnia by 14h00 five business days before the 7th of each month
• Phase-ins received after the cut-off date will be scheduled to start the following month
• Only one phase-in will be allowed per account

FUND SELECTION:

NOTE: Only unit trust funds and not unitised life funds may be selected in respect of this product.

TOTAL

REGULAR WITHDRAWAL DETAILS

INVESTOR BANKING DETAILS

A recent bank statement must accompany this application form as confirmation of proof of bank details. No payments will be made to third parties (i.e. payments will only be made to the bank account in the name of the registered investor). Payments to credit cards or market-linked accounts are not permitted. The Administrator executes all payment instructions electronically to a South African bank account in the name of the investor. No payment will be made by cheque.

THIRD PARTY BANKING DETAILS

SYGNIA BANK ACCOUNT DETAILS

If you prefer to do an electronic/internet transfer, we will provide our banking details once your application has been successfully verified. Proof of payment will be required.

FINANCIAL SERVICES PROVIDER DETAILS

FSP DECLARATION

I/We

• declare that I/we am/are a licensed Financial Service Provider(s) and have made the disclosures required in terms of the Financial Advisory and Intermediary Services Act, No. 37 of 2002, and subordinate legislation thereto, to the investor.
• warrant what I/we have established and verified the identity of the investor(s) (and persons acting on behalf of the investor) in accordance with the Financial Intelligence Centre Act, No. 38 of 2001 (“FICA”) and subordinate legislation thereto, and I/we will keep records of such identification and verification according to the provisions of FICA.
• are not aware of any activities in which the investor is involved which may lead us to suspect or reasonably suspect that the investor is or may be involved in any unlawful activities or money laundering. Should we subsequently become aware of suspicions of this nature, we shall immediately inform Sygnia Financial Services (Pty) Ltd.
• Signature of financial advisor:

INVESTOR DECLARATION (ONLY APPLICABLE WHERE AN FSP HOLDS A CATEGORY I DISCRETIONARY LICENCE)

If your financial advisor holds a Category I licence with the FSCA, they are not licenced to exercise discretion and submit instructions on your behalf. However, you may authorise them to submit the following online instructions on your behalf:

• Once-off withdrawal instructions
• Set-up new regular withdrawals and changes to existing regular withdrawals on my behalf, including amount, frequency, or fund allocation
• Changes to beneficiaries where applicable
• Additions to existing investment accounts
• Switches between the investment allocation of existing investment accounts
• Set-up of new debit order details or change to existing debit order details, including the amount, frequency, escalation rate, date of collection or fund allocation

NOTE

• All once-off withdrawals and regular withdrawal amounts will be paid into your bank account on record.
• Any changes in bank account details for once-off withdrawals and regular withdrawals, will always require your authorisation and signature.
  

FINANCIAL ADVICE FEES

A POLITICALLY EXPOSED PERSON (PEP)

THIS DECLARATION IS REQUIRED TO BE COMPLETED BY ALL INVESTORS.

In terms of Financial Intelligence Centre Act (FICA), Sygnia Financial Services (Pty) Ltd is an accountable institution and is required to establish the risk profile of its clients. This includes determining whether the Entity and its directors/trustees/members/partners and authorised signatories are politically exposed persons. In addition, for South African Companies it includes determining whether individuals holding 25% or more voting rights are a politically exposed persons.
A PEP is someone who is involved, or has been involved, in a prominent public function. This includes local functions or functions in foreign countries. You are also considered a politically exposed person, if any of your family members, nominated beneficiaries or close associates are politically exposed. PEPs are not limited to government employees or people involved in politics. The following public functions serve as examples in identifying PEPs:

HEADS OF STATE

• Cabinet ministers
• Members of parliament
• Senior administrators in government departments
• Senior judges
• Managers of local municipalities who award tenders
• Senior and/or influential officials
• Ambassador
• Senior representatives of religious organisations

By taking the above into consideration, please answer the following question: Are any of the persons or entities identified and verified in terms of FICA in this form, regarded as politically exposed?

• Yes
• No

DECLARATION BY INVESTOR

PRIVACY CONDITIONS:

• I/We acknowledge, understand and accept the Sygnia Terms and Information document.
• I/We consent to the processing of my/our personal information by Sygnia.
• I/We acknowledge that Sygnia requires my/our personal information and any authorised signatories in order for Sygnia to perform its obligations fairly, competently, and in accordance with the law with personal information as defined in the Protection of Personal Information Act No. 4 of 2013 (“POPIA”).
• I/We further acknowledge that providing the personal information (“PI”) is mandatory (unless otherwise indicated) and that a failure to provide complete and accurate PI, and/or any other information/document requested in the normal course of business may lead to Sygnia being unable to proceed or continue with our relationship.
• I/We acknowledge that Sygnia processes PI, as well as any other information disclosed to Sygnia, for the purposes set out in Sygnia’s Privacy Notice. A detailed list of records and how to request access to them can also be found in Sygnia’s Access to Information Manual.
• I/We consent to the transfer of such PI to other companies or entities within the Sygnia Group and outside of the Sygnia Group and to the transfer of such PI outside of South Africa where such transfer is necessary for the performance of the business relationship between us.
• I/we confirm that I/we was/were provided with the Minimum Disclosure Document prior to transacting.
• I/we acknowledge and understand that I/we can view Sygnia’s full privacy policy on Sygnia’s website on www.sygnia.co.za.
• I/we confirm that I/we was/were provided with the Minimum Disclosure Document prior to transacting.

DIVIDENDS TAX – DECLARATION AND UNDERTAKING FOR EXEMPTION

IMPORTANT NOTES:

1. This declaration must be completed by all investors.
2. SARS requires us to pay over dividend tax on your behalf where applicable. We will deduct this tax before we pay any dividends to you or re-invest these into your investment account. The tax rate for South African residents is 20%. However, you may qualify for an exemption or a reduced rate of tax. If you believe an exemption or reduced rate is applicable to you please complete the relevant section below.
3. To be completed by the beneficial owner (of dividends, including dividends in specie) in order for the exemptions from dividends tax referred to in section 64F read with sections 64FA(2), 64G(2) or 64H(2)(a) of the Income Tax Act, 1962 (Act No 58 of 1962) (the Act) to apply.

NATURE OF ENTITY:

REASON FOR EXEMPTION:

Please indicate why the investor is exempt from the dividends tax. The investor is:

FOREIGN TAX DECLARATION

IMPORTANT NOTES:

1. This declaration is required to be completed by all investors, including South African entities.
2. The following information is required to ensure correct reporting and/or withholding of taxes as required by the US tax authorities in terms of the Foreign Account Tax Compliance Act (FATCA) and the Organization for Economic Cooperation an Development (OECD) Common Reporting Standard on financial accounts for other jurisdictions.
3. For more information, please contact your financial advisor.

INVESTOR DETAILS

FICA DOCUMENTATION REQUIRED

Before we can enter into a transaction or a business relationship, the Financial Intelligence centre Act 38 of 2001, and the regulations thereto, require that we establish and verify the identity of a client. Sygnia may only place investments of a client, or conclude a contract with a financial advisor, once all the required FICA documentation has been received.

THE FOLLOWING FICA DOCUMENTATION IS REQUIRED:

NOTE: Copies of the supporting documentation are sufficient as long as all text and photographs are clear and legible. Copies of documentation evidencing your residential and/or business address should not be older than three months.

SA PRIVATE COMPANY

• Nature of Business/Industry of the Company.

• Certificate of incorporation (CM1)/Certificate of registration (CoR14.3).

• Certificate of name change (CM9/CoR14.3) (if applicable).

• Notice of registered address (CM22/CoR21.1).

• Proof of operating address, not older than 3 months (if the address is not the same as the CM22 (CoR21.1).
  Certificate of confirmation for list of active directors (CoR39).

• Proof of banking details of the Company – Bank statement or stamped bank letter not older than 3 months.

• Proof of Income Tax – official SARS document.

• Copy of resolution authorising person(s) to act on behalf of the Company / sub – delegation of authority to act on behalf of the Company with Sygnia.

• South African bar-coded ID or valid passport (if foreign national) for all directors, authorised person(s) and natural persons holding 25% or more of the voting rights at a general meeting. Fica documents if an entity.

• Proof of residential address for all directors, authorised person(s), and natural persons holding 25% or more shareholding / voting rights (UBO) (not older than 3 months). Fica documents if an entity.

• Confirmation of ultimate beneficial ownership/ company organogram depicting the full name (natural persons)/ Registered names (entities) of individual shareholders & the relevant shareholding % & voting rights for each shareholder.

• Copy of South African bar-coded ID or valid passport (if foreign national) for all ultimate beneficial owners.

TRUSTS

• Copy of Trust Deed.
• Copy of Last Will and Testament & Letter of Executorship in the case of Testamentary Trust, and you’re dealing with the Executor:
  • South African bar-coded ID or valid passport (if foreign national) for the Executor.
  • Proof of residential address for the Executor, not older than 3 months.
• Copy of Letter of Authority issued by the Master of the High Court.
• Resolution authorising person(s) to act on behalf of the Trust with Sygnia.
• South African bar-coded ID or valid passport (if foreign national) for the Founder, All Trustees, All Named Beneficiaries and authorising person(s).
• Proof of residential address for the Founder, All Trustees, All Named Beneficiaries and authorising person(s), not older than 3 months.
• Proof of Income Tax – official SARS document.
• Proof of Banking details of the Trust – bank statement, or stamped bank letter not older than 3 months.

SA CLOSE CORPORATION (CC)

• Nature of Business/Industry of the Company.
• Founding statement and certificate of incorporation (CK1).
• Proof of operating address, not older than 3 months.
• Copy of member’s resolution authorising a person(s) to act on behalf of the entity.
• South African bar-coded ID or valid passport (if foreign national) for all members and authorised persons.
• Proof of residential address for all members and authorised persons, not older than 3 months.
• Proof of Income Tax – official SARS document.
• Proof of Banking details of the Close Corporation – bank statement or stamped bank letter not older than 3 months.

SOLE PROPRIETOR

• Nature of Business/Industry of the Sole Proprietor
• Proof of business/trading name (e.g. letterhead/business invoice)
• Proof of business operating address, not older than 3 months (e.g. utility bill/letterhead)
• Copy of Sole Proprietor’s authorisation on letterhead of all authorised persons
• South African bar-coded ID or valid passport (if foreign national) and Proof of residential address for the Sole Proprietor and all authorised persons, not older than 3 months
• Proof of Banking details of the Sole Proprietor – bank statement, or stamped bank letter, not older than 3 months

FOREIGN COMPANIES

• Official documents from the foreign regulator witnessing incorporation, bearing the name, number, and address.
• A document less than three months old containing the trade name and the business address (if the address is not the same as the one on the official registration document).
• Resolution/ sub – delegation of authority, authorising individual(s) to act on behalf of the Company with Sygnia. (If relevant).
• Identity documents or valid passport (if foreign national) for all managers, authorised signatories and individuals holding 25% or more of the voting rights at a general meeting.
• Company organogram/ confirmation of shareholding, depicting the full names/ registered names of all shareholders with the % shareholding.

PARTNERSHIP

• A partnership agreement or signed letter from all the partners confirming the informal partnership.
• Proof of operating address, not older than 3 months.
• Copy of resolution authorising(s)/persons to act on behalf of the partnership.
• South African bar-coded ID or valid passport (if foreign national) for all partners and authorised persons.
• Proof of residential address for all partners and authorised persons, not older than 3 months.
• Proof of Banking details of the Partnership – bank statement, or stamped bank letter not older than 3 months.

OTHER LEGAL ENTITIES (E.G. CLUBS, ASSOCIATION, CHURCH, SCHOOLS, PUBLIC BENEFIT ORGANISATION, NON-PROFIT ORGANISATION)

• Copy of the constitution or other founding documents for the legal entity.
• Confirmation of board of directors or trustees or equivalent management positions.
• Proof of operating address – formal letterhead/utility bill (not older than 3 months).
• Proof of Income Tax – official SARS document / Status that the entity is an approved Public Benefit Organisation / Non-profit Organisation -SARS confirmation must be current.
• Resolution authorising a person(s) to act on behalf of the entity.
• South African bar-coded ID or valid passport (if foreign national) for all directors/trustees/management and authorised persons.
• Proof of Residential Address of all directors/trustees/management and authorised persons (not older than 3 months).
• Proof of Banking details of the entity – bank statement, or stamped bank letter not older than 3 months.
• Copy of certificate of registration of Public Benefit Organisation / Non-profit Organisation (if registered).

INVESTMENT CLUBS

• Copy of the Club’s constitution.
• Names of all Club Members.
• Resolution authorising a person(s) to act on behalf of the Club.
• South African bar-coded ID or valid passport (if foreign national) for all Club Members & Authorised Persons.
• Proof of residential address for all Club Members & Authorised Persons, not older than 3 months.
• Mandate from Club confirming that legal proceedings may be instituted against members of the Club jointly and severally or provide suretyship from each of the Club’s members in their personal capacity, in which each member agrees to jointly and severally be liable for the debts incurred by the club.
• Proof of Banking of the Club – bank statement, or stamped bank letter not older than 3 months.

THE LIST BELOW PROVIDES GUIDANCE OF WHAT DOCUMENTATION WILL BE ACCEPTED AS PROOF OF RESIDENTIAL / BUSINESS ADDRESS:

The document must clearly show the person’s Name either initials & surname or first name & surname) and physical address.

IF YOU DO NOT HAVE PROOF OF RESIDENTIAL ADDRESS IN YOUR OWN NAME THE FOLLOWING WILL BE ACCEPTED:

• Utility bill or any other acceptable proof of residence in your spouse’s, partner’s or parent’s name;
• A copy of your spouse’s, partner’s or parent’s South African bar-coded ID, valid passport (if foreign national);
• Confirmation of residential address by co-habitant or homeowner form, which is available on our website www.sygnia.co.za
• Affidavit from your spouse, partner or parent duly dated and commissioned accordingly.

References

• Cyber Technology Consulting & Incident Response Support
• online.sygnia.com/Account/Login

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