Step 1 of 5 - Application Type 0% Application TypeApplication Type(Required) TRUST JOINT AS TRUSTEE FOR INSTITUTION HNC (50K ABOVE) INDIVIDUAL (RETAIL) INDIVIDUAL (LAND & RESOURCES) GROUP (RETAIL) GROUP (LAND & RESOURCES) Residencial Status(Required) RESIDENT NON-RESIDENT If you are a non-resident If you are a non-resident of Fiji (for Tax purposes), what is your country of residence? Main ApplicantNAME OF FHUT ACCOUNT(Required) MEETING MINUTES & TRUST DEEDSMeeting Minutes(Required)Max. file size: 200 MB.Trust Deed(Required)Max. file size: 200 MB.Board Resolution(Required)Max. file size: 200 MB.Trust DeedMax. file size: 200 MB.Meeting MinutesMax. file size: 200 MB. NAMES OF AUTHORISED OFFICERSCREDENTIALS NAME GENDER DATE OF BIRTH PROVINCE FNPF/TIN OCCUPATION MARITAL STATUS NAME OF EMPLOYER EMPLOYMENT NUMBER EMAIL POLITICALLY EXPOSED RESIDENTIAL ADDRESS POSTAL ADDRESS TELEPHONE / MOBILE Actions Edit Delete There are no Entries. Add Details Maximum number of entries reached. CREDENTIALS NAME GENDER DATE OF BIRTH PROVINCE FNPF/TIN OCCUPATION MARITAL STATUS NAME OF EMPLOYER EMPLOYMENT NUMBER EMAIL POLITICALLY EXPOSED RESIDENTIAL ADDRESS POSTAL ADDRESS TELEPHONE / MOBILE Actions Edit Delete There are no Entries. Add Details Maximum number of entries reached. CREDENTIALS FOR MINORS NAME GENDER DATE OF BIRTH PROVINCE FNPF/TIN EMAIL BIRTH CERTIFICATE RESIDENTIAL ADDRESS POSTAL ADDRESS TELEPHONE / MOBILE Actions Edit Delete There are no Entries. Add Details Maximum number of entries reached. INVESTMENT DETAILSThe minimum initial investment is 50 units at the prevailing entry price.Investment Amount $(Required) Number of UnitsPrice of units HiddenNumber of Units -adminSource of Funds(Required)Max. file size: 200 MB.Cheques should be marked “Not Negotiable” and made payable to “FIJIAN HOLDINGS UNIT TRUST”Source of Funds(Required) As per FTR (2004) requirement by the RBF, investors are to provide supporting documents; copy of valid photo identification, source of fund/ income and any other document (detailed in page 38) requested by the Manager (FHL FML). You do not need to complete the following section if you already hold units in the FHUT, unless you are amending your previous instruction to us.DIVIDEND DETAILS(Please tick)How would you like your dividends paid? Reinvest Pay to bank account Partial (Note that dividends will be automatically re-invested unless otherwise instructed)Account Name Account No. Bank Branch Bank Name CORRESPONDENCE PREFERENCE(Please tick)All statements, reports and notices will be sent to you via email or post, depending on your communication preference. Please select the tick box below: HARDCOPY (POSTED) EMAIL Telephone(Required) Mobile(Required) Email(Required) DECLARATION, CONDITIONS AND ACKNOWLEDGEMENTSBy completing FHUT application form, you agree to be bound by all the provisions in the prospectus including the following: All investors: Agree to be bound by the provisions of this Prospectus and the applicable Scheme Deed (as amended from time to time) Consent to the Manager providing your adviser and their agent(s) with personal investment details Consent to the Manager changing your distribution option of reinvest where: A cheque issued to you has gone stale A cheque issued to you has been returned unclaimed A payment made to your nominated bank account has failed; and reasonable efforts have been undertaken to contact you Agree to meet any bank fees and other like charges incurred as result of a withdrawal by way of telegraphic transfer, bank cheque or other special payment method (including direct debits) Agree to pay a dishonoured fee applicable for any cheque subsequently dishonoured after the funds are The transaction will be cancelled. Agree that if investing as trustee for minor and at the time of the minor reaching the legal age, the account will be automatically transferred to the minor and the trustee will not have control of the account unless otherwise advised with the consent of the Agree that if your minimum balance falls below 50 units the Manager can, at its discretion, redeem the balance of your investment and pay the proceeds to Agree to provide all requirements requested by the Manager as detailed in the Financial Transaction Reporting Act I/We declare that: All details in this Application Form are true and correct I/We have read the prospectus to which this application applies and agree to be bound by the provisions of the Scheme Deed (as amended from time to time) governing the FHUT I/We have legal power to invest in accordance with this application Non-resident Applicants: I/We confirm that this investment complies with the requirements of the Reserve Bank of Fiji (in relation to overseas fund transfers and foreign exchange requirements) and acknowledge that information regarding my/our investment will be provided to the Reserve Bank of Fiji. The details of my/our investments in FHUT can be provided to the agent whose stamp appears below. If this application is signed under Power of Attorney, the Attorney declares that he/she has not received notice of revocation of that power. A certified copy of the Power of Attorney should be submitted with this application unless already submitted. Sole signatories signing on behalf of a company are to confirm in writing that they are signing as sole directors and sole secretary of the company. I/We acknowledge that: Investments in FHUT are subject to risks, including possible delays in repayment and the loss of income and principal invested; and Neither FHUT nor any other member company of the Fijian Holdings Limited Group, nor FHL Trustees Limited guarantees the repayment of capital or the performance of FHUT or any particular rate of return from the Prior to its completion and signing, this Application Form must not be given to any person unless attached to this Consent(Required) I agree to the privacy policy.Form Filled By(Required) I have filled in the form myself. A Customer Service Officer has filled in the form on my behalf. MIS Representative/ Agent: Verified By: Created By:
