Surname:

Title:

ID Number:

 First names:

 Initials:

 Tax Number:

 Nickname:

 Occupation:

 Employer:

 

 

 Physical Address

 

 Postal Address

 Date of Birth:

 

 

 Address Line 1:

 

 Cellular:

 

 Address line 2:

 

 Email:

 

 Address line 3:

 

 Home Tel:

 

 Post code:

 

 Work Tel:

 

Spouse:  Dr

 

 Surname:

 Title:

 

 ID Number:

 First names:

 Initials:

 Tax Number:

 Nickname:

 Occupation:

 Date of Birth:

 

 Email:

 Work Tel:

 Cellular:

Title

 

First Name

Surname

Relationship

Identity number

Date of birth

A

B

C

D

E

Bank Account Details

Account Holder:  Bank: 
Branch:  Branch code: 
Account number:  Swift Code: 
BUDGET
  CURRENT ESTATE DISABILITY RETIREMENT
  Monthly Monthly Monthly Monthly
HomeBond Repayments
 Investment Property Bond
 Rent Payment
 Utilities
 Security
 Maintenance
 Garden service
 Household Insurance
Estimated taxClient
 Spouse
Media & commsTelephones
 Cellphones
 Internet
 Satellite TV
 TV License
DependantsEducation
 Sports & recreation
 Cell Phone and Media
 Clothing
 Toiletries
 Transport
 Day care / Child minder
 Inclusive Maintenance Costs
RecreationRestaurant
 Movies
 Theater
 Gym
 Sports
 Home entertainment
 Books / Magazines
 News
PetsFood
 Vet
 Training
 Kennels / stabling
MedicalMedical aid
 Prescriptions
 Over the counter
 Co payments
 Other
TransportationCar payments
 Petrol
 Motor Insurance
 Parking
 Maintenance / Cleaning
 Fares
Household ExpensesGroceries
 Domestic Cleaning
 Credit card
 Religious Org.
 Charity
 Laundry / Dry cleaning
 Salon grooming
 Clothing
 Gifts
 Bank Charges
 Other
Financial planningExchange Traded Funds
 Retirement
 Spouse Retirement
 Loss of Income
 Spouse Loss of Income
 Education Planning
 Bank Savings
 Other
Annual fees/Monthly costsVehicle licenses
 Media licenses
 Sports club
 Subscriptions
 Travel / vacations
 
 
 
 
ASSETS AND LIABILITIES

DATA SUMMARY

 
Risk Profile
Which age group do you fall into?
Expected investment horizon?
 > 60  > 1 - 4 years
 > 40-60  > 5 - 9
 < 40  > 10 years
 
What is your current investment experience?
 
Inexperienced investor I have limited to no investment knowledge and require guidance from investment, and asset managers as well as financial advisors. I have not previously been invested into market impacted investments.
Moderately experienced investor: I have reasonable investment experience and knowledge and have an interest in financial markets. I maintain investments with a variety of providers but still require guidance.
Experienced investor: I have a high level of investment experience and knowledge. I have invested in financial markets for a number of years and actively participate in how my investments are managed.
 
 
Which of the following best represents your perceived investment objective?
What is your current investment experience?
 
A regular stream of stable income  >0 - 30%
A combination of both income and capital growth  >31 — 60%
Achieve sustainable long term capital growth  >61 — 90%
High capital appreciation  > 90%
 
 
What is your attitude towards putting capital at risk?
Do you have other liquid assets to supplement your income?
 
I am cautious about putting large portions of my capital at risk in the short term.  No.
I am comfortable putting capital at risk to achieve higher returns in the long term.  Yes, but for less than 6 months.
I am comfortable putting large portions of my capital at risk to maximise returns in the long term.  Yes and for more than 6 months.
 
How will your salary grow in next 3 years?
In a year, how far would the value of your portfolio have to fall before you became concerned?
 
My salary will decline.  I would not become concerned as I am a long tern investor.
My salary will remain the same.  5%
My salary will increase.  10%
I don't earn a salary.  15%
    I'm sensitive to any capital movements.
 
If you invested R 1 000 000 today to be managed and in 6 months the value was R 800 000 - what would you do?
 
I would remain invested, but not make further investment.
Nothing as I am a long term investor and understand that a correctly managed portfolio will deliver a return on investment in the medium to long term.
I would invest further because the market evidences an even better proposition today than it did before.
 
What annual rate of income do you require from your investment? (i.e How much income do you wish to withdraw from your investment on an annual basis?)
 
> 8%
Approximately 8%
Approximately 5%
Approximately 3%
I do not require an annual income.
 
The aim of this assessment is to ensure that you are able to assume an appropriate level of risk in order to achieve your investment objectives We navigate this risk/reward relationship through the use of asset allocation which entails increasing or decreasing exposure to certain asset classes, which may at times include bonds, cash and other assets, but as our core mandate is to invest into equity only, listed and/or unlisted equities, to increase or decrease the risk/reward relationship.
 
74 — 85 86 — 139 140+
 
 
 
Balanced Equity Equity Only
Higher Private/Low to No Listed
Equity Only
Balanced Private and Listed