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DJ CARMICHAEL PTY LIMITED Client Profile Form To enable us to provide appropriate advice based on your personal circumstances, needs and objectives please complete : PART A – Risk Profile - Please note that you MUST complete all questions in the Risk Profile Section of this form. PART B – Financial Information - You have a right to decline to provide this information to us. Where you do not wish to provide us with the required information, please tick the checkbox indicating you decline to provide any financial information. Where you have not provided us with complete and accurate information, you risk acquiring financial products that are inappropriate for you. Additionally, the onus is upon you, before acting on the advice to consider the appropriateness of the advice, having regard to your own relevant personal and financial circumstances. This risk profile primarily relates to investments in the share market and your risk tolerance to that asset class. The risk profile may be relied on to recommend other financial products that have a lower risk profile. Should you require holistic financial planning advice, please contact your adviser and we will refer you to one of our specialist financial planners. Adviser Code : Trading Account Number: Trading Account Name 1. PERSONAL INFORMATION Client 1 / Director 1 Full Name Date of Birth Marital Status State of Health Type of Centrelink Payment Eligibility Retirement Status PART A a. Retired b. Retire in 5 years c. More than 5 years from retirement Client 2 / Director 2 a. b. c. Retired Retire in 5 years More than 5 years from retirement KRISK PROFILE - The responses to the Questions below are MANDATORY. Your responses to the following questions should relate only to the advice you are seeking in relation to monies you provide to us. Where you have only provided us with a portion of your portfolio to invest, the responses should relate to that portion only. If this is a joint account or there is more than one applicant to the account, your responses should take into account all parties to the account. Advice will be prepared based on the responses you provide below. Investment Risks Q1 Compared to others, how would you rate your willingness to take financial risks? a) b) c) d) e) Very high risk taker High risk taker Average risk taker Low risk taker Very low risk taker Q2 a) b) c) d) How familiar are you with the share market? I am experienced with all asset sectors and understand the various factors that influence portfolio performance I understand that markets fluctuate and that different market sectors offer different income, growth and taxation consequences I have just enough experience to understand some aspects of share market investments I have very little experience of share market investments 1 F:\Complii\Client Documents\UPDATED CLIENT PROFILE\DJC Client Profile Form - Standalone v2 27102015.docx 1 2 3 4 5 2 3 4 5 Investment Time Frame Q3 a) b) c) d) e) f) If you are more than 5 years from retirement, what is your expected time-frame before you will need to access capital once investments have been placed? Not applicable – I’m a retiree or within 5 years of retirement. (Please proceed to Q4 and 0 select one of the following answers a – d) Longer than 7 years 1 Between 5 & 7 years 2 Between 3 & 5 years 3 Between 2 & 3 years 4 Less than 2 years (would like to invest some money for short term use) 5 OR Q4 a) b) c) d) If you are a retiree or within 5 years of retirement, what is your expected time-frame before you will need to access capital once investments have been placed? Not applicable – I am at least 5 years to retirement. (If you select this response you must select 0 one of the answers a – d for Q3) Longer than 5 years 1 Between 3 & 5 years 3 Between 1 & 3 years 5 Inflation Q5 a) b) c) Inflation is best represented by a rise in the price of general goods over time. How much risk are you prepared to take to counter the effects of inflation? I am comfortable with short and medium term capital losses in order to beat inflation over the longer term I am conscious of the effects of inflation, but would prefer a position that limits short and medium term capital losses Inflation may erode my savings but I have little tolerance for short and medium term capital losses 1 3 5 Volatility Q6 a) b) c) d) e) Q7 a) b) c) d) e) Share market investments can fluctuate both up and down, this is referred to as market volatility. How much volatility would you be comfortable with? Assuming an initial investment of $10,000: More than 75% - portfolio fluctuates between $2,500 and $17,500 1 Up to 50% - portfolio fluctuates between $5,000 and $15,000 2 Up to 25% - portfolio fluctuates between $7,500 and $12,500 3 Up to 10% - portfolio fluctuates between $9,000 and $11,000 5 Any fall in value of my investments would make me feel concerned and anxious 6 What would your reaction be if 6 months after placing your investment(s) you discover that, in line with what is happening in the financial markets generally, your investments have decreased by 20%? I would invest a large amount of additional funds expecting future growth 1 I would invest a small amount of additional funds, expecting future growth 2 I would leave the investment in place and wait to see if the investment improves 3 I would cut my losses and transfer some of my funds into more secure market sectors 4 I would cut my losses and transfer all of the funds into more secure assets, as I did not intend 5 to take any risks 2 F:\Complii\Client Documents\UPDATED CLIENT PROFILE\DJC Client Profile Form - Standalone v2 27102015.docx Investment Performance Q8 a) b) c) d) e) Q9 a) b) c) d) e) What level of risk are you prepared to take in order to achieve your desired return? I am comfortable trying to maximise potential returns regardless of risk I would consider a high degree of risk as acceptable for a large increase in potential returns I would consider a moderate degree of risk as acceptable for a medium increase in potential returns I would consider a small degree of risk as acceptable for a slight increase in potential returns Security of capital is required regardless of potential returns What are your future income requirements from your investments? I require no amount of investment income as the focus for me is capital growth I require a small amount of investment income as I wish to focus on capital growth I require an equal focus on getting an even combination of income and capital growth I require investments to generate a higher level of income but would like some exposure to capital growth I require investments to focus solely on income generation as capital growth is not required 1 2 3 4 5 1 2 3 4 5 Borrowed Money Q10 a) b) c) Have you ever borrowed money to make an investment? I have borrowed money to invest in direct shares and/or managed funds and/or structured products I have only borrowed money to purchase an investment property or rental property I have never borrowed money to invest except in my own home Total Points (Question 1 – 10) 3 F:\Complii\Client Documents\UPDATED CLIENT PROFILE\DJC Client Profile Form - Standalone v2 27102015.docx 1 3 5 INVESTOR RISK PROFILE SUMMARY Defensive (indicative weighting 30/70% Growth to Defensive shares ) Total points You are a Defensive investor. You are prepared to experience some risk, but risk must be relatively low and you are prepared to accept lower returns to lessen the risk to your capital. The negative effects of tax and inflation do not overly concern you provided the capital value of your initial investment is broadly kept intact in the medium term. 36+ □ 31-35 □ 21-30 □ 16-20 □ 13-15 □ 0-12 □ Balanced (indicative weighting 50/50% Growth to Defensive shares) You are a Balanced investor who wants a balanced share portfolio seeking better returns than those achievable by a Defensive portfolio. Moderate Growth (indicative weighting 65/35% Growth to Defensive shares ) You are a Moderate Growth investor seeking better than balanced returns and a moderate level of risk. You require a share portfolio which will cope with the effects of tax and inflation. A reasonable level of volatility and risk will be acceptable to you to achieve higher than basic cash and fixed interest returns. Growth (indicative weighting 75/25% Growth to Defensive shares) You are a Growth investor, earning sufficient income outside your proposed share portfolio to meet your household expense needs and able to invest a surplus into capital growth focused investments. You are prepared to accept higher volatility and higher risks which can include capital losses. Your primary concern is to accumulate growth assets over the medium to long term. High Growth (indicative weighting 85/15% Growth to Defensive shares) You are a High Growth investor prepared to compromise share portfolio balance to pursue potentially greater long-term returns. Your investment choices are diverse, but carry with them the highest level of risk. The short to medium term security of capital is secondary to the potential for capital appreciation. You are prepared to accept, and can financially accept a capital loss of a significant part of your share portfolio. Speculative (indicative weighting 100/0% Growth to Defensive shares ) You are a Speculative investor prepared to trade off share portfolio balance to pursue potentially greater short and long-term returns. Your investments carry with them the highest level of risk. The short to medium term security of capital is secondary to the potential for wealth accumulation. You are prepared to accept, and can financially accept a total capital loss of your share portfolio. The nature of speculative investment means that it is likely that you will experience a total capital loss. Client Risk Profile Acknowledgement I agree with the category assigned above and understand that this profile will be considered for advice purposes (please proceed to client authorisation section) □ I disagree with the category assigned above and want to change my investor profile for the investment advice I wish to receive (please complete next section) □ Client Risk Profile Variation Please make the following variation to my proposed risk profile and update to the following: Defensive Balanced Moderate Growth Growth High Growth Speculative Reason for variation: 4 F:\Complii\Client Documents\UPDATED CLIENT PROFILE\DJC Client Profile Form - Standalone v2 27102015.docx □ □ □ □ □ □ Q11 INVESTMENTS INVESTMENT PREFERENCE Please insert either 1, 2 or 3 in each box. Use the scale where 1 is no experience and 3 is highly experienced. Equities Derivatives Speculative Options ASX 200 Warrants Seed Capital Other Initial Public Offerings Margin Lending Fixed Interest Managed Funds Money Market Derivatives Margin Lending Fixed interest ……………………... Other ……………............. INVESTMENT PREFERENCE Please tick one or more of the investments that interest you. Australian Equities International Equities Listed Managed Funds Speculative Options ASX 200 Warrants Seed Capital Other Initial Public Offerings ……………………... Other ……………............. INVESTMENT STRATEGY (Compulsory completion for a Superannuation Fund Account) 5 F:\Complii\Client Documents\UPDATED CLIENT PROFILE\DJC Client Profile Form - Standalone v2 27102015.docx To enable us to provide appropriate advice based on your personal circumstances, needs and objectives please complete the section below. You have a right to decline to provide this information to us. Where you do not wish to provide us with the required information, please tick the checkbox below indicating you decline to provide this information. PART B K FINANCIAL INFORMATION I decline to provide you with any personal Financial Information (Please tick to indicate) DO YOU HAVE ANY FINANCIAL DEPENDENTS? YES / NO Dependent 1 If yes, complete this section: Dependent 2 Dependent 3 Full Name Date of Birth: Relationship: Type of Support: Value ($) of Support: • Please combine the assets and liabilities of all applicants to the account. Assets: Liabilities: Cash Shares Managed Funds Overdrafts Mortgage Other Loans & Liabilities Credit Cards Margin Lending Other Liabilities Total Liabilities (L) Derivatives Fixed Term Investments Superannuation Funds Principal Residence Investment and other Real Estate Other Assets Total Assets (A) NET WORTH (A – L) Income Client 1 Client 2 Client 1 Client 2 Annual income after tax Sources of income (e.g. selfemployed, salary, investment, retired investments, pension) Expected changes to income in the next 12 months Expenses & Savings Annual savings per annum Annual ordinary living expenses Expected changes in ordinary living expenses in the coming 12 months Capital needs in the next 12 months 6 F:\Complii\Client Documents\UPDATED CLIENT PROFILE\DJC Client Profile Form - Standalone v2 27102015.docx Client Risk Profile Declaration I/We confirm that the details recorded in the client risk profile questionnaire are correct and are a true reflection of my/our attitude towards risk. I/We confirm that I/We have read and understood my/our agreed risk profile and additionally I/We understand that this profile will be considered in the advice process. The information sought from you in this form will be used to determine your holistic risk profile and may contain references to a broad range of financial products and assets. It will also be used to help determine the proportion of your overall investment portfolio that can and should be exposed to Australian share market investments. WARNING: Please be advised that DJ Carmichael and your Adviser need your personal information to ensure that recommendations are appropriate for you. You have a right to decline to provide this information to us. However, where we have been provided with inaccurate or incomplete information by you, you risk acquiring financial products that are inappropriate for you. Where the information provided is either incomplete or inaccurate, or both, the onus is upon you, before acting on the advice to consider the appropriateness of the advice, having regard to your own relevant personal and financial circumstances. CLIENT DECLARATION & AUTHORISATION Client (1): Full name Signature Date / □ Director Position (if applicable) Client (2): Full name □ Secretary □ Trustee □ Authorised Officer Signature Date / □ Director Position (if applicable) DJC Office Use Only: Input to Complii □ Secretary Document Scanned / □ Trustee □ Authorised Officer Document Saved to Complii Scans 7 F:\Complii\Client Documents\UPDATED CLIENT PROFILE\DJC Client Profile Form - Standalone v2 27102015.docx / DJ CARMICHAEL PTY LIMITED ABN 26 003 058 857 Australian Financial Services Licence No 232571 Level 14, Parmelia House 191 St Georges Terrace PERTH WA 6000 PO Box Z5186 PERTH WA 6831 Telephone: (61 8) 9263 5200 Facsimile: (61 8) 9263 5280 Email: [email protected] Webpage: www.djcarmichael.com.au Note: All our forms, Privacy Agreement and Terms and Conditions can be downloaded from our website. 8 F:\Complii\Client Documents\UPDATED CLIENT PROFILE\DJC Client Profile Form - Standalone v2 27102015.docx