New Client Application
Individual & Joint Accounts
AFSL 277313 · ABN 83 108 754 847
Client Application Form
Please complete every section in block letters. Where an account is held jointly, complete the second applicant column. Return the signed form to your Matic adviser together with certified copies of your identification. Fields can also be completed on-screen before printing.
1
Applicant details
Individual / Joint
Individual account Joint account (complete both applicants)
Applicant 1
Applicant 2 (joint accounts only)
2
Identification & verification
KYC / AML
We are required to verify your identity under the Anti-Money Laundering and Counter-Terrorism Financing Act. Provide details for each applicant and attach certified copies.
Applicant 1
Australian passport Driver licence Foreign passport Other government ID
Applicant 2 (joint accounts only)
Australian passport Driver licence Foreign passport Other government ID
Providing a Tax File Number is not compulsory. If not quoted, withholding tax may be deducted from certain income at the highest marginal rate. Certified copies of identification must accompany this form.
This information helps us assess whether an investment is appropriate for you and satisfies our regulatory obligations. All figures are treated in strict confidence.
5
Beneficiary / next of kin
Nominated contact
6
Declaration & signature
Please read carefully
I/we declare that the information provided in this application is true, accurate and complete, and I/we will promptly notify Matic Capital of any material change.
I/we acknowledge that I/we have received and read the Matic Capital prospectus and the Legal & Disclosures information, and understand that investing involves risk, including possible loss of capital, and that past performance is not a reliable indicator of future performance.
I/we understand that Matic Capital provides general information and, where engaged, personal advice under AFSL 277313, and that investments are made in United States–listed assets as disclosed.
I/we consent to Matic Capital collecting, using and disclosing my/our personal information in accordance with its Privacy Policy and its obligations under AML/CTF law.
Signature — Applicant 1
Date
Signature — Applicant 2 (joint)
Date
Matic office use only
Matic Capital Pty Ltd · AFSL 277313 · ABN 83 108 754 847 · Perth WA 6000New Client Application