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Client Profile

The following form is quite lengthy and requires detailed information in order that we might be able to provide a complete response appropriate to your needs. The information provided will be treated in the strictest of confidence and used to make recommendations in relation to your financial goals.

It is important that the information given in this "Client Profile" is an accurate account of your circumstances and you should be aware that any withheld information could affect the advice given.

If you do not wish to be so specific, there is a short version from which we will supply more general investment advice. Go to Short Client Profile.

Section One - PERSONAL DETAILS

Title    
Surname *    
First Name    
Date of Birth (mm/dd/yy) Nationality
Home Address
 
       
Company    
Office Address  

To which address should correspondence be sent?

Office   Home  
       
Office Telephone (code - number - ext)  
Office Fax (code - number - ext)  
Home Telephone (code - number - ext)  
Home Fax (code - number - ext)  
Mobile (code - number)  
E-Mail * (email@email.com)  
       
       
Notes  
       
Marital Status    
Spouse's Name Spouse's Nationality
Spouse's Age    
       

Children's Name

Sex

Date of Birth

Notes  
       

Section Two - PLANNING DETAILS

In case of an Emergency, how much liquid cash would you always want available immediately?
 
In which currency are you paid?
 
On average, what is your surplus monthly income?
p/m
 
What is your attitude towards risk?
- Please select
 
If you utilised a spread, what split would you use?
Cautious %
Balanced %
Aggressive %
  100 %
 
What would you assume as the rate of inflation?
5%pa 7.5% 10% Other
 
In any programme that is put in place, what are the important factors?

Flexibility

- please select

Access

- please select

Offshore

- please select

Security

- please select

Tax efficiency

- please select

Discipline

- please select

Portability

- please select

Easy to administer

- please select

What currency

     

Notes

 
 

Section Three - CURRENT INVESTMENT

Please complete the asset summary below

Fixed Assets

Current Value

1.

Main Home

2.

Other Property / land

3.

Other (please specify)

Loan Details :

 

Financial Assets

Current Value

Are you happy with the returns

1.

Bank Deposits

2.

Equities

3.

Bonds

4.

Mutual Funds

5.

Unit Trusts

6.

Regular Savings Plan

7.

Other (please specify)

8.

Other (please specify)

       
Notes  

Section Four - THE FUTURE

Please list all major financial goals in the Short Term (up to 3 years), Medium Term (3 to 10 years) and Long Term(10 years or more).

REMINDER LIST

- Retirement
- College / University Education Fees
- Children's Trust Fund
- Property Purchase
- Wedding Costs
- Set up own business
- Create Capital

Please complete with:

1. What is required ?
2. By when?
3. How much is required in today's terms?

Short Term
0 - 3 Years

Medium Term
3 - 9 Years

Long Term
10 Years +

Emergency Fund in Place?    


Section Five - SUMMARY OF GOALS and OBJECTIVES

I want to

Priority

Please tick as appropriate

1
high

2
medium

3
low

Increase or create capital

Improve capital growth of investments

Reduce Estate/Inheritance tax

Diversify existing investments

Simplify investments

Secure early financial independence

Provide for children's education fees

Provide for a comfortable retirement

Provide funds for my children's future

Provide further insurance upon death

Provide insurance for serious illness

Other - please specify

Other - please specify