INVESTRUST WEALTH INVESTRUST MONEY Application Form Money Market Fund - Corporate Please read the instructions before completing this application form. Use capital letters or tick appropriately in the corresponding boxes. Please complete all details in BLOCK CAPITAL LETTERS 1. BASIC INFORMATION (*) Mandatory information to be completed APPLICANT CUSTODIAN * Name * Business Registration No. Date of incorporation * Country of incorporation * Registered Office or Principle Office Address * Mailing Address (if different from principle office address) * Contact Number Fixed Fixed Fax Mobile Fax Mobile * Nature of Business/Industry * Type of Business Partnership Public Limited Company Private Limited Company Other Please Specify .................................................................. Are you a subsidiary/ Associate of another organization? Yes Subsidiary of (i.e. Owned more than 50%) Associate of (i.e. Owned 20 -50%) No 2. CONTACT PERSON * Name / Designation * E-mail Address * Contact Number Fixed Mobile * Resident Status Resident Non Resident Fax 3. INVESTMENT By Cheque Investment Amount .............................................................. By Cash Amount in Words ......................................................................................................................................................................................... Cheque No. ........................................... Bank ................................................................. Branch ............................................................. 4. BANK INFORMATION FOR WITHDRAWALS AND DIVIDENDS Account and Bank Details Current Account Savings Account SIA Account No. ..................................................... SWIFT code .......................................... Bank Name /Branch ............................................................... 5. DIVIDENDS We Authorize you to Reinvest Post cheque Credit to Bank Account I/We hereby acknowledge that I/we have read and understood the terms & conditions on the reverse and agree to accept them and I/we confirm that the above details are correct. I/We agree that the company can use my/our contact details for future communication with me/us. .............................................. Signature (Director) Company Seal ........................................................... Signature (Director 2/Authorized Signatory) ............................... Date INSTRUCTIONS 1. Please read the Fund’s Explanatory Memorandum before completing this Application Form. 2. Initial minimum investment is Rs 100,000/- and multiples of Rs 10,000/-. 3. Please use any of the following methods to make the investment. a. Send the completed application form along with a cheque written on behalf of ‘Investrust Wealth Management Limited’ and cross A/c payee only. b. Send the completed application form together with cash/cheque to Investrust Wealth Management Limited. (All the investors are encourage to deposit money to relevant collection bank accounts) c. Handover the completed application form together with the cash/cheque to Investrust Wealth Management Limited. d. Make RTGS/slip transfers and inform Investrust Wealth Management Limited along with the completed application form. e.Use any of the following Investrust Wealth Management Limited collection Accounts to make payments and send the deposit slip together with the completed application form. Deutsche Bank - Hatton National Bank - 4. 0043497000 People’s Bank - 078100180013147 055010163227 Sampath Bank - 000410020106 Seylan Bank - 086000041959002 Bank of Ceylon - 0073420162 Commercial Bank - 1145007314 Duly completed application forms, cheques and deposit slips could be forwarded to Investrust Wealth Management Limited, Level 13, East Tower, Echelon Square, World Trade Center, Colombo 01. 5. Any change of contact details/bank details should be notified immediately in writing to the Registrar at Investrust Wealth Management Limited, Level 13, East Tower, Echelon Square, World Trade Center, Colombo 01. 6. Please note that this application is not in any means of a confirmation for receipt or payment of cash to any party. 7. The common seal or rubber stamp of the company should be affixed and the application form should be duly signed as stipulated in the constitutional documents of such applicant. 8. Applications must be made on this application form. Exact size photocopies of this form may also be used. 9. Unit holders have the option to reinvest the dividend payments in the same fund or receive payments by cheque or direct to their bank account given in the application form. 10. Each Application Form should be submitted with the following documents: - Copy of business registration, Certificate of business or other relevent incorporations and Articles of Association. - A Certified copy of the list of authorized signatories to operate the account. Distributor Information (To be filled by Agents/Broker) Name : .............................................................................................................................................. Agent code /Broker seal .............................................................................................................................................. Check List For Office use only Plan holder Registration No: .................................................................... Plan holder Account No: .................................................................... Verifying Officer : .................................................................... Authorized Officer : .................................................................... Mandatory Details Copy of Business Registration List of Authorized Signatories Copies of Form 20 Extract Board Resolution NIC Copies Investrust Wealth Management Limited Level 13, East Tower, Echelon Square,World Trade Center, Colombo 01. Te.: (+94 11) 2441640 - 1 / (+94 11) 7664444 Fax: (+94 11) 2441435 E-mail:[email protected] Web:www.investrustwealth.com
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