OEIC Registration Details Following Stock Transfer

Classic Account – OEIC Registration Details Following Stock Transfer
Valid from April 2015
Please complete this form in BLOCK LETTERS and black ink, and return it to: Freepost RTJH-BXTT-RHCJ, J.P. Morgan Asset Management, 60 Victoria Embankment,
London EC4Y 0JP. If you have any questions regarding this form please call our UK-based Investor Services team on 0800 20 40 20. Our telephone lines are open
Monday to Friday, 9am to 5.30pm.
We will be unable to process your application if this form has not been fully completed. If the form has not been completed, we will need to return this to you for
completion.
Financial adviser
Important Note:
Financial Adviser’s stamp
•
If you wish to instruct a conversion of your clients existing ‘A’ share holding to
the non-commissionable ‘B’ share class, please complete the Conversion
application form available from jpmorgan.co.uk/adviser. Alternatively, please
call us on 0800 727 7770.
FCA number
1. Account number (if an existing client)
2. Holders (continued)
Second holder (if any) Please enter full name and address
Your title (e.g. Mr / Mrs / Miss / Ms / Other)
2. Holders
Surname
First name(s) in full
First holder please enter full name and address
Your title (e.g. Mr / Mrs / Miss / Ms / Other)
Surname
Your permanent residential address
First name(s) in full
Postcode
Your permanent residential address
Telephone numbers (please provide country code if outside the UK)
Daytime telephone number
Country code
Postcode
+
Telephone numbers (please provide country code if outside the UK)
Evening telephone number
Daytime telephone number
Country code
Country code
+
+
Your date of birth (Day/Month/Year)
Evening telephone number
1
Country code
City/town of birth
+
9
Country of birth
Your date of birth (Day/Month/Year)
1
City/town of birth
Are you a UK citizen?
9
Are you a UK citizen?
Country of birth
YES
NO
If you are a citizen of any other country, please provide country name below:
NO
If you are a citizen of any other country, please provide country name below:
Email address
YES
Email address
Classic Account – OEIC Registration Details Following Stock Transfer
2. Holders (continued)
3. Tax residency
Third holder (if any) Please enter full name and address
Your title (e.g. Mr / Mrs / Miss / Ms / Other)
Tax RegulationsA require us to collect information about each investor’s tax
residency. In certain circumstances we may be obliged to share information on
your account with HMRC. If you have any questions about your tax residency,
please contact your tax advisor. Should any information provided change in the
future, please ensure you advise us of the changes promptly.
Surname
First name(s) in full
First holder:
Your permanent residential address
Postcode
Telephone numbers (please provide country code if outside the UK)
Are you a UK tax resident?
Yes
No
Do you have a National Insurance Number?
Yes
No
If yes, please enter your National Insurance Number here
Daytime telephone number
Please indicate if there is any other country in which you are resident for tax
purposes and the associated Tax Identification Number below. If you are a US
citizen or tax resident, you are not eligible to open this account.
Country code
+
Evening telephone number
Additional Country of tax residence
Tax identification number
Country code
+
Second holder:
Your date of birth (Day/Month/Year)
1
9
City/town of birth
Country of birth
Are you a UK tax resident?
Yes
No
Do you have a National Insurance Number?
Yes
No
If yes, please enter your National Insurance Number here
Are you a UK citizen?
YES
NO
If you are a citizen of any other country, please provide country name below:
Email address
Please indicate if there is any other country in which you are resident for tax
purposes and the associated Tax Identification Number below. If you are a US
citizen or tax resident, you are not eligible to open this account.
Additional Country of tax residence
Third holder:
Fourth holder (if any) Please enter full name and address
Your title (e.g. Mr / Mrs / Miss / Ms / Other)
Tax identification number
Surname
Are you a UK tax resident?
Yes
No
Do you have a National Insurance Number?
Yes
No
First name(s) in full
If yes, please enter your National Insurance Number here
Your permanent residential address
Please indicate if there is any other country in which you are resident for tax
purposes and the associated Tax Identification Number below. If you are a US
citizen or tax resident, you are not eligible to open this account.
Postcode
Telephone numbers (please provide country code if outside the UK)
Additional Country of tax residence
Tax identification number
Daytime telephone number
Country code
Forth holder:
+
Are you a UK tax resident?
Yes
No
Do you have a National Insurance Number?
Yes
No
Evening telephone number
Country code
+
If yes, please enter your National Insurance Number here
Your date of birth (Day/Month/Year)
1
City/town of birth
Are you a UK citizen?
9
Please indicate if there is any other country in which you are resident for tax
purposes and the associated Tax Identification Number below. If you are a US
citizen or tax resident, you are not eligible to open this account.
Country of birth
YES
NO
Additional Country of tax residence
Tax identification number
If you are a citizen of any other country, please provide country name below:
A
Email address
The term “tax regulations” refers to regulations created to enable automatic exchange of
information and include FATCAB, various agreements to improve international tax
compliance entered into between the UK and its Crown Dependencies and its Overseas
Territories and the OECD Common Reporting Standard for Automatic Exchange of Financial
Account Information
B
The term “FATCA” refers to The Foreign Account Tax Compliance provisions contained in
the US HIRE Act 2010 and other relevant legislation implementing FATCA under local law.
Classic Account – OEIC Registration Details Following Stock Transfer
4. Payment details
To ensure that payment can be made in respect of any proceeds or income
deriving from your investment, please provide your bank or building society
account details below.
We’d like to keep you informed
If you would like us to contact you about relevant news, offers and new fund
launches, please tick the box.
We promise to only contact you about products and services that we believe may
be of interest to you.
Name of bank or building society
Signature of first holder
Name of account holder(s)
Print name
Branch address
Signature of second holder
Postcode
Account number
Print name
Bank sort code
Signature of third holder
Reference number (Building Society)
Print name
5. Your signature and declaration
This is our standard client agreement upon which we intend to rely. For your own
benefit and protection you should read these terms carefully before signing them
together with the separate Key Features and Terms and Conditions document. If
you do not understand any point please ask for information.
Signature of fourth holder
Print name
By signing this form I/we confirm that I am we are 18 years of age or over and
that I am/we are not US or Canadian citizen(s)/resident(s) and neither hold nor
will invest in the Investment Account for another US or Canadian citizen/resident.
I/we also confirm that I/we have read and understood the 'Data Privacy Policy
and Anti-Money Laundering’ section of the SID and agree to the use of my/our
data in this way.
Date (Day/Month/Year)
I/we accept that a ‘Delivery versus Payment’ exemption will be applied as
detailed in the SID and agree that my/our money may not be held in a client
money account for the full duration of a transaction.
The information that I/we have given in this application form is correct to the
best of my/our knowledge and belief.
I/we agree to inform you immediately of any change in my/our circumstances
affecting any of the information in this form, in particular any changes to the
information I/we have provided relating to my/our tax residency.
Unclear dealing instruction
Instructions we consider unclear (including when the share class of a fund was
not specified) may lead to a delay in their execution or rejection. Such
instructions will only be executed once they have been verified and confirmed
and our processing procedure has been completed to our satisfaction. Please
note that we will not be liable for any losses or lost opportunities which may
result from delays or rejection that arise from unclear instructions.
J.P. Morgan Asset Management is unable to assess or provide advice on the
suitability of this product for you or your individual circumstances, and therefore
you will not benefit from the investor protections under the FCA rules on assessing
suitability. If you have any questions about the suitability of this investment for
you and would like to benefit from the additional protections provided under the
FCA's rules on suitability, then please contact your Financial Adviser.
Please note all correspondence should be sent to the address shown at the top of the application and not to the registered address. Telephone calls may be recorded and monitored for security and
training purposes.
J.P. Morgan Trustee & Administration Services Limited. Registered Office: 25 Bank Street, Canary Wharf, London E14 5JP. Registered in England No. 1823867. Authorised and regulated
by the Financial Conduct Authority.
JPMorgan Funds Limited Registered Office: 3 Lochside View, Edinburgh Park, Edinburgh EH12 9DH. Registered in Scotland No. 19438. Authorised and regulated by the Financial Conduct Authority.
GB H650 04/15