Company Account Application Form HOW TO BECOME A CLIENT 1 2 3 4 5 Read the list of requirements below. Fill out your details in the application form. Sign the application form. Complete the checklist and obtain supporting documentation. Send your application form and supporting documentation to ANZ Securities. COMPANY APPLICANT – LIST OF REQUIREMENTS Please provide the following supporting documentation: Certificate of incorporation – A copy of the Company’s Certificate of Incorporation. Photo identification – A certified copy of any one of the following in the full name of each Director who has signed this application form and/or has been authorised to trade and for any Authorised Representatives: •Passport; • New Zealand Firearms Licence; • New Zealand Driver’s Licence AND bank-generated statement; or • Another combination of identification as agreed to by ANZ Securities. Proof of Residential Address – An original or a certified copy of any one of the following in the full name of each Account Holder and for any Authorised Representatives: • Bank statement (as delivered by mail, not via internet banking); • Utility or Rates bill; • IRD tax notice/certificate; • Insurance policy document; or • Another combination of identification as agreed to by ANZ Securities. Proof of Bank Account – An original or a certified copy of any one of the following in the name of the Company: • Bank statement (as delivered by mail, not via internet banking); • A bank-generated deposit slip; or • A cheque. Supplement form – the appropriate Supplement form for any Directors or Beneficial Owners who are an Entity CERTIFICATION OF SUPPORTING DOCUMENTATION Certified documents must be signed and include the name of the certifier, their occupation and the date. The certifier must be at least 16 years of age and cannot be related to the person, the spouse or partner of the person or living at the same address as the person. The document being certified and the signature of the certifier must not be dated more than three months before the date this application form is signed. We must receive the original signature on the certification; we cannot accept a photocopy of the certification and the signature. Acceptable certifiers are: • ANZ employee; • Justice of the Peace; • Lawyer (must be from a Financial Action Task Force (FATF) member country (including NZ); • Chartered Accountant (must be member of Chartered Accountants Australia and New Zealand); • A sworn employee of the NZ Police who holds the office of constable (any rank); • Notary Public; • New Zealand Honorary Consul; • Member of Parliament; or • Commonwealth representative; includes Ambassador, High Commissioner, Commissioner, Minister, Counsellor, Charge d’Affaires, Head of Mission, Consular Officer, Pro-Consul, Trade Commission or Tourist Commissioner of a Commonwealth country. Company Account Application Form FOR OFFICE USE ONLY Authorised by Account number 2 0 Signature Account type SECTION 1. COMPANY DETAILS COMPULSORY Company Name Country of Establishment Company Number COMPULSORY Country of Primary Place of Business COMPULSORY COMPULSORY If the Country of Establishment or Country of Place of Primary Business is not New Zealand, refer to the “FAQS” page on the ANZ Securities website for further instructions. SECTION 2. TAX DETAILS Your answers to the following questions will assist us to accurately and appropriately classify your company’s financial status. Therefore, it would be beneficial to seek assistance from your accountant or tax advisor as you work through each question. Industry/Activity Description COMPULSORY Example: retail, manufacturing, dairy, building, transport, property, investment. IRD Number COMPULSORY Business Industry Classification (BIC) code COMPULSORY Your BIC can be found on your most recent tax return. Question 1 Select your company’s PRIMARY source of income. Interest, dividends, coupons from investment in financial assets Service fees or commissions Rent from letting property Sales proceeds from goods provided Royalties from patents, copyrights etc Other – please specify Donations Question 2 Is your company EXEMPT from New Zealand Resident Withholding Tax? Yes No RWT exemption and applicable RWT rates are described on the IRD website. If No RWT rate: If Yes Effective Date of Exemption: COMPULSORY % COMPULSORY Please supply a copy of your Certificate of Exemption. Question 3 In order to answer Question 3, please obtain the “Financial Institution Worksheet” from the “Download Forms” page on the ANZ Securities website. When you completed the “Financial Institution Worksheet”, did it indicate that your Company is a Financial Institution? If No Proceed to Question 4a If Yes Proceed to Question 3a Question 3a Does your Financial Institution have a Global Intermediary Identification Number (GIIN)? GIIN may be obtained through a registration process with the IRS - please refer to the IRS website. You can also refer to the “Registration Guidance Notes” on the IRD website. If No Proceed to Question 3b If Yes Please supply your Financial Institution’s GIIN here: After providing the details above, proceed to Section 3. Directors. 2 Yes No Yes No Company Account Application Form (cont) Question 3b Has another financial institution agreed to sponsor or document your financial institution? If No Proceed to Question 4a If Yes Financial Institution’s Name Financial Institution’s Country of Establishment Financial Institution’s GIIN (if available) After providing the details above, proceed to Section 3. Directors Question 4a In your last financial year, did 50% or more of your company’s gross income come from investments that yield interest, dividends, coupons, rent or royalties? Yes No Yes No Yes No For a new company, you will need to estimate this based on the current financial year to date. Question 4b In your last financial year, were 50% or more of your company’s assets held for the production of interest, dividends, coupons, rent or royalties? For a new company, you will need to estimate this based on the current financial year to date. If you have answered “No” to Question 4a and Question 4b, proceed to Section 3. Directors If you have answered “Yes” to either Question 4a or Question 4b, proceed to Question 5. Question 5 Are any of the parties associated with your company (such as those identified later in this application form) US Citizens or Tax Residents (for associated individuals) or established in the US (for associated entities)? Yes No Refer to the “FAQs” page on the ANZ Share and Bond Trading website for further instructions. If No Proceed to Section 3. Directors If Yes As part of this application, you must complete and provide a W-8-BEN-E for your company. SECTION 3. COMPANY DIRECTORS List all Directors below and complete Section 6 for each Director. Please make extra copies of this page and attach them to your application if there are more than four Directors. Please ensure you also complete Section 4 for any Beneficial Owners who have a shareholding of 25% or more. Name of Director Name of Director Complete tick boxes below and Section 6. Complete tick boxes below and Section 6. Tick if this Director is the primary contact (only one person can be the primary contact) Tick if this Director is the primary contact (only one person can be the primary contact) Tick if this Director is authorised to trade on behalf of the Company Tick if this Director is authorised to trade on behalf of the Company Tick if this Director will receive contract notes by email Tick if this Director will receive contract notes by email Tick if this Director holds a shareholding of 25% or more. Tick if this Director holds a shareholding of 25% or more. Name of Director Name of Director Complete tick boxes below and Section 6. Complete tick boxes below and Section 6. Tick if this Director is the primary contact (only one person can be the primary contact) Tick if this Director is the primary contact (only one person can be the primary contact) Tick if this Director is authorised to trade on behalf of the Company Tick if this Director is authorised to trade on behalf of the Company Tick if this Director will receive contract notes by email Tick if this Director will receive contract notes by email Tick if this Director holds a shareholding of 25% or more. Tick if this Director holds a shareholding of 25% or more. 3 Company Account Application Form (cont) SECTION 4. BENEFICIAL OWNERS For anti-money laundering regulations we need to establish the individuals who have a controlling interest in the Company applying for this account. List all Beneficial Owners who have a 25% or more shareholding, and complete either Section 6 or the appropriate supplement form for each Beneficial Owner. You do not need to repeat this Section if the Beneficial Owner is also a Director-Shareholder. Name of Beneficial Owner Name of Beneficial Owner If the Beneficial Owner is an individual person, complete Section 6. I f the Beneficial Owner is an individual person, complete Section 6. If the Beneficial Owner is an Entity, download and print the appropriate supplement form from the “Download Forms” page on the ANZ Securities website. If the Beneficial Owner is an Entity, download and print the appropriate supplement form from the “Download Forms” page on the ANZ Securities website. Name of Beneficial Owner Name of Beneficial Owner If the Beneficial Owner is an individual person, complete Section 6. I f the Beneficial Owner is an individual person, complete Section 6. If the Beneficial Owner is an Entity, download and print the appropriate supplement form from the “Download Forms” page on the ANZ Securities website. If the Beneficial Owner is an Entity, download and print the appropriate supplement form from the “Download Forms” page on the ANZ Securities website. SECTION 5. ADDRESS DETAILS Residential address for company COMPULSORY Postcode Postal address for company Country Tick if your postal address is the same as your residential address. COMPULSORY Postcode Country Correspondence address for company All correspondence from the share registries about your shareholdings will be sent to your Correspondence address. All shareholdings will be registered to the address you select below. The correspondence address is the same as the: Registered Address Postal Address It is important that you keep your address details up-to-date with ANZ Securities and the applicable share registries. If a discrepancy is noted, ANZ Securities is obliged to withhold the distribution of proceeds from the sale of securities. 4 Company Account Application Form (cont) SECTION 6. ASSOCIATED INDIVIDUALS Complete Section 6 for any Directors and/or Beneficial Owners who are individuals. Please make extra copies of this page and attach them to your application if there are more than four Directors and/or Beneficial Owners. FIRST INDIVIDUAL PERSON SECOND INDIVIDUAL PERSON Tick to specify the role(s) of the individual named below. Tick to specify the role(s) of the individual named below. Director Please tick: Beneficial Owner with 25% or more shareholding Mr Mrs Ms Other Beneficial Owner with 25% or more shareholding Please tick: First Name First Name Middle Name(s) Middle Name(s) Surname Surname Date of Birth COMPULSORY Date of Birth COMPULSORY Miss Director Country of Birth COMPULSORY Mr Mrs Miss Ms Other Country of Birth COMPULSORY Phone (business) Phone (home) Phone (business) Phone (home) Mobile Fax Mobile Fax Email Residential address Town/City Occupation Email Residential address COMPULSORY Town/City Postcode Occupation COMPULSORY COMPULSORY Postcode COMPULSORY Provide Photo Identification for the individual as per the final checklist. Provide Photo Identification for the individual as per the final checklist. Provide Proof of Residential address for the individual as per the final checklist. Provide Proof of Residential address for the individual as per the final checklist. Is the individual named above a US resident for tax purposes? (Compulsory) Is the individual named above a US resident for tax purposes? (Compulsory) No Yes – refer to the “FAQs” page on the ANZ Securities website No Is the individual named above a US citizen? (Compulsory) No Yes – refer to the “FAQs” page on the ANZ Securities website Is the individual named above a US citizen? (Compulsory) Yes – refer to the “FAQs” page on the ANZ Securities website No Yes – refer to the “FAQs” page on the ANZ Securities website THIRD INDIVIDUAL PERSON FOURTH INDIVIDUAL PERSON Tick to specify the role(s) of the individual named below. Tick to specify the role(s) of the individual named below. Director Please tick: Beneficial Owner with 25% or more shareholding Mr Mrs Ms Other Beneficial Owner with 25% or more shareholding Please tick: First Name First Name Middle Name(s) Middle Name(s) Surname Surname Date of Birth COMPULSORY Date of Birth COMPULSORY Miss Director Country of Birth COMPULSORY Mr Mrs Miss Ms Other Country of Birth COMPULSORY Phone (business) Phone (home) Phone (business) Phone (home) Mobile Fax Mobile Fax Email Residential address Town/City Occupation Email Residential address Town/City Occupation COMPULSORY Postcode COMPULSORY COMPULSORY Postcode COMPULSORY Provide Photo Identification for the individual as per the final checklist. Provide Photo Identification for the individual as per the final checklist. Provide Proof of Residential address for the individual as per the final checklist. Provide Proof of Residential address for the individual as per the final checklist. Is the individual named above a US resident for tax purposes? (Compulsory) Is the individual named above a US resident for tax purposes? (Compulsory) No Yes – refer to the “FAQs” page on the ANZ Securities website No Is the individual named above a US citizen? (Compulsory) No Yes – refer to the “FAQs” page on the ANZ Securities website Is the individual named above a US citizen? (Compulsory) Yes – refer to the “FAQs” page on the ANZ Securities website No 5 Yes – refer to the “FAQs” page on the ANZ Securities website Company Account Application Form (cont) SECTION 7. BANK ACCOUNT DETAILS Please provide the details of your bank account below. The bank account must be in the name of the Company. Account Type New Zealand Domestic Australian Domestic (account held by an Australian bank, located in Australia) Bank Branch Bank Account Name COMPULSORY Bank Account Number COMPULSORY If the Company does not have an Online Multi-Currency Account all $NZ sale proceeds and distributions will be credited to the bank account nominated above. If the Company has opened an Online Multi-Currency Account all sale proceeds and distributions will be credited to the ANZ Securities Call Account or Online Multi-Currency Account (as applicable) by default. To open an Online Multi-Currency Account, you can download an application from the ANZ Securities website or request for one to be posted to you by calling 0800 805 777. SECTION 8. FINANCIAL DETAILS The information you provide will give us an insight into your financial profile. What are the types of financial assets that you are likely to invest in? (compulsory) Shares in NZ, AU, US or UK New Issues Fixed Interest securities (bond, notes, preference shares etc) Unknown How often do you intend to place buy/sell orders? (compulsory) Once Weekly Annually Daily Monthly Unknown How much do you intend to spend per trade? (compulsory) $0 - $2,500 $5,000 - $20,000 Over $50,000 $2,500 - $5,000 $20,000 - $50,000 Unknown SECTION 9. SECURITY QUESTIONS When contacting ANZ Securities You may be asked to verify your identity by correctly answering one or more security questions. Suggested questions include: What is my Mother’s maiden name? What town was I born in? What was the name of my first pet? What was the model of my first car? What was the name of my first school? Where did I go on my honeymoon? Question Answer Question Answer Question Answer SECTION 10. YOUR NEW ZEALAND SHAREHOLDINGS Trading in New Zealand (NZX) To submit orders into the markets provided by NZX, your security holdings must be registered to a Common Shareholder Number (CSN). CSNs are nine digits long, begin with the number 3 and must be in the full, legal name of the entity who owns the shares. If you do not have a CSN, we will allocate one for you. If you already have a CSN, please write it here If you have any existing share holdings which are not under a CSN, or if your existing registration details differ from your full legal name and registration address, please contact ANZ Securities for guidance. 6 Company Account Application Form (cont) SECTION 11. AUTHORISED REPRESENTATIVES Any Authorised Representatives on your account are to be listed here. Authorised Representatives are non-Account Holders authorised by you to trade on this account on on your behalf. Authorised Representatives are not authorised to make changes to your account details. ANZ Securities will accept trading instructions from any Authorised Representative or Account Holder without reference to the other Account Holders, unless the Account Holders provide instructions to the contrary. Authorised Representatives should sign on next page – they do not need to sign Section 12. FIRST CONTACT Please tick: Mr Mrs Miss SECOND CONTACT Ms Other Please tick: Mr First Name First Name Middle Name(s) Middle Name(s) Surname Surname Mrs Miss Ms Date of Birth COMPULSORY Date of Birth COMPULSORY Country of Birth COMPULSORY Country of Birth COMPULSORY Residential address COMPULSORY Residential address COMPULSORY Suburb Suburb Other Town/City Postcode Town/City Postcode Phone (business) Phone (home) Phone (business) Phone (home) Email Email Occupation COMPULSORY Occupation COMPULSORY Employer COMPULSORY Employer COMPULSORY Relationship to applicant Relationship to applicant Is the individual named above a US resident for tax purposes? (Compulsory) No Is the individual named above a US resident for tax purposes? (Compulsory) Yes – refer to the “FAQs” page on the ANZ Securities website No Is the individual named above a US citizen? (Compulsory) No Yes – refer to the “FAQs” page on the ANZ Securities website Is the individual named above a US citizen? (Compulsory) Yes – refer to the “FAQs” page on the ANZ Securities website No Yes – refer to the “FAQs” page on the ANZ Securities website If the answer to one or both of the questions above is “Yes”, please refer to the “FAQs” page on the ANZ Securities website. Provide Photo Identification for the individual as per the final checklist. Provide Photo Identification for the individual as per the final checklist. Provide Proof of Residential address for the individual as per the final checklist. Provide Proof of Residential address for the individual as per the final checklist. Tick if the Authorised Representative should receive contract notes by email. Tick if the Authorised Representative should receive contract notes by email. Signature Signature 2 0 2 0 7 Company Account Application Form (cont) SECTION 12. SIGNATURE(S) REQUIRED HERE into trades on our behalf in instances where we have entered into a CHESS sponsorship agreement as a client of ANZ Securities) as ANZ Securities considers appropriate having exercised this discretion with reasonable care. I/We accept that ANZ Securities does not guarantee and gives no warranty that this will produce the best or any particular price. I/We acknowledge that ANZ Securities may submit Orders in this manner unless I/ we give ANZ Securities instructions to the contrary either generally or in relation to a specific Order. If you are a Company or other corporate body, this Application Form must be signed as a deed in accordance with the Companies Act 1993 (or other applicable legislation) and your constitutional documents. If there is only one director or your constitutional documents allow a single director to sign deeds, then the director’s signature must be witnessed as set out below, otherwise, two directors should sign. The Signature(s) below must reasonably match your signature as per the identification that you have provided. I/We authorise ANZ Securities to retain an encrypted copy of my/ our Faster Identification Number (FIN) which will be automatically populated into all sell Orders submitted into my/our account. I/We acknowledge that by permitting ANZ Securities to retain my/our FIN, I/we are giving ANZ Securities unlimited ability to transfer my/ our security holdings to other persons. I/We agree to be bound by the Terms and Conditions of ANZ Securities, as amended from time to time. I/We confirm that all the details set out in this Application Form are correct. I/We agree that instructions may be given and Orders may be placed by me/us or an Authorised Representative by letter, telephone, facsimile, email or any other medium and in all cases ANZ Securities is entitled to rely on such instructions and Orders and treat them as genuine (without further enquiry as to the identity or authority of the sender of the instructions or Orders) if the instructions or Orders appear to ANZ Securities to have come from me/one of us or any Authorised Representative. ANZ Securities will encrypt your FIN as soon as reasonably practicable and your FIN will only be used by ANZ Securities in the implementation of your trading instructions or Orders and provision of services to you. Additionally, ANZ Securities undertakes that it will at all times use reasonable endeavours to protect your FIN from unauthorised use or access. Where your account is made up of more than one person, all such persons accept that they are jointly and severally liable for any instructions executed on your account and that ANZ Securities is entitled to act upon the instructions of any one of those persons unless written, signed instructions from all such persons are provided to the contrary. I/We authorise ANZ Securities to implement all Orders on this account by placing them to the market in such a manner (including entering DIRECTOR(S) SIGN HERE The signatures below must reasonably match your signatures as per the identification that you have provided. This application must be signed as a deed in accordance with the Companies Act 1993 (or other applicable legislation) and your constitutional documents. If there is only one (1) director or your constitutional documents allow a single director to sign, then the director’s signature must be witnessed as set out below, otherwise two (2) directors should sign. Signature Signature Full name Full name 2 0 2 0 If only one Director has signed, please ensure the signature is witnessed below. Signature Full name 2 0 Occupation Address Turn to the next page for instructions about returning your application form, and the required documentation, to ANZ Securities. 8 Company Account Application Form (cont) SECTION 13. FINAL CHECK LIST WHAT’S NEXT? A clear copy of the Certificate of Incorporation for the Company. Return this application form and the required forms of identification by post to: A clear and certified copy of photo identification in the full name of all Directors who have signed this application form. ANZ Securities, PO Box 1790, Wellington 6140, New Zealand A clear and certified copy of photo identification in the full name of all Directors who are authorised to trade. Application forms with your original signature must be delivered by post; we cannot accept faxed or emailed copies because we are required to hold your original signature on file. A clear and certified copy of photo identification in the full name of all Beneficial Owners who are named in Section 6. If there are any issues with your application form or required forms of identification you will be contacted. An original or a clear and certified copy of proof of the residential address for all Directors who have signed this application form. When your application has been approved and established, you will receive an email or letter advising: An original or a clear and certified copy of proof of the residential address for all Directors who are authorised to trade. • Your ANZ Securities Client Account Number • Instructions for Internet and Telephone Trading A clear and certified copy of proof of a bank account in the name of the Company. • Our contact details if you require any assistance. The signature of at least two Directors in Section 12; or the witnessed signature of the Sole Director in Section 12. ANZ Securities on 0800 805 777. An original or a clear and certified copy of proof of the residential address for all Beneficial Owners who are named in Section 6. If you want to know the status of your application, please contact If a Director or Beneficial Owner is an Entity, a copy of the appropriate supplement Form for that Entity. Once received, your application form will be reviewed and verified before your account is created. This can be a lengthy process and you should allow at least 10 business days. If you have nominated an Authorised Representative, a clear and certified copy of their photo identification. If you have nominated an Authorised Representative, an original or a clear and certified copy of proof of their residential address. If you want to trade on the Unlisted Market, the signature of at least two Directors in Section 14; or The signature of the Sole Director in Section 14. A certified copy of a marriage certificate if any documents are in the individual’s maiden name. 9 Company Account Application Form (cont) 6. No responsibility for information posted by Unlisted Companies: Unlisted Companies have the ability to post announcements and other information (“Information”) on the Website. EMS does not in any way supervise, edit or control the content of such Information. Accordingly: SECTION 14. UNLISTED MARKET DISCLAIMER 1. Trading facility only: Unlisted is an internet facility provided by Efficient Market Services Limited (“EMS”) for brokers to trade, on behalf of their clients, in securities of companies participating in Unlisted (“Unlisted Companies”). Unlisted does not provide any facility for capital raising. (a) no representation or warranty is given as to the reliability, accuracy or completeness of such information; 2. Unlisted is not a registered exchange: Unlisted is not a registered securities exchange or authorised securities exchange, or regulated under New Zealand securities markets law. Unlisted is an unregistered securities trading facility. (b) if you rely on such Information you do so entirely at your own risk; (c) you acknowledge and agree that EMS will not be held responsible in any way in respect of such Information. 3. You trade at your own risk: If you choose to trade in the securities of Unlisted Companies, you do so entirely at your own risk. In particular: 7. Exclusion of liability: Neither EMS nor any of its directors, employees, agents or related companies shall be liable in any way for any loss or damage of any kind (including direct, indirect or consequential loss, loss of profits, or special damage) howsoever arising (whether in negligence or otherwise) out of or in connection with: (a) companies traded on Unlisted will not be subject to the investor protection legislation that applies to companies listed on a registered exchange, such as the Takeovers Code (except for New Zealand incorporated Unlisted Companies with 50 or more shareholders and $20 million or more of assets), the insider trading laws which apply to listed entities, continuous disclosure requirements, director relevant interest disclosure and substantial security holder requirements, nor are there any of the other protections for investors that are contained in the listing rules of a registered exchange; (a) the Website, information contained on or omitted from the Website, or the use of or inability to use the Website; (b) any decision made in reliance on any information contained on the Website; (c) any trading of, or decision not to trade, securities of Unlisted Companies, subject to any rights you may have under the Consumer Guarantees Act. (b) EMS does not monitor or enforce compliance by Unlisted Companies with the law (including company and securities laws). Further information about what the fact that Unlisted is not a registered exchange means for investors is given in clause 9 on the next page. In the case of goods or services supplied or offered by EMS, its directors, employees, agents or related companies, liability for breach of any implied warranty or condition which cannot be excluded is limited at EMS’s option to either: 4. Not investment advice: You should obtain independent investment advice before you make any investment decisions. The Unlisted website (“the Website”) provides general information only. The content of the Website is not intended to be investment advice and you should not treat it as such. We have not considered the merits of, or the merits of investing in, the securities of, any Unlisted Company. We make no recommendation or endorsement regarding the Securities of, or investing in, any Unlisted Company and you should not treat the quotation of Securities on Unlisted as being a recommendation or endorsement by us. (a) the supply of the goods (or equivalent goods) or services again; or (b) the payment of the costs of having the goods (or equivalent goods) or services supplied again. 8. Governing Law: This disclaimer is governed by New Zealand law. You agree that any dispute arising from or in connection with this disclaimer is subject to the non-exclusive jurisdiction of the courts of New Zealand. 9. What does the fact that Unlisted is not a registered exchange mean? 5. No responsibility in respect of brokers: Trading on Unlisted is undertaken by certain licensed stockbrokers. You acknowledge and agree that EMS has no responsibility, and will not be held responsible in any way, for any act or omission of any broker. Without limitation, EMS: 9.1 As an unregistered trading facility, Unlisted is not subject to the same regulatory protections as a registered exchange. 9.2 Registered exchanges are required to have detailed rules relating to the governance and conduct of listed companies, and the conduct of participating brokers. Compliance with those rules is monitored and enforced by the exchange. Unlisted will not offer such protections. (a) is not liable for any failure by any broker to pay any money that is due to you, or any loss you may incur due to the negligence, fraud or insolvency of any broker; 9.3 The rules of registered exchanges are vetted, and can be disallowed, by the Minister of Commerce. Registered exchanges are also subject to a specific Securities Commission monitoring regime. No such vetting or monitoring applies to an unregistered trading facility such as Unlisted. (b) does not provide any guarantee in respect of any broker; (c) has no responsibility for any investment advice provided by any broker. Brokers are not the agents of EMS and have no authority to make representations on behalf of, or to bind, EMS. 10 Company Account Application Form (cont) 9.4 Companies listed on a registered exchange (“Listed Companies”), are subject to a number of requirements under the Securities Markets Act. Issuers on Unlisted are NOT subject to these requirements. In particular: (a) Insider trading regime: Trading by a person who, due to some connection with the Listed Company, has information not generally available is prohibited on a registered exchange. This is not the case on Unlisted. Directors of Unlisted companies will, however, be subject to the more limited insider trading restriction in the Companies Act. (b) Continuous disclosure regime: Listed Companies are required to inform the market of events and developments relevant to the price of the company’s securities as they occur. Companies on Unlisted are not subject to this requirement under the Securities Markets Act. (c) Director’s and officers relevant interest disclosure: Directors and officers of Listed Companies must promptly report their security dealings in the company. Companies on Unlisted are not subject to this requirement under the Securities Markets Act. (d) Substantial security holder disclosure: A person with an interest in 5% or more of the voting securities of a Listed Company must disclose that fact and any changes in their holding. This is intended to ensure disclosure of major interests and thereby to prevent abuse in transactions entered into by such persons. Companies on Unlisted are not subject to this requirement under the Securities Markets Act. 9.5 The Securities Commission oversees compliance of Listing Companies with the Securities Markets Act. This is not the case for companies on Unlisted. Companies on Unlisted will, however, be subject to Securities Commission oversight for other regulatory requirements (for example, compliance with the Securities Act). 9.6 Listed Companies are also automatically subject to the Takeovers Code. Unlisted companies will only be subject to the Takeovers Code if they are incorporated in New Zealand and have 50 or more shareholders and at least $20 million in assets. The purpose of the Takeovers Code is to ensure that everyone concerned is fully informed and that a fair price should be paid for all shares acquired. I have read and understood this disclaimer and in consideration for EMS allowing me to trade (via a broker) using Unlisted, I agree in favour of EMS to be bound by the terms of this disclaimer. Name Signature 2 0 Name Signature 2 0 Name Signature 2 0 ANZ New Zealand Securities Limited is a subsidiary of ANZ Bank New Zealand Limited. 11 anz16364 12/14 ANZ Staff Member Certifying Documents on behalf of Applicant INSTRUCTIONS FOR APPLICANT INSTRUCTIONS FOR ANZ STAFF MEMBER HOW TO REQUEST CERTIFICATION FROM AN ANZ STAFF MEMBER HOW TO CERTIFY DOCUMENT 1. Provide your identification documentation to the ANZ staff member, as per the list of requirements on your ANZ Securities Application form. 1. Sight the original documents 2. Take a copy of the original documents 3. Write the appropriate statement on each copy: 2. Present this form to the ANZ staff member who is certifying your identification documentation. 3. The ANZ staff member will certify the identification documentation, as per the instructions below. 4. The ANZ staff member will return all documentation to you. 5. Post your certified identification documentation and your Application form to: Photo ID – “I certify that this is a true copy, the original has been seen, and the original is a true likeness of the customer.” Bank account – “I certify that this is a true copy and the original has been seen.” Residential address – “I certify that this is a true copy and the original has been seen.” 4. Write your full name, your occupation, today’s date, and your branch ID on each copy ANZ Securities, PO Box 1790, Wellington 6140, New Zealand. 5. Sign your name on each copy Please contact ANZ Securities on 0800 805 777 if you have any questions about the certification process. 6. Stamp each copy with your branch stamp 7. Repeat these steps for each copy that you have made The client must post all documentation to ANZ Securities at the address listed to the left – please do not post on behalf of the client. IDENTIFICATION DOCUMENTATION Clients who are applying to open a ANZ Securities account must provide identification documentation. Bank Account ANZ Securities clients are asked to provide the following: Applicants must provide a certified copy of one of the following: • Photo identification • Bank statement (as delivered by mail, not via internet banking); • Proof of bank account • A bank-generated deposit slip; or • Proof of residential address. • A cheque. All forms of identification documentation must be certified. Residential Address The document being certified and the signature of the certifier must not be dated more than three months before the date the application form is signed. Applicants must provide an original or a certified copy of one of the following: Photo Identification Applicants must provide a certified copy of one of the following: • Passport; • New Zealand Firearms Licence; or • New Zealand Driver’s Licence AND bank-generated statement. ANZ New Zealand Securities Limited is a subsidiary of ANZ Bank New Zealand Limited. 12 • Bank statement (as delivered by mail, not via internet banking); • Utility or Rates Bill; • IRD tax notice/certificate; or • Insurance policy document. anz16364 12/14
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