Investor Account Opening Form for Individual

For Office use only No. AMIM-01 (1) - 2015

Day Month Year Customer ID
Portfolio No.
NOTE: ALL FIELDS IN THE FORM ARE MANDATORY IF MENTIONED OTHERWISE . ANNEXURE I MUST BE FILLED BY EVERY INVESTOR

TYPE OF ACCOUNT: Single Joint Minor MTPF

PRINCIPAL ACCOUNT HOLDER
Name (as per CNIC)
Mr. / Mrs./Ms. / M/s:
Father/ Husband’s Name:

CNIC/NICOP/Passport: CNIC Expiry Date:

Single Married Nationality : Muslim Non Muslim Date of Birth:

Address:

City: Country: Email:

CONTACT DETAILS (Provide at least one)

Tel-Res: Mobile:
In case of minor account Relationship with Principal

Name of Guardian:

Guardian CNIC: CNIC Expiry Date:

BANK ACCOUNT DETAIL OF PRINCIPAL ACCOUNT HOLDER FOR REDEMPTION AND DIVIDEND PAYMENTS
Bank Account No. : Bank:

Branch: City:

JOINT ACCOUNT HOLDERS (For Joint Account)

Joint Holder 1 Relation with Principal: Customer ID (if any):

Name:

CNIC/NICOP/Passport:

Joint Holder 2 Relation with Principal: Customer ID (if any):

Name:

CNIC/NICOP/Passport:

ACCOUNT OPERATING INSTRUCTION (for Joint Account Only)

Principal Account Holder Only Either or Survivor Jointly by any two Jointly by all

DIVIDEND MANDATE

Cash Dividend: Re-invest OR Provide Cash Stock Dividend: Issue bonus units OR Encash bonus units

DETAIL ABOUT MEEZAN TAHAFFUZ PENSION FUND (MTPF) ACCOUNT (For MTPF Account)
Expected Retirement Age:

Please select any one Allocation Scheme of your choice

High Volatility Medium Volatility Low Volatility Lower Volatility Life Cycle Plan
Variable Volatility 100% Debt 100% Equity 100% Money market
(please select one)

Principal Account Holder Joint Account Holder 1 Joint Account Holder 2

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 Investor Account Opening Form for Individual

NOMINATION DETAIL (Optional) (For Single and MTPF Account)

NOMINEE 1
Sharing %(MTPF): Relation with Principal: Customer ID (if any):
Name:
CNIC/NICOP/Passport:
NOMINEE 2
Sharing %(MTPF): Relation with Principal: Customer ID (if any):

Name:
CNIC/NICOP/Passport:
NOMINEE 3
Sharing %(MTPF): Relation with Principal: Customer ID (if any):

Name:
CNIC/NICOP/Passport:
KYC DETAILS OF PRINCIPAL ACCOUNT HOLDER (Mandatory for compliance with regulatory requirements)
Occupation: Government Services Private Services Self Employed Retired House Wife Student

Source of Income: Business/ Self-owned Salary Pension Inheritances Remittances Savings Stocks/Investment

Name of Employer/ Business (if Applicable) :

Please describe if Yes is selected

Has any Financial Institution ever refused to open you account? No Yes

Are you acting on behalf of any other person? No Yes

Are you holding a senior position in any government institution? No Yes

Are you holding a senior position in any political party? No Yes

Do you deal in high value items such as Gold, Silver, Diamond etc.? No Yes

Where did you hear about us (Optional): News paper / Advertising Email / SMS Team Member of Al Meezan Social Media Telemarketing
Distributors Web Site Others: Please specify____________________
DECLARATION AND SPECIMEN SIGNATURE OF ACCOUNT HOLDER(s)
I/We hereby confirm that all information provided in this form is true and correct to the best of my knowledge. I also confirm having read and understood the
Trust Deeds, O ering Documents, Supplemental Trust Deeds, and Supplemental O ering Documents that govern the transactions and further acknowledge
understanding of the risks involved in mutual funds.

Signature of Principal / Joint Account Holder(s)

APPLICATION CHECK LIST

Individual: Copy of CNIC(s) Business / Employment proof Zakat Declaration (where applicable) Others
Copy of Form B Health Questionnaire (where applicable) FATCA Form

Risk Category: High Low

Sales Person Name and Code Reporting Date & Person Stamp of Distributor

Remarks Transfer Agent

Note :
MTPF o ers free takaful coverage for customers (Conditions apply) . To avail free Takaful you have to fill health questionnaire form . For more details ask your
cer or call 0800-42525.
Al Meezan Investments o ers wide range of Value added Services, including Mobile Transaction Alert Services, E-Transactions Member Services Area, Internet
Banking Services, Meezan Easy Cash, ATM Facility, Email Services and SMS Services. For details please visit www.almeezangroup.com or Call 0800-42525.

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 Annexure – I
FATCA Form – Individual Account
The Foreign Account Tax Compliance Act (FATCA) was signed into U.S. law on March 18, 2010. It is aimed at preventing U.S. taxpayers from using accounts
held outside of the U.S. to evade taxes. Any financial institution that fails to comply with FATCA will face a 30% withholding tax on a wide range of U.S.
sourced payments to its clients. Under U.S. federal tax law, Al Meezan Investment Management Ltd. (Al Meezan) is required to request certain taxpayer
information from certain persons who maintain an account at Al Meezan (whether such persons are U.S. taxpayers or not). Information collected will be used
solely to fulfill Al Meezan's requirements under U.S. federal tax law and will not be used for any other purpose.

SECTION A
(1) This section must be completed by any individual who wish to open an account.
(2) Please complete this form for Principal account holder only. In case of Minor, the form should be filled by Guardian for himself as well
as for the Minor.
A. Title of Account (IN BLOCK LETTERS):_____________________________________________________________________
B. CNIC#___________________________________________
C. Customer ID (for office use only):_____________________
D. Country of tax residence other than Pakistan: ‰ None ‰ USA ‰ Other _________________
E. Place of Birth: City_______________________ State_______________________ Country___________________________
Please tick ‘√’ to appropriate check box Documentation Required
‰ Yes
1. Are you a US Citizen?
‰ No
‰ Yes
2. Are you a US Resident? If yes, please provide Form W-9.
‰ No
3. Do you hold a US Permanent Resident Card ‰ Yes
(Green Card)? ‰ No
If yes,
x Please provide Form W-9, or
‰ Yes
4. Were you born in USA? x In case you claim to be a Non-US Person; please fill Section
‰ No
B of this form and provide Non-US Passport and Certificate
of Loss of Nationality (i.e. Form I-407).
5. Standing instructions to transfer funds to ‰ Yes If yes,
an account maintained in USA. ‰ No x Please provide Form W-9, or
6. Do you have any Power of Attorney/ x In case you claim to be a Non-US Person; please fill Section
‰ Yes
Authorized Signatory/ Mandate holder B of this form supported by other documentary evidence
‰ No
having US Address? establishing the non-US status.
7. Do you have US residence/ mailing/ Sole ‰ Yes If yes,
Hold Mail address? ‰ No x Please provide Form W-9, or
x In case you claim to be a Non-US Person; please fill Section
‰ Yes
8. Do you have US telephone number? B of this form and provide non-US Passport and other
‰ No
documentary evidence establishing the non-US status.

SECTION B
This section must be filled by any individual who mark(s) any of the item number 4, 5, 6, 7 & 8 as ‘Yes’ but claims to be a Non-US Person
along with documentary evidence.

I _________________________________ declare that I have examined the information on this form and to the best of my knowledge and
belief it is true, correct and complete. I further certify that I am not a US Person and will provide Form W-8BEN within 30 calendar days if
required by IRS through Al Meezan. I undertake to notify Al Meezan within 30 calendar days if this certification becomes incorrect.

Signature: __________________________________
Declaration:
I hereby confirm the information provided above is true, accurate and complete.
Subject to applicable local laws, I hereby consent for Al Meezan to share my information with domestic or overseas regulators or tax
authorities where necessary to establish my tax liability in any jurisdiction.
Where required by domestic or overseas regulators or tax authorities, I consent and agree that Al Meezan may withhold from my account(s)
such amounts as may be required according to applicable laws, regulations and directives.
I undertake to notify Al Meezan within 30 calendar days if there is a change in any information which I have provided to Al Meezan.
I will indemnify and hold harmless Al Meezan from any loss, action, cost, expense (including, but not limited to sums paid in settlement of
claims, reasonable attorneys’ and consultant fees, and expert fees), claim, damages, or liability which arises or is incurred by Al Meezan in
discharging its obligations under FATCA and/or as a result of disclosures to the US tax authorities.

Dated: ___________________
US Taxpayer Identification Number (in case of US Person):______________ Signature: _____________________________
 RISK PROFILE FORM

Name

Portfolio No.

Help us understand your financial needs be er. Kindly fill the form below to give you a customized solu on for your investment goals.
Circle the below responses as per your choices:

Age(in yrs): 1. Above 60 2. 50-60 3. 40-50 4. Below 40

Risk- Return Tolerance Level Monthly Savings: Occupa on:

1. Lower Risk, Lower Returns 1.

4. Medium Risk, Medium 2. Rs. 25,000- Rs. 150,000 2. Housewife/ Student
Returns 3. More than Rs. 150,000 3. Salaried
8. Higher Risk, Higher 4. Business/ Self-
Returns employed

Investment Objec ve: Your level of knowledge of Investment Horizon:

Investments and Financial markets?
2. Less than 6 months
2. Cash Management
4. Monthly Income 2. Limited/Basic/Average 4. Less than 1 year
8. Capital Growth/ Long 6. 2- 3 years
3. Good/Excellent
term savings/ Retirement 8. More than 3 years

Now, please add the scores corresponding to your selected choices and calculate in the below table to find your ideal investment fund.

Scores Investor Por olio Fund

Calculate your Ideal 33-3 Aggressive Equity

24-32 Balance Balanced

15-23 Stable Income

11-14 Conserva ve Money Market

NOTE:
I understand and agree that as per my Risk Profile Al Meezan Investments has Suggested me above fund category but I can/may invest in any other fund category
as per my discretion.

DECLARATION AND SPECIMEN SIGNATURE OF ACCOUNT HOLDER(s)

I/We hereby confirm that all information provided in this form is true and correct to the best of my knowledge. I also confirm having read and understood the Trust Deeds,
ering Documents, Supplemental Trust Deeds, and Supplemental ering Documents that govern the transactions and further acknowledge understanding of the
risks involv

Signature of Principal / Joint Account Holder(s)

Name of Sales Person Name of Manager

Signature of Sales Person Signature of Manager