Please note that this form will take ±10 minutes to complete. You will need your required documentation to upload. There is functionality to save the form and continue at a later stage, you will be given a unique link to continue if you wish to save the form.
For FICA verification purposes we will also require you to upload a clear photo of your face with you holding up your identity document / passport. Please note, the ID number on the document must be clear and readable.
- Bank, building society, debit card, investment account or insurance company statements (dated within the last 3 months)
- Mortgage statement (dated within the last 12 months)
Utility statement including gas, electricity, water (dated within the last 3 months)
- Telephone (not mobile) bill (dated within the last 3 months)
- No files larger than 2MB
CEO or Managing Director (or similar designation) of the Client
Shareholder / Director 1
Shareholder / Director 2
Shareholder / Director 3
Please use the space below to upload the required documentation. If you are unable to provide all documentation at this point in time, please submit what you can and we will be in contact with you to obtain the rest.
The following documents are required in respect of all listed directors/members/shareholders >25%/Authorised signatories:
Measures aimed towards the prevention of money laundering and terrorist financing require a detailed verification of the investor’s identity. Based on your application as an own name individual you have been marked as Option B and your uploaded Identification documents will be used for verification.
The Company, the Manager and the Investment Manager may require further identification and make any further enquiries they deem necessary to comply with anti-money laundering/counter terrorist financing laws, before the Application can be processed and the Company shall be held harmless and indemnified against any loss arising due to the failure to process this Application if such information as has been required by the parties hereto has not been provided. In such case or delay or failure to provide satisfactory information, the Company may take such action as they see fit.
‘Prescribed Countries’ include the following: European Union Member States; Argentina; Australia; Brazil; Canada; Channel Islands; Hong Kong; Iceland; Isle of Man; Japan; Liechtenstein; Mexico; New Zealand; Norway; Russian Federation; Singapore; South Africa; Switzerland; United States of America; The Dutch overseas territories of Netherlands Antilles and Aruba, The French Overseas Territories of Mayotte, New Caledonia, French Polynesia, Saint Pierre and Miquelon and Wallis and Futuna.
‘Designated Bodies’ includes entities such as banks, building societies, investment companies and other financial institutions.
‘Certified Copy’ The certification of all documents must be carried out by any of the following; a police officer, practising chartered and certified public accountant, notaries public, practising solicitor, embassy and consular staff and your Bank if authorised and regulated in the EU, Argentina, Australia, Brazil, Canada, the Channel Islands, Hong Kong, Iceland, the Isle of Man, Japan, Liechtenstein, Mexico, New Zealand, Norway, Singapore, South Africa, Switzerland, The Dutch overseas territories of Netherlands Antilles and Aruba, The French Overseas Territories of Mayotte, New Caledonia, French Polynesia, Saint Pierre and Miquelon, Wallis and Futuna or the USA.
An Investor resident outside Ireland is required by the Irish Revenue Commissioners to make the following Declaration, which is in a format authorised by them, in order to receive payment without deduction of tax. It is important to note that this Declaration, if it is then still correct, shall apply in respect of any subsequent acquisitions of Shares. Terms used in this Declaration are defined in the Prospectus (see heading, “Irish Taxation”).
I declare that I am applying for the Shares on my own behalf and that I am entitled to the Shares in respect of which this declaration is made and that
Please note: If the Applicant is an “Exempted Irish Investor”, they should contact the Company (or the Manager) who will provide them with the appropriate declaration which must be made to confirm their status.
In this section, the singular shall include a reference to the plural and vice versa and the term “Company” shall include the Investment Manager and the Manager and their directors, employees and agents as well as affiliated and associated companies. References to “I” shall include “we” where applicable.
By signing this application form below:
I consent to:
As a consequence of your investment, the Company acting as a data controller may itself (or through third parties including but not limited to the Manager together with any distributor or sub-distributors that may be appointed from time to time (collectively the “Distributor”), local paying agents and mailing firms appointed by any of the foregoing (together the “Service Providers”)) process your personal information or that of your directors, officers, employees, intermediaries and/or beneficial owners.
Please contact the Data Protection Officer should you wish to obtain information concerning the Service Providers.
In this regard, please note the following:
The personal data collected from you or provided by you or on your behalf in connection with your holdings in the Company will be collected, stored, disclosed, used and otherwise processed by the Service Providers on behalf of the Company for the purpose of:
Please note that where personal data is processed for purposes of legitimate interests, you have a right to object to such processing and the Company and its appointed Service Providers will no longer process the personal data unless it can be demonstrated that there are compelling legitimate grounds for the processing which override your interests, rights and freedoms or for the establishment, exercise or defence of legal claims. Further information relating to the balancing test undertaken by the Company to rely on legitimate interests as a grounds in respect of such processing is available upon request.
Personal data relating to you which is collected from you or provided by you or on your behalf may be handled by and disclosed by Service Providers appointed by the Company and its or their duly appointed agents and any of related, associated or affiliated companies within the Prescient Holdings (Pty) Ltd group of companies (“Prescient Group”) for the purposes specified above. These Service Providers will be obliged to adhere to the data protection laws of the countries in which they operate.
The Company and the Manager may disclose your personal data to other third parties where required by law or for legitimate business interests. This may include disclosure to third parties such as auditors and the Central Bank of Ireland, regulatory bodies, taxation authorities and technology providers.
The Company and its appointed Service Providers may engage in PEP screening and financial sanctions screening programs defined by the European Union (“EU”), the United Nations (“UN”), Her Majesty’s Treasury (“HMT”) and the Office of Foreign Assets Control (“OFAC”) for the purposes of complying with anti-money laundering and counter terrorist financing legislation and with UN, EU and other applicable sanctions regimes. The implementation of such PEP screening and financial sanctions screening programmes may result in the Company or its Service Providers refusing an application for Shares in the Company or delaying or refusing to make any redemption payment or distribution payment to you if you, your directors or any beneficial owner of your Shares appear on such screening programmes. In the event that you are identified as a PEP as a result of the screening process, you may be required to provide additional information and/or documentation to the Company or its Service Providers.
By providing personal data to the Company, you undertake to be authorised to disclose to the Company relevant information applicable to the beneficial owner of the investment, to your directors and authorised signatories and to persons that own, directly or indirectly, an interest in the Company. In this respect you confirm that you have provided these persons with all the information required under applicable data protection law, notably regarding their data protection rights, and received from these persons their authorisation for the processing and transfer of their personal data to us.
Personal data collected from you or provided by you or on your behalf may be transferred outside of Ireland including to companies situated in countries outside of the European Economic Area (“EEA”) which may not have the same data protection laws as in Ireland. Such non-EEA countries comprise South Africa where the Company’s IT infrastructure is maintained, which has their own stringent data protection laws in place.
Where data transfers outside of the EEA take place, the Company and/or the relevant Service Provider have taken the necessary steps to ensure that appropriate safeguards have been put in place to protect the privacy and integrity of such personal data, including entering of data protection model agreements between the Company and its Service Providers in accordance with the requirements of GDPR. Please contact the Data Protection Officer should you wish to obtain information concerning such safeguards.
The Company and its appointed Service Providers will retain all information and documentation provided by you in relation to your investment in the Company for such period of time as may be required by Irish legal and regulatory requirements, being at least six years after the period of your investment has ended or the date on which you had your last transaction with us.
Please note that you have the following rights under the GDPR. In each case, the exercise of these rights is subject to the provisions of the GDPR:
Where you wish to exercise any of your data protection rights against the Company, please contact us via the details provided below under “Contact Us”.
The Company or its Service Provider will respond to your request to exercise any of your rights under the GDPR in writing, as soon as practicable and in any event within one month of receipt of your request, subject to the provisions of the GDPR. The Company or its Service Provider may request proof of identification to verify your request.
As outlined in the section titled “Purposes of Processing and Legal Basis for Processing”, the provision of personal data by you is required for us to manage and administer your holdings in the Company. Where you fail to provide such personal data in order to comply with anti-money laundering/counter terrorist financing or other legal requirements, in certain circumstances, we may be prohibited from making redemption or any applicable dividend payments to you and/or may be required to discontinue our business relationship with you by compulsorily redeeming your shareholding in the Company.
If you have any questions about the Fund’s use of your personal information, please contact the Data Protection Officer at the following email address: email@example.com
Shares/Collective investment schemes are generally medium- to long-term investments. The value of shares may go down as well as up and past performance is not necessarily a guide to the future. Collective investment schemes are traded at ruling prices and can engage in borrowing and scrip lending. A schedule of fees, charges and maximum commissions is available on request from the manager. Commission and incentives may be paid and if so, are included in the overall costs. There is no guarantee in respect of capital or returns in a portfolio. Daily forward pricing is used. A Prospectus is available from the Company. Fluctuations or movements in exchange rates may cause the value of the underlying international investments to go up or down.
Prescient Global Funds plc
The Company intends to take such steps as may be required to satisfy any obligations imposed by (i) the Standard for Automatic Exchange of Financial Account Information in Tax Matters (“the Standard”) and, specifically, the Common Reporting Standard (“CRS”) therein or (ii) any provisions imposed under Irish law arising from the Standard or any international law implementing the Standard (to include the Multilateral Competent Authority Agreement on Automatic Exchange of Financial Account Information or the EU Council Directive 2011/16/EU (as amended by Council Directive 2014/107/EU)) so as to ensure compliance or deemed compliance (as the case may be) with the Standard and the CRS therein from 1 January 2016.
The Company is obliged under Section 891F of the Taxes Consolidation Act 1997 (as amended) and regulations made pursuant to that section to collect certain information about each Investor’s tax arrangements.
Please note that in certain circumstances the Company may be legally obliged to share this information and other financial information with respect to an Investor’s interests in the Company with the Irish Revenue Commissioners. In turn, and to the extent the account has been identified as a Reportable Account, the Irish Revenue Commissioners will exchange this information with the country of residence of the Reportable Person(s) in respect of that Reportable Account.
In particular, the following information will be reported by the Company to the Irish Revenue Commissioners in respect of each Reportable Account maintained by the Company:
Please note that in certain limited circumstances it may not be necessary to report the tax identification number and date of birth of a Reportable Person.
In addition to the above, the Irish Revenue Commissioners and Irish Data Protection Commissioner have confirmed that Irish Financial Institutions (such as the Company) may adopt the “wider approach” for CRS. This allows the Company to collect data relating to the country of residence and the tax identification number from all non-Irish resident Investors.
The Company can send this data to the Irish Revenue Commissioners who will determine whether the country of origin is a Participating Jurisdiction for CRS purposes and, if so, exchange data with them. Revenue will delete any data for non-Participating Jurisdictions.
The Irish Revenue Commissioners and the Irish Data Protection Commissioner have confirmed that this wider approach can be undertaken for a set 2-3 year period pending the resolution of the final CRS list of Participating Jurisdictions.
Applicants and Investors can obtain more information on the Company’s tax reporting obligations on the website of the Irish Revenue Commissioners (which is available at http://www.revenue.ie/en/business/aeoi/index.html) or the following link in the case of CRS only: http://www.oecd.org/tax/automatic-exchange/.
All capitalised terms above, unless otherwise defined above, shall have the same meaning as they have in the Standard and EU Council Directive 2014/107/EU (as applicable).
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