Mutual Funds Please note that CASH is not an acceptable mode of payment
Corporate Purchase Order Form
Please select the Fund(s) you wish to invest INDICATE THE AMOUNT YOU WISH TO INVEST: CSCS Number CHN Number
Stanbic IBTC ETF 30
SIAML Pension ETF 40
Stanbic IBTC Imaan Fund*
Stanbic IBTC Nigerian Equity Fund
*A Shariah compliant mutual fund governed by the principles of Islamic finance as
Stanbic IBTC Ethical Fund approved by the Shariah Advisory Committee.
Stanbic IBTC Balanced Fund
RISK
Stanbic IBTC Bond Fund Would you like to know more about Stanbic IBTC products and services?
Stanbic IBTC Dollar Fund YES NO
Stanbic IBTC Guaranteed Investment Fund
Stanbic IBTC Money Market Fund
DETAILS OF INVESTOR
APPLICANT*
NAME OF INSTITUTION
RC/REGISTRATION NUMBER DATE OF INCORPORATION
PLACE OF INCORPORATION BUSINESS TYPE
BUSINESS SECTOR PHONE NUMBER
FAX NUMBER LEGAL ENTITY TYPE
WEBSITE
EMAIL ADDRESS
BUSINESS ADDRESS
CITY
STATE COUNTRY
ANNUAL TURNOVER
NAME OF CONTACT PERSON
DESIGNATION CONTACT'S EMAIL ADDRESS
BANK DETAILS
BANK NAME ACCOUNT NUMBER
BANK ACCOUNT NAME
BVN
SIGNATORY 1 SIGNATORY 2
NAME NAME
ID TYPE ID TYPE
COUNTRY OF ISSUE COUNTRY OF ISSUE
DATE OF ISSUE EXPIRY DATE DATE OF ISSUE EXPIRY DATE
DESIGNATION DESIGNATION
DIVIDEND PAYMENTS Reinvested in the Fund Transfer to Bank Details Provided
HOW DID YOU HEAR ABOUT US?
STANBIC IBTC BANK BRANCH ONLINE-WEBSITE SMS BILLBOARD NEWSPAPER AD CAMPAIGN OR PROMO
DIRECT MARKETING MAIL/
EMAIL NETWORKING/REFERAL RADIO SPONSORED EVENT
OTHERS (PLEASE SPECIFY)
Please note that CASH is not an acceptable mode of payment
DECLARATION OF APPLICANT(S)
I/We declare that:
-I/We have attached a cheque/bank/draft/evidence of fund transfer made payable in the name of my/our chosen Fund(s) requested above to Stanbic IBTC Asset Management Limited, with my/our name,
address and day time telephone number written at the back or that I/We have forwarded evidence of remittance of foreign currency in accordance with the bank details provided overleaf
-I/We confirm that I/We have read table 1.1 overleaf and thus understand that, as with all capital market investments, the prices of funds invested in quoted securities (i.e. Stanbic IBTC Nigerian Equity
Fund, Stanbic IBTC Ethical Fund, Stanbic IBTC Imaan Fund, Stanbic IBTC Balanced Fund, Stanbic IBTC Guaranteed Investment Fund, Stanbic IBTC Bond Fund, Stanbic IBTC Dollar Fund,
Stanbic IBTC ETF 30, SIAML Pension ETF 40) may fluctuate and that past performance is not necessarily an indication of future performance.
I/We agree:
-To comply with the minimum tenor(s) of the investment as shown in Table 1.1 overleaf, failing which I/We accept my/our loss, cost and charges that may arise as a result of my/our redemption.
-That a fund statement in respect of this investment may be sent by post, at my/our risk, to the Office/Email addresses given above.
-I/We have read and agree with terms and conditions of the Stanbic IBTC Imaan Fund
"I/We hereby confirm that the information provided above is true, accurate and complete. Subject to applicable local laws, I/We hereby consent and authorize for Stanbic IBTC Asset Management
Limited (SIAML) to share my/our information with domestic and overseas tax authorities where necessary to establish my/our tax liability in any jurisdiction. Where required by domestic or oversea
regulators or tax authorities, I/We consent and agree that SIAML may withhold from my/our account(s) such amounts as may be required according to applicable laws, regulations and directives.
Signature
I/We ofnotify
agree to Unit Holder Dateinformation which I/We have provided to SIAML"
SIAML within 30 calendar days if there is a change in any Signature of Unit
Corporate Unit Holder's Signature Corporate Unit Holder's Signature
Company
Seal
Name/Designation Name/Designation
Please ensure two authorised signatories execute, state their designation and apply a common seal
SIGNATURE MANDATE Either to sign Both to sign
FOR FUND MANAGER USE ONLY
Amount Paid Offer Price Number of Units Allocated
APPLICATION CHECKLIST:
Corporate
This completed and Executed Purchase Order Form
Certificate Of Incorporation
Memorandum and Articles of Association
Certified true copy of Form CAC 2: showing a statement of share capital and return of allotment of shares
Certified true copy of Form CAC 7: showing Particulars of Directors
Legal Search Report (To be independently sourced by the Capital Market Operator i.e SIAML)
Special Control Unit Agency Money Laundering (SCUML) Certificate of Registration *
Board resolution approving investment in your chosen Fund(s)
Proof of Address of each applicant, e.g. Utility Bill (not more than 3month old)
1 Passport photograph of each applicant/signatories
1 Proof of identity of each of the applicant/signatories, e.g Permanent Voter's Card, National Identity Card, International
Passport, Driver's License, etc
Bank draft or evidence of payment
Proof of Address of Directors
Please note that all information provided may be verified using independently sourced documents, data or information and may be kept up to date. In addition, such information
may also be shared with other affiliates of the Standard Bank Group.
*SCUML certificate is required for registered charities and religious organisations in line with sections 73(1) and 76(3) respectively of the SEC's Anti-Money Laundering and
Combating the Financing of Terrorism Regulations 2013.
Please note that CASH is not an acceptable mode of payment
Table 1.1
Asset Allocation Initial Additional Minimum Holding Stanbic IBTC Bank
Investment Investment Period without penalty Account Number
(Exclusive of Dollar Fund)
First Trustees/Stanbic IBTC ETF 30 Minimum 98% in Equities N1,000,000 N1,000,000 N/A 0013727212
First Trustees/SIAML Pension ETF 40 Minimum 98% in Equities N1,000,000 N1,000,000 N/A 0019745087
Minimum 70% in sharia compliant
First Trustees/Stanbic IBTC Imaan Fund equities
Maximum 30% in non-interest N5,000 N5,000 90 Days 0003190808
earning fixed income securities
(Sukuk, Cash)
Minimum 60% in equity securities
First Trustees/Stanbic IBTC Nigerian Equity Fund Maximum 40% in high quality fixed N5,000 N5,000 90 Days 9202476058
income securities
Minimum 60% in equities of socially
First Trustees/Stanbic IBTC Ethical Fund responsible companies N5,000 N5,000 90 Days 9202476106
Maximum 40%
in fixed income securities
Maximum 60% in both quoted and un-
First Trustees/Stanbic IBTC Balanced Fund quoted equity securities
Minimum 40% in high quality fixed N5,000 N5,000 90 Days 9202475082
income securities
Minimum 65% in Bonds; Maximum
N5,000 N5,000 91 Days 9202476247
First Trustees/Stanbic IBTC Bond Fund 35% in Money Market Instruments
Minimum 75% in Fixed Income Standard Chartered Bank
First Trustees/Stanbic IBTC Dollar Fund Maximum 25% in cash equivalent $5,000 $500 182 Days USD A/C: 0002471776
0 - 10% in equities
Minimum 75% in Fixed Income
First Trustees/Stanbic IBTC Guaranteed Investment Maximum 25% in Equities
N5,000 N5,000 90 Days 9202475343
Fund
100% in Money Market Securities N5,000 N5,000 30 Days 9202476223
First Trustees/Stanbic IBTC Money Market Fund
IMPORTANT
It is advisable to consult your financial advisor, accountant and/or solicitor to ensure proper understanding of the investment before subscribing to any of our mutual funds.
Units of the chosen fund(s) will be purchased at the prevailing offer price on the day the subscription form and evidence of fund transfer/payment is received. Foreign currency
subscribers are advised to contact the Fund Manager, Stanbic IBTC Asset Management Limited for the applicable Foreign Currency exchange rate on the day the remittance is
being effected.
Please note that redemptions are processed within five (5) business days
INWARD REMITTANCE FOR PAYMENTS CAN BE MADE TO:
USD GBP EURO RAND CAND USD
CORRESPONDENT BANK: CORRESPONDENT BANK: CORRESPONDENT BANK: CORRESPONDENT BANK: CORRESPONDENT BANK: (FOR DOLLAR FUND ONLY)
DEUTSCHE BANK TRUST HSBC London 8 Canada Deutsche Bank AG Frankfurt STANDARD BANK OF CITI BANK, LONDON CORRESPONDENT BANK:
COMPANY Square, Canary Wharf, London, Alfred-Herrhausen-Alee 16-24, SOUTH AFRICA. SWIFT CODE: CITI BGB2L Standard Chartered Bank N.Y
AMERICAS E14 5HQ 65760 Eschborn Germany 5 SIMMOND STREET, INTERMEDIARY BANK: One Madison Avenue
NEW YORK NY Swift Code: MIDLGB22 Swift code: DEUTDEFF JOHANNESBURG, SOUTH DOMINION BANK New York
SWIFT CODE: BKTRUS33 T TO: AFRICA. TORONTO SWIFT: TDOM New York 10010-3603
ABA 021001033 O
Stanbic IBTC Bank - GBP STANBIC IBTC BANK SWIFT CODE: CA TT TOR SWIFT CODE: SCBLUS33
TO: :
Ordinary Domiciliary Account ACCOUNT NO: SBZAZAJJXXX TO: ABA 026002561
STANBIC IBTC BANK Sort code: 400515 100955570700EUR TO: STANBIC IBTC BANK TO:
ACCOUNT NO: 04433866 Account no: 74603882 SWIFT CODE: SBICNGLX STANBIC IBTC BANK ACCOUNT NO: 12144921 Standard Chartered Bank
SWIFT CODE: SBICNGLX Swift code: SBICNGLX IBAN NUMBER: DE 89 5007 ACCOUNT NO: 7113545 SWIFT CODE: SBICNGLX Nigeria
IBAN number: 0010 0955 5707 00 SWIFT CODE: SBICNGLX Account No: 3582088704001
GB95MIDL40051574603882 Swift Code: SCBLNGLAPY
NOTE: IN BENEFICIARY (i.e any of the above named mutual funds)
Stanbic IBTC Asset Management Limited
Head Office: Abuja Office: Port Harcourt Office:
The Wealth House Pated Marble Plaza 269 Port Harcourt/Aba Expressway
Plot 1678 Olakunle Bakare Close 1049 Ahmadu Bello Way Opposite Shell Residential Area
Victoria Island, Lagos Area II, Garki, Abuja Port Harcourt, Rivers State
Tel: +234 (1) 2801266, +234 (1) 2805595, Tel: +234-9-7803986, 0702 825 7258/9, Tel: 07065938647, 08139648144, 07069650783
+234 (1) 8990831 0706 815 8116
0700 MUTUAL FUNDS (0700 688825 38637) Facsimile: +234 (1) 280 5444 2/3
Facsimile: +234 (1) 280 5444 2/3
Email:
[email protected] Website: www.stanbicibtc.com/assetmanagement
Stanbic IBTC Asset Management Limited. RC 209744
Stanbic IBTC Asset Management Limited
The Wealth House
Plot 1678 Olakunle Bakare Close
Off Sanusi Fafunwa Street
Victoria Island
Lagos, Nigeria
Dear Sirs
AUTHORISATION GIVEN IN RELATION TO THE PROCESSING OF ELECTRONIC MAIL
INSTRUCTIONS ISSUED IN RELATION TO INVESTMENTS HELD WITH STANBIC IBTC ASSET
MANAGEMENT LIMITED OPERATED BY______________________
I/We refer to Investment(s) in Stanbic IBTC Mutual Funds with account number(s)
…………..………………………………………………………….................................................................................
(hereinafter jointly and severally called ''the Investment'' which expression shall be deemed to include any
reclassification or renumbering of the investments specified herein as well as any other investments that I/We may
subsequently establish and operate with Stanbic IBTC Asset Management Limited (“SIAML”) at The Wealth House
Plot 1678 Olakunle Bakare Close Off Sanusi Fafunwa Street Victoria Island Lagos or such other office or offices as
SIAML may from time to time maintain elsewhere in Nigeria) and wish to advise and confirm as follows:
1. That I/we hereby authorize SIAML to honour for and to debit the Investment in line with any and all
payment instructions received in my/our name in accordance with the agreed mandate for the operation of
the Investment which mandate it received in a format which bears or purports to bear the electronic scan,
facsimile or electronic mail signature of the person(s) whose specimen signature(s) are from time to time
provided by me/us in relation to the mandate for the Account and where SIAML honoured such
instructions in such circumstances prior to the date hereof its actions in that regard are hereby rectified
confirmed and approved.
2. That SIAML is authorised to honour for and to the debit the Investment any and all payment
instructions/confirmations issued or provided by me/us using the format for such instructions/confirmation
agreed with SIAML and which format includes but is not limited to written instructions/confirmation and
where such instructions/confirmations are given in writing may be given by letter, electronic scan,
electronic mail as provided in item 1 hereof and where STANBIC IBTC Asset Management has honoured
or
any written instructions/confirmations in such circumstances prior to the date hereof its actions in
regard are hereby rectified confirmed and approved.
that
3. That I/We hereby authorize SIAML to honour for and to the debit the Investment any and all redemption
instructions that are in such amounts as may from time to time fall within the category of
instructions
redemption for which confirmations are not required and where such requests are honoured, in the absence
of fraud or negligence by SIAML or any of its employees, SIAML shall not be held liable for honouring
such redemption instructions even if it is subsequently discovered that the relevant payment
should not have been compiled with and/or did not actually emanate from me/us.
instruction
4. That all authorizations given by me/us and certified to SIAML as currently governing the operation of
the Investment are hereby continued in full force and effect except as the same may have been
supplemented or modified by the terms of this authorization. Consequently SIAML may rely upon
authorization
this and I/we will not hold SIAML liable for any actions it may take pursuant to this authorization
unless and except this authorization is revoked or modified by any subsequent authorization issued
me/us and a copy of such subsequent authorization has been received by SIAML.
by
Confidential
5. I/We understand and acknowledge that electronic scan, electronic mail, facsimile and verbal
communications are insecure transmission media. I/We hereby undertake to indemnify SIAML in full for
any loss you may suffer or incur by reason of your honouring such instructions via electronic mail,
facsimile or other formats agreed between me/us with Stanbic IBTC Asset Management provided
STANBIC IBTC Asset Management has taken all measures prescribed by its internal policies and practices
that
to verify the authenticity of such communications irrespective of whether same are in fact erroneous
fraudulent or issued otherwise than as aforesaid.
6. This Indemnity shall remain valid and binding on me/us throughout the period that the Account
maintained and operated by me/us with Stanbic IBTC.
is
Dated this ………………day of …………………………..20………..
Name of Unit Holder(s)………………………………………………………….
Signature(s)______________________________________
(Signed over a N500 stamp by the authorized signatory or signatories to the Investment Account)
In the presence of
Name ___________________________________________
Address__________________________________________
Occupation:_______________________________________
Signature_________________________________________
Confidential