Sophisticated Investor Certificate

Name of Person Completing this Form*

First Last

Email Address*

A confirmatory email will be sent to this address once this form has been successfully submitted.

Are you completing this form on behalf of the adviser?*

Yes
No

Adviser Name*

The adviser will be sent a copy of this form on submission.

First Last

Adviser Email*

Billing Details*

What is the name of the person or entity, including ABN if applicable, who is to be billed for our fees.

Name of Individual or Entity Requiring Certification*

Name of Associated Self Managed Superannuation Fund if applicable*

Please indicate how we are to assess this submission*

Income Method - A copy of the last 2 years' income tax returns showing assessable income of greater than $250,000 in each year is required.
Asset Method - Summary of net asset position of more than $2.5m. Market values of property and other investments and corresponding liabilities is required.

Is the entity relying on another entity as controller (e.g. a company relying on a director's asset/Income position) to qualify?*

No
Yes

Name of Controller*

We require the same Income/Asset information as described above.

Please upload your supporting documents including, if applicable, a template of the required certificate. Note that we will use our default certificate format if none is supplied.

File

Drop files here or

Max. file size: 512 MB.

Sophisticated Investor Certificate

If you have any questions please do not hesitate to contact us on 1300 809 933.