Form 3 (Individual Investment Licence)

Form 3 (Individual Investment Licence)

APPLICATION BY AN INDIVIDUAL FOR INVESTMENT ADVISER’S LICENCE

Application is hereby made for an investment adviser’s licence under the Act and the following statements are made in respect thereof:

Note:

(1) If space is insufficient to provide details, please attach annexure(s). Any such annexure should be identified as such and signed by the signatory to this application.

(2) This application shall be accompanied by a detailed statement of the applicant’s assets and liabilities and shall be signed by the applicant.

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