Corporate Investment Declaration Form

2
KNOWLEDGE & EXPERIENCE
Please indicate which of the following products you have prior
Knowledge and/or Experience (K&E) in
Please indicate the method of acquiring Knowledge and/or Experience below
I have Knowledge & Experience in this prod-
uct area based on past investment Experi-
ence / Education / Professional Knowledge
/other external source
(Section A)
I have been provided with
Knowledge about this product by CGM
(Section B)
Kindly tick your response under Yes or No Yes No Yes No
Mutual Funds
Bonds, Bills and Notes
Gold
Hybrid Securities (Preferred Stock, Perpetuals, convertibles)
Equities / Stocks and Shares
Structured Products (structured notes, structured deposits, ELN)
Private Equity
Derivatives (Futures, Options, Swaps)
Variable Annuities / Investment-Linked Insurance
Currency Derivatives
To be filled in separately by each person authorised to deal in securities
You as the authorised representative of the “Account” are legally empowered to make investment decisions on behalf of the Account and hence we would like to evaluate the extent
of your knowledge and familiarity with different types of investment products. “Account” means name of Entity in whose name the relationship is proposed to be opened wth CGM.
In case you have chosen your response as ‘Yes’ to any of the products under Section ‘B’ above, kindly select the most appropriate option/(s) below.
Mutual Funds
Bonds, Bills and Notes
Gold
Hybrid Securities (Preferred Stock, Perpetuals, convertibles)
Equities / Stocks and Shares
Structured Products (structured notes, structured deposits, ELN)
Private Equity
Derivatives (Futures, Options, Swaps)
Variable Annuities / Investment-Linked Insurance
Currency Derivatives
Based on your knowledge and experience, you are eligible to invest in the following categories highlighted
Kindly tick the most
appropriate option for
products where applicable
(Multiple selection allowed)
Mutual
Funds
Bonds, Bills
and Notes
Gold Hybrid
Securities
(Preferred
Stock, Per-
petuals,
convert-
ibles)
Equities /
Stocks and
Shares
Structured
Products
(structured
notes,
structured
deposits,
ELN)
Private
Equity
Derivatives
(Futures,
Options,
Swaps)
Variable
Annuities /
Invest-
ment-
Linked
Insurance
Currency
Derivatives
1. Explanation on general
product foundation given
based on training material
I/We have read and understood the investment product education materials as detailed in the General Information Document of the product category(ies). I/We
acknowledge that the risks, disclosures and other information are not an exhaustive description of
the risks involved in invest- ment transactions and will consult my
legal, regulatory, tax, financial and/or accounting advisors to the extent considered necessary, and read the offer documents or other marketing materials pertaining
to the specific product prior to entering into a financial transaction.
2. Explanation on specific
product features given
based on product fact-
sheet / marketing material
/ KIM
3. Risk disclosure explained
in detail
4. Risk and Return payoff
clearly explained with
examples
5. Prospectus given
6. Others (Please explain)
Name :
Signature Of Authorized
Signatory With Seal
CWA/CID/Investment/11/13-V4.0
Page 2/5
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Corporate Investment Declaration Form PDF

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