docmodification form – kyc update - Desjardins Financial Security
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modification form – kyc update - Desjardins Financial Security
1150, rue de Claire-Fontaine Québec (Québec) G1R 5G4 PLAN no 4. PLAN INVESTMENT OBJECTIVES – Each plan must be fully completed to update the client’s information. client id plan kyc with changes account number RESET non-registered modification form – kyc update 1. ACCOUNT REGISTRATION TYPE DEALER CODE 9697 OWNER FIRST NAME initial JOINT OWNER FIRST NAME initial INCOME RISK TOLERANCE LOW initial % GROWTH MEDIUM LOW 0 - 3 years non-registered plan kyc without changes account number SPOUSAL RRSP % Intended use of account RRIF % SPOUSAL RRIF SPECULATIVE % MEDIUM 4 - 5 years % % Retirement LIRA resp tfsa OTHER = 100% MEDIUM HIGH 6 - 9 years Personal savings LIF % HIGH % RISK TOLERANCE LOW Other BRANCH CODE plan kyc with changes account number OWNER LAST NAME non-registered JOINT OWNER LAST NAME IN TRUST FOR – LAST NAME rRSP OBJECTIVES INCOME RISK TOLERANCE LOW % % MEDIUM LOW 0 - 3 years Intended use of account GROWTH RRIF % SPOUSAL RRIF SPECULATIVE % MEDIUM 4 - 5 years % % Retirement LIRA resp tfsa OTHER = 100% % HIGH INCOME RISK TOLERANCE LOW % = 100% non-registered EMPLOYER INFORMATION EMPLOYER BUSINESS TYPE OCCUPATION OBJECTIVES INCOME RISK TOLERANCE LOW TIME HORIZON address CITY PROVINCE POSTAL CODE PHONE NUMBER rRSP % % MEDIUM LOW 0 - 3 years Intended use of account GROWTH RRIF % SPOUSAL RRIF SPECULATIVE % MEDIUM 4 - 5 years % % Retirement LIF plan kyc with changes account number NUMBER OF DEPENDENTS non-registered INVESTMENT CHARACTERISTICS – Refer to the end of this form for definitions. INVESTMENT KNOWLEDGE GROSS ANNUAL INCOME NOVICE less than $50,000 less than $50,000 FAIR $50,000 TO $99,999 $50,000 TO $99,999 GOOD $100,000 TO $149,999 $100,000 TO $249,999 SOPHISTICATED $150,000 AND over $250,000 TO $999,999 OBJECTIVES INCOME RISK TOLERANCE LOW TIME HORIZON NET WORTH Check the box if the assets and liabilities include the spouse’s. rRSP resp tfsa OTHER = 100% OBJECTIVES INCOME RISK TOLERANCE LOW TIME HORIZON % HIGH % = 100% non-registered INCOME RISK TOLERANCE LOW MEDIUM 4 - 5 years % % % GROWTH MEDIUM LOW 0 - 3 years LIF resp tfsa OTHER = 100% % HIGH % PHONE NUMBER non-registered INCOME % SPOUSAL RRIF SPECULATIVE % MEDIUM 4 - 5 years % % Retirement LIF DEPENDENTS RISK TOLERANCE LOW NUMBER OF DEPENDENTS TIME HORIZON % MEDIUM LOW 0 - 3 years Intended use of account GROWTH GROSS ANNUAL INCOME resp tfsa OTHER NOVICE less than $50,000 less than $50,000 FAIR $50,000 TO $99,999 $50,000 TO $99,999 GOOD $100,000 TO $149,999 $100,000 TO $249,999 SOPHISTICATED $150,000 AND over $250,000 TO $999,999 non-registered % HIGH % INCOME RRIF % 10 years and over SPOUSAL RRIF SPECULATIVE % MEDIUM 4 - 5 years % % Other Retirement LIF LIRA resp tfsa OTHER = 100% MEDIUM HIGH 6 - 9 years % HIGH % = 100% 10 years and over Children’s education RISK TOLERANCE LOW TIME HORIZON 0 - 3 years Intended use of account $1,000,000 AND OVER % GROWTH MEDIUM LOW 4 - 5 years Personal savings = 100% Children’s education Other SPOUSAL RRIF SPECULATIVE % MEDIUM 4 - 5 years % % LIF resp tfsa OTHER = 100% MEDIUM HIGH 6 - 9 years Retirement LIRA % HIGH % = 100% 10 years and over Children’s education Other plan kyc without changes account number % GROWTH MEDIUM LOW RRIF % SPOUSAL RRIF SPECULATIVE % MEDIUM 4 - 5 years % % LIF Retirement resp tfsa OTHER = 100% MEDIUM HIGH 6 - 9 years Personal savings LIRA % HIGH % = 100% 10 years and over Children’s education Other RISK TOLERANCE LOW plan kyc without changes account number SPOUSAL RRSP % % 0 - 3 years GROWTH MEDIUM LOW RRIF % SPOUSAL RRIF SPECULATIVE % MEDIUM 4 - 5 years Personal savings % % LIF MEDIUM HIGH 6 - 9 years Retirement LIRA resp tfsa OTHER = 100% % HIGH % = 100% 10 years and over Children’s education Other Other OWNER SIGNATURE plan kyc without changes account number SPOUSAL RRSP % % Desjardins Financial Security Investments Inc. (DFS Investments) Self-directed accounts only: I hereby authorize DFS Investments to accept purchases, switches within the same fund family, and redemptions for me in accordance with my specific instructions for each transaction. The authorization also applies to new premiums, fund switches and redemptions for deposit into my bank account in relation to individual variable insurance contracts (Segregated funds) and to other products distributed through DFS Investments. I confirm that DFS Investments is authorized to accept my verbal instructions with respect to investment in and renewal of guaranteed investment certificates, subject to applicable policies. This limited trading authorization does not constitute discretionary trading authorization. I acknowledge that I will pay any applicable fees, commissions or charges payable to DFS Investments as a result of these transactions. I further acknowledge that in proving instructions to DFS Investments pursuant to this limited trading authorization, I have the same rights and obligation as I would, had I provided DFS Investments with written instructions. I understand that, unless otherwise specifically provided, this limited trading authorization is not intended to supersede or replace any other power of attorney granted by me or anyone other than DFS Investments. I also understand that this limited trading authorization is valid only for authorized DFS Investments advisors. This limited trading authorization is valid until I revoke it in writing addressed to DFS Investments. It expires upon my death. It is also valid only if DFS Investments authorizes my advisor to use it. I hereby declare that no changes have been made regarding the persons having trading authorization in this account since the account was created or last updated. If this is not the case, I will complete the “Identity Verification Supplementary Form” to update the information. Corporate, trust or partnership accounts authorization: I hereby declare that no changes have been made regarding the administrators or owners. If this is not the case, I will complete the “Identity Verification Supplementary Form” to update the information. Joint accounts: I authorize DFS Investments to accept transaction orders from either the owner or a joint owner. = 100% plan kyc without changes account number Personal savings rRSP OBJECTIVES HIGH 6. trading AUTHORIZATION, agreements and signatures = 100% Children’s education plan kyc with changes account number NET WORTH Check the box if the assets and liabilities include the spouse’s. % 10 years and over 5. SPECIAL INSTRUCTIONS INVESTMENT CHARACTERISTICS – Refer to the end of this form for definitions. INVESTMENT KNOWLEDGE OTHER Other LIRA MEDIUM HIGH 6 - 9 years SPOUSAL RRSP % tfsa plan kyc without changes account number RRIF Personal savings rRSP OBJECTIVES % SPOUSAL RRSP rRSP INCOME Intended use of account = 100% 10 years and over Children’s education plan kyc with changes account number POSTAL CODE resp plan kyc without changes account number RRIF Personal savings 0 - 3 years OBJECTIVES TIME HORIZON OCCUPATION PROVINCE Retirement LIRA MEDIUM HIGH 6 - 9 years plan kyc with changes account number Other LIRA MEDIUM HIGH 6 - 9 years Retirement SPOUSAL RRSP % Intended use of account CITY SPOUSAL RRIF SPECULATIVE % Personal savings rRSP OBJECTIVES TIME HORIZON EMPLOYER INFORMATION address % % LIF = 100% 10 years and over Children’s education plan kyc with changes account number 3. JOINT owner’S PERSONAL AND FINANCIAL INFORMATION BUSINESS TYPE GROWTH MEDIUM LOW 0 - 3 years Intended use of account $1,000,000 AND OVER EMPLOYER % % RRIF GROWTH MEDIUM LOW % Intended use of account plan kyc without changes account number SPOUSAL RRSP % rRSP non-registered DEPENDENTS MEDIUM % plan kyc with changes account number Other LIRA MEDIUM HIGH 6 - 9 years Personal savings % SPOUSAL RRSP % Intended use of account plan kyc without changes account number SPOUSAL RRSP SPOUSAL RRIF SPECULATIVE 4 - 5 years Personal savings 0 - 3 years non-registered 2. owner’S PERSONAL AND FINANCIAL INFORMATION RRIF % 10 years and over Children’s education plan kyc with changes account number MEDIUM LOW rRSP OBJECTIVES TIME HORIZON MEDIUM HIGH 6 - 9 years Personal savings LIF % GROWTH plan kyc with changes account number plan kyc without changes account number SPOUSAL RRSP plan kyc without changes account number SPOUSAL RRSP % 0 - 3 years Intended use of account 10 years and over Children’s education INCOME TIME HORIZON = 100% rRSP OBJECTIVES non-registered TIME HORIZON IN TRUST FOR – FIRST NAME rRSP OBJECTIVES TIME HORIZON advisor CODE plan kyc with changes account number Refer to the end of this form for definitions. RRIF % SPOUSAL RRIF SPECULATIVE % MEDIUM % % 6 - 9 years Retirement LIF LIRA resp tfsa % HIGH % DATE (DD/MM/YYYY) OTHER = 100% MEDIUM HIGH JOINT OWNER SIGNATURE (if applicable) Advisor declaration: I confirm that a copy of this fully completed form has been provided to the client. = 100% ADVISOR NAME (IN PRINTED CHARACTERS) advisor SIGNATURE DATE (DD/MM/YYYY) BRANCH MANAGER/SUPERVISING OFFICER NAME BRANCH MANAGER/SUPERVISING OFFICER SIGNATURE DATE (DD/MM/YYYY) 10 years and over Children’s education Other (IN PRINTED CHARACTERS) Mutual funds and guaranteed investment certificates are distributed through Desjardins Financial Security Investments Inc. Desjardins Financial Security Investments Inc. may act as an administrative service provider for segregated funds, which are primarily distributed under the applicable Insurance Acts or non securities-related regulation. 07073E (13-06) copy: BRANCH, CLIENT AND ADVISOR Page 1 of 4 07073E (13-06) copy: BRANCH, CLIENT AND ADVISOR Page 2 of 4 07073E (13-06) copy: BRANCH, CLIENT AND ADVISOR Page 3 of 4 1150, rue de Claire-Fontaine Québec (Québec) G1R 5G4 PLAN no 4. PLAN INVESTMENT OBJECTIVES – Each plan must be fully completed to update the client’s information. client id plan kyc with changes account number non-registered modification form – kyc update 1. ACCOUNT REGISTRATION TYPE DEALER CODE 9697 OWNER FIRST NAME initial JOINT OWNER FIRST NAME initial INCOME RISK TOLERANCE LOW initial % GROWTH MEDIUM LOW 0 - 3 years non-registered plan kyc without changes account number SPOUSAL RRSP % Intended use of account RRIF % SPOUSAL RRIF SPECULATIVE % MEDIUM 4 - 5 years % % Retirement LIRA resp tfsa OTHER = 100% MEDIUM HIGH 6 - 9 years Personal savings LIF % HIGH % RISK TOLERANCE LOW Other BRANCH CODE plan kyc with changes account number OWNER LAST NAME non-registered JOINT OWNER LAST NAME IN TRUST FOR – LAST NAME rRSP OBJECTIVES INCOME RISK TOLERANCE LOW % % MEDIUM LOW 0 - 3 years Intended use of account GROWTH RRIF % SPOUSAL RRIF SPECULATIVE % MEDIUM 4 - 5 years % % Retirement LIRA resp tfsa OTHER = 100% % HIGH INCOME RISK TOLERANCE LOW % = 100% non-registered EMPLOYER INFORMATION EMPLOYER BUSINESS TYPE OCCUPATION OBJECTIVES INCOME RISK TOLERANCE LOW TIME HORIZON address CITY PROVINCE POSTAL CODE PHONE NUMBER rRSP % % MEDIUM LOW 0 - 3 years Intended use of account GROWTH RRIF % SPOUSAL RRIF SPECULATIVE % MEDIUM 4 - 5 years % % Retirement LIF plan kyc with changes account number NUMBER OF DEPENDENTS non-registered INVESTMENT CHARACTERISTICS – Refer to the end of this form for definitions. INVESTMENT KNOWLEDGE GROSS ANNUAL INCOME NOVICE less than $50,000 less than $50,000 FAIR $50,000 TO $99,999 $50,000 TO $99,999 GOOD $100,000 TO $149,999 $100,000 TO $249,999 SOPHISTICATED $150,000 AND over $250,000 TO $999,999 OBJECTIVES INCOME RISK TOLERANCE LOW TIME HORIZON NET WORTH Check the box if the assets and liabilities include the spouse’s. rRSP resp tfsa OTHER = 100% OBJECTIVES INCOME RISK TOLERANCE LOW TIME HORIZON % HIGH % = 100% non-registered INCOME RISK TOLERANCE LOW MEDIUM 4 - 5 years % % % GROWTH MEDIUM LOW 0 - 3 years LIF resp tfsa OTHER = 100% % HIGH % PHONE NUMBER non-registered INCOME % SPOUSAL RRIF SPECULATIVE % MEDIUM 4 - 5 years % % Retirement LIF DEPENDENTS RISK TOLERANCE LOW NUMBER OF DEPENDENTS TIME HORIZON % MEDIUM LOW 0 - 3 years Intended use of account GROWTH GROSS ANNUAL INCOME resp tfsa OTHER NOVICE less than $50,000 less than $50,000 FAIR $50,000 TO $99,999 $50,000 TO $99,999 GOOD $100,000 TO $149,999 $100,000 TO $249,999 SOPHISTICATED $150,000 AND over $250,000 TO $999,999 non-registered % HIGH % INCOME RRIF % 10 years and over SPOUSAL RRIF SPECULATIVE % MEDIUM 4 - 5 years % % Other Retirement LIF LIRA resp tfsa OTHER = 100% MEDIUM HIGH 6 - 9 years % HIGH % = 100% 10 years and over Children’s education RISK TOLERANCE LOW TIME HORIZON 0 - 3 years Intended use of account $1,000,000 AND OVER % GROWTH MEDIUM LOW 4 - 5 years Personal savings = 100% Children’s education Other SPOUSAL RRIF SPECULATIVE % MEDIUM 4 - 5 years % % LIF resp tfsa OTHER = 100% MEDIUM HIGH 6 - 9 years Retirement LIRA % HIGH % = 100% 10 years and over Children’s education Other plan kyc without changes account number % GROWTH MEDIUM LOW RRIF % SPOUSAL RRIF SPECULATIVE % MEDIUM 4 - 5 years % % LIF Retirement resp tfsa OTHER = 100% MEDIUM HIGH 6 - 9 years Personal savings LIRA % HIGH % = 100% 10 years and over Children’s education Other RISK TOLERANCE LOW plan kyc without changes account number SPOUSAL RRSP % % 0 - 3 years GROWTH MEDIUM LOW RRIF % SPOUSAL RRIF SPECULATIVE % MEDIUM 4 - 5 years Personal savings % % LIF MEDIUM HIGH 6 - 9 years Retirement LIRA resp tfsa OTHER = 100% % HIGH % = 100% 10 years and over Children’s education Other Other OWNER SIGNATURE plan kyc without changes account number SPOUSAL RRSP % % Desjardins Financial Security Investments Inc. (DFS Investments) Self-directed accounts only: I hereby authorize DFS Investments to accept purchases, switches within the same fund family, and redemptions for me in accordance with my specific instructions for each transaction. The authorization also applies to new premiums, fund switches and redemptions for deposit into my bank account in relation to individual variable insurance contracts (Segregated funds) and to other products distributed through DFS Investments. I confirm that DFS Investments is authorized to accept my verbal instructions with respect to investment in and renewal of guaranteed investment certificates, subject to applicable policies. This limited trading authorization does not constitute discretionary trading authorization. I acknowledge that I will pay any applicable fees, commissions or charges payable to DFS Investments as a result of these transactions. I further acknowledge that in proving instructions to DFS Investments pursuant to this limited trading authorization, I have the same rights and obligation as I would, had I provided DFS Investments with written instructions. I understand that, unless otherwise specifically provided, this limited trading authorization is not intended to supersede or replace any other power of attorney granted by me or anyone other than DFS Investments. I also understand that this limited trading authorization is valid only for authorized DFS Investments advisors. This limited trading authorization is valid until I revoke it in writing addressed to DFS Investments. It expires upon my death. It is also valid only if DFS Investments authorizes my advisor to use it. I hereby declare that no changes have been made regarding the persons having trading authorization in this account since the account was created or last updated. If this is not the case, I will complete the “Identity Verification Supplementary Form” to update the information. Corporate, trust or partnership accounts authorization: I hereby declare that no changes have been made regarding the administrators or owners. If this is not the case, I will complete the “Identity Verification Supplementary Form” to update the information. Joint accounts: I authorize DFS Investments to accept transaction orders from either the owner or a joint owner. = 100% plan kyc without changes account number Personal savings rRSP OBJECTIVES HIGH 6. trading AUTHORIZATION, agreements and signatures = 100% Children’s education plan kyc with changes account number NET WORTH Check the box if the assets and liabilities include the spouse’s. % 10 years and over 5. SPECIAL INSTRUCTIONS INVESTMENT CHARACTERISTICS – Refer to the end of this form for definitions. INVESTMENT KNOWLEDGE OTHER Other LIRA MEDIUM HIGH 6 - 9 years SPOUSAL RRSP % tfsa plan kyc without changes account number RRIF Personal savings rRSP OBJECTIVES % SPOUSAL RRSP rRSP INCOME Intended use of account = 100% 10 years and over Children’s education plan kyc with changes account number POSTAL CODE resp plan kyc without changes account number RRIF Personal savings 0 - 3 years OBJECTIVES TIME HORIZON OCCUPATION PROVINCE Retirement LIRA MEDIUM HIGH 6 - 9 years plan kyc with changes account number Other LIRA MEDIUM HIGH 6 - 9 years Retirement SPOUSAL RRSP % Intended use of account CITY SPOUSAL RRIF SPECULATIVE % Personal savings rRSP OBJECTIVES TIME HORIZON EMPLOYER INFORMATION address % % LIF = 100% 10 years and over Children’s education plan kyc with changes account number 3. JOINT owner’S PERSONAL AND FINANCIAL INFORMATION BUSINESS TYPE GROWTH MEDIUM LOW 0 - 3 years Intended use of account $1,000,000 AND OVER EMPLOYER % % RRIF GROWTH MEDIUM LOW % Intended use of account plan kyc without changes account number SPOUSAL RRSP % rRSP non-registered DEPENDENTS MEDIUM % plan kyc with changes account number Other LIRA MEDIUM HIGH 6 - 9 years Personal savings % SPOUSAL RRSP % Intended use of account plan kyc without changes account number SPOUSAL RRSP SPOUSAL RRIF SPECULATIVE 4 - 5 years Personal savings 0 - 3 years non-registered 2. owner’S PERSONAL AND FINANCIAL INFORMATION RRIF % 10 years and over Children’s education plan kyc with changes account number MEDIUM LOW rRSP OBJECTIVES TIME HORIZON MEDIUM HIGH 6 - 9 years Personal savings LIF % GROWTH plan kyc with changes account number plan kyc without changes account number SPOUSAL RRSP plan kyc without changes account number SPOUSAL RRSP % 0 - 3 years Intended use of account 10 years and over Children’s education INCOME TIME HORIZON = 100% rRSP OBJECTIVES non-registered TIME HORIZON IN TRUST FOR – FIRST NAME rRSP OBJECTIVES TIME HORIZON advisor CODE plan kyc with changes account number Refer to the end of this form for definitions. RRIF % SPOUSAL RRIF SPECULATIVE % MEDIUM % % 6 - 9 years Retirement LIF LIRA resp tfsa % HIGH % DATE (DD/MM/YYYY) OTHER = 100% MEDIUM HIGH JOINT OWNER SIGNATURE (if applicable) Advisor declaration: I confirm that a copy of this fully completed form has been provided to the client. = 100% ADVISOR NAME (IN PRINTED CHARACTERS) advisor SIGNATURE DATE (DD/MM/YYYY) BRANCH MANAGER/SUPERVISING OFFICER NAME BRANCH MANAGER/SUPERVISING OFFICER SIGNATURE DATE (DD/MM/YYYY) 10 years and over Children’s education Other (IN PRINTED CHARACTERS) Mutual funds and guaranteed investment certificates are distributed through Desjardins Financial Security Investments Inc. Desjardins Financial Security Investments Inc. may act as an administrative service provider for segregated funds, which are primarily distributed under the applicable Insurance Acts or non securities-related regulation. 07073E (13-06) copy: BRANCH, CLIENT AND ADVISOR Page 1 of 4 07073E (13-06) copy: BRANCH, CLIENT AND ADVISOR Page 2 of 4 07073E (13-06) copy: BRANCH, CLIENT AND ADVISOR Page 3 of 4 1150, rue de Claire-Fontaine Québec (Québec) G1R 5G4 PLAN NO 4. PLAN INVESTMENT OBJECTIVES – Each plan must be fully completed to update the client’s information. CLIENT ID PLAN KYC WITH CHANGES ACCOUNT NUMBER NON-REGISTERED MODIFICATION FORM – KYC UPDATE 1. ACCOUNT REGISTRATION TYPE DEALER CODE 9697 OWNER FIRST NAME INITIAL JOINT OWNER FIRST NAME INITIAL INCOME RISK TOLERANCE LOW INITIAL % GROWTH MEDIUM LOW 0 - 3 YEARS NON-REGISTERED PLAN KYC WITHOUT CHANGES ACCOUNT NUMBER SPOUSAL RRSP % INTENDED USE OF ACCOUNT RRIF % SPOUSAL RRIF SPECULATIVE % MEDIUM 4 - 5 YEARS % % RETIREMENT LIRA RESP TFSA OTHER = 100% MEDIUM HIGH 6 - 9 YEARS PERSONAL SAVINGS LIF % HIGH % RISK TOLERANCE LOW OTHER BRANCH CODE PLAN KYC WITH CHANGES ACCOUNT NUMBER OWNER LAST NAME NON-REGISTERED JOINT OWNER LAST NAME IN TRUST FOR – LAST NAME RRSP OBJECTIVES INCOME RISK TOLERANCE LOW % % MEDIUM LOW 0 - 3 YEARS INTENDED USE OF ACCOUNT GROWTH RRIF % SPOUSAL RRIF SPECULATIVE % MEDIUM 4 - 5 YEARS % % RETIREMENT LIRA RESP TFSA OTHER = 100% % HIGH INCOME RISK TOLERANCE LOW % = 100% NON-REGISTERED EMPLOYER INFORMATION EMPLOYER BUSINESS TYPE OCCUPATION OBJECTIVES INCOME RISK TOLERANCE LOW TIME HORIZON ADDRESS CITY PROVINCE POSTAL CODE PHONE NUMBER RRSP % % MEDIUM LOW 0 - 3 YEARS INTENDED USE OF ACCOUNT GROWTH RRIF % SPOUSAL RRIF SPECULATIVE % MEDIUM 4 - 5 YEARS % % RETIREMENT LIF PLAN KYC WITH CHANGES ACCOUNT NUMBER NUMBER OF DEPENDENTS NON-REGISTERED INVESTMENT CHARACTERISTICS – Refer to the end of this form for definitions. INVESTMENT KNOWLEDGE GROSS ANNUAL INCOME NOVICE LESS THAN $50,000 LESS THAN $50,000 FAIR $50,000 TO $99,999 $50,000 TO $99,999 GOOD $100,000 TO $149,999 $100,000 TO $249,999 SOPHISTICATED $150,000 AND OVER $250,000 TO $999,999 OBJECTIVES INCOME RISK TOLERANCE LOW TIME HORIZON NET WORTH Check the box if the assets and liabilities include the spouse’s. RRSP RESP TFSA OTHER = 100% OBJECTIVES INCOME RISK TOLERANCE LOW TIME HORIZON % HIGH % = 100% NON-REGISTERED INCOME RISK TOLERANCE LOW MEDIUM 4 - 5 YEARS % % % GROWTH MEDIUM LOW 0 - 3 YEARS LIF RESP TFSA OTHER = 100% % HIGH % PHONE NUMBER NON-REGISTERED INCOME % SPOUSAL RRIF SPECULATIVE % MEDIUM 4 - 5 YEARS % % RETIREMENT LIF DEPENDENTS RISK TOLERANCE LOW NUMBER OF DEPENDENTS TIME HORIZON % MEDIUM LOW 0 - 3 YEARS INTENDED USE OF ACCOUNT GROWTH GROSS ANNUAL INCOME RESP TFSA OTHER NOVICE LESS THAN $50,000 LESS THAN $50,000 FAIR $50,000 TO $99,999 $50,000 TO $99,999 GOOD $100,000 TO $149,999 $100,000 TO $249,999 SOPHISTICATED $150,000 AND OVER $250,000 TO $999,999 NON-REGISTERED % HIGH % INCOME RRIF % 10 YEARS AND OVER SPOUSAL RRIF SPECULATIVE % MEDIUM 4 - 5 YEARS % % OTHER RETIREMENT LIF LIRA RESP TFSA OTHER = 100% MEDIUM HIGH 6 - 9 YEARS % HIGH % = 100% 10 YEARS AND OVER CHILDREN’S EDUCATION RISK TOLERANCE LOW TIME HORIZON 0 - 3 YEARS INTENDED USE OF ACCOUNT $1,000,000 AND OVER % GROWTH MEDIUM LOW 4 - 5 YEARS PERSONAL SAVINGS = 100% CHILDREN’S EDUCATION OTHER SPOUSAL RRIF SPECULATIVE % MEDIUM 4 - 5 YEARS % % LIF RESP TFSA OTHER = 100% MEDIUM HIGH 6 - 9 YEARS RETIREMENT LIRA % HIGH % = 100% 10 YEARS AND OVER CHILDREN’S EDUCATION OTHER PLAN KYC WITHOUT CHANGES ACCOUNT NUMBER % GROWTH MEDIUM LOW RRIF % SPOUSAL RRIF SPECULATIVE % MEDIUM 4 - 5 YEARS % % LIF RETIREMENT RESP TFSA OTHER = 100% MEDIUM HIGH 6 - 9 YEARS PERSONAL SAVINGS LIRA % HIGH % = 100% 10 YEARS AND OVER CHILDREN’S EDUCATION OTHER RISK TOLERANCE LOW PLAN KYC WITHOUT CHANGES ACCOUNT NUMBER SPOUSAL RRSP % % 0 - 3 YEARS GROWTH MEDIUM LOW RRIF % SPOUSAL RRIF SPECULATIVE % MEDIUM 4 - 5 YEARS PERSONAL SAVINGS % % LIF MEDIUM HIGH 6 - 9 YEARS RETIREMENT LIRA RESP TFSA OTHER = 100% % HIGH % = 100% 10 YEARS AND OVER CHILDREN’S EDUCATION OTHER OTHER OWNER SIGNATURE PLAN KYC WITHOUT CHANGES ACCOUNT NUMBER SPOUSAL RRSP % % Desjardins Financial Security Investments Inc. (DFS Investments) Self-directed accounts only: I hereby authorize DFS Investments to accept purchases, switches within the same fund family, and redemptions for me in accordance with my specific instructions for each transaction. The authorization also applies to new premiums, fund switches and redemptions for deposit into my bank account in relation to individual variable insurance contracts (Segregated funds) and to other products distributed through DFS Investments. I confirm that DFS Investments is authorized to accept my verbal instructions with respect to investment in and renewal of guaranteed investment certificates, subject to applicable policies. This limited trading authorization does not constitute discretionary trading authorization. I acknowledge that I will pay any applicable fees, commissions or charges payable to DFS Investments as a result of these transactions. I further acknowledge that in providing instructions to DFS Investments pursuant to this limited trading authorization, I have the same rights and obligation as I would, had I provided DFS Investments with written instructions. I understand that, unless otherwise specifically provided, this limited trading authorization is not intended to supersede or replace any other power of attorney granted by me or anyone other than DFS Investments. I also understand that this limited trading authorization is valid only for authorized DFS Investments advisors. This limited trading authorization is valid until I revoke it in writing addressed to DFS Investments. It expires upon my death. It is also valid only if DFS Investments authorizes my advisor to use it. I hereby declare that no changes have been made regarding the persons having trading authorization in this account since the account was created or last updated. If this is not the case, I will complete the “Identity Verification Supplementary Form” to update the information. Corporate, trust or partnership accounts authorization: I hereby declare that no changes have been made regarding the administrators or owners. If this is not the case, I will complete the “Identity Verification Supplementary Form” to update the information. Joint accounts: I authorize DFS Investments to accept transaction orders from either the owner or a joint owner. = 100% PLAN KYC WITHOUT CHANGES ACCOUNT NUMBER PERSONAL SAVINGS RRSP OBJECTIVES HIGH 6. TRADING AUTHORIZATION, AGREEMENTS AND SIGNATURES = 100% CHILDREN’S EDUCATION PLAN KYC WITH CHANGES ACCOUNT NUMBER NET WORTH Check the box if the assets and liabilities include the spouse’s. % 10 YEARS AND OVER 5. SPECIAL INSTRUCTIONS INVESTMENT CHARACTERISTICS – Refer to the end of this form for definitions. INVESTMENT KNOWLEDGE OTHER OTHER LIRA MEDIUM HIGH 6 - 9 YEARS SPOUSAL RRSP % TFSA PLAN KYC WITHOUT CHANGES ACCOUNT NUMBER RRIF PERSONAL SAVINGS RRSP OBJECTIVES % SPOUSAL RRSP RRSP INCOME INTENDED USE OF ACCOUNT = 100% 10 YEARS AND OVER CHILDREN’S EDUCATION PLAN KYC WITH CHANGES ACCOUNT NUMBER POSTAL CODE RESP PLAN KYC WITHOUT CHANGES ACCOUNT NUMBER RRIF PERSONAL SAVINGS 0 - 3 YEARS OBJECTIVES TIME HORIZON OCCUPATION PROVINCE RETIREMENT LIRA MEDIUM HIGH 6 - 9 YEARS PLAN KYC WITH CHANGES ACCOUNT NUMBER OTHER LIRA MEDIUM HIGH 6 - 9 YEARS RETIREMENT SPOUSAL RRSP % INTENDED USE OF ACCOUNT CITY SPOUSAL RRIF SPECULATIVE % PERSONAL SAVINGS RRSP OBJECTIVES TIME HORIZON EMPLOYER INFORMATION ADDRESS % % LIF = 100% 10 YEARS AND OVER CHILDREN’S EDUCATION PLAN KYC WITH CHANGES ACCOUNT NUMBER 3. JOINT OWNER’S PERSONAL AND FINANCIAL INFORMATION BUSINESS TYPE GROWTH MEDIUM LOW 0 - 3 YEARS INTENDED USE OF ACCOUNT $1,000,000 AND OVER EMPLOYER % % RRIF GROWTH MEDIUM LOW % INTENDED USE OF ACCOUNT PLAN KYC WITHOUT CHANGES ACCOUNT NUMBER SPOUSAL RRSP % RRSP NON-REGISTERED DEPENDENTS MEDIUM % PLAN KYC WITH CHANGES ACCOUNT NUMBER OTHER LIRA MEDIUM HIGH 6 - 9 YEARS PERSONAL SAVINGS % SPOUSAL RRSP % INTENDED USE OF ACCOUNT PLAN KYC WITHOUT CHANGES ACCOUNT NUMBER SPOUSAL RRSP SPOUSAL RRIF SPECULATIVE 4 - 5 YEARS PERSONAL SAVINGS 0 - 3 YEARS NON-REGISTERED 2. OWNER’S PERSONAL AND FINANCIAL INFORMATION RRIF % 10 YEARS AND OVER CHILDREN’S EDUCATION PLAN KYC WITH CHANGES ACCOUNT NUMBER MEDIUM LOW RRSP OBJECTIVES TIME HORIZON MEDIUM HIGH 6 - 9 YEARS PERSONAL SAVINGS LIF % GROWTH PLAN KYC WITH CHANGES ACCOUNT NUMBER PLAN KYC WITHOUT CHANGES ACCOUNT NUMBER SPOUSAL RRSP PLAN KYC WITHOUT CHANGES ACCOUNT NUMBER SPOUSAL RRSP % 0 - 3 YEARS INTENDED USE OF ACCOUNT 10 YEARS AND OVER CHILDREN’S EDUCATION INCOME TIME HORIZON = 100% RRSP OBJECTIVES NON-REGISTERED TIME HORIZON IN TRUST FOR – FIRST NAME RRSP OBJECTIVES TIME HORIZON ADVISOR CODE PLAN KYC WITH CHANGES ACCOUNT NUMBER Refer to the end of this form for definitions. RRIF % SPOUSAL RRIF SPECULATIVE % MEDIUM % % 6 - 9 YEARS RETIREMENT LIF LIRA RESP TFSA % HIGH % DATE (DD/MM/YYYY) OTHER = 100% MEDIUM HIGH JOINT OWNER SIGNATURE (if applicable) Advisor declaration: I confirm that a copy of this fully completed form has been provided to the client. = 100% ADVISOR NAME (IN PRINTED CHARACTERS) ADVISOR SIGNATURE DATE (DD/MM/YYYY) BRANCH MANAGER/SUPERVISING OFFICER NAME BRANCH MANAGER/SUPERVISING OFFICER SIGNATURE DATE (DD/MM/YYYY) 10 YEARS AND OVER CHILDREN’S EDUCATION OTHER (IN PRINTED CHARACTERS) Mutual funds and guaranteed investment certificates are distributed through Desjardins Financial Security Investments Inc. Desjardins Financial Security Investments Inc. may act as an administrative service provider for segregated funds, which are primarily distributed under the applicable Insurance Acts or non securities-related regulation. 07073E (13-06) COPY: BRANCH, CLIENT AND ADVISOR Page 1 of 4 07073E (13-06) COPY: BRANCH, CLIENT AND ADVISOR Page 2 of 4 07073E (13-06) COPY: BRANCH, CLIENT AND ADVISOR Page 3 of 4 DEFINITIONS Investment knowledge describes your knowledge of the investment industry and/or experience of investment products’ characteristics and inherent risks. • Novice: You understand there are different things you can invest in but do not know the differences between each type. This might be your first investment. • Fair: You know different types of investments and their level of risk. You own different investments. • Good: You are familiar with mutual funds, bonds and equities. You understand the interaction between the risk level, the returns and the fluctuation in time of different investment types. modification form KYC update • Sophisticated: You have in-depth knowledge of the financial market, its movement and its effect on your investments. Annual income indicates your gross annual incomes that come from your salary, rental, business and investment incomes. Net worth = liquid assets + non-liquid assets + fixed assets - liabilities • Liquid assets: Assets such as cash, bank accounts and investments that are not subject to restrictions and are readily converted into cash without penalties (including taxes owing). • Non-liquid assets: Investments that cannot qualify as liquid assets. Assets held in locked-in plans (e.g. pension plans) or registered plans are examples of non-liquid assets. • Fixed assets: Real estate, motor vehicles, furniture and equipment are examples of fixed assets. • Liabilities are deducted from your gross worth to obtain your net worth. Examples of liabilities include mortgages, car loans and lines of credit. Objectives • Income: Your primary goal is to generate income from your investments starting today or in the near future. Your focus is on capital preservation; you are less concerned with capital appreciation. Appropriate holdings would include some bond, money market, dividend and income funds. • Growth: Your focus is on capital appreciation; current income from investments is not a primary goal. • Speculative: Your objective is pure capital appreciation; current income from investments is not a requirement. This may lead you to hold a relatively high portion of funds engaging in speculative trading strategies or to hold high risk funds for lower time horizons. This objective increases the chances of substantial gains as well as substantial or total losses; therefore, only money you can afford to lose should be invested in such an account. High risk tolerance is required to identify a speculative objective for an account. Risk tolerance – This section identifies your willingness and your ability to assume risk. Please refer to the prospectus to determine the risk level of a mutual fund. • Low: You seek to minimize price fluctuations, and will accept modest returns. Low-risk mutual funds generally exhibit the least amount of price fluctuations and offer the lowest return potential. • Medium Low: You seek a potential for returns generally greater than those as described in low risk and price fluctuations which generally exhibit characteristics that are in-between those described for the low and medium risk tolerance. • Medium: You seek to enhance your returns, and will accept some market value fluctuations in the pursuit of this goal. If held for a number of years, medium-risk mutual funds offer a greater return potential when compared to low risk investments, but they generally exhibit greater short to medium term price fluctuations. • Medium High: You seek a potential for returns generally greater than those as described in medium risk and price fluctuations which generally exhibit characteristics that are in-between those described for the medium and high risk tolerance. • High: You seek the highest possible returns, and can tolerate large losses in the pursuit of this goal. High-risk mutual funds generally offer the greatest return potential when compared to medium risk investments, but they generally exhibit large price fluctuations. Examples of high risk investments may include labour-sponsored venture capital funds. 07073E (13-06) Time horizon indicates the period between now and when you will need to redeem a significant portion of the money you invested in this account. 07073E (13-06) copy: BRANCH, CLIENT AND ADVISOR Page 4 of 4
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