Decision Maker Nomination Form
If you need help to complete this form, please call us on 0800 289 936 (Freephone UK only) or +44 (0)1624 645000.
The Shareholder Rights Directive II (SRD II) is a European Union (EU) directive, which sets out to strengthen the position of
shareholders and to ensure that decisions are made for the long-term stability of a company.
This form must be completed by accountholders holding securities through Nedbank Private Wealth’s custodian services.
For the purposes of SRD II, you are required to nominate an individual to act as your decision maker to enable the transmission of
information between issuers, intermediaries and shareholders, and to facilitate the exercising of shareholder rights.
About the account
Account name
Account number(s)
Nominated desision maker
Title
Forename
Surname
Email address
Contact telephone number +
The nominated decision maker must be a named accountholder or an existing third party to the account.
Accountholder signature(s)
This form must be signed in accordance with your account mandate.
Account signatory 1 Account signatory 2
Name
Signature
Date (dd/mm/yyyy)
By completing and signing this form electronically, you agree that the signature(s) will be the electronic representation of your
signature(s) for all purposes, in the same way as a pen-and-paper signature. This document may be signed in any number of
counterparts. Each counterpart is deemed to be an original, and together, all counterparts form one single document. There is no
need to print and return the original form, or to email or fax it to us if you have signed it electronically via DocuSign. If you wish to
contact us by post, our office addresses are:
Isle of Man or London or Jersey
Nedbank Private Wealth Nedbank Private Wealth Nedbank Private Wealth
St Mary’s Court 20 Hill Street 31 The Esplanade Seventh Floor
Douglas Isle of Man St Helier Jersey 12 Arthur Street
British Isles IM1 1EU Channel Islands JE1 1FB London EC4R 9AB
Nedbank Private Wealth is a registered trade name of Nedbank Private Wealth Limited.
Nedbank Private Wealth Limited is licensed and regulated by the Isle of Man Financial Services Authority. Registered office: St Mary’s Court 20 Hill Street Douglas Isle of Man.
The Jersey branch is regulated by the Jersey Financial Services Commission. The London branch is authorised by the Prudential Regulation Authority and regulated by the
Financial Conduct Authority and the Prudential Regulation Authority. Registration No: 313189. The UAE representative office in Dubai is licensed by the Central Bank of UAE.
Representation in South Africa is through Nedbank Limited. Registered in South Africa with Registration No 1951/000009/06, an authorised financial services and registered
credit provider (NCRCP16). C160 05/24.
