Know your Customer (KYC) Form (Individuals) www.jsil.

com | 111-222-626
Date: ____-____-_______
Section 1: ____________________________________________________________________________________________
Name: Mr/Mrs/Ms: _________________________________________________________________________________________________________________

Father's/ Husband’s Name: ___________________________________________ Mother's Maiden Name: ________________________________________

CNIC/Passport No. *(in case of Minor, provide B-Form number or juvenile card): _______________________ Date of Birth: _______________________

CNIC Issue Date: _____________________ CNIC Expiry Date: ___________________ Place of Birth: __________________ Religion:_____________________

Marital Status: Married Single Nationality: ___________________________ Resident: Yes No

Mailing Address: _________________________________________________________________________________ Province: _______________________

Mobile no. _________________________________ Phone No. ____________________________ Email Address: __________________________________

In case of Minor Account:

Name of Guardian: _______________________________________________________________________________________________________________

Relation with minor: ________________________ Guardian CNIC: ___________________________ CNIC Issue Date: _____________________________

Mobile no. ________________________________ Phone No. _______________________________ CNIC Expiry Date: _____________________________

Section 2: Know Your Customer (KYC): ____________________________________________________________________

Source of Income: Salary Business Inheritance Savings/ Investments Other, please specify: ____________________________________

Occupation: Private Service Govt. Service Homemaker Student Retired Self-Employment

Real Estate Dealer Lawyer/ Legal Advisor Accountant/ Tax advisor Other, Please specify: __________________________________

Nature of Business (Sole Proprietor): ______________________ In case of Homemaker/ Student, please specify dependency on: ____________________

Type of Counter Parties (Sole Proprietor): ______________________________________________________________________________________________

Section 3: Miscellaneous KYC: ___________________________________________________________________________

a) 1) Are you a resident/ national of any country other than Pakistan? (If "Yes", please fill point #2 below): Yes No
2) Do you belong to a country that is not part of FATF (Financial Action Task Force*): Yes No
b) Do you have any business relationship or transactions in/ from offshore Tax Haven countries? Yes No
c) Has any Financial Institution ever refused to open your account? Yes No
d) Do you deal in high value items i.e. Gold, Silver, Diamonds, Metals, and Gems etc.? Yes No
e) Are you a resident or inhabitant of Southern Punjab or Afghan Border? Yes No
f) Is your total investment in JS Investments more than Rs. 25 million? Yes No
g) Do you hold a high profile position i.e. Sports or Media Personality? Yes No
h) Are you acting on behalf of any other person? (If "yes", please provide "Declaration for Ultimate Beneficial Ownership"). Yes No
i) Are you a domestic or foreign "Politically Exposed Person" (PEP)? Foreign Domestic Neither
j) Are you a family member or close associate of a domestic or foreign "Politically Exposed Person" (PEP)? Foreign Domestic Neither

*FATF members: Argentina | Australia | Austria | Belgium | Brazil | Canada | China | Denmark | Finland | France | Germany | Greece | Hong Kong (China)
| Iceland | India | Ireland | Italy | Japan | Korea |Luxembourg | Malaysia | Mexico | Netherlands | New Zealand | Norway | Portugal | Russian Federation
| Singapore | South Africa | Spain | Sweden | Switzerland | Turkey | United Kingdom | United States

Section 4: Declaration: _________________________________________________________________________________

I/We hereby acknowledge that the information provided on this form is correct to the best of my/ our knowledge and I/ we shall immediately update

JS Investments Limited (JSIL) if there is any change in the information provided, including change in my/ our source of wealth/ income. I/We hereby

authorize JSIL to verify any or all information related to KYC, CNIC verification using NADRA Verisys, IBAN and Mobile Number verification as provided

herein above in this form.

_______________________
Joint / Authorized Signature

For Official Use

Channel Partner: ___________________________ Region / City: __________________________ Branch Name / Code: ________________________

Relationship Manager: __________________________ Comments: __________________________________________________________________

Risk Profiling Questionnaire (RPQ) For Individual Clients
Name of applicant:_______________________________________________ Date: _________________
How to Score your Risk Profile
Q. 01 Please select your age range? • Each option has points associated with it.
Score the answers in ascending order (A = 1, B =
A.  Over 60 years or below 18 years
2, C = 3, and D = 4).
B.  Between 50 and 60 years
C.  Between 30 and 50 year • Please select one option under each question
D.  Between 18 and 30 year given
• Calculate all the scores given to each question
Q. 02 How do you consider your capital market experience and knowledge, in below table;
as an investor?
Question No. Your Points
A.  Basic 01
B.  Average
C.  Above Average/ Good 02
D.  Very Good 03
04
Q. 03 What are you looking for in terms of your investment objective?
05
A.  Capital preservation and regular income with very low risk Total Score
investments avenues
B.  Capital preservation and regular income with low risk investment The level of risk mentioned below is driven after
avenues ascertaining general risk factors applicable to the
C.  Capital growth and regular income with medium risk investment Mutual Funds industry;
avenues
D.  Capital appreciation and returns with high risk investment avenues
Total Risk General
Q. 04 Please select your average monthly income? Score Level Description

A.  Less than PKR 100,000

B.  Between PKR 100,000 and PKR 500,000 1-6 Low Principle at Low risk
C.  Between PKR 500,000 and 1000,000
D.  More than PKR 1000,000
7 - 13 Medium Principle at Medium risk
Q. 05 What levels of fluctuation in your investment would you generally accept?

A.  Less than PKR 5% 14 - 20 High Principle at High risk

B.  Between 5% to 10%
C.  Between 10% to 20%
D.  More than 20%

Declaration:
This RPQ has been filled to the best of my knowledge and I agree that this questionnaire only provides some indication of my risk
profile, which may or may not exactly reflect my ability to take risk and/ or risk tolerance level. Moreover, JSIL has provided all the
necessary advice about the Fund(s), under its management. I agree that any misleading or inaccurate information provided herein
may give wrong outcome of the recommendation made. Further, JSIL will not be held liable for any financial consequences.
I hereby declare that -please tick (  ) the box;
 I wish to proceed with the recommended Fund as per the Risk Profiling Questionnaire
 I have decided to purchase other Fund(s) that is not recommended as per Risk Profile Questionnaire and I understand the risk
associated with the Fund(s) of my choice
1. ______________________ 2. ______________________ 3. ______________________

_____________________
Applicant’s Signature

Disclaimer: All investments in mutual funds are subject to market risks. Past performance is not necessarily indicative of future
results. Please read the Offering Documents to understand the investment policies and the risks involved.
 Foreign Account Tax Compliance Act (FATCA) Checklist
For Ins�tu�ons, Individual & Joint Account Holders (Please write clearly using BLOCK LETTERS)

S# Par�culars Principal Applicant Joint Applicant 1 Joint Applicant 2 Joint Applicant 3

1 Full Name First

Middle
Last

2 Country of Residence:

3 Country of Birth:

4 CNIC/ POC/ NICOP:

5 Country of Incorpora�on
(For en��es)
6 Are you a U.S. Resident? Yes No Yes No Yes No Yes No
7 Are you a U.S. Ci�zen? Yes No Yes No Yes No Yes No
8 Do you hold a U.S.
Permanent Resident Card Yes No Yes No Yes No Yes No
(Green Card)?
9 Are you a Resident/ Yes No Yes No Yes No Yes No
Ci�zen of any other
country? (Please specify)

10 Are you Dual Na�onal Yes No Yes No Yes No Yes No

(Please specify what
na�onality do you hold)

11 Are you a Resident of any Yes No Yes No Yes No Yes No

country other than
Pakistan? (Please specify)

12 Do you have any tax Yes No Yes No Yes No Yes No

obliga�on in a country
other than Pakistan?
(Note: If “YES” then please specify the list of countries along with its respec�ve tax number, social security number, or local equivalent.)

13 Are you a U.S. Owned Yes No Yes No Yes No Yes No

En�ty/ any other country?
(Please specify)

14 Have you a given Power of Yes No Yes No Yes No Yes No

A�orney to any Person
residing overseas?
Please provide A�orney's Address:

15 W8BEN/ W9 Forms/ W8BENE Yes No Yes No Yes No Yes No

Submi�ed with date of
submission.

I/We hereby confirm the informa�on provided above is true, accurate and complete.
I/We hereby provide my/our consent to JS Investments Limited (JSIL) or any of its affiliates to disclose and furnish and share informa�on pertaining to my/ our
account to domes�c or overseas regulators or tax authori�es where necessary to establish our tax liability in any jurisdic�on.
I/ We also authorize JSIL to deduct withholding tax from my/ our account when required to do so by domes�c or overseas regulators or tax authori�es or pay out,
from my/our account(s) such amounts as may be required according to applicable laws, regula�ons, agreements with regulators or authori�es and direc�ves.
I/We shall indemnify and hold JSIL harmless against any claim, damages, costs, expenses and other direct and/or indirect consequence of disclosing, furnishing
and sharing any informa�on with any domes�c or overseas regulators or tax authori�es.
I/We agree and undertake to no�fy the JSIL within thirty (30) calendar days if there is a change in any informa�on which we have provided above.

____________________ ____________________ ____________________ ____________________

Principal /Authorized Signature Joint 1 (if any) / Authorized Signature Joint 2 (if any) / Authorized Signature Joint 3 (if any) / Authorized Signature
(Or Guardian in case of minor)
 Declara�on / Undertaking on Holders
www.jsil.com | 111-222-626
“Source of Income” & “Source of Funds”
Date: ____-____-_______

Name:_______________________________________________________ Father’s / Husband’s name:________________________________________

CNIC No. _____________________________________________________ JSIL A/C # _______________________________________________________

Further to my request for opening of account with JS Investments Limited (“JS Investments”), I do hereby declare the following:

A. Source of Income (where “Income” means money received on regular basis in exchange providing goods or services or investing capital)______________
My monthly income is: PKR _______________________________ and,

Please check mark one or more op�ons that apply to you, and a�ach relevant documentary proofs:

I am a Self-employed individual. <A�ach Business ownership / Proprietorship / Partnership document | Professional membership card OR Any
other equivalent document>
I am a Salaried individual. <A�ach proof of Employment e.g. Job card | Employment Le�er>
I earn regular Investment Income. <A�ach Proof of Investment Income>
I am a Company owner of a “Limited Company”. <A�ach Form A or Form B, and Form 29>
I have No Source of Income. <For Re�red person OR Un-employed OR Housewife/Homemaker etc>
I am a Minor. <A�ach Guardian’s Source of Income>

B. Source of Funds (where “Funds” refers to the amount(s) you invest in schemes managed by JS Investments) _____________________________
(Only Required if investment amount is more than Rs. 2 million) ______________________________________________

Please check mark one or more op�ons that apply to you, and a�ach relevant documentary proofs:

My investment is funded by my current Income. <A�ach documentary proof of income, for example: “Pay-slip” OR “Profit statement of
Partnership / Business / Company” OR “Proof of Investment Income” OR Equivalent document>
Note: (If Investment amount is more than 4 �mes your annual income declared in Sec�on A above, you must declare addi�onal “Source of Funds”
from the op�ons in Sec�on B)
My investment is funded by my Savings from past income. <A�ach documentary proof of Savings, for example “Wealth statement” OR “Past
Employment Experience Cer�ficate & Pay-slip” OR “Past Business ownership document & Profit statement of business” OR Other Equivalent
document>
My investment is funded by my Father / Husband / Son Or ________________. <A�ach CNIC, KYC Form, and Declara�on / Undertaking of Source
of Income / Funds for the person funding your investment.>
My investment is funded by “Sale of Asset” Or “Inheritance” Or ___________________. <A�ach proof of funding e.g. “Property sale document”
OR “Succession & Inheritance document” OR Other Equivalent document>

I undertake that in case of changes in informa�on above, I shall immediately declare the same to JS Investments.

I also hereby undertake responsibility of the truthfulness, accuracy and completeness of facts/ informa�on stated herein and agree to hold
JS Investments and its officers, severally and jointly, indemnified and harmless from and against any adverse consequences including all loss(es),
damage(s), cost(s) and expense(s) (including legal form) that may result on account of any defect in the truthfulness, accuracy and completeness of
facts and informa�on stated herein.

Sincerely yours,

_________________________________
Authorized Signature
 COMMON REPORTING STANDARD (CRS) FORM FOR INDIVIDUAL CLIENTS
Part 1 – Identification of Individual Account Holder__________________________________________________________
Name as per CNIC (Mr/ Mrs/ Ms): ___________________________________________________________________________
Father/ Husband Name: _______________________________________________ CNIC Number: _______________________
Date of Birth: ___________________ City of Birth: ___________________ Country of Birth: ____________________________
Current Address:_________________________________________________________________________________________
Mailing Address: ________________________________________________________________________________________

Part 2 – Country of Residence for Tax Purposes and related Taxpayer Identification Number (“TIN”)________________
Please indicate countries where Account Holder is tax resident and TIN for each country or equivalent number. If a TIN is
unavailable please provide the appropriate reason A, B or C as explained below:
Reason A - The country/jurisdiction where the Account Holder is resident does not issue TINs to its residents;
Reason B - The Account Holder is unable to obtain a TIN or equivalent number (Please explain reason of not obtaining TIN);
Reason C - No TIN is required for that country/ jurisdiction.

Country of tax residence TIN If no TIN available enter Reason A, B or C

1
2
3
Please explain in the following boxes why you are unable to obtain a TIN if you selected Reason B above.
1
2
3

Part 3 – Declarations and Signature_______________________________________________________________________

I understand that the information supplied by me is covered by the full provisions of the terms and conditions governing the
Account Holder’s relationship with JSIL setting out how JSIL may use and share the information supplied by me.
I acknowledge that the information contained in this form and information regarding the Account Holder and any Reportable
Account(s) may be provided to the tax authorities of the country/jurisdiction in which this account(s) is/are maintained and
exchanged with tax authorities of another country/jurisdiction or countries/jurisdictions in which the Account Holder may be tax
resident pursuant to intergovernmental agreements to exchange financial account information.
I certify that I am the Account Holder (or am authorized to sign for the Account Holder) of all the account(s) to which this form
relates.
I declare that all statements made in this declaration are, to the best of my knowledge and belief, correct and complete.
I undertake to advise JSIL within 30 days of any change in circumstances which affects the tax residency status of the individual
identified above or causes the information contained herein to become incorrect or incomplete, and to provide JSIL with a
suitably updated self-certification and Declaration within 30 days of such change in circumstances.

_______________ _______________
Signature Date

Note: If you are not the Account Holder please indicate the capacity in which you are signing the form. If signing under a power
of attorney please also attach a certified copy of the power of attorney.

_______________ ______________
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