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Kindly answer the following questions before we proceed with the application
Check the most appropriate answer
Are you a US Citizen or Resident? Yes No If yes, complete the US Indicia Form. US citizens and residents include persons; born in the US, or holders of US Green Card, US residential address, US telephone number, standing order to US bank account, granted power of attorney, or have signatory authority to a person with a US address.
Download, fill and upload the applicable form below
Self-Certification (Tax Status)
Are you registered For tax In Kenya? Yes No
Are you registered for tax In any other country? Yes No If "yes", please provide your Tax Identification Number for each Country (or reason why none has been issued)
Thank you for your honest answers.
Select the Other Country and enter the tax pin
Have you previously invested in the CIC Unit Trust Funds? Yes No
Are you a CIC Insurance Group Ltd employee? Yes No
How did you hear about CIC Unit Trusts?
Promo Code
Name and contact of your wealth advisor(if you have any)
CIC Branch Name
CIC Asset Management Limited is committed to complying with the requirements of the Data Protection Act and the attendant regulations as well as global best practices regarding the processing of your personal data. In this regard, you are required to acquaint yourselves with our data privacy statement (https://cic.co.ke/data-privacy-statement/) which is intended to inform you on how we use your personal data and describes how we collect and process your personal data during and after your relationship with us.
Consent for Marketing Purposes: We would like to use your details to provide you with information about insurance products, services and special offers from us or our affiliates.
Please note that if you do not want to receive our marketing information you may opt out at any time.
Please tick the relevant boxes below if you agree to receive marketing information from us
We apply for investments into CIC Unit Trust Scheme on terms, conditions and regulatory information set out in the information memorandum. The information memorandum is available at CIC Offices. We have read and understood the information memorandum, the charges made by CIC Asset Management Limited and the terms and conditions of this application. We confirm that the units are not being acquired directly or indirectly both or on behalf of any person restricted by the law of any jurisdiction from acquiring such units and that We will not sell, transfer or otherwise dispose of any such Units directly or indirectly to or for the account of such person. We hereby agree that all proceeds for redemption and income distribution will be paid in accordance to the applicable payment instructions. We confirm that the money used for the investment in the CIC Unit Trust Scheme are not arising out of the proceeds of any money laundering or other illicit activities. We agree that CIC Asset Management Limited is not responsible for any liability, losses or damages resulting from e-mail or fax instructions, except when such liability or loss results from negligence or willful default on CIC’s part. We warrant that all the information given on this proposal and in all documents which have been or will be signed by me in connection with the proposed application whether in my handwriting or not, is true and complete. We hereby irrevocably and unconditionally agree that all fax, internet, electronic mails and scanned copies of any documentation and / or instructions issued by us in respect of our account(s) or dealings with the Company shall be binding and enforceable against us. We further agree to fully indemnify CIC Asset Management against any proceedings, claims, expenses and liabilities whatsoever which may be taken or made against or incurred by the Fund manager by reason of the Fund Manager accepting the fax, internet, electronic mails, scanned copies of the documentation and / or instructions. We further confirm that the Fund Manager may see-off any such expenses/ costs incurred by it in respect of our obligations herein against any of our account(s) with the Fund Manager. AUTHORIZATION AND CONSENT
In order to administer investment services, CIC Asset Management Limited, its affiliates, and certain agents thereof (together, the “Relevant Companies”) may process your sensitive and personal data that is necessary or desirable for the administration of investment services. By making this proposal, I/We authorize CIC Asset Management Limited to collect, process, register, use, and transfer to the Relevant Companies all Relevant Information for the above purposes. I/We agree that an electronic version of this authorization shall be as valid as the original and will remain in effect for the continued administration of my accounts. I/We understand that my data shall be retained for a duration as prescribed by the law and that I/We shall exercise our rights as a Data Subject as detailed in the Data Protection Laws within applicable limits.
By clicking the "finish" button below ,you AGREE to the above Clause
Do you agree to the above clause? Yes
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