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Investor Registration Form - Individual

Page 1


Credit Connect Group Funds - Individuals

Please use this form if you wish to invest in unregistered managed investment schemes operated by the Credit Connect Group (each a Fund) by registering your details. Each Loan investment offer for a Fund will be made via an Information Memorandum (IM) for that Fund issued by the Fund’s trustee (Trustee). If you decide to invest into one or more Loans by investing in one or more Funds, you will need to apply for units corresponding to each Fund in which you wish to invest and submit the application monies to the applications account listed in the relevant IM. If you have already completed the Credit Connect Group Funds Registration Form and now wish to make an investment in a Fund, please use the application form for the applicable Fund, which, along with an IM, can be accessed on our website at www.ccg.com.au or is available from us upon request.

1. Complete all relevant sections of this Registration Form in block letters and using a black pen. If you make an error while completing this form, do not use correction fluid. Cross out your mistakes and initial your changes

This Registration Form is for individual/natural person investors (including joint investors and sole traders). If you are investing as an Australian company or as a trustee do not complete this Registration Form and instead you will need to complete, respectively, the Registration Form – Companies or Registration Form – Trusts. If you are investing through a foreign company (including if registered with ASIC), partnership, association, co-operative, government body or other type of entity not listed above, please contact us.

2. Certify and provide the identification documents

Please note, Credit Connect Group utilise APLYiD, a third-party provider for the purpose of fulfilling its KYC and AML requirements. APLYiD uses biometrics, OCR (optical character recognition) and trusted data sources to confirm a person’s identity, the legitimacy of a person's identification and their residential address.

The process of verifying your personal information is as follows:

• Once you have completed and submitted this form, Credit Connect Group will instruct APLYiD to send you a text message, which includes a link to start the APLYiD process. The process does not require you to download any apps onto your phone. You simply click on the link contained in the text message

• You will be prompted to take photos on your smart phone of your Australian or New Zealand driver licence or passport

• APLYiD extracts information from the photos you have taken and gives you the opportunity to correct any errors

• APLYiD will check the information you have provided against various sources, including:

o databases of government and financial institutions in Australia and New Zealand

o international databases of Politically Exposed Persons (as that term is defined in the AML/CTF Act) and sanctions

• APLYiD will produce a report for Credit Connect Group's AML/CTF compliance team to review and download.

3. Tell us your tax status

If you are a resident of a country other than Australia for tax purposes, please request the FACTA and CRS Registration Form.

4. Confirm your wholesale investor status

To be able to invest in a Fund, you must be a wholesale client as defined in section 761G of the Corporations Act, including a sophisticated investor under section 761GA of the Corporations Act. Please complete the ‘Wholesale Investor Confirmation’ section in Part B below.

5. Send your documents to Credit Connect Group: by post: PO Box 3574

Robina Town Centre QLD, 4230 or by email to: info@ccg.com.au

LEGAL NOTICES

This Registration Form relates to Funds established and operated by Credit Connect Group. Each Fund is an unregistered managed investment scheme, operated by a Trustee which is part of the Credit Connect Group. The offer of units in a Fund is made pursuant to an Information Memorandum (IM) issued by the Trustee of that Fund. Each Trustee will enter into an arrangement with Credit Connect Capital Limited ACN 104 081 192, holder of Australian Financial Services Licence (AFS Licence) 230173, , for Credit Connect Capital Limited to facilitate the issue of units in a Fund pursuant to the Fund’s IM

This Registration Form is for the sole use of the recipient and may not be reproduced or distributed to any other person. If you have received this Registration Form from anyone other than Credit Connect Capital Limited or a Trustee, please return it to Credit Connect Capital Limited or that Trustee.

By completing and submitting this Registration Form, you agree that the information and documents you provide, or authorise to be given, to Credit Connect Group for KYC and AML requirements, and to confirm your wholesale investor status, can be given to, and relied upon, by the Trustee of any Fund in which you invest.

If you are an Australian resident for tax purposes, please provide your Tax File Number (TFN) or claim an exemption, in the ‘Tax Details’ section below. You do not have to provide your TFN or claim an exemption. If you do not provide your TFN or reason for exemption, you will be taxed at the highest marginal tax rate plus the Medicare levy.

The Credit Connect Group is committed to ensuring the confidentiality and security of your personal information. We handle your personal information in accordance with the Privacy Act 1988 (Cth) and our privacy policy, which is available on request.

SECTION 1 – INVESTOR DETAILS #1

Please complete if you are investing individually or jointly.

Investor 1 – Personal Details

Title / Full Name

Date of Birth (DD/MM/YYYY)

Usual Occupation

Next of Kin

Next of Kin Relationship

Mobile (include country and area code)

Email (default address for all investor correspondence)

Are you a sole trader? ☐ Yes ☐ No

If you are a sole trader, business name & ABN?

Residential Address

(A PO Box/RMB/Locked Bag is not acceptable).

Unit / Street Number

Street Name

Suburb

State / Postcode

Postal Address ( ☐ Tick if same as above)

(A PO Box/RMB/Locked Bag is acceptable).

Unit / Street Number

Street Name

Suburb

State / Postcode

SECTION 1 – INVESTOR DETAILS #1 (CONTINUED)

Tax Details

TFN

Reason for exemption (if applicable)

Are you a tax resident of a country other than Australia? ☐ Yes ☐ No

SECTION 1 – INVESTOR DETAILS #2

Please complete if you are investing jointly.

Investor 2 – Personal Details

Title / Full Name

Date of Birth (DD/MM/YYYY)

Usual Occupation

Next of Kin

Next of Kin Relationship

Mobile (include country and area code)

Email (default address for all investor correspondence)

Are you a sole trader? ☐ Yes ☐ No

If you are a sole trader, business name & ABN?

Residential Address (A PO Box/RMB/Locked Bag is not acceptable)

Unit / Street Number

Street Name

Suburb

State / Postcode

Postal Address ( ☐ Tick if same as above)

(A PO Box/RMB/Locked Bag is acceptable).

Unit / Street Number

Street Name

Suburb

State / Postcode

Tax Details

TFN

Reason for exemption (if applicable)

Are you a tax resident of a country other than Australia? ☐ Yes ☐ No

PART B – INVESTMENT DETAILS

Financial Institution Account Details

Please provide the financial institution account details to receive your distribution payments and/or future redemption payments. Payments will only be made to an account held in the name of the investor/s. Payments will not be made into third party accounts

Name

Branch Name

BSB Number

Account Number

Account Name

Communication

Correspondence

Investor correspondence (such as transaction confirmations, statements, reports and other material) will be made available to you via the email address provided in your Registration Form. In the event you have not provided an email address investor correspondence will be sent via post.

Non- disclosure

☐ Please do not disclose my personal information to other corporations specifically, but not solely, for marketing purposes.

☐ Please ensure no marketing material is sent to me.

Wholesale

Investor confirmation

Please select one of the following:

☐ I meet the gross income or net asset test and have attached with this Registration Form a certificate* from a Qualified Accountant^

☐ I am a company or trust of a person who satisfies the gross income or net asset test requirements above

☐ I am a professional investor as defined in section 9 of the Corporations Act as I am a

☐ I am a sophisticated investor and attach a copy of the statement from an AFS licensee or authorised representative and my acknowledgment in accordance with section 761GA of the Corporations Act.

☐ I will invest at least $500K in a Fund To rely on this category for more than one Fund, you must invest at least $500k in each such Fund.

Investment in any Fund is only available to persons who are wholesale clients as defined in section 761G of the Corporations Act, including a sophisticated investor under section 761GA of the Corporations Act.

* This certificate must be dated not more than 24 months prior to when it is provided to us.

☐ Wholesale Certificate has been provided.

^ Qualified accountant means a member of CPA Australia who is entitled to use the post-nominals ‘CPA’ or ‘FCPA’; a member of the Institute of Chartered Accountants Australia and New Zealand who is entitled to use the post-nominals ‘CA’, ‘ACA’ or ‘FCA’; or a member of the Institute of Public Accountants who is entitled to use the post-nominals ‘AIPA’, ‘MIPA’ or ‘FIPA’. Investors in certain foreign countries can obtain the certificate from a qualified accountant in that country. If you are proposing to provide a certificate from a qualified accountant from a country other than Australia, please contact us first to confirm the accountant satisfies the applicable requirements.

PART C – DECLARATIONS

ACKNOWLEDGEMENTS

When you apply to register with Credit Connect Group, you (the applicant) are telling us:

• you acknowledge that registration is not an investment in a Fund and, once registered, to invest in any Fund you must obtain, read and understand an Information Memorandum for such Fund and complete and submit the Fund Application Form which can be accessed on our website at www.ccg.com.au or is available from us upon request;

• you are a wholesale client as defined in section 761G of the Corporations Act, including a sophisticated investor under section 761GA of the Corporations Act;

• all details provided by you in this Registration Form are true and correct and you understand that we will rely on the information in this Registration Form;

• you are not bankrupt or a minor;

• you authorise us to use the TFN or exemption provided (if any) for all future applications for units in any Fund;

• if requested by us or a Trustee, you will provide information we or the Trustee require to comply with any applicable law, including the Anti-Money Laundering and Counter-Terrorism Financing Act 2006 (AML/CTF Act), the United States Foreign Account Tax Compliance Act (FATCA) and Common Reporting Standards (CRS);

• you are not a ‘politically exposed’ person or organisation for the purpose of the AML/CTF Act and will notify us or a Trustee if you become a ‘politically exposed’ person or organisation for the purposes of the AML/CTF Act;

• you understand that neither we or any of our related bodies corporate guarantees the repayment of capital invested in any Fund, the performance of any Fund or any return from any Fund;

• you consent to your information being checked with the document issuer or official record holder via APLYiD for the purpose of confirming your identity to enable Credit Connect Group to fulfil its KYC and AML requirements; and

• you consent to the handling of your personal information in accordance with the Privacy Act 1988 and our privacy policy.

APPLICANT 1

If you are investing jointly, please indicate whether a single investor can operate your account.

SIGNATURES

Signing instructions

• Individual — where the investment is in one name, the account holder must sign.

• Joint Holding — where the investment is in more than one name, all account holders must sign. If more than two signatures are required, please attach an additional page with the full names of each account holder, their signatures, and date.

• Power of Attorney — if signing under a Power of Attorney and you have not already lodged the Power of Attorney with us, please attach a certified copy of the Power of Attorney. I/We attest that the Power of Attorney has not been rescinded or revoked and that the person who gave the Power of Attorney is still living.

APPLICANT 2

SECTION 2 – INVESTOR IDENTIFICATION

Instructions for completing identification forms

There are three forms which follow: one each for individuals, companies and trustees. Choose the form which is applicable to you.

Which form

Copies or Originals

If you are a partnership, an incorporated association, a co-operative or a government body, then contact us and we will provide you with the appropriate identification form.

This form asks you to send us certain documents. Please send us certified copies, not originals. We will keep what you send to us.

You must have someone certify the copies you send to us. The following people can be the certifier:

• your accountant so long as they are a member of the Institute of Chartered Accountants Australia and New Zealand, CPA Australia or the Institute of Public Accountants membership

• your lawyer as long as they are a person who is enrolled on the role of the Supreme Court of a State or Territory, or the High Court, of Australia or foreign country, as a legal practitioner (however described), or an Australian justice of the peace or notary public or foreign equivalent

• police officer

Certifying Copies

What should the person certifying write?

• a post office worker if they are in charge of a Post Office or are a permanent employee with 2 or more years of continuous service

• a bank or financial institution officer if they are an officer with 2 or more continuous years of service with one or more financial institutions or companies

• a consular officer so long as they are a consular officer or diplomatic officer, or

• a judge, magistrate, chief executive officer of a court, or registrar or deputy registrar of a court.

“I [name] of [address] being [capacity e.g. Justice of the Peace] certify this and the following [x] pages as a true copy of the original document.” Each page should be initialled by the person certifying your documents.

Account Name Documents not in English must be accompanied by an English translation prepared by an accredited translator.

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