Hejaz Financial Services - Global Ethical Fund Investment Account

Full Given Name(s) *

Last Name *

Email *

Phone Number *

Personal Details

Please specify

Gender *

MaleFemale

Country of Birth *

Tax File Number *

Date of birth *

Occupation *

Residential status *

Please specify

Residential Address

Street Address *

Postal Code *

Will there be another investor? *

YesNo

Full Given Name(s) *

Last Name *

Email *

Phone Number *

Gender *

MaleFemale

Country of Birth *

Tax File Number *

Date of Birth *

Occupation *

Residential Status *

Please specify

Residential Address

Street Address *

Postal Code *

Investment Details

Investment to be held in the name(s) of (must include name(s) of investor(s)) *

Postal Address *

Postal Code *

Investment Amount (AUD) *

Distribution Instructions *

Reinvest distributions (recommended)Pay distributions to the bank

Investor Bank Details

For withdrawals and distributions (if applicable), these must match the investor(s)' name and must be an AUD denominated bank account with an Australian domiciled bank.

Financial Institution Name *

Account Name *

BSB Number

Account Number *

Validation - Please provide 2 ID's

Method of providing ID's *

Upload OnlineEmail: info@hejazfs.com.au

ID Number 1

ID 1

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ID Number 2

ID 2

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Declaration to proceed

I have read, understood and agreed to the Financial Services Guide v11.0, charges, and Product Disclosure Statement.

All details provided are accurate

Declaration

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