Application Form

(Individual Investor)

Account Type

Investment Product

Title

Name

Father's Name

Birth Date

Gender

Male

Female

Race

Residential Status

Fiji Resident

Non-Fiji Resident

Occupation

Employer

EIS Partner (If Applicable)

Employee No

Politically Exposed?

Yes

Details(if Politically Exposed)

From where did you come to know about us?

Residential Address

Postal Address

City

Province

Division

Country

Telephone No

Fax No

E-Mail

Subscribe to UTOF E-mail and News Letters

Yes

Subscribe to UTOF Web and Mobile App

Yes

FNPF No

TIN No

Nationality

Passport No

Taxable

Yes

Tax Exemption No

Other ID Description

Details(ID No of any other ID mentioned)

Bank ID

Bank Account No

Bank Account Name

Photo File

Signature File

Birth Certificate

Joint Card

Passport

Payslip or Source of Fund

Driving License

Any Other Attachments 1

Any Other Attachments 2

Any Other Attachments 3

I/We Agree and understand that by signing this web form, that all electronic signatures are the legal equivalent of my manual/handwritten signature and I/we consent to be legally bind in agreement with the RBF minimum requirements for "know your customer", UTOF's standard onboarding procedures and or equivalent.

I further agree my/our signature(s) on this document is as valid as if I/we signed the form in writing.