acknowledge the following:
Sound and proper financial advice can only be provided with full
disclosure of relevant information relating to appropriate personal,
including private information for the purposes of determining and
advising on my/our financial situation and financial product
experience and objectives, in the process of acquiring, servicing or
maintaining any financial products, including but not limited to any
information relating to or interest in any long-term insurance, unit
trust or any other financial products or services, with any
long-term insurer, unit trust manager or other financial
institution;
My/our interests shall be best served if that information is made
available to Magwitch Securities (Pty) Limited with a legitimate
interest in receiving such information for those purposes.
I/we accordingly confirm for the purposes of providing the said
sound and proper financial advice to me/us, that full permission and
authority is granted to:
Andrew Wentworth Browne, a director of Magwitch Securities (Pty) Ltd
To obtain any and all such information via The Financial Services
Exchange (Pty) Ltd, trading as Astute, or any other institution
providing a mechanism for the transmission of such information.
I/we herewith give consent for the long-term insurer, unit trust
manager or other financial institution possessing such information
to release such information to Magwitch Securities (Pty) Limited via
Astute, and I/we confirm that Magwitch Securities (Pty) Limited
shall be acting on my/our behalf or in my/our interest and I/we
waive any right to privacy only for the purposes as stated above.
I/we further acknowledge that this consent to obtain information on
my behalf will remain effective until cancelled by me/us in writing.
Thus done and signed at
on this day of
200
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Signature of client
