MUTUAL FUND APPLICATION FORM

MUTUAL FUND

APPLICATION FORM

PART ONE

PERSONAL DETAILS

Are you an existing investor in MUA Mutual Fund?*

YesNo

How did you hear about MUA Mutual Fund?*

FacebookMUA WebsiteWord of MouthOther

Application/Account Type*

SingleJointMinor

1ST APPLICANT..................................

TITLE:*

SURNAME:*

FULL FORENAMES:*

PERMANENT ADDRESS:*

CITY/VILLAGE:*

NATIONAL ID NO.:

EMAIL:

HOME/OFFICE NO.:

MOBILE PHONE NO.:*

2ND APPLICANT

TITLE:

SURNAME:

FULL FORENAMES:

PERMANENT ADDRESS:

CITY/VILLAGE:

NATIONAL ID NO.:

EMAIL:

HOME/OFFICE NO.:

MOBILE PHONE NO.:

MINOR'S DETAILS

TITLE:

SURNAME:

FULL FORENAMES:

PERMANENT ADDRESS:

CITY/VILLAGE:

NATIONAL ID NO.:

GUARDIAN'S DETAILS

TITLE:

SURNAME:

FULL FORENAMES:

PERMANENT ADDRESS:

CITY/VILLAGE:

NATIONAL ID NO.:

EMAIL:

HOME/OFFICE NO.:

MOBILE PHONE NO.:

DECLARATION OF FOREIGN CITIZEN OR FOREIGN RESIDENT FOR TAX PURPOSES

Are you a foreign citizen and/or foreign resident for tax purposes?*

YesNo

Please provide a duly filled and signed individual self certification form.

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PART TWO

INVESTMENT DETAILS

Please state the Fund(s) and indicate the amount(s) you wish to invest. You can invest by lump sum and/or monthly instalments.
Please make your cheque payable to MUA General Fund or MUA Property Trust.
I/We understand that Units will be allocated at the issue price prevailing on the next valuation following receipt of my/our remittance.

	Lump Sum Investment (Minimum investment Rs 5000 per fund)	Monthly Investment (Minimum investment Rs 500 per month)
MUA GENERAL FUND
MUA PROPERTY TRUST

NOTE:	Lump Sum Investment	Monthly Investment
	A contract note will be sent within one week.	A statement of account will be sent on a quarterly basis.
	For dividend, please complete part three.	Dividend is automatically reinvested.

SOURCE OF FUND*

PART THREE

DISTRIBUTION OF INCOME

Please arrange for my/our dividend to be :*

REINVESTEDPAID DIRECTLY TO MY/OUR BANK ACCOUNT

If no preferred treatment is indicated, dividend will be reinvested.

NAME OF ACCOUNT HOLDER :

BANK :

ACCOUNT NO. :

End Note: Only the person(s) in whose name(s) the investment is registered, irrespective of who the payer is, is/are the legal owner(s) of the investment. For a minor, only the legal guardian may deal with the investment. The price per unit fluctuates according to the value of the underlying assets in the relevant portfolio.

PART FOUR

GO GREEN

I/We agree to receive by email (as per below) future communications and documents, including Statement of Holdings and Annual Report made available to me/us in my/our capacity as Unit Holder of MUA General Fund and/or MUA Property Fund and also to receive notification that documents such as Annual Reports have been posted on the Company’s website for consultation.*

YesNo

E-Mail Address:

PART FIVE

DATA PROTECTION

I/We am/are agreeable with the Data Protection Consent as mentioned in the last section.*

Yes

I/We hereby consent that my/our personal details will be stored digitally by MUA Mutual Fund Ltd.*

Yes

PART SIX

DECLARATION

I/We confirm that I/We have read and understood the information contained in this form.*

Yes

Signature of First Applicant/Guardian:

Date:

Signature of Second Applicant:

Date:

PART SEVEN

SUPPORTING DOCUMENTS

Please provide the following documents with this application:

Recent Utility Bill

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National Identity Card/s

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Minor's Birth Certificate

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GO GREEN AND WIN RS 100

Authorisation to receive electronic communications

I/We agree that my Annual Reports, Statement of Holdings and any Unit holder correspondence to be sent to the email address specified at Part Four. Consiquently, I/We will no longer receive hard copies of these documents.

I/We understand that MUA Mutual Fund will use reasonable means to protect the security and confidentiality of information sent and received electronically. I/We am/are aware of the risks inherent to the emailing of documents, including but not limited to, documetns being intercepted or misdirected to wrong recipients.

I/We undertake to hold MUA Mutual Fund harmless against claims or demands and/or any consequences arising from the execution of the present instruction. I/We further undertake not to enter any action against the company and hereby irrevocably renounce to any rights I/We may have in relation to the present instruction.

Without this registration, I/We am/are also entitled to send MUA Mutual Fund my supporting documents by email. I/We understand that my original documents will still be necessary for customer due diligence or other specific cases.

I/We will be responsible for updating the designated e-mail address provided, as and when necessary. The present authorisation will remain valid until written revocation by me.

DATA PROTECTION CONSENT

Data Collection, retention & disclosure

I/We acknowledge, understand and agree that MUA Ltd including its subsidiaries and associates ("MUA") shall, for the performance of its obligations hereunder, collect and where necessary or required, process and store personal information which I/We hereby voluntarily discloses to it (the " Personal Data") for as long as is necessary to fulfil the purposes for which it was collected, including for the purposes of satisfying any legal, accounting (including audits by our appointed auditors) or reporting requirements. MUA has a legal obligation to store basic information about this customers for ten years after they cease being customers. MUA undertakes to treat the Personal Data confidentially and securely in line with the provision of the Data Protection Act 2017 (DPA), as amended from time to time.

MUA undertakes not to reveal or otherwise disclose the Personal Data to any external body unless:

1. it has obtained the express consent of the Applicant(s), or

2. it is under either a legal obligation or any other duty to do so, or

3. the Personal Data is disclosed to any agent, service provider, professional adviser or any other person under a duty of confidentiality towards MUA.

I/We expressly acknowledge and agree that the Personal Data may be shared amongst within MUA solely for providing information about products that may be of interest to the Applicant(s).

Your rights

Pursuant to the provisions of the DPA and subject to the prescribed fee (if any) the Applicant(s) acknowledge(s) that, in relation to his Personal Data which is in the custody or control of MUA, the right:

1. to access to, to request rectification and erasure

2. to object to the processing

3. to withdraw consent at any time, without affecting the lawfulness of processing based on the consent which he had provided prior to his withdrawal.

Transfer outside Mauritius

I/We expressly acknowledge and agree that the foregoing disclosures may require that the Personal Data be transferred to parties located in countries which do not offer the same level of data protection as the Applicant's home country.

Complaint

Should the I/We wish to exercise any of the aforementioned rights or should I/We have any queries relating to the processing of his Personal Data, I/We may contact MUA Data Protection Officer at DPO@mua.mu. For more information on how your privacy is protected, please consult our Data Protection Policy at https://www.mua.mu/site/cookie-policy.

In case you are not satisfied with the reply provided, you may refer the complaint to the Data Protection Commissioner.

I/We acknowledge that the consent given in this Form applies to all Personal Data provided to MUA as from now on.