Client Data ColleCtion Form - Oncore Services

Professional Contractors • Recruiters • Corporates

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Client Data ColleCtion Form

Important Notice to Customers

This Corporation Law requires that a Financial Planner making financial product recommendations must have reasonable grounds for making those recommendations. This means that a Financial Planner must conduct appropriate investigations as to the financial objectives, situations and particular needs of the customer. The information requested in this form is necessary to enable recommendations to be made and will be used solely for that purpose. We accept no liability for any advice given on the basis of inaccurate or incomplete information.

Privacy StatementThis Client Data Collection Form is strictly confidential between you and Oncore Wealth Management Pty Ltd acting as a corporate representative ofMFR Financial Planners Australia Pty Ltd. AFSL 232339

PriVate anD ConFiDential

Client name/s:

Financial planner:

Date of initial interview:

Disclaimer: The information contained in this document is for the exclusive use of Oncore Wealth Management Pty Ltd acting as a Corporate Representative of MFR Financial Planners Australia Pty Ltd.


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Before we ask you to complete the Client Data Form, could you give us an overview of your reasons for requesting investment advice? Please describe in your own words an outline of your current financial position, any concerns you have, your goals and expectations, and the type of advice and ongoing service you are expecting.

This Client Date Collection Form asks for a great deal of information. Some information will not be relevant to your situation. Please just complete the information that you feel is relevant to your investment needs.


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Item DescrIptIon

Date FSG provided

Date of first appointment

Reference

clIent 1 clIent 2

Title

Full name

Sex

Marital status

Date of birth

Age to retire

Private health insurance

Risk profile

clIent 1 clIent 2

Adress type (please tick a box) Home Business Other Home Business Other

Street address

Suburb

State

Postcode

Phone (work)

Phone (home)

Phone (mobile)

Fax

Email (primary)

Email (secondary)

Key DetaIls

personal DetaIls

contact DetaIls


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Client 1 Client 2

Occupation type

Employee Self employedUnemployed RetiredNot applicable

Employee Self employedUnemployed RetiredNot applicable

Occupation

Employer

Date commenced current employment

Client 1 Client 2

Last review date

Next review date

Importance of estate planning? Low MediumHigh

Low MediumHigh

Do you have a will? Yes No

Yes No

Is the will current? Yes No

Yes No

What is the date of the will?

Where is the will located?

Does the will include provision for a testamentary trust?

Yes No

Yes No

ChilD’s name DoB sex FinanCially DePenDent

DePenDent til age inCome

Male Female

Yes No

Male Female

Yes No

emPloyment Details

estate Details

ChilD Details


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entity tyPe oF Poa name oF Poa

relationshiP exPiry Date last

reVieweD loCation

Client 1Client 2

Client 1Client 2

Power of Attorney

Client 1 Client 2

Liquidity requirement

Retirement income requirement

Health Good AveragePoor

Good AveragePoor

Smoker Yes No

Yes No

Australian resident Yes No

Yes No

No. years in Australia

entity oBjeCtiVe DesCriPtion

other Details

oBjeCtiVes Tax Effective Wealth Accumulation Target retirement of age of

Target Retirement Income of pa after tax Convenient investment management

Consider Risk and Return Portfolio diversification

Portfolio liquidity of Planned capital expenditure

Wealth accumulation for retirement Retirement investment timeframe

Tax effectiveness Achieve capital growth

Investment flexibility

other oBjeCtiVes


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name trustee tyPe inVestment strategy helD

suPerFunD memBers

Approved trustee All members are trustees Corporate trustee

YesNo

name ComPany PurPose no. emPloyees shareholDers inCluDe in aDViCe

Business Consulting Investment Creditor protection Other

YesNo

name trust tyPe trustee BeneFiCiaries inCluDe in aDViCe

Discretionary Testamentary Fixed Hybrid Other

YesNo

tyPe name ComPany aDDress Phone

Solicitor Accountant Insurance advisor Other

Self Managed Super Fund

Company

Trust

ProFessional aDVisers

tyPe name ComPany aDDress Phone

Solicitor Accountant Insurance advisor Existing client Other

Professional Adviser

Referral Source

entities


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Comments


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inVestment assets - non-suPerannuation Current Value owner regular

inVestment / withDrawals

Total

inVestment assets - suPerannuation

Current Value owner esD ComPonents ContriBution

Total

inVestment assets

liFestyle asset Current Value owner

Total

liaBility amount owner lenDer interest rate rePayment

Total

liFestyle assets

loans

FinanCial Details


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CashFlowAnnual Income & Expenses

Client 1 Client 2

Annual income

Employment income

Other taxable income

Other non-taxable income

Centrelink

Total income

Reportable fringe benefits

Tax deductible expenses

Annual expenses

Mortgage repayments/rent

Vehicle lease/loan repayments

Vehicle registration and insurance

Fuel and servicing

Council rates

Electricity

Gas

Telephone/mobile/internet

Children's education

Health insurance/other medical

Home and contents insurance

Life/income protection insurance

Accounting/legal fees

Groceries

Clothing

Entertainment

Memberships/subscriptions

Voluntary super contributions

Donations

Holidays

Gifts

Other

Total expenses


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Income Item entIty Date ReceIveD

FRequency amount taxable

InheritancePart-time retirement incomeHouse downgradeOther

ClientSpouseJoint

YesNo

expense Item entIty Date IncuRReD

FRequency amount

Boat purchaseCar purchase EducationHolidayHome renovationsOther

ClientSpouseJoint

polIcy tvpe level oF coveR InsuReD pRemIum

owneR pRoDuct puRchase

Date esD Rcv ReveRsIon cuRRent balance

annuIty amount InDexatIon

YesNo

Other / Irregular Income

Other / Irregular Expense

InsuRance

annuItIes


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owner reDunDanCy tyPe etP Date eligiBle serViCe Date amount

RedundancyEx gratia Golden handshake Other

owner DesCriPtion etP Date eligiBle serViCe Date amount leaVe tyPe

NormalSpecial

Redundancy

Long Service Leave

owner DesCriPtion aCCrueD multiPle aCCrual rate suPer salary

DeFineD BeneFits

owner DesCriPtion etP Date amount leaVe tyPe

NormalSpecial

termination PaymentsAnnual Leave


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risK ProFile questionnaire 1. How long do you intend to invest your savings? a) short term (1-2 years) ..................................................................................................... (1 point) b) medium term (2-5 years) ............................................................................................... (2 points) c) medium to long term (5-7 years) .................................................................................... (3 points) d) long term (more than 7 years) ........................................................................................ (4 points)

2. Will you need to access these funds during the term of the investment? a) Yes ................................................................................................................................. (1 point) b) No .................................................................................................................................(2 points) 3. Inflationerodesthevalueofyoursavings.Growthinvestingcancountertheerodingeffect ofinflationbutwillalsoexposeyoutotheriskofshort-termlosses. a) I am comfortable with this trade off to beat inflation ....................................................... (3 points) b) I am conscious of the risks inflation presents, but would prefer a middle ground ............ (2 points) c) Inflation may erode my savings but I have no tolerance for loss ....................................... (1 point)

4.Whichofthefollowingrisk/returnscenarioswouldyoubemostcomfortablewith? a) Low risk/return (maximum return 6 p.a, minimum return 3 p.a.) ....................................... (1 point) b) Moderate risk/return (maximum return 8 p.a, minimum return -5 p.a.) ............................(2 points) c) Above average risk/return (maximum return 12 p.a, minimum return -10 p.a.) .................(3 points) d) High risk/return (maximum return 20 p.a, minimum return -25 p.a.) ................................(4 points)

5.Whatwouldyoudoifyourinvestmentdroppedinvalueby15%? a) move the entire investment to cash ................................................................................. (1 point) b) move some of the investment to cash ............................................................................(2 points) c) do nothing .....................................................................................................................(3 points) d) buy more of the investment ............................................................................................(4 points) 6. What is the most aggressive investment you have ever made? a) Shares ..........................................................................................................................(5 points) b) Managed Funds ............................................................................................................(4 points) c) Investment property .......................................................................................................(3 points) d) Own home ....................................................................................................................(2 points) e) Cash in the bank/Term deposit ....................................................................................... (1 point)

7. Ifyouwereinvestinginashareportfolio,whichofthefollowingwouldsuityoubest? a) A portfolio of potentially high-returning shares whose value could rise or fall dramatically ...(4 points) b) A blue chip portfolio that pays regular dividends .............................................................(3 points) c) A mixture of the above two options .................................................................................(2 points) d) I am not interested in shares ........................................................................................... (1 point)

Total points:


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assoCiateD risK ProFile: Conservative (less than 10 points) Moderately Conservative (between 10 and 13 points) Balanced (between 14 and 17 points) Growth (between 18 and 21 points) High Growth (between 22 and 25 points)

Do you agree with this assessment of your risk profile?

If not, what do you believe your risk profile should be?

Client aCKnowleDgement The information provided in this fact find and supporting attachments is complete and accurate to the best of my knowledge. I/we understand that any investment made or policy purchased without the completion of this fact find, or following partial or inaccurate completion of our personal details may result in advice that would not be appropriate to my/our needs. I/we appreciate that, in these circumstances I/we may lose the risk to seek compensation from Oncore Wealth Management Pty Ltd for any loss suffered by me/us as a consequence of incomplete or inaccurate information being provided. I/we also acknowledge that personal circumstances can change and will contact the adviser when/if this occurs. I/we acknowledge that we have received a copy of the Financial Services Guide provided by Oncore Wealth Management Pty Ltd.

We understand that there will be a fee of $ incurred for the preparation of any such strategic financial plan.

Date: Date:

Signature Client 1 Signature Client 2

Please forward completed form to [email protected]


Financial ServiceS Guide This document includes the Adviser Profile details.

This Guide is intended to inform you of important information relating to: • Who we are • Services we are authorised to provide • Advice we are able to provide • Ways we provide advice • Providinginstructionstobuyandsellfinancialproducts • Payment for services • InformationkeptonfilebyOncoreWealthManagement • Conflictsofinterest • Concerns regarding our service • Privacy Policy

Who iS oncore Wealth ManaGeMent? • OncoreWealthManagement(OWM)isacorporaterepresentativeofMFR FinancialPlannersAustralia(MFR) • MFRholdsanAustralianFinancialServicesLicenceNo.232339. • Contactdetails:[email protected] • Phone:1300654484(pointofcontact–RobertCollins)

What ServiceS iS oWM authoriSed to provide? OncoreWealthManagementisauthorisedtoprovideadviceon,anddealin: • Deposit and payment products; • Debentures,stocksorbondsissuedorproposedtobeissuedbyagovernment; • Lifeproducts; • Interests in managed investment schemes; • Retirementsavingsaccounts; • Securities; and • Superannuation.

“oFFerinG You More to help You achieve Your Financial GoalS”


oncore Wealth ManaGeMent areaS oF eXpertiSe OWMareabletoprovideadviceinthefollowingareas:- Superannuation contributions/planning- Lifeinsurancestrategies/planning- Investment strategies- Retirementplans- SelfManagedSuperFundadvice- Aged care accommodation- Pensions and estate planning- Direct shares- MaximisingCentrelinkbenefits- Portfolio review service- Second opinion advice

proviSion oF advice Wheneverweprovideyouwithanyadvice,wetakeintoaccount: • yourcurrentfinancialposition; • yourperceivedneedforfinancialadvice; • yourpersonalandfinancialgoals; • how you want to achieve your goals; • yourtolerancetofinancialrisk;and • timehorizonsavailabletoachieveyourgoals.

ThisadviceisgiventoyouintheformofaStatementofAdvice(SOA)thatwillcontaintheadvicebased ontheinformationwehavecollectedfromyouduringourmeeting/s.TheSOAwillalsoincludeinformation onourfees,commissionsandanyassociationsthatmayhaveinfluencedtheprovisionoftheadvice.

Ifwerecommendaparticularfinancialproduct,wewillprovideyouwithaProductDisclosureStatementcontaining information which will enable you to make an informed decision in relation to the acquisition of thatproduct.

OWMprovidesbothpersonalandgeneraladvice.Itisimportantforyoutonotethatwhengeneraladvice isprovidedintheformofanewsletterorseminar,itmaynotnecessarilybeappropriatetoyoursituation.Youshouldalwayscontactyouradvisorpriortomakinganyinvestmentdecisions.

OncoreWealthManagementalsoprovidesaportfoliomonitoringservice,bywayofalimitedManagedDiscretionaryAuthority(MDA),aswellasongoingreviewsofyourportfolio.Theexactnatureofandcostofthereviewservicestobeprovidedwillbechargedtoyouonafeeforservicebasis,agreeduponpriorto ourengagement.

proviSion oF inStructionS reGardinG purchaSe and Sale oF Financial productS YouarewelcometoinstructOWMtobuyandorsellfinancialproductsbywrittencorrespondencee.g.facsimile,email,hardcopy.Youmustconfirmthatwehavereceivedyourinstructionstotransactonyourbehalf.YoumustalsoreviewallcorrespondencerelatingtotheseinstructionsandcontactOWMimmediatelyofanydiscrepancies.


paYMent For ServiceS OWMworksonanhourlyrateof$200perhourplusGST.IfanSOAistobeproduced,afeewillbequotedtocompletethisdocumentsothatyouareawareofthecostupfront.Placementoffundswillincuratransactionfee.

AnyservicefeeschargedbyOWMwillformpartoftheserviceagreementbetweenyourselfandOWM.

StorinG oF perSonal inForMation ForOWMtobeinapositiontoprovideyouwithaStatementofAdvicethataccuratelyreflectsyourcurrentfinancialpositionandthentorecommendaninvestmentstrategythatisachievableandmeetsyourfinancialgoals,youwillberequiredtocompleteaClientDataCollectiondocument.Youradvisorwillhelpyoutowork throughthisdocumentandbothyouandtheadvisorwillsigntheClientDataCollectionFormtoacknowledge thatthisinformationiscorrectandcanbeusedtoprovidetheStatementofAdvice.

Thisdocumentwillbekeptonfileandupdatedfromtimetotimetoreflectyourmostcurrentfinancialposition.Recordsofmeetings,discussionsandcontactswillalsobekeptonfile.

OWMhasimplementedaprivacypolicytoensurethatyourpersonalinformationissecurelystored.Ifyouwishtoexamineyourfile,yourrequestmaybeverbalorinwriting.Wewillmakearrangementsforyoutodosowithyouradvisorinattendance.

conFlict oF intereSt OWMmayreceiveassistancefromproductprovidersintheformofmarketing,complimentaryattendanceatprovider-sponsoredseminarsorfunctions.OWMdoesreceiveongoingcommissionfromsomefundmanagers.

concernS reGardinG our ServiceS Ifyouhaveacomplaintorconcernsaboutourservice,youshouldtakethefollowingsteps: - Informyouradvisoraboutyourcomplaint. - Ifyourcomplaintisnotsatisfactorilyhandledorresolvedwithinthreedays,pleasecontact GrantGeeon0418175088. - Ifthecomplaintcannotberesolvedtoyoursatisfaction,youhavetherighttocomplaintothe FinancialOmbudsmanService,GPOBox3,MelbourneVIC3001.Telephone1300780808or [email protected]. - Ifyourconcernsinvolveethicalconduct,youmayconsidercontactingtheFPA,P.O.Box109, CollinsStreetWest,Melbourne,VIC8007. - ASICcanbecontactedviaitsInfolineon1300300630.


privacY StateMent

What doeS the neW privacY act leGiSlation Mean to You? LawsprotecttheprivacyofyourpersonalinformationheldbycertainprivatesectororganisationsandOWMisgovernedbytheselaws.Fromtimetotime,youradvisormayneedtoprovideyourpersonalinformationtoanothermemberwiththeOWMorganisationorathirdpartytoenablefulfilmentoflicenseddealerobligationsandtheprovisionofotherservicestoyou.

Your perSonal inForMation MaY be uSed to: • Assist your advisor in providing advice to you; • Administer and manage your investments; • FacilitateOWM’sinternaladministrationoperationsandfulfilanylegalrequirements; • Analyse products and customer needs to develop new services; and • Carryoutconfidentialmaintenanceandtestingofcomputersystems.

Who Will have acceSS to Your inForMation?Wemaydiscloseyourpersonalinformation(asnecessary)onaconfidentialbasis: • to industry bodies; • to our agents; • tocontractorsorthirdpartyserviceprovidersthatprovidefinancial,administrativeorother servicesforthepurposesofOWMbusinessoryourinvestments; • where the law requires us to do so; • ifyouconsent.

Fromtimetotime,youradvisormayprovideyouwithmarketingmaterialpreparedbyamemberofOWM. Ifyoudonotwanttoreceivesuchmaterialatanytimeinthefuture,pleasecontactyouradvisor.

hoW can You acceSS inForMation held With oWM?YouareentitledatanytimetorequestaccesstopersonalinformationheldbyyourAdvisorand/orOWM.You ask us to correct this informationwhereyoubelieveittobeincorrectorout-of-date.Nofeewillbecharged for an access request but we may charge a reasonable cost of giving you any information you have requested.Anaccessrequestcanbedirectedtoyouradvisor.

hoW can You Get More inForMation about the privacY act With reSpect to Your inveStMentS?InformationcanbeobtainedfromIndividualFundManagers.

Client Data ColleCtion Form - Oncore Services

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