Meristem Liquid Fixed Term Investment: Corporate Form

    N.B: Fields with (*) are mandatory

    Details of Applicant

    Nature of Corporate Business

    Annual Turnover*

    Key Contact Persons/Principal Officer Details (1)

    Gender*

    Key Contact Persons/Principal Officer Details (2)

    Gender*

    Authorized Signatories (1)

    Gender*

    Authorized Signatories (2)

    Gender*

    Reports

    Preferred Method of Correspondence*

    Frequency of Statement*

    Maturity of Investment


    Applicant should mark the preferred option for receiving the proceeds of investment after maturity*

    If bank account, please fill in the following:

    Required KYC Documents









    Authorization

    We hereby authorize MWML to:

    act in accordance with our instructions or that of any person authorized by us in respect of this investment (including those transmitted and received by telephone, fax, electronic mail or the internet), and to do all things necessary to give effect thereto;

    deduct sufficient amounts from our chosen investment for the purposes of transaction charges or its fees; provide our details and details in respect of this investment to companies with whom it has business arrangements or MWML’s regulators

    to retain interest pro rata across the selected Fixed Term Investments in order to collect charges, including reduction charges.


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