Date: __ / __ / ______.

The purpose of this investment profile form is to understand your current financial situation, investment experience and financial goals. Your input will help us identify your investment profile and assist you in making right investment choices and guiding you to a secure and promising financial future. Please provide an accurate information as it will impact the results. We assure you it will be time well spent which will enable you to achieve long financial freedom.

PERSONAL DETAILS:
Name: [Mr/Mrs/Ms/Dr/___________________________________________________________

Address : _________________________________________________________________. _________________________________________________________________. _________________________________________________________________. City/State: _________________________________________________________________. PIN Code: ________________. Phone: Land Line:_____________________ Mobile: ________________________.

Eamil ID: _________________________________. E mail id; __________________________________. Date of Birth: self __ / __ / ______. Spouse __/__/______. Family Details: Sl. No Name 1 2 3 4
ANY OTHER RELEAVANT INFORMATION;

PAN CARD NUMBER. PAN CARD NUMBER.

Relationship

Date of Birth

Email ID

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INVESTORS NEED ANALYSIS:

GOAL:
Sl. No. Description 1 Buy Home 2 First Childs Education 3 Second Childs Education 4 1st Childs Marriage 5 2nd Childs Marriage 6 Retirement 7 8 9 10 Note: Priority 1 being the highest Cost Today Goal Year Priority

CURRENT INVESTMENTS:
Description Direct Equity MF Equity MF Debt MF Hybrid Equity MF Hybrid Debt. Fixed Income Government Savings Pensions & Gratuities PROPERTY Amount Description Gold Collectables Cash & Savings Structured Products Commodities Private Equity Portfolio Management Others OTHERS Amount

CURRENT EXPENSES:
Description Food Rent Utilities Health Personal Care Conveyance Education NOTE: Please enter monthly.

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Amount

Description Entertainment Holidays Personal Ware Insurance Domestic Help Others Others

Amount

INCOME:
Description Salary Property Rental Business & Profession Pension & Annuities Interest & Dividends NOTE: Please enter monthly. Amount Description Capital Gains Agricultural Income Others Others Others Amount

LIABILITIES:
Description Home Loan Auto Loan Personal Loan Educational Loan Other Loans Other Loans NOTE: Please enter monthly. Loan Outstandin g Monthly Installment Annual Payment

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RISK PROTECTION:
Life Insurance Details Term Insurance Endowment Insurance Whole Life Insurance Money Back Unit Linked Insurance Others PRODUCT DETAILS; Sum Assured Annual Premium Current Value

General Insurance Details Health Insurance Property Insurance Personal Accident Insurance Vehicle Insurance Others Others PRODUCT DETAILS;

Sum Assured

Annual Premium

FEE - Please note that all the services like financial planning , strategy creation, implementation or any other advisory services etc,. are based on the different fee structure . Kindly contact us for further details.

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RISK ANALYSIS
QUESTIONAIRE:
1. When you think of the word Risk in a financial context, which of the following words come to mind first? a. Danger. b. Uncertainty. c. Opportunity. d. Thrill. 2. How do you rate your knowledge of investments? a. Expert. b. Very Good. c. Good. d. Moderate. e. Know Nothing. 3. Given a chance to participate in a contest with the following prize options, which one would you choose? a. Guaranteed Prize of Rs.10,000/= b. 50% Chance of winning Rs.50,000/= or you loose all. c. 30% Chance of winning Rs. 100,000/= or you loose all. d. 20% Chance of Winning Rs. 200,000/= or you loose all. 4. Last month you purchased some shares, which has since then gone down by 25%. What will you do? a. Sell all my Shares. b. Sell some of my Shares. c. Do nothing. d. Buy more Shares. 5. Suppose you receive a tip that some shares are going to rise the next day, what will you do? a. Will Invest Immediately. b. Will Invest if the source is an Expert market Player. c. Will Invest after doing some analysis and investigation. d. You do not relay on such tips. 6. What is the maximum downside risk you can take in equity investments in any one year? a. Zero. b. Upto 5%. c. 5 10%. d. 10 15%. e. 15 20%. f. Above 20%. 7. Select the portfolio from below which suits your interest the most.(Negative figures indicate a possible erosion of principle amount & positive figure indicates a possible gain)

a. Portfolio A. b. Portfolio B. c. Portfolio C. d. Portfolio D. e. Portfolio E. 8. How many dependents do you have. a. <= 2. b. >2 and < 4. c. > 4 and < 6. D. > 6

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9. Insurance can Cover a wide variety of Lifes Major risks theft, fire, illness, death, etc. How much cover do you have. a. Very Little. b. Some. c. Considerable. D. Complete. 10. How much is your pay/income per annum. a. Less than Rs.3.00 Lacs. b. 3 Lacs to 5 Lacs. c. 5 Lacs to 10 Lacs. d. More than 10 Lacs. 11. What percentage of your annual income have you been able to save in recent years? a. Nome. b. 1 to 5%. c. 5 to 10%. d. 10 to 15%. e. More than 15%. 12. How do you feel your current financial situation is? a. Very Secure. b. Relatively Secure. c. Secure. Secure. d. Somewhat Secure. e. Not

REMARKS;

CLIENTS SIGNATURE

#2, VANAJAKSHI COMPLEX, KATRIGUPPA MAIN ROAD, BSK 3RD STAGE,BANGALORE-85 CONTACT; OFF-080 26695760,. MOB; 9886327711,. E MAIL ID- moneytreekulkarni@yahoo.in moneytreekulkarni@gmail.com