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APPLICATION FORM
PROPOSED FUND DETAILS
 

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Fund Type

AIF UCITS Other
If 'Other', please specify

Fund Structure (select multiple options if applicable)

Stand-Alone Umbrella Master-Feeder
SMA SPC Fund of Funds
Sharia Islamic Exchange Traded
Open-ended Closed-ended Other

Fund Description

Fund Domicile (leave blank if unsure)
Proposed fund name
Name of Investment Advisor
Investment Objective
Investment Policy/Philosophy
Characteristics
Type of shares / units
Distribution
Capitalisation
Distribution and capitalisation
Others (Hedged, Non-hedged) (please type here)
NAV Calculation Frequency Daily Weekly Monthly Other
If other - please specify
Benchmarks
Leveraging to be utilised Yes No
Please detail: (max 300% under Luxembourg Law)
Hedging to be utilised Yes No
Please detail:
Risk Rating
(Low) 1 2 3 4 5 (High)
1 2 3 4 5
Base/Quoted Currency
Real (/Pro Forma)
Past Performance
1yr %
2yr %
3yr %
Investment Dealing Frequency Daily Weekly Monthly Other
If other - please specify
Type of Investments
Estimated percentage in
terms of total net assets
Cash Deposits %
Money market instruments %
Bonds %
Equities %
Derivatives %
UCIs (Plain vanilla, hedge funds, …) %
Other transferable securities %
Private equity %
Infrastructure %
Real Estate %
Hedge Fund %
Other: %
Private Equity Fund Number of Closes
Frequency of Capital Calls
Monthly/Quaterly/Ad Hoc
Number of Side Letters
Geographical Sector
Estimated percentage in
terms of total net assets
Main OECD countries
(Europe, USA, Can, HK, Japan, …)
%
Eastern Europe %
Central and South America %
Asia %
Other: %

Activity

Estimated number of investments in the portfolio
Estimated number of transactions per year (purchase / sale)
Prices available on a traditional pricing system (Telekurs, Reuters, Bloomberg, etc…)
Other Pricing Sources
Stock Market Listing Yes No
Target Market and Target Countries for distribution
Expected number of Shareholders per year

Fund's Performance

Seeding / Initial Transfer Value EURO/GBP/US$/Other million
Expected time for execution of transfer
Seeding Source (including current location)
Expected Future Inflows
1yr 2yr 3yr
Expected Future Outflows
1yr 2yr 3yr

Proposed Charging Structure

Front End Load %
Rear End Charge % over
1yr 2yrs 3yrs 4yrs 5yrs
Management Fee % p.a.
Performance Fee Yes No
Basis of Calculation

Authority to Act

Copy of existing client mandates / agreements to be sent separately.

List Conflicts of Interest that should be included in the prospectus: (Any, double charges, retrocessions)

1.
2.
3.
4.
5.

About the Investment Advisor / Manager

Licences:
Qualifications:
Company History and Background:

Required Due Diligence Documentation on the Investment Advisor/Manager

Certificate of Incorporation
Memorandum and Articles of Association
Certificate of Directors
Passport or Identity Cards copies of the Directors
Proof of residential address of the Directors
  Above documents to be certified as true copies.

Full contact details

Address:
Phone: Fax:
Mobile: E-mail:

Date of Information/completion of this form


 

For guidance and assistance please contact Paul Pavli at:
KMG Capital Markets Ltd.,
Phone: +357 25 818 412, Fax: +357 25 749 755, e-mail: info@kmgcapitalmarkets.com


© 2009 KMG SICAV SIF

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