FEDERATION OF INVESTMENT MANAGERS MALAYSIA (272577-P) 19-06-1, 6th Floor, PNB Damansara, No. 19, Lorong Dungun, Damansara Heights, 50490 Kuala Lumpur. Tel : 03-2093 2600 Fax : 03 -2093 2700 Website www.fimm.com.my E-mail: info@fimm.com.my NOTIFICATION ON MARKETING AND DISTRIBUTION OF UNIT TRUST SCHEME (UTS) OR PRIVATE RETIREMENT SCHEMES (PRS) FUND Please print in BLOCK LETTERS. 1. CATEGORY OF APPLICANT Please choose one (1) category only. Institutional UTS Adviser Corporate UTS Adviser Institutional PRS Adviser Corporate PRS Adviser 2. NOTIFICATION DETAILS Is this the first notification of UTS/PRS submitted by your company? (Kindly () where applicable) YES NO If yes, please confirm on the following: Registration of minimum two (2) UTS Consultants/PRS Consultants* at each Distribution Point(s) is completed. Your company has at least one (1) Distribution Point. Please provide a hardcopy and softcopy of the particulars of each Distribution Point with the respective appointed UTS Consultants/PRS Consultants as per the format attached (Institutional UTS Adviser/Corporate UTS Adviser/Institutional PRS Adviser/Corporate PRS Adviser Second Schedule – Part Two – Distribution Point) A certified true copy of the relevant pages of distribution agreement between your company and the Unit Trust Management Company/Institutional UTS Adviser/PRS Provider/Institutional PRS Adviser* is enclosed herewith. The effective date of commencement of operation is on __________________________ Please provide the name(s) of the UTS/PRS fund and the intended date of distribution which your company will be marketing and distributing on behalf of the Unit Trust Management Company/Institutional UTS Adviser/PRS Provider/Institutional PRS Adviser. If the space in this form is insufficient, kindly use separate annexure. Unit Trust Management Company / Institutional UTS Adviser / PRS Provider / Institutional PRS Adviser Name of Fund Related Party (/) Third Party (/) Date of Distribution 3. DECLARATION We confirm that all the information given above and the attached documents (if any) is true and correct and will form the basis of our notification of UTS/PRS fund(s) pursuant to Guidelines For Registration of Institutional Unit Trust Advisers (IUTA) for the Marketing and Distribution Of Unit Trusts, Guidelines For Registration of Corporate Unit Trust Advisers (CUTA) for the Marketing and Distribution Of Unit Trusts or Guidelines on Registration of Private Retirement Scheme Distributors and Consultants. We further acknowledge that we are fully aware of the said Guidelines and agree to comply with the same. Name of company: ____________________________________________________________________________________ Name of authorised signatory: ________________________________________ Date: ____________________ __________________________________ Please affixed rubber stamp / company seal Note: *strike off which ever not applicable. Signature: ___________________