Fortlake account application

Important

Welcome and thank you for choosing Fortlake Asset Management. This pack provides you with the documents and forms that you need to create your investment account and provides us with details of the people who are authorised to transact on the account. It also sets out identification information required from you to enable us to comply with Australian anti-money laundering and counter-terrorism financing laws. In this application form, ‘I/we’, ‘you’, ‘your’ and ‘my/our’ refers to the investor/joint investors.

Before you begin; Please ensure that you have read the relevant Product Disclosure Statement (PDS) or Information Memorandum (IM) and additional information documents, which contain important information about investing in Fortlake Asset Management funds. You can access these on our website, fortlake.com.au, or request a copy by calling our Client Services team on 1300 110 344.

Depending on the fund you are investing in you may be required to prove you are a “wholesale client” for the purposes of Section 761G of the Corporations Act 2001. Section H identifies the funds that require you to be classified as a “wholesale client”. You can download an Australian Wholesale Client Certificate on our website, fortlake.com.au. Neither this document or the PDS or the IM constitute an offer in any jurisdiction in which, or to any person to whom, it would not be lawful to make such an offer. No action has been taken to register or qualify the interests or the offer to any jurisdiction outside Australia.

We use the information you provide to verify your identity and establish your account(s). Please provide ALL of the information requested on the following pages. If you are unable to provide any particular piece of information please explain this or insert Not Applicable. Information (including client identification details and personal information) may be provided to agents appointed by Fortlake Asset Management to carry out relevant procedures and services, in order for Fortlake Asset Management and those entities to meet their obligations under the Anti Money Laundering/Counter Terrorism Financing Act 2006. Information may also be provided in order to meet its obligations in respect of tax reporting under the Intergovernmental Agreement (“IGA”) between the Australian and U.S. Governments, implementing the Foreign Account Tax Compliance Act (“FATCA”), dated 28 April 2014, and under the OECD’s Common Reporting Standard for Automatic Exchange of Financial Account Information (“CRS”). Information gathered to meet Fortlakes’s obligations under the IGA and CRS may be provided to the ATO.
To begin, please select your account type and click the "Next" button.
Select your account type *  
Trustee type *