Personal Information Fo

Last Name
First Name
Present Home Address (incl Zip code):

Permanent Home Address (incl Zip code):

*Leave blank if same with Present Address
Birthday (mm / dd / yyyy) :
City/Province of birth:
Height (in ft): ft. (feet)
Weight: (in lbs): lbs. (pounds)

Employment / Business
Occupation:
Nature of Work / Business (if self-employed):
Name of Employer / Business:
Nature of Employer / Business:
Employer / Business address (incl. Zip Code):
TIN or SSS:
Bank Account
(for auto-debit account)
BDO / BPI Account Name:
BDO / BPI Account Number:
Credit Card
(if not payment via auto-debit account)
Cardholder name:
Card number:
Card expiry date:
Bank issuer:
Beneficiaries
(must be immediate family: siblings and/or parents, max of 5)
Beneficiary 1 - Primary
Surname, Given Name, Middle Name
Relationship:
Present Home Address:
*Leave blank if same with Client
Birthday (mm / dd / yyyy) :
Age:
City/Province of birth:
 Beneficiary 2 - Primary
Surname, Given Name, Middle Name
Relationship:
Present Home Address:
*Leave blank if same with Client
Birthday (mm / dd / yyyy) :
Age:
City/Province of birth:
Beneficiary 3 - Secondary
Surname, Given Name, Middle Name
Relationship:
Present Home Address:
*Leave blank if same with Client
Birthday (mm / dd / yyyy) :
Age:
City/Province of birth:
Beneficiary 4 - Secondary
Surname, Given Name, Middle Name
Relationship:
Present Home Address:
*Leave blank if same with Client
Birthday (mm / dd / yyyy) :
Age:
City/Province of birth:
Beneficiary 5 - Secondary
Surname, Given Name, Middle Name
Relationship:
Present Home Address:
*Leave blank if same with Client
Birthday (mm / dd / yyyy) :
Age:
City/Province of birth:
 Required -
nal Information Form
Middle Name
Age:

Nationality:
Civil Status:
Mobile number:
Email Address:
Investment Risk Profile
(Please choose the letter/answer that best describes you)
INVESTMENT HORIZON
1.) How long will you allow your money to grow before you feel the need to have access to it?

A. Less than three years*

B. Between three AND seven years
C. Longer than seven years but less than 10 years
D. At least 10 years

*A unit-linked product is a long-term investment and life insurance policy. A longer investment horizon is generally
recommended and a unit-linked product is not suitable for investors with short-term liquidity needs. Please
consult with your Life Insurance Agent/Insurance Broker to decide if a unit-linked product will be suitable for your
needs.

INVESTMENT GOAL
2.) What is your goal for this investment?

A. Capital preservation with a potential return that is slightly higher than time deposit rate
B. Steady growth in capital
C. A significant level of capital appreciation

EXPERIENCE WITH INVESTMENTS AND/OR FINANCIAL MARKETS

3.) Have you had any experience investing in the following:
I. Mutual funds, unit investment trust funds, unit-linked insurance policies, local government and/or
corporate bonds, listed stocks in the Philippine Stock Market
II. Foreign investments (stocks, bonds, funds outside the Philippine market), foreign currencies,
hedge funds, derivatives (options, futures, forwards, etc.)

A. None of the above

B. In “I” only
C. In “II” only
D. In both “I” and “II”
REACTION TO SHORT-TERM VOLATILITY
4.) What will you do if you experience a significant drop (e.g.30%) in fund value within a year?

A. Make a full withdrawal

B. Switch to a less risky fund
C. Do nothing or hold on to the funds
D. Do top-ups or make additional investments

AFFORDABILITY TO CAPITAL LOSS

5.) In the long term (more than five years), what is the level of capital loss you can afford to take?

A. I cannot afford a loss**

B. I can afford up to 5% loss
C. I can afford up to 10% loss
D. I can afford more than 10% loss

**Unit-linked products carry investment risk. Investment return is not guaranteed and there is a risk of capital
loss. Please consult with you Life Insurance Agent/Insurance Broker to decide if a unit-linked product will be
suitable for your needs.

RISK AND RETURN TRADE-OFF

6.) Which of the sample portfolio would you prefer?

A. Portfolio A
B. Portfolio B
C. Portfolio C
D. Portfolio D
 Scoring System
A Q 1 2 3 4 5 6
B A X 1 0 0X 1
C B 2 2 2 1 1 1
D C 3 3 4 2 2 2
D 4 4 4 3 3

Err:508 Err:508 Err:508 Err:508 Err:508 Err:508 Err:508

 Risk Rating
0 to 5 N/A N/A
6 to 9 Conservati 1
10 to 15 Moderate 1,2
16 to 21 Aggressive 1,2,3

Err:508