Invest Prequalification Invest Form Step 1 of 10 10% Investor Questionnaire In the next few steps we will ask a few questions for the purposes of… Verifying that our investment product is suitable for you, in compliance with securities regulation Verifying your identity in compliance with FINTRAC and Canada's anti-money laundering and anti-terrorist financing regime Gathering necessary tax information to meet our annual reporting obligations to the CRA Your Name(Required) First Last Phone Number(Required)Your E-mail(Required) Date of Birth(Required) MM slash DD slash YYYY Marital Status(Required) Single Married Divorced Common Law Occuapation(Required) Accounts Currently Have(Required) Savings Checking TFSA RRSP Spousal RRSP RIF Annuity RESP Other Income from all sources ($)(Required)Net Worth(Required) Number of Dependents(Required) Your Location(Required) Province AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country What type of account would you like to open?(Required) Personal Company Investor QuestionnaireWhat is the intended use of your Allymon investment account?(Required) Investment diversification Making a big purchase Retirement Saving for child's education Saving for the future Other How would you rate your investment knowledge and experience?(Required) Limited Fair Good Sophisticated What type of assets would you like to hold in your Allymon Investment Portfolio?(Required) Alternative Investments Bonds ETFS Mutual Funds Real Estate Stocks Securities First Choice Second Choice Third Choice What is your primary investment objective?(Required) Capital Preservation Passive Income Capital Growth Speculation What is your aversion to risk with regards to investing?(Required) Low Low-Medium Medium High-Medium High How much would you like to invest?(Required) $1,000 - 10,000 $15,000 - $50,000 $100,000 - $200,000 $250,000 - $500,000 $500,000 - $1Million $1Million - $5Million Above $5Million How long do you expect to keep the majority of your invested funds in your account to reach your desired financial objectives (Years)?(Required) 1 - 5 5 -10 10- 15 15 - 20 20 or more Untill Retirement
