Office Use Only

The price of securities fluctuates, sometimes drastically. The price of a security may move up or down, and may even become valueless. It is likely that losses may be incurred as a result of buying and selling securities.

Declaration by the staff,

(Investment Advisor) on behalf of the Asha Philip Securities Ltd has clearly explained the risk disclosure statement to the client while inviting the client to read and ask questions and take independent advice if the client wishes.


bearing Business Registration No.


hereby declare that the particulars given overleaf are true and correct.

We undertake to operate my / our share trading account with ASHA SECURITIES LTD. (Hereinafter referred to as BROKER) in accordance with the Rules and Conditions given in the Colombo Stock Exchange Bought and Sold Notes and in accordance with the conditions of Sale of the Colombo Stock Exchange and other prevailing laws and regulations of Sri Lanka and in particular to the authority hereinafter granted by us to the Broker.

In the event of our failure to settle the amounts due in respect of a share purchase, we do hereby irrevocably authorise the Broker to sell such securities involved in the default and if such proceeds are inadequate to cover the shortfall and any loss incurred by the Broker, to sell any other security in our portfolio held by the Broker in the Central Depository Systems (Pvt) Ltd, so that the full amount due to the Broker may be settled and any surplus arising on the sale of shares shall accrue to the Broker unless such surplus arise from the sale of other quoted shares deposited by the buyer as collateral with broker in which event the surplus shall be remitted to us after settlement day of the relevant sale (s).

The funds to be invested for the purchase of Securities through the SecuritiesAccount to be opened with the CDS will not be funds derived from any money laundering activity of funds generated through financing of terrorist or any other illegal activity.

In the event of a variation of any information given in the CDS Form 2, Addendum to CDS Form 2(A) this declaration and other information submitted by us along with the application to open a CDS Account, we undertake to inform the CDS in writing within fourteen (14) days of such variation.

The irrevocable authority granted hereby shall in no way effect or exempt us from any liability as stated herein towards the BROKER arising from or consequent upon any such default.

Also we do hereby irrevocably agree that in the event of any purchase orders placed with you for the purchase of shares, we shall pay approximately 50% of the value of such purchase by a legal tender which amount shall be set off against the total amount due from us to you on the due date of settlement in respect of such purchases, and the relevant investment advisors may be incentivized by the company on such purchase and sales turnovers.

Any delayed payments will be subject to additional interest cost on the condition and will be debited to my/our account. Interest percentage will be decided by the Broker considering the prevailing interest rates. (not exceeding a maximum interest rate of 0.1% per day)

The risk disclosure statement was explained while advising independently and was invited to read and ask questions.

Services provided : Online facility, Research reports.


In instances where the Securities Account will be maintained through a Custodian Bank, it is not mandatory to complete this Form 2A.

We declare that the information set out below is true and accurate and our investments will be in accordance with such information.

Less than Rs. 100,000 Rs 1,000,000 to Rs 2,000,000 Rs 4,000,000 to Rs 5,000,000
Rs 100,000 to Rs 500,000 Rs 2,000,000 to Rs 3,000,000 Rs 5,000,000 to Rs 10,000,000
Rs 500,000 to Rs 1,000,000 Rs 3,000,000 to Rs 4,000,000 Over Rs 10,000,000
Business Ownership Investment Proceeds/ Savings Commission Income
Business Turnover Sale of Property/ Assets Export proceeds
Investments Gifts Profits
Contract Proceeds Donations / Charities (Local / Foreign) Others (Specify)
4. Are you a US Person in terms of the Foreign Account Tax Compliance Act (FATCA) of the US? Yes No
If yes, FATCA declaration has to be submitted along with application form. If No, In the event if I/We become a US person under FATCA of US, I/ We do hereby undertake to inform the said fact to the Participant immediately
5. Politically Exposed Persons (PEPs) Yes No
Do you have persons who are or have been entrusted domestically/ Internationally with a prominent public function (for example Heads of State or of government, senior politicians, senior government, judicial or military officials, senior executives of state owned corporations, important political party officials.), as members of senior management or individuals who have been entrusted with equivalent functions, i.e. directors, deputy directors and members of the board or equivalent functions.


Declaration of Beneficial Ownership

This form has been issued under the Customer Due Diligence Rue No 1 of 2016 issued in terms of the Section 23) of the Financial Transactions Reporting Act of 2006. This form or an approved equivalent is required to be completed by all customers of financial institutions designated under the Acts to the best of their knowledge. The original completed and signed and witnessed version of this form must be retained by the financial institution and available to the competent authorities upon request

I declare that i

* politically exposed person" means an individual who is entrusted with prominent public functions either domestically or by a foreign country, or in an international organization and includes a Head of a State or a Government, a politician, a senior government officer, judicial officer or military officer, a senior executive of a State owned Corporation, Government or autonomous body but does not include middle rank or junior rank individuals

** beneficial owner as "a natural person who ultimately owns or controls a customer or the person on whose behalf a transaction is being conducted and includes the person who exercises ultimate effective control over a person or a legal arrangement"


  • Names, Addresses, Passport Number number and Occupations of Directors as at date.. (If the Company is listed in a Stock exchange only the names should be given. Proof of such listing should be submitted in that event)

  • If the directors are also a company, the following information on such Director company should be given:

    1. Name of the Company

    2. Date of Incorporation

    3. Place of Incorporation

    4. Registered Address

  • Names, Passport Number and Address of top 10 share holders list as at date. (Not applicable if the Company is listed in Stock Exchange.)

  • Name of person/s authorized to give instructions with a copy of the Power of Attorney or board resolution

  • Certified Copies of the following documents

    1. Memorandum & Articles of Association or corresponding Document.

    2. Certificate of Incorporation

    3. Certified extract of the resolution to open the CDS account

    4. Certified extract of the resolution to who has authorize to give instruction on behalf of the company

  • Certified copy of letter of Commence of business

  • By the Company Registry where the documents were originally issued (applicable for Corporate bodies)

  • By a Sri Lankan diplomatic officer or Sri Lankan consular officer in the country where the documents were originally issued or.

  • By a Solicitor, Attorney-at-law, Notary Public, practicing in the county where the applicant resides

  • Proof of SIERA account details

  • Copy of Passport of Directors