The following questionnaire is designed to evaluate whether an investor is a suitable candidate to have their investments managed on a discretionary basis. Upon completion of the questionnaire, Mounir will contact you if you wish to discuss the results.  If you have any questions, please do not hestitate to Contact Us.

Background Information

Name:	*
Phone Number:	*
Email Address:	*
Date of Birth:
Profession:
Check if you are Retired
Please list any restrictions that you would like to impose on your universe of eligible investments (e.g. geographic or industry type restrictions). Note however, that by placing restrictions on Mounir's discretionary powers, it may be difficult to meet your stated objectives. Also note that Mounir reserves the right to refuse any mandate that places too many restrictions on the portfolio.