disclosure statement


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DISCLOSURE STATEMENT Glenn Gilbert Glenn Gilbert & Associates 48 Upper Harbour Drive, Greenhithe, Auckland PO Box 303 209 North Harbour Auckland 0751 Office Telephone No: (09) 413 6460 Mobile No: (021) 214 2449 Fax No: (09) 413 6460 Email: [email protected]

FSPR No: 42122 This Disclosure Statement was prepared on 26 July 2011

It is important that you read this document. This document will help you choose a financial adviser that best suits your needs. It also provides you with some useful information about the financial adviser that you choose. What sort of adviser am I? I am a Registered, but not yet Authorised Financial Adviser. I am able to give you advice about: - Term Life Insurance - General and Fire Insurance - Investments in Bank Term Deposits, call debt securities and cash or term portfolio investment entities. - Consumer Credit contracts. What should you do if something goes wrong? If you have a problem, concern, or complaint about my service, please inform me so that we might be able to rectify the problem. You may contact the internal complaints scheme by telephone, email or in writing at the addresses above. If we cannot agree on how to rectify the issue, or if you decide not to use the internal complaints scheme, you may contact Financial Services Complaints Limited. The service will cost you nothing, and will help us resolve any disagreements. You may contact FSCL at: PO Box 5967, Lambton Quay, Wellington 6145.

How am I regulated by the government? You are able to check that I am a Registered Financial Adviser at http://www.fspr.govt.nz. (my FSPR number is 42122) The Financial Markets Authority regulates financial advisers. Contact the Financial Markets Authority for more information, including financial tips and warnings. You may report information or complain about my conduct to the Financial Markets Authority, but in the event of a disagreement, you may choose to use the dispute resolution service described above (under What you should do if something goes wrong? Declaration I, Glenn Melvyn Gilbert, declare that, to the best of my knowledge and belief, the information contained in this Disclosure Statement is true and complete, and complies with the disclosure requirements in the Financial Advisers Act 2008 and the Financial (Disclosure) Regulations 2010. Signed: ----------------------------------------------------------------------

Client Acknowledgment Please sign and date this acknowledgment, confirming you have received this secondary disclosure statement.

I/We the undersigned acknowledges that I/we have received a copy of disclosure statement dated: 26 July, 2011 Client1 (Signature) ……………………………………………………………………………… Client1 Name: ……………………………………………………………………………….…… Client2 (Signature)……………………………………………………. ………………………… Client2 Name: ……………………………………………………………………………….……… Date ………………………………………