WEALTH PLANNING DATA GATHERING SHEET

A. PERSONAL INFORMATION

A.1 Personal Information

Self Spouse
Surname JAIN JAIN
First Name PRASHANT MANALI
Age 35 30
Gender Male Female
Marital Status Married Married

A.2 Employment Details

Self Spouse
Employment Status (Employed / Employed Homemaker
Self employed /Retired)
A.3 Family members
Examples Include: Children or parents; any other persons who are financially dependent upon you.
Relationshi Current Marital Status of Dependen
Name Male / Female
p Age Children t
MANALI JAIN Wife 30 Female Yes
PUNIT JAIN son 2 Male Unmarried Yes

Any other information:

ET

If Dependent status is "Yes" then at what

age you expect them to be self (Yes/No)
supporting
35(member's
yrs age age)
22 yrs age
B. GOALS

B.1 Retirement Goal

Retirement Age (Your targeted age to
60
retire)
Monthly pension required 30,000
Any lump sum amount required 20,00,000

B.2 School and College Education

How much will be required and for which year towards school and college education (in today's value)

Name of Child Age School

Age to College
Age to
Age to Age to start
Finish/ Annual Finish/ Annual
start / Year / Year to
Year to Expenses Year to Expenses
to Start Start
Finish Finish
19yrs of 22yrs of
PUNIT JAIN 2yrs 4yrs of age 19yrs of age 72,000 8 Lakhs
age age

B.3 Children Marriage Goals

How much will be required in which year for marriage (in today\s value)

Name of Child Year Amount

PUNIT JAIN 28 yrs age 19 Lakhs

B.4 Asset Building Goals

Today's
Are you
Value
Description Year open to
Amount
Real Estate: Primary Home 2029 30Lakhs takeNo
a loan
(Rs.)
Real Estate: Rental Property 2035 2cr Yes
Real Estate: Vacant Land N/A N/A N/A
Purchase of Car 2026 22Lakhs Yes
Jewellery N/A N/A N/A

B.5 Other Goals

Today's
Value
Description Year
Amount
Vacation: International 2025 15Lakhs
(Rs.)
Vacation: Domestic Annual 1 Lakh
Charity 2030 2Lakhs
Gift N/A N/A
Up gradation of house 2037 20Lakhs
Medical Corpus 2030 40Lakhs
Others N/A N/A

Any other information

For Reference

Illustrative higher education costs in India

ENGINEERING (Four-year BE/B-Tech) per annum cost

- IITs: Rs. 3.50-4.50 lakh
- Private colleges: Rs. 5.50-7 lakh

MEDICINE (Five-year MBBS)

- Govt-funded colleges: Rs. 7-8 lakh

- Private colleges: Rs. 25-35 lakh

BUSINESS MANAGEMENT (Two-year
course)
- IIMs: Rs. 6-7.5 lakh
- Private institutes: Rs. 7-16 lakh

Illustrative higher education costs in Abroad

- Annual tuition Rs. 18-21 lakh
- Annual living Rs. 12-14 lakh
C. INCOME

Expected Growth Rate

Self (p.m.) Spouse
(% p.a)
Salary (Gross) 80,000 5 N/A
Business or profession 20,000 3 N/A
House Property (Rental) 3,00,000 10 N/A
Other sources 8000 5 N/A

Retirement Assets
Amount of Retirement Benefits you expect to receive on your & your spouse's retirement

Self Nominee
-Provident Fund 30 Lakhs N/A
-Superannuation 36 Lakhs N/A
-Gratuity 55 Lakhs N/A
-Others 6 Lakhs N/A

D. EXPENSES/OUTFLOWS

Description Monthly (Rs.)

A. Housing 5,000
(rent and maintenance expenses)
B. Utilities 11,200
(Electricity, Gas, Water, Telephone, Mobile Phone, Internet, Cable TV)
C. Food, Clothing, Transport 30,000
(Fruit/Vegetable/Groceries, Takeaway food/restaurants, Pet Food, Clothing,
Petrol, Vehicle Maintenance, Vehicle Taxes/License)
D. Education 10,000
(School Fees, Tutoring / Books, Sports / out of school activities, School Bus/transport)
E. Other expenses 35,000
(Medical cost, Personal care, Dependent care, Entertainment, Club membership,
Hobbies, Gift/donation to Charities, Gift to family and others,
Subscriptions - newspapers and magazines, Gardening expenses, Servants,
Drivers, Pocket Money children
F. Investments/Savings 75,000
Loan EMIs
Insurance Premiums
Other regular saving obligations
Total Expenses (A+B+C+D+E+F) 166,200

Any other information:

Expected Growth Rate
(% p.a)
N/A
N/A
N/A
N/A

Annual (Rs.)
60,000

134,400

360,000

120,000

420,000

900,000
1,994,400
E. POLICIES

E.1 Life Insurance (Specify if provided by employer)

Who is Insured? Premium Paying

Sl No. Type of Policy Nominee Survival/Maturity Benefit
(Policy Owner) Term/ Term of policy
1 PRASHANT JAIN Term Insurance SPOUSE 20yrs N/A

E.2 Motor Insurance

Sl No. Insurance Company Type of Policy Value Insured Annual Premium Term of policy
1 Maruti Insurance Third Party Liability 7.5Lakhs 9,000 7yrs
2

E.3 Health Insurance (Specify if provided by employer)

Sl No. Insurance Company Type of Policy Life Insured Sum Assured Annual Premium
1 ICICI Lombard Family Floater 2Adults+1 Children 22Lakhs 52000
2

E.4 Home Insurance

Sl No. Insurance Company Term of the Policy Value Insured Annual Premium Commencement Date
1 N/A N/A N/A N/A N/A
2

Any other information:

 Annual Date
Premium Sum Assured
Maturity
15,000 22Lakhs 04/03/2022

Commencement Date Renewal Date

2/11/2019 2/12/2026

Term of Policy Commencement Date Renewal Date

5yrs 7/2/2018 7/3/2023

Renewal Date
N/A
F. ASSETS
F.1 Personal Assets

Ownership (Single or Joint) If

Sl No Description Cost of Acquisition Date of Acquisition
joint specify the co-owner
1 Real Estate
Primary Home Single Inherited 9/3/1984
Vacant Land Single Inherited 10/6/1985
Secondary Home Single Inherited 10/6/1985
Any other property N/A N/A N/A

2 Jewellery Single 2,000,000 2/7/2000

F.2 Saving Bank Accounts (Banks, Post Office)

Holding (Single
Sl No Type of Account Holder Name /Joint) If joint specify Nominee
the Co-Holder

1 Basic savings A/c PRASHANT JAIN single spouse

2 PO savings A/c PRASHANT JAIN single spouse

F.3 PPF Accounts

Sl No Type of Account Holder Name Nominee Present Balance
1 Basic PPF PRASHANT JAIN Spouse 1,725,000
2

F.4 Deposits- Banks, Post Office, Bonds, company (Excluding Mutual Funds, Shares )
Holding (Single
Sl No Type of Account Holder Name /Joint) If joint specify Nominee
the Co-Holder
1 Fixed deposit PRASHANT JAIN Single spouse
2

F.5 Recurring Deposits

 Holding (Single
Sl No Type of Account Holder Name /Joint) If joint specify Nominee
the Co-Holder

1 N/A N/A N/A N/A

2

F.6 Demat Accounts / Mutual Funds Folios

Holding (Single
SI No Description Holder Name /Joint) If joint specify Nominee
the Co-Holder

1 Demat a/c with Groww PRASHANT JAIN single spouse

2 Mutual Fund Folio PRASHANT JAIN single spouse
3 Mutual Fund Folio PRASHANT JAIN single spouse

F.7 Mutual Funds SIP's

Holding (Single
SI No Description Holder Name /Joint) If joint specify Nominee
the Co-Holder

1 Axis Bluechip Direct Growth PRASHANT JAIN single spouse

2 ICICI Prudential Tech Direct Growth PRASHANT JAIN single spouse

Any other Information

 Current Value

6.5 cr
5 cr
2 cr
N/A

3,500,000

Present Balance

3,025,418
1,576,924

Maturity
Deposit Amount Period of Deposit Interest Rate
Amount
10Lakhs 5yrs 5.25% 1,291,548
 Period of Deposit/ Maturity
Installment Amount Interest Rate
Frequency Amount

N/A N/A N/A N/A

Current Value

120,541
855,021
1,470,543

Installment Amount Frequency

15,000 58
20,000 39
G. LIABILITIES

Examples Include: Any loans related to your personal assets and additional liabilities
Origination Original Interest Amount Monthly
Sl No Description Original Balance
Date Term Rate Outstanding Payment
1 Home Mortgage N/A N/A N/A N/A N/A N/A
2 Car Loan N/A N/A N/A N/A N/A N/A
3 Loan Against Policies N/A N/A N/A N/A N/A N/A

4 Loan Against Investments N/A N/A N/A N/A N/A N/A

5 Personal Loan N/A N/A N/A N/A N/A N/A
6 Credit Cards 200,000 7/2/2020 5yrs 31% 40000 Bill amt
7 Others N/A N/A N/A N/A N/A N/A

H. TAX PLANNING

Description Amount (Rs)

Interest paid on housing loan
for self occupied house N/A

Deduction u/s 80C 150,000

Deduction u/s 80D 25,000
Deduction u/s 80E N/A
Deduction u/s 80G N/A
Others N/A

Any other information:

 Insured
(Yes/No)
N/A
N/A
N/A

N/A
N/A
No
N/A
 I. ESTATE PLANNING
Do you want that your assets & properties post your death are distributed as per your wishes
Estate & Succession Planning Questionaire- Need Analysis Questions
and desires? YES NO
1 Do you
Only to want toyou
people retain control
want themover
to goyour assets
at the timetill
youyou are alive?
want, in the manner you want and in the Yes
2 propotion
In case youyou want. incapicitated or disabled have you made provisions for someone to
become Yes
3 operate your singly owned bank accounts, mutual fund investements, fixed deposits etc. No
4 Dothe
Is younominee
want to in
ensure and
all your easy peaceful
financial transfer
holdings of yourwho
same person wealth
youpost your
would death?
like to inherit those Yes
5 assets
Do youafter
knowyou?
your legal heirs? i.e. in case you pass away without creating a "WILL" who all Yes
6 will get your property and in what proporation Yes

ESTATE PLANNING CONCERNS QUESTIONS

Read each statement and choose the level of Concern this is for you i.e. what is the
chance of this occurring in your life or after your death?
Risk that Your Assets after your Death, might not fully pass on to your spouse, because if you HIGH MEDIUM
1 die without a ‘Will’ other people apart from your spouse are your legal heirs.
after
2 Risk that if youyouandpass
youraway your
spouse children
pass or other
away while Legal
your Heirsare
children might fightsomeone
‘Minor’ over yourother
Assets
than your
3, Risks choice
of one of youmight
childbecome
or othertheir Guardian.
beneficiary losing his or her inheritance to creditors, MEDIUM
4 lawsuits or to a divorcing spouse or to mismanagement of the money. High
5 Risk of
that anof
loss inheritance
information passing to awith
that dies minor
youchild
suchorasgrandchild
details of might be misspent
your assets, or creditors,
debtors, stolen by High
6 information about passwords to your email id etc. High
7 Risk
Risk that your Business
of unwanted effortsmight
madenot run smoothly
to save after
your life if youyou
feelpass
that away?
it’s best to cease such efforts High
8 and of Creditors
Risk die
that where you have
your ‘Incapacitated
peaceably and without stood
Child’
pain. ForGuarantor
‘Special
Ex. Child’
Suppose taking
might your
younot beAssets
become looked toafter
brain pay properly
dead the loan.
with no once
chance MEDIUM
both
9 of you and your
recovering spouse keep
and Doctors pass away.
you artificially alive. In this case your Wealth goes to a Doctor
10 or Hospital and also you have to bear lots of Pain. High

Your Current State of Estate Planning

Answer the below questions to help us understand your current state of Estate Plan SELF
YES NO
1 Do you presently have a will? No
2 Do you have a Financial Durable Power of Attorney? No
3 Have you created a Letter of Guardianship for your minor child? No
4 Do you have a 'Living Will" i.e Advanced Health Care Power of Attorney? No
5 Have you created an " Asset Information Sheet" for your next generation? No
LOW NO/NA
NA
Low

LOW

SPOUSE
YES NO
No
No
No
No
No
J. YOUR RISK PROFILE

Questions Answer A B
I plan to begin withdrawing money from
C Less than 3 years 3-5 years
my investment within
I intend to spend all my investments after
B Less than 2 years 2-5 years
withdrawal within
My knowledge of investments is B None Limited
When I invest my money, I am Most concerned about my Equally concerned about my
C
investment losing value investment losing or gaining value
What investments have you owned in Money market funds or
C Bonds and/ or bond funds
the past cash equivalent
Imagine that the NIFTY has dropped by
25%.You owned a Reliance stock which
also fell by 25%. C Sell all my shares Sell some of my shares
What would you do?
Average, best case and worst case
scenarios for hypothetical investment Average: 7.2% Average: 9%
portfolio has been given below. B Best Case: 15% Best Case: 25%
Which is most acceptable to you? Worst Case: -5% Worst Case: -13%

Any other information:

 C D

6-10 years More than 10 years

6-10 years More than 10 years

Good Extensive

Most concerned about my

investment gaining value

Stocks and/ or stocks funds

Do nothing Buy more shares

Average: 10.5% Average: 12%

Best Case: 33% Best Case: 50%
Worst Case:18% Worst Case: 28%
DECLARATION
I hereby declare that any information supplied in this questionnaire is correct and I understand that this
information will be used towards creating my Wealth Plan and for academic purposes by AAFM India.
I indemnify the company from any liability that may arise from this information being incorrect, or my
failure to implement any recommendations, which are made from this information. I understand that it is my
responsibility to choose to or not to implement any recommendations made as a result of this plan, or to
formally engage the company to implement these recommendations for me. I understand that any
Wealth Management advice will only remain valid while my situation does not change or while I am progressing
on a recommended course of action.
I am aware that AAFM India may use the data obtained from me for academic purposes.

Signed: YES PRASHANT JAIN

Date: 7/4/2021

The statutory environment in this country may change from time to time therefore it is important that a client
should review any Wealth Management recommendations made to ensure that these remain valid. A client
should review any Wealth Management recommendations made to ensure that these remain valid. A client
dramatically necessitating an alteration of their plans
.