1. Miss Adél Dorfling
436241
662818
27-Aug-2015
Old Mutual Life Assurance Company (SA) Ltd is licensed as a Financial Services Provider in terms of the Financial Advisory
and Intermediary Services Act 37 of 2002 (FAIS). Personal Financial Advice is a division of Old Mutual and is authorised to
render financial advice and intermediary services in respect of the following product categories: long-term insurance, short-
term insurance, pension fund benefits, participatory interests in (a) collective investment scheme(s) and health service
benefits.
Licensed Financial Services Provider: License No. 703
Legal Status and Contractual Relationship of our Representative
The aforementioned adviser is our authorised representative as contemplated in FAIS. The adviser is in our permanent employ
and as such receives all remuneration from us, partly in the form of reduced commission and partly in the form of other
benefits. The adviser may qualify for non-cash incentive schemes. The adviser is authorised and accredited to provide advice
and intermediary services, limited to financial products listed in Annexure A attached hereto. The products listed in Annexure A
may include products of other companies with which we have distribution agreements. We accept responsibility for the actions
of the adviser in rendering financial services performed in the course and scope of the adviser's employment with us. Old
Mutual holds indemnity insurance.
Qualifications and Experience of our Representative
The adviser has completed a learning and development program prescribed by us. This enables the adviser to give advice on
risk protection and wealth creation needs. We believe in continuous learning and development of our financial advisers,
through regular learning interventions.
The adviser renders financial services under supervision until he/she has met the prescribed minimum experience, qualification
and regulatory examination requirements as required in terms of FAIS.
We have a complaints resolution process and in this regard we will reply to any written complaint, as defined in FAIS.
Complaints are to be addressed to any of the addresses above. If you are dissatisfied with our response, you may write to the
Ombud for Financial Services at: PO Box 74571, Lynwood Ridge, 0040.
The address of our Compliance department is: The Compliance Officer: Personal Financial Advice, Block 1A Mutualpark,
P.O.Box 66, Cape Town, 8000.
CONTACT STAGE REGULATORY DISCLOSURES NOTICE
Head Office
Mutualpark, Jan Smuts Drive, Pinelands 7405,
Po Box 66, Cape Town 8000, South Africa
Tel +27.21.509 9111, Fax +27.21.509 4444
Website: www.oldmutual.com
Full Name:
Employee number:
Sales Code:
Complaints & Compliance Department

2. Miss Adél Dorfling
436241
662818
Full Name:
Employee Number:
Sales Code:
The PFA Financial Adviser is appropriately licensed, authorized and accredited by Old Mutual to provide financial
services in regard to the products and/or services listed below. Products and/or services rendered under
supervision are identified with an '*'.
PRODUCT ACCREDITATION LIST
Product accreditation details
(Annexure A)
Risk (Death, Disability and Impairment)
Savings
Personal Short Term Insurance
Investment Planning
FlexiFamily Cover *
Greenlight *
Taking will instructions
Flexi Range *
Investment Horizons *
OM Invest (Tax Free Savings Acccount) *
Old Mutual MAX Investments *
Mutual & Federal Personal Business *
Old Mutual Medical GAP Cover *
Fairbairn Capital FCash Money Market Account *
Fairbairn Capital Investment Plan *
Fairbairn Capital Life Wrapped Investment Plan *
Fairbairn Capital Retirement Income Plan *
Investment Frontiers Capital Portfolio *
Investment Frontiers Income Portfolio *
Investment Frontiers Retirement Income Portfolio *
Investment Planning *
Nedgroup Life Guaranteed Income Plan *
Old Mutual MAX Income *
Old Mutual Unit Trust *
Old Mutual Unit Trust Personal Living Annuity *
Old Mutual Wealth Life Wrapped Investment *
Old Mutual Wealth Linked Investment *
Old Mutual Wealth Linked Retirement Income *

3. Pre-Retirement Planning
Commercial Short Term Insurance
Employee Benefits Protektor *
Old Mutual Wealth Preservation (Pension) Investment *
Old Mutual Wealth Preservation (Provident) Investment *
Old Mutual Wealth Retirement Annuity Investment *
Mutual & Federal Commercial Business *