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1 MEMBER APPLICATION IMPORTANT Complete this form to become a member of Kinetic Super. Before you complete this form, please read the Kinetic Super Product Disclosure Statement (PDS) and Incorporated Information available at kineticsuper.com.au or call These documents will help you understand the product and decide if it is appropriate for your needs. You can join online! Visit kineticsuper.com.au and select Become a member > Join today. Signing up is straightforward and should only take a few minutes. Once you ve joined, you re ready to manage your account online via Member Online Services. You can access your statements, check your super balance, payment history, change how you re invested, view and apply for insurance cover, update your personal details, as well as your nominated beneficiaries. STEP 1 - YOUR PERSONAL DETAILS Please complete all relevant sections using CAPITAL LETTERS and a BLACK pen Title Male Female Residential address (compulsory) Unit/Street number Street name Postal address if different to residential Unit/Street number/po Box Street name Contact details (see important information immediately below before providing your mobile number or address) Mobile Home If the information requested is not provided, we may not be able to complete your request. Providing your mobile number or address means that you consent to receive marketing communications, including special offers from third parties to Fund members by SMS or . You can opt-out of this service at any time. If you would like to opt-out of marketing communications, please cross /17 ISS9 Issued on 1 July 2017 by Kinetic Superannuation Ltd (KSL) (ABN AFSL RSE L ) as Trustee of Kinetic Superannuation Fund (KSF) (ABN RSE R ), which includes Kinetic Smart Pension (KSP). Kinetic Super Member Application Page 1 / 6

2 STEP 2 - MEMBERSHIP CATEGORY PLEASE SELECT (CROSS T) There are two categories of membership available with Kinetic Super: Employer Sponsored: Employees nominated by their employer to be a member or who have employer contributions made to their Kinetic Super account because they have exercised Choice of Fund through their employer. Personal: Individuals who are not employer sponsored members (i.e. self-employed). For further details on membership categories including eligibility for Starter Pack insurance cover, please see the Kinetic Super PDS and Insurance Incorporated Information. STEP 3 - INVESTMENT CHOICE COMPLETE BOTH SECTIONS, EACH MUST TOTAL 100% You should complete both the existing account balance and future contributions section, even if you choose to have the same investment strategy for both. Each section must total 100%. Growth (MySuper) is the default option. If you do not make a selection, your existing account balance and/or future contributions will be invested, in the default option. Existing account balance Complete this section if you would like to nominate the way your account balance is being invested. Please invest my existing Kinetic Super account balance as indicated below: Aggressive % Growth (MySuper) % Moderate % Australian shares % Overseas shares % Property % Bonds % Cash % MUST TOTAL 100 % Future contributions Complete this section if you would like to nominate the way your future contributions will be invested. Please invest my future Kinetic Super contributions as indicated below: Aggressive % Growth (MySuper) % Moderate % Australian shares % Overseas shares % Property % Bonds % Cash % MUST TOTAL 100 % Investment switch process See the Kinetic Super PDS and Incorporated Information for the investment switch process, including buy/ sell costs that may apply. STEP 4 - TAX FILE NUMBER (TFN) The Fund is authorised to seek your TFN under the Superannuation Industry (Supervision) Act Your Tax File Number (TFN) will only be used for lawful purposes, which may change in the future as a result of legislative change. It is not an offence not to quote your TFN. However, if you don t provide your TFN higher tax will apply to your concessional contributions, we can t accept after-tax member contributions from you, the tax on super benefits paid to you may be higher and it may be more difficult to locate any lost super benefits or consolidate your super. The Fund may disclose your TFN to another superannuation provider when your benefits are being transferred unless you request us in writing not to do so prior to the transfer. For further information please refer to the Kinetic Super (PDS) available at kineticsuper.com.au or on request by calling My TFN is I do not wish to provide my TFN Kinetic Super Member Application Page 2 / 6

3 STEP 5 - SUPER SEARCH CONSENT You can authorise Kinetic Super to search for any other super you may have using your TFN, and for Kinetic Super to request the ATO to transfer any super it holds for you, into your Kinetic Super account. We will contact you if our searches identify you have super with another super provider (rather than with the ATO), to help you determine whether you would like to transfer the amount to your Kinetic Super account. Please cross below to provide consent. I consent to the Trustee of Kinetic Super (or any service provider appointed by Kinetic Super for this purpose) to: use my TFN to search, using a facility provided by the Australian Taxation Office (ATO), for any other super I may have with another superannuation provider or that is held by the ATO (TFN searches), and request the ATO to transfer any super amounts held for me by the ATO, that Kinetic Super identifies through its TFN searches from time to time, into my Kinetic Super account. I understand this consent will apply during my membership of Kinetic Super unless I notify the Trustee that my consent is withdrawn. STEP 6 - BENEFICIARY DETAILS When you open a Kinetic Super account, it s good to know your money will go to where you want, in the tragic event of your death. Kinetic Super offers binding and non-binding nominations. You should re-evaluate your beneficiaries on a regular basis as circumstances can change. For more details on who you may nominate, see the Kinetic Super PDS and the Contributions, Features and Benefits Incorporated Information available at kineticsuper.com.au or call Binding nominations A binding nomination means the Trustee must pay your death benefit to the person(s) you have nominated (subject to super law). A binding nomination received by the Trustee that complies with super law, is valid for three years from the date it is signed. If your binding nomination is left to expire (lapses prior to your death), it will be treated as a non-binding nomination. To make a binding nomination, complete a Beneficiary Nomination form available at kineticsuper.com.au or on request by calling Non-binding nominations A non-binding nomination will only be used as a guide. The Trustee has the final decision on how your benefit is paid in the event of your death (subject to super law). To make a non-binding beneficiary nomination, complete the section below: Depending on the beneficiary s circumstances, the benefit they receive may be taxed differently from that received by another beneficiary. For further information, see the Kinetic Super PDS and Incorporated Information. Beneficiary 1 PERCENTAGE SHARES MUST TOTAL 100% Kinetic Super Member Application Page 3 / 6

4 Beneficiary 2 Beneficiary 3 Beneficiary 4 You can nominate as many beneficiaries as you like by attaching an additional sheet to this form ensuring s total 100%. Kinetic Super Member Application Page 4 / 6

5 STEP 7 - OCCUPATIONAL CATEGORIES (Employer Sponsored members only) Select an Occupational Category that best represents the work you do, to ensure that you are paying the correct insurance premiums for Starter Pack insurance cover (if eligible). White Collar: Where the duties of your occupation are limited to professional, managerial, administrative, clerical, secretarial, or similar White Collar nature tasks that do not involve manual work and are undertaken entirely within an office environment (excluding travel time from one office environment to another). PLEASE SELECT (CROSS T) Standard: Members whose work includes some degree of manual labour usually conducted outside an office environment, or who otherwise do not meet the criteria of what is considered White Collar. The Standard Occupational Category will be applied, if you do not make a selection. Please advise Kinetic Super as soon as possible if any of your occupational circumstances change. Insurance eligibility is at the Insurer s discretion. The Insurer will assess your Occupational Category in the event of a claim, which may affect any insurance payout. For further information please refer to the current Kinetic Super PDS and Insurance Incorporated Information available at kineticsuper.com.au or by calling STEP 8 - INSURANCE COVER Kinetic Super offers members Death, Total & Permanent Disablement (TPD) and Income Protection insurance cover. Employer Sponsored: Members who join us through their employer or who choose Kinetic Super through their employer (Employer Sponsored), automatically receive our Starter Pack insurance cover which includes Death and TPD insurance cover. As with all insurance, there are some conditions around eligibility. See the current Kinetic Super PDS and Insurance Incorporated Information for eligibility criteria, cover amounts, costs and other important terms and conditions. Did you know you may also be eligible to take up the New Member Insurance Offer? Members who automatically receive our Starter Pack insurance cover have 120 days after the date on their Welcome mail to take up the New Member Insurance Offer. For further information please refer to the Kinetic Super PDS and Insurance Incorporated Information. Personal: Personal members will need to apply for insurance cover. Income Protection insurance cover: Kinetic Super also offers Income Protection insurance cover up to 85% of your pre-disability income (75% payable to you as a monthly income plus up to 10% paid to your super account as a monthly super contribution). You can select from a 30, 60 or 90 day waiting period and a benefit payment period of up to 2 years, up to 5 years or up to age 65. You can apply or personalise your cover via your online account, Member Online Services! If you haven t registered yet, visit kineticsuper.com.au and select Register > Member Online Services. Already registered? Simply log in. To apply or personalise your cover, select Insurance details and hit the link to apply. You can also do this within our app - download via Apple App Store or Google Play. DUTY OF DISCLOSURE Before a superannuation fund enters into a life insurance contract in respect of your life, it has a duty to tell the insurer anything that it knows, or could reasonably be expected to know, may affect the insurer s decision to provide the insurance and on what terms. The superannuation fund entering into the contract has this duty of disclosure until the insurance is provided. The superannuation fund has the same duty before it extends, varies or reinstates the contract. The superannuation fund does not need to tell the insurer anything that: reduces the risk of the insurance; or is common knowledge; or the insurer knows or should know as an insurer; or the insurer waives the duty to tell the insurer about. If you as a member of the superannuation fund do not tell the insurer something If you, as the person whose life is to be insured under the superannuation fund, do not tell the insurer something that you know, or could reasonably be expected to know, may affect the insurer s decision to provide the insurance and on what terms, this may be treated as a failure by the superannuation fund to comply with its duty of disclosure. If the superannuation fund does not tell the insurer something In exercising the following rights, the insurer may consider whether different types of cover can constitute separate contracts of life insurance. If the insurer does, it may apply the following rights separately to each type of cover. If the superannuation fund does not tell the insurer anything it is required to, and the insurer would not have provided the insurance if it had been told, the insurer may avoid the contract within 3 years of entering into it. If the insurer chooses not to avoid the contract, it may, at any time, reduce the amount of insurance provided. This would be worked out using a formula that takes into account the premium that would have been payable if the superannuation fund had told the insurer everything it should have. However, if the contract provides cover on death, the insurer may only exercise this right within 3 years of entering into the contract. If the insurer chooses not to avoid the contract or reduce the amount of insurance provided, it may, at any time, vary the contract in a way that places the insurer in the same position it would have been in if the superannuation fund had told the insurer everything it should have. However, this right does not apply if the contract provides cover on death. If the failure to comply with the duty of disclosure is fraudulent, the insurer may refuse to pay a claim and treat the contract as if it never existed. Kinetic Super Member Application Page 5 / 6

6 STEP 9 - DECLARATION I understand I am bound by the Trust Deed and rules governing Kinetic Super, as amended from time to time. I understand that in the event of any inconsistency between the Kinetic Super PDS (including the Incorporated Information) and the terms of the Trust Deed, the terms of the Trust Deed will prevail; I acknowledge that I have obtained, read and understood the information in the current Kinetic Super PDS and all current Incorporated Information, including any information about privacy and tax file numbers and consent to the collection and use of my personal information in the manner described in the Incorporated Information and Trustee s Privacy Policy from time to time; I understand and acknowledge that any investment choice relates to an investment option or options formulated by the Trustee and not to the underlying financial products or managers utilised by the Trustee to implement the strategy or strategies. The Trustee may change the underlying financial products at its discretion from time to time; I understand that neither the Trustee nor its related entities guarantees my investment in Kinetic Super or any particular rate of return. To the extent permissible by law, I accept that the Trustee shall not be liable for any loss due to any choice of investment option made by myself or the Trustee; I understand that the Trustee cannot provide me with advice that takes into account my personal situation, objectives or needs and that if I require such advice I should consult an appropriately licensed or authorised financial adviser; I understand that if I have selected investment options without any professional advice regarding my own circumstances or I have chosen not to provide all the information required by my adviser or I have chosen to take up an option(s) that differs from my adviser s recommendations, I may be making investment decisions or a financial commitment in respect to my superannuation based on my own views that may not suit my needs; I confirm that I have read and understood the Duty of Disclosure under Step 8; I agree that if I have anything to declare, it is set out in this form or an attached piece of paper; and I declare that to the best of my knowledge and belief, the information I have provided is true and correct and I will immediately notify the Trustee if any of my information or circumstances change. Signature Date DDMMYYYY Checklist Complete all the relevant steps Investment percentages total 100% Non-binding nominations total 100% Sign and date declaration Send this form to Kinetic Super, Locked Bag 5091 Parramatta NSW info@kineticsuper.com.au Privacy The information on this form is required or requested in order to administer and provide other services relating to your membership with the Fund. We may not be able to manage your membership or supply these services if you do not provide the information. Kinetic Superannuation Ltd, Trustee of Kinetic Superannuation Fund, which includes Kinetic Smart Pension is committed to the privacy principles set down by the Federal Government (see oaic.gov.au). For a copy of the Kinetic Super Privacy Policy and Collection Statement (Policy), please visit our website kineticsuper.com.au or call Kinetic Super Member Application Page 6 / 6