OLD MUTUAL UNIT TRUSTS INDIVIDUAL BUYING FORM

Transcription

1 OLD MUTUAL S INDIVIDUAL BUYING FORM IMPORTANT INFORMATION 1. Please complete all the relevant sections and sign section 14. Investors in Shari ah-compliant unit trusts must sign section 8 as well. 2. The completed form and supporting documentation (see below) can be scanned and ed to uttransactions@oldmutual.com or faxed to +27 (0) Illegible and incomplete forms may lead to delays. Contact our Service Centre at if you have any queries. 3. The Effective Annual Cost (EAC) is a standard industry measure for your information and to facilitate comparing the cost of an investment over specific periods. (Visit for more information and to access the EAC illustrator). The EAC of your investment will be confirmed in writing once your investment has been processed. 4. Your investment will be made once we have received the completed form and supporting documentation and your money reflects in the correct bank account. 5. Once your account has been opened, you can register via to view and/or transact on your portfolio. 6. All transaction forms including sell and switch instructions are also available on our website or from your financial adviser. 7. It is important to provide a cellphone number, as transaction notifications are only sent via SMS. SUPPORTING DOCUMENTATION REQUIREMENTS Buying and selling requests require at least proof of identity (e.g. bar-coded ID/passport) and residential address (e.g. recent utility bill not older than 3 months), unless we have your current documents on record. Please refer to the document entitled Supporting Document Requirements (available on for further information. The Financial Intelligence Centre Act (FICA) requires that documents have to be provided for every individual listed, including individuals acting on behalf of others. We cannot process your application without the relevant information. PROCESSING TIMES The same day s price is applied to transaction requests submitted (with all requirements met) by 15h00 (13h00 for all transactions involving money market funds). Transaction requests received after these times will be processed the next available working day, once all requirements have been met, with the same cut-off times applying. Please complete this form using block letters and tick ( ) where appropriate. APPLICATION TO BUY UNITS I hereby apply for the number of units that can be purchased by the investment amount referred to below. All transactions are subject to the conditions of the relevant Trust Deed(s). Do you already have an Unit Trusts investment? No Yes If Yes, please provide your unit trust number Does this application to buy units include a Money Market Unit Trust Fund? No Yes 1 (a) INVESTOR S DETAILS I am investing: For myself On behalf of someone else Please also complete section 1(b) State relationship INDIVIDUAL IN WHOSE NAME INVESTMENT IS HELD Title and surname Full first names Gender: Male Female Marital status: Married Single Occupation: Proof of Identity: Please provide copy(s) of identification document(s) with this form Type of Identification (ID or Passport) Country of issue (ID or passport) ID/Passport number Issue date Expiry date of passport Other Country of birth: State type eg. Social security number Country of residence: Country of nationality: Are you registered for Tax purposes in South Africa? Yes Income tax number Page 1 of 17

2 OLD MUTUAL S INDIVIDUAL BUYING FORM CONTINUED 1(a) INVESTOR S DETAILS CONTINUED Cellphone Country dialling code No. (For eg. South Africa +27) Telephone (Home) Country dialling code No. (For eg. South Africa +27) Telephone (Work) Country dialling code No. (For eg. South Africa +27) Address Unit Trusts preferred method of communication is Preferred method of communication Post Residential address My address OR Care of (c/o)* address Care of (c/o)* Name * Care of: If you do not have a residential address of your own and require for your post to be directed to the care of this person Address Postal code Country Postal address, if different from residential address My address OR Care of (c/o)* address Care of (c/o)* Name * Care of: If you do not have a residential address of your own and require for your post to be directed to the care of this person Address Postal code Country 1 (b) DETAILS OF PERSON ACTING ON BEHALF OF INVESTOR Power of attorney Curatorship Legal guardian Parent Other If parent, please indicate whether minor lives with you Yes No Please provide your proof of identity (e.g. bar-coded ID/passport) and residential address (e.g. recent utility bill not older than 3 months) Title and surname Full first names Gender: Male Female Proof of Identity: Please provide copy(s) of identification document(s) with this form. Type of Identification (ID or Passport) Country of issue (ID or passport) ID/Passport number Issue date Expiry date of passport Other Country of birth: State type eg. Social security number Country of residence: Country of nationality: Page 2 of 17

3 OLD MUTUAL S INDIVIDUAL BUYING FORM CONTINUED 1 (b) DETAILS OF PERSON ACTING ON BEHALF OF INVESTOR CONTINUED Cellphone Country dialling code No. (For eg. South Africa +27) Telephone (Home) Country dialling code No. (For eg. South Africa +27) Telephone (Work) Country dialling code No. (For eg. South Africa +27) Address Unit Trusts preferred method of communication is Preferred method of communication Post Residential address My address OR Care of (c/o)* address Care of (c/o)* Name * Care of: If you do not have a residential address of your own and require for your post to be directed to the care of this person Address Postal code Country Postal address, if different from residential address My address OR Care of (c/o)* address Care of (c/o)* Name * Care of: If you do not have a residential address of your own and require for your post to be directed to the care of this person Address Postal code Country 2. HOW TO INVEST Unit Trusts is under no obligation to accept below minimum investments and reserves the right not to debit or to cease debiting your account under certain circumstances. If no selection is made, distributions are automatically reinvested. To view the Effective Annual Cost (EAC) of your investment, visit LUMP SUM INVESTMENT A Please debit my bank account with * R on D D M M C C Y Y OR * The transaction reference you will view on your bank statement for this instruction will be OM UNITTRU followed by your unit trust fund account number. B I will transfer via EFT R into Unit Trusts bank account STEPS TO FOLLOW FOR AN EFT (ELECTRONIC FUNDS TRANSFER) PAYMENT your completed application form and supporting documents to uttransactions@oldmutual.com (or fax to +27 (0) ). Once we have received all your documentation, we will your confirmation letter reflecting our bank account details and your unit trust client account number. Please use your client account number in your reference when making an Electronic Funds Transfer (EFT). In order for your investment to be finalised on the same day of submission and to secure the same day s price, please proof of payment of the investment amount to uttransactions@oldmutual.com by 13:00 for Money Market Fund and 15:00 for all other Funds. Proof of payments received after these cut-off times will be processed the next working day with the same cut-off times applying. For any further assistance in finalising your investment you may contact our Service Centre at or +27(0) Page 3 of 17

4 OLD MUTUAL S INDIVIDUAL BUYING FORM CONTINUED 2. HOW TO INVEST CONTINUED REGULAR INVESTMENT Debit order dates (select one) Commencing month Please allow at least 10 days notice. You can increase your debit order on the anniversary date to counteract the effects of inflation on your investment. Please select one of the below. 5% 10% 15% or % or R Select your unit trusts NAME INVESTMENT NAME** LUMP SUM MONTHLY DISTRIBUTIONS ( to action) Pay out Reinvest* TOTAL R R * If no choice is made, we will default to reinvesting distributions. ** Name the investment goal for each unit trust. Each goal will reflect on your statement. For example Education or Traveling. 3. INCOME VERIFICATION We require that you confirm your source of income and source of funds for this transaction in order for us to process your investment. Source of income: Salary Bonus Inheritance Retirement benefit Other Source of funds for this transaction Industry/Nature of Business What position do you hold? 4. TAX RESIDENCY DETAIL As a financial institution we are obliged to comply with international agreements signed by our government aimed at combatting tax evasion. In terms of these agreements, we are required to collect information regarding where you are resident for tax purposes including the related tax reference numbers. If you are resident for tax purposes in a country other than South Africa, certain of your information will be reported to SARS who will automatically share this information with the participating countries where required. Each country has its own rules for whether a person is resident for tax purposes or not. It is possible to be resident for tax purposes in more than one country. Depending on the rules of the country, tax residency may be determined by factors such as where you permanently live, where you were born, or if you live and work in the country for more than half the year. If you are a US citizen or hold a US passport or green card, you will also be considered resident for tax purposes in the US even if you live outside the US, unless you have given up your citizenship. Please answer the following questions and complete your tax reference number(s) in the table below, along with details of your identifications and any other nationality or citizenship, providing identification for each country for which you are a resident for tax purposes. Yes No Country of tax residence Income tax reference number (TIN) (* mandatory - If you do not have an Income Tax reference number please select reason code (A/B/C) in table below) Foreign ID/ passport of country ID type Are you a resident for Tax purposes in South Africa? Are you a citizen and/or tax resident of the United States of America? If Yes, please provide the following information Are you a resident for tax purposes in any other country? If Yes, please provide the following information Country 1 Country 2 Country 3 Page 4 of 17

5 OLD MUTUAL S INDIVIDUAL BUYING FORM CONTINUED 4. TAX RESIDENCY DETAIL CONTINUED TIN reason code table Reason Description Please tick ( ) Why is TIN unobtainable A B C The country/jurisdiction does not issue TINs to its residents The Account Holder is otherwise unable to obtain a TIN or equivalent number (Please explain why you are unable to obtain a TIN if you have selected this reason) No TIN is required. (Note. Only select this reason if the domestic law of the relevant jurisdiction does not require the collection of the TIN issued by such jurisdiction) 5. CONFIRMATION OF TAX STATUS FOR WITHHOLDING TAX Unit Trusts will withhold Dividend Tax at the applicable rate stipulated in legislation until we are in possession of your correctly completed and signed declaration confirming the exemptions or reduced tax rates claimed. This will reflect on your annual IT3B Tax Certificate. All investors will qualify for an exemption from Dividend Tax on dividends distributed. Please complete the Declaration below, or the separate Declaration by Beneficial Owner Form, indicating which exemption/s apply to you. Please note: where you are a tax resident, you will have to indicate such in section 4. Should you not qualify for exemption under para (a) to (g), (k) or (n) per the Declaration of Beneficial Owner form you should qualify for para (l) exemption because: a. Income declared by a Real Estate Investment Trust [REIT] is deemed a dividend and subject to normal Income Tax in the hands of a Tax Resident. b. Due to a Tax Resident being subject to normal tax on the income, exemption (l) would then apply for Dividend Tax. This disclosure for exemption from Dividend Withholding Tax is by the investor in the capacity as an Individual. The bold exemptions may apply for selection: Please indicate the reason why you (the investor or representative of the investor) are exempt from the Dividend Tax: Par (a) a company which is resident in South Africa Par (b) the Government, provincial government or municipality (of the Republic of South Africa) Par (c) a public benefit organisation (approved by SARS ito section 30(3) of the Act) Par (d) a trust contemplated in section 37A of the Act (mining rehabilitation trusts) Par (e) an institution, body, or board contemplated in section 10(1)(cA) of the Act Par (f) a fund contemplated in section 10(1)(d)(i) or (ii) of the Act (pension fund, pension preservation fund, provident fund, provident preservation fund, retirement annuity fund, beneficiary fund or benefit fund) Par (g) a person contemplated in section 10(1)(t) of the Act (CSIR, SANRAL etc) Par (h) a shareholder in a registered micro business as defined in the Sixth Schedule to the Act to the extent that the aggregate amount of the dividends paid by that registered micro business to its shareholders during the year of assessment in which that dividend is paid does not exceed R Par (i) a small business funding entity as contemplated in section 10(1)(cQ) Par (j) a person that is not a resident and the dividend is a dividend contemplated in paragraph (b) of the definition of dividend in section 64D (i.e. a dividend on a foreign company s shares listed in SA, such as dual-listed shares) Par (k) a portfolio of investment schemes in securities Par (l) any person insofar as the dividend constitutes income of that person (i.e. falls into normal tax system)* Par (m) any person to the extent that the dividend was subject to STC Par (n) Fidelity and indemnity funds contemplated in section 10(1)(d)(iii) i.e. only the two, not the other entities mentioned Par (x) Other Par (y) Double Taxation Agreement Par (z) Other international agreement Page 5 of 17

6 OLD MUTUAL S INDIVIDUAL BUYING FORM CONTINUED 5. CONFIRMATION OF TAX STATUS FOR WITHHOLDING TAX CONTINUED Declaration in terms of section 64FA(1)(a)(i), 64G(2)(a)(aa) or 64H(2)(a)(aa) of the Act: I (full names in print please), the undersigned, hereby declare that dividends paid to the investor are exempt, or would have been exempt had it not been a distribution of an asset in specie, from the dividends tax in terms of the paragraph of section 64F of the Act indicated above. I undertake to inform the Withholding Agent in writing should the circumstances of the investor referred to in the declaration above change. I/We acknowledge that it is the sole responsibility of the Beneficial Owner to ensure that this declaration is completed timeously and that the information provided is accurate and complete. Unit Trust Managers (RF) (Pty) Ltd will not be liable for any expenses or damages due to non-submission or late submission of the form, or where the document submitted is incorrectly completed or only partially completed. I/We agree that it is the sole responsibility of the Beneficial Owner to comply with all requirements and obligations in relation to DWT as set out in the Act from time to time. I/We certify that I/we am/are duly authorised to sign this declaration on behalf of the Beneficial Owner. D D M M C C Y Y Signature Date I/we may qualify for a reduced rate of Dividend Withholding Tax due to the fact that a double tax agreement is in place. Please complete and sign the Declaration of Beneficial Owner Form in relation to Double Taxation Agreement relief available from or by calling the Service Centre at and return it to Unit Trusts in order to claim the reduced rate of tax. OR As a Foreign person I/We qualify for exemption from Withholding Tax on Interest. Please complete and sign the Unit Trusts Withholding Tax on Interest Declaration Form available on or by calling the Service Centre at and return to Unit Trusts in order to claim the tax exemption or reduced rate. 6. YOUR BANK DETAILS Deductions cannot be made from credit cards. Debit orders can only be raised from your own account (except in the case of grandparents/parents investing on behalf of minors, or spouses investing on each other s behalf). Payments can only be made to the investor s own bank account. BANK DETAILS FOR FUNDING INVESTMENTS (You will fund this and all future payments from this account.) The payment is made: For myself On behalf of a minor (as indicated on page 1) Surname of account holder Initials Bank and branch Branch code Account number Account type: Current Savings BANK DETAILS FOR PAYOUTS IF DIFFERENT FROM ABOVE This section is compulsory if this investment is in the name of a minor. We will pay dividends, proceeds of sales and regular withdrawals, into this account. Surname of account holder Initials Bank and branch Branch code Account number Account type: Current Savings 7. AUTOMATED REGULAR WITHDRAWALS (Electing to have distributions paid out is not considered as a withdrawal) Please sell units to the value of R from my Fund, every month/quarter/six months/year (circle payment frequency). Starting (date). Page 6 of 17

7 OLD MUTUAL S INDIVIDUAL BUYING FORM CONTINUED 8. SHARI AH-COMPLIANT S ( Albaraka Equity Fund and Albaraka Balanced Fund) I acknowledge that I have opted to invest into a Shari ah-compliant unit trust, which means that it will be managed in accordance with the guidelines of the Shari ah Supervisory Board and having regard to the Shari ah Standards of the Accounting and Auditing Organisation for Islamic Financial Institutions (AAOIFI). I agree that any income deemed to be non-permissible by the Shari ah Supervisory Board will be paid to the charitable trust elected by the Shari ah Supervisory Board in line with the principles of Shari ah and the supplemental deed of the unit trust. I acknowledge that this does not form part of my income and will not reflect on my tax certificate. I take note that in some instances, income may be reflected as interest income in line with current tax practices on my tax certificate, but accept such income is fully Shari ah-compliant and has been approved as such by the Shari ah Supervisory Board. D D M M C C Y Y Date Signature of investor 9. ACCEPTANCE OF ADVICE A B I am solely responsible for my investment choices and their associated outcomes, and acknowledge that I have entered into this transaction without obtaining financial advice as that is my preference. As a result no initial charge will be levied on any investment of R500 (the general unit trust minimum) or more. OR I hereby confirm that, where applicable, the relevant intermediary (adviser or broker) has satisfied me that he/she is authorised to render financial services in respect of this product. Do you want to appoint this intermediary as your Preferred Servicing Intermediary (PSI) for all your future financial services needs? YES, I appoint and give the PSI access to information on all my existing financial services products. NO, I will complete an Intermediary Appointment Note (IAN) selecting my servicing intermediary of preference per category of financial services product. 10. INSTRUCTION FOR PAYMENT OF ADVISER FEES (If applicable) Note: Fees to the adviser can only be applied if this section is fully completed for all fees agreed. INITIAL ADVISER FEE An initial adviser fee has been agreed as follows (subject to the maximums for each unit trust, stipulated on the unit trust fund fact sheet). The applicable amount will be deducted prior to the purchase of units. % incl. VAT (max. 3.42% incl. VAT) for equity/multi asset unit trusts, which is R (incl. VAT) % incl. VAT (max. 0.68% incl. VAT) for interest bearing unit trusts, which is R (incl. VAT) (Note: If % and rand amount differ, the % holds.) ANNUAL ADVISER FEE In addition, you may elect to pay an ongoing annual adviser fee. This fee is negotiated between yourself and your adviser or broker, and is over and above the initial adviser fee stipulated above. Yes No If Yes, specify percentage. % incl. VAT (max. 1.14% p.a. incl. VAT) of your discretionary (non-retirement savings) unit trust portfolio. Note that this instruction overrides all existing annual adviser fee agreements. A from Fund (one unit trust only) UT (unit trust account number) OR B proportionally across all my unit trusts. This annual fee is calculated as a percentage of the value of your discretionary (non-retirement savings) unit trust portfolio. It thus excludes all annuity products. In addition, the International Growth Fund of Funds, the Albaraka Equity Fund, Income 3 and Balanced 3 are excluded as they pay a trail fee out of their annual service fee. The annual adviser fee is deducted monthly, through the sale of units from the nominated unit trust/s. This is thus a capital gains tax event. If this fee is being paid from a single unit trust and there is at any time an insufficient number of units in the unit trust, the fee will automatically be deducted from your Money Market Fund, failing which, the largest unit trust in your portfolio. Where investments are held in more than one class in the same unit trust, the fee will be deducted from the class open to new business (unless the closed unit trust class is stipulated above). You will receive confirmation of the implementation of this fee, any adjustments made to the annual percentage or to the unit trust, as well as the cancellation thereof. This fee is based on an agreement between the client and the intermediary. You need to take into account whether your intermediary is VAT registered. Unit Trusts is not a party to the agreement and will cancel the fee on the written instruction of either party. The fee will further be cancelled by a change in servicing intermediary. Unit Trusts will change any erroneous instructions received, but will not rectify prior payments based on erroneous instruction. D D M M C C Y Y Date Signature of investor Page 7 of 17

8 OLD MUTUAL S INDIVIDUAL BUYING FORM CONTINUED 11. DECLARATION BY ADVISER/BROKER SPECIAL INSTRUCTIONS I, the undersigned, hereby declare and warrant that I am duly authorised to render financial services in respect of this product. All parties concerned have been identified and verified and all relevant documentation has been obtained and appropriate procedures have been applied in accordance with FICA (Act 38 of 2001). I confirm that all personal information is true and correct and there are no anomalies to my knowledge. Name of introducer Branch Intermediary/Broker code Tel. no. Introducer s address Signature of introducer 12. PROTECTION OF PERSONAL INFORMATION would like to offer you ongoing financial services and may use your personal information to provide you with information about product or services that may be suitable for your financial needs. Please indicate here if you do not wish to receive this. We may use your information or obtain information about you for the following purposes: Fraud prevention and detection Market research and statistical analysis Audit & record keeping purposes Compliance with legal & regulatory requirements Verifying your identity Sharing information with service providers we engage to process such information on our behalf or who renders services to us. You may access the personal information that we hold and request us to correct any errors or to delete this information. To view our full privacy notice and to exercise preferences, visit our website on DISCLAIMER We aim to treat our clients fairly by giving you the information you need in as simple a way as possible to enable you to make informed decisions about your investments. We believe in the value of sound advice and so recommend that you consult a financial adviser before buying or selling unit trusts. You may however, buy and sell without the help of a financial adviser. If you do use a financial adviser, we remind you that they are entitled to certain negotiable adviser fees or commissions. You should ideally see unit trusts as a medium to long term investment. The fluctuations of particular investment strategies affect how a fund performs. Your fund value may go up or down. Therefore, we cannot guarantee the investment capital or return of your investment. How a fund has performed in the past does not necessarily indicate how it will perform in the future. Our cut-off time for client instructions (e.g. buying and selling) is at 15:00 each working day for all funds, except the Money Market Funds, which is at 13:00. These are also the times we value our funds to determine the daily ruling price (other than at month-end when we value the Index Funds and Multi-Managers Fund of Funds ranges at 17:00 close). Daily prices are available on our public website ( and in the media. The daily ruling price is based on the current market value of the fund s assets plus income minus expenses (NAV of the portfolio) divided by the number of units in issue. The fund fees and costs that we charge for managing your investment is accessible on the relevant fund s minimum disclosure document (MDD) or Table of fees and charges, both available on our public website ( or from our contact centre ( ). Additional information on this proposed investment can be obtained, free of charge, from our public website or our contact centre. Funds may borrow to pay client disinvestments and may engage in scrip lending. A process of ring-fencing of withdrawal instructions and managed pay-outs over time may be followed should excessive withdrawals from a fund place the fund under liquidity pressures. Unit Trusts has the right to close a portfolio to new investors in order to manage it more efficiently in accordance with its mandate. Unit Trust Managers (RF) (Pty) Ltd is a registered manager in terms of the Collective Investment Schemes Control Act 45 of is a member of the Association for Savings & Investment South Africa (ASISA). Money Market Funds: A Money Market Fund is not a bank deposit account. Its unit price aims to be constant but investment capital is not guaranteed. The total return is primarily made up of interest (declared daily at 13:00) but may also include any gain/loss on any particular instrument. In most cases this will merely have the effect of increasing or decreasing the daily yield, but in the case of abnormal losses, it can have the effect of reducing the capital value of the fund. The published yield is calculated using the average of the fund s previous seven days net income (and assumes all income was reinvested). This figure is then annualised, which is the weighted average compound growth rate. Income Funds: Income funds derive their income primarily from interest-bearing instruments as defined. The published yield is a current yield and is calculated daily. The value of underlying assets of Income funds are marked to market on a daily basis. Fund of Funds: A fund of funds is a portfolio that invests in other funds in order to meet the investment objective of the fund of funds. Fund of funds can invest in local, foreign or offshore funds which levy their own charges, and may result in a higher fee structure. Feeder Funds: A feeder fund is a portfolio that invests all of its capital in a single underlying fund. This underlying fund can be a local, foreign or offshore fund and levy its own charges which may result in a higher fee structure. Third-Party Named Funds (co-branded): Unit Trust Managers (RF) (Pty) Ltd is the manager of Adviceworx and Multi-Managers suites of co-branded funds and retains full legal accountability. Funds holding foreign assets: Some funds hold assets in foreign countries and therefore may have risks, in these countries, regarding liquidity, the repatriation of funds, political and macro-economic situations, foreign exchange, tax, settlement and the availability of information. Page 8 of 17

9 OLD MUTUAL S INDIVIDUAL BUYING FORM CONTINUED 14. DECLARATION Signed by Investor or appointed person acting on behalf of the Investor as completed on Page 2 of this form. I agree to accept the number of units sold to me by virtue of this application and I warrant that I have full power and authority to enter into and conclude this transaction, with the necessary assistance where such assistance is a legal requirement. I am aware that this product offers no cooling-off rights. I know that the cost of buying units may include an initial charge plus VAT, depending on the amount invested and whether or not I use an intermediary, and that there are no guarantees on my capital. I acknowledge that there are further allowable deductions from the unit trust/s (e.g. an annual service fee) that impact on the value of my investment. I am satisfied that the facts provided are accurate and complete. I am aware of the unit trust s/unit trusts objectives, risk factors, the charges and income distributions, as set out in the unit trust fund fact sheet/s. I acknowledge that Unit Trust Managers (RF) (Pty) Ltd may borrow up to 10% of the portfolio to bridge insufficient liquidity. I have read and fully understood all the pages of this application form. I hereby authorise Unit Trust Managers (RF) (Pty) Ltd to debit the account mentioned above with the monthly amount/lump sum specified. I further authorise to accept instructions from me via facsimile (please delete if not applicable). We aim to treat our clients fairly by giving you the information you need in as simple a way as possible to enable you to make informed decisions about your investments. I am aware that I may view the Effective Annual Cost (EAC) of my investment on Once my investment has been processed, Unit Trust Managers (RF) (Pty) Ltd will confirm the EAC to me in writing. I have read and am aware of the unit trust s/unit trusts objectives, risk factors, the charges and income distributions, as set out in the unit trust fund fact sheet/s (Minimum Disclosure Document). I warrant that all the information given in this form, and in the additional documentation specifically requested by Unit Trust Managers (RF) (Pty) Ltd, as well as in any documentation which will be or has been supplied and signed by me in connection with this form, is true and correct and as per my instructions, whether in my handwriting or not. I undertake to advise Unit Trust Managers (RF) (Pty) Ltd within 30 days should information contained in this form change. I understand that Unit Trust Managers (RF) (Pty) Ltd may be legally obliged to disclose information in this form and in any other documentation supplied in connection with this contract to the Revenue Services and other legal authorities. D D M M C C Y Y Signed at (place) Signature of contracting party on (date) Signature of contracting party Signature of legal guardian/parent (if applicable) of contracting party Signature of authorised person (on behalf of contracting party) Supporting documentation required CLIENT TYPE Minors Adults Persons acting on behalf of another natural person FICA IDENTIFICATION REQUIREMENTS Copy of valid green bar-coded identity document or identity card of parent(s)/legal guardian Copy of birth certificate/identity document of minor Copy of a valid passport for foreign nationals Proof of Residential address - less than 3 months old, of parent(s)/legal guardian as well as minor (if different) If a grandparent is the investor, we will require a copy of the Identity document of that grandparent; proof of residential address as well as the documents for the parent(s)/legal guardian of the minor. Copy of the valid green bar-coded identity document or identity card or passport Proof of residential address, - less than 3 months old or a valid rental agreement or letter from residence owner confirming residence Third Party Affidavit (only in exceptional instances) Both the person acting on behalf of the client and the client must be verified Copy of valid green bar-coded identity document or identity card or passport for the person acting on behalf of the client - less than 3 months old. Proof of address for person acting on behalf of the client - less than 3 months old. Proof of authority to act on behalf of the entity or client, eg: o Power of attorney o Mandate o Resolution duly executed by authorised signatories o Letter of executorships/authority from the Master of the High Court o Court order o Trust deed Page 9 of 17

10 OLD MUTUAL S INDIVIDUAL BUYING FORM CONTINUED CONTACT DETAILS Unit Trust Managers (RF) (Pty) Ltd (Registration no. 65/08471/07) Mutualpark, Jan Smuts Drive, Pinelands 7405, South Africa PO Box 207, Cape Town 8000, South Africa Telephone no.: +27(0) Helpline: Fax no.: +27(0) Internet address: unittrusts@oldmutual.com Investment Administrators (Pty) Ltd (Registration no. 1988/003478/07) Mutualpark, Jan Smuts Drive, Pinelands 7405, South Africa PO Box 5408, Cape Town 8000, South Africa Telephone no.: +27(0) Fax no.: +27(0) Compliance Department: +27(0) Professional indemnity cover and fidelity insurance cover are in place. Complaints may be directed to the Client Relationship Manager at the above address. Our complaints process is available via our website or by contacting Compliance Department: +27(0) Visit for unit trust information, prices and news. Log in to view your portfolio online. Clients who select as their preferred correspondence method benefit from an enhanced communication offering. Investment Administrators (Pty) Ltd is a third party administration and service provider to Unit Trust Managers (RF) (Pty) Limited and is a licensed financial services provider. Page 10 of 17

11 FUNDS ANNUALISED SERVICE FEE (included in TER) TOTAL EXPENSES AS AT 30 SEPTEMBER 2017 Albaraka Balanced # CATEGORY Multi-Asset Medium Equity Minimum Lump Sum Investment: R5 000 Albaraka Equity Minimum Lump Sum Investment: R5 000 Balanced # High Equity Bond Fund R # Interest Bearing Variable Term Capital Builder # Low Equity Capped SWIX Index Core Fund # Low Equity INVESTMENT AIM This Shari ah-compliant fund aims to offer investors steady, long-term capital growth, as well as a moderate level of income via a portfolio that diversifies across asset classes. This Shari ah-compliant fund invests in a broad spectrum of shares that are not associated with alcohol, gambling and non-halaal food stuffs and do not generate interest income. The fund aims to offer investors long-term capital growth. It invests across shares, bonds and cash, with a bias towards shares. The fund conforms to Retirement Fund legislation. The fund aims to offer a combination of capital growth and high income yields. It invests in public and private sector bonds and deposits, with at least 50 invested in bonds. The fund aims to produce cash + 2 a year (gross of fees), over rolling three-year periods, while limiting the possibility of capital loss over any quarter in all market conditions. The fund conforms to the legislation governing retirement funds. The fund s performance target is managed on tax quarters and not calendar quarters. Although positive returns are targeted, this is not guaranteed. The fund aims to provide long-term capital growth and income by tracking the performance of companies listed on the FTSE/JSE Capped Shareholder Weighted All Share Index. The fund may gain exposure to offshore assets listed on the index. The fund is exposed to all sectors of the market (shares, bonds, property and cash) with a maximum of 40% exposure to equities and may invest up to 25% of its portfolio offshore in line with Treasury guidelines. The fund will have a minimum of 50% exposure to passively managed underlying securities. Related Fees Flat Fee Min Max TER Total Expense Ratio (TER) Fee Component Transaction Cost (TC) Total Investment Charges DISTRIBUTION DATES 1.43% % % 1.60% June, 1.71% % % 1.96% June, 1.48%* % 0.04% 0.11% 1.75% June, 0.86% % % 0.90% June, 1.37% % 0.03% 0.03% 1.43% June, 0.68% % % 0.93% June, 0.68% % % 0.79% June, RISK Moderate Moderate Moderate These local unit trusts may offer investors offshore exposure when appropriate/in line with regulation # These funds comply with Regulation 28 of the Pension Funds Act. * This fee includes the fees and costs relating to underlying global asset class exposures, which range between 0.20% and 0.50% (incl. VAT) as the fee for equity exposures is typically higher than the fee for fixed income or money market exposures. ** The Class A Fund ceased charging performance-related service fees with effect from 1 January This 36-month TER includes a portion of performance fees earned during 2015 and 2016 and will be included in the calculation of the class s TER in The Total Expense Ratio (TER) is a historic measure of the impact the deduction of management and operating costs has on a fund s value. A higher TER does not necessarily imply a poor return, nor does a low TER imply a good return. The current TER, which includes the annual service fee, may not necessarily be an accurate indication of future TER s. Transaction Cost (TC) is a necessary cost in administering the fund and impacts fund returns. It should not be considered in isolation as returns may be impacted by many other factors over time including market returns, the type of fund, the investment decisions of the investment manager and the TER. The TER and TC cannot be determined accurately for the funds that are less than one year old. Calculations are based on actual data where possible and best estimates where actual data is not available. The total investment change consists of the TER and TC. You will receive confirmation of your Effective Annual Cost (EAC) in writing once your investment has been processed. Visit for more information and to access the EAC illustrator to view the EAC of your investment selection.

12 FUNDS CONTINUED ANNUALISED SERVICE FEE (included in TER) TOTAL EXPENSES AS AT 30 SEPTEMBER 2017 Core Diversified Fund # CATEGORY High Equity Dynamic Floor # Multi-Asset Medium Equity Financial Services Financial Flexible Flexible FTSE RAFI All World Index Feeder Global Global Bond Feeder Global Interest Bearing Variable Term Global Currency Feeder Global Interest Bearing Short Term Global Emerging Market Global INVESTMENT AIM The fund is exposed to all sectors of the market (shares, bonds, property and cash) with a maximum exposure of 75 to equities and may invest up to 25 of its portfolio offshore, in line with Treasury guidelines. The fund will have exposure to passively managed underlying securities. The fund strives for long-term capital growth as well as offering a level of capital protection (aiming to protect at least 90 of your net investment over a 12-month period). The fund invests across shares, bonds and cash. The fund aims to offer superior returns over the medium to longer term. It selectively invests in companies and financial services sectors. The fund aims to maximise returns over the longer term. It invests across shares, bonds and cash, actively taking advantage of changing economic and market conditions. The fund aims to provide long-term capital growth by gaining exposure to the FTSE RAFI All World 3000 Index. The fund aims to offer a combination of capital growth and high income yields, without putting the investor s money at undue risk. This rand-denominated fund invests in interest-bearing investments selected from bond markets across the world. The fund aims to maximise total return to investors through full exposure to a basket of major foreign currencies by investing in a foreign collective investment scheme focusing on global currencies. Any income earned will be of an incidental nature. The fund aims to deliver long-term capital growth by investing in a diversified portfolio of shares of companies either listed on emerging market exchanges or with a significant stake in emerging market countries. Related Fees Total Expense Ratio (TER) Fee Component Total Investment Charges DISTRIBUTION DATES Transaction Flat Fee Min Max TER Cost (TC) 0.68% % % 0.92% June, 1.54% % 0.03% 0.07% 1.63% June, 1.43% % % 1.69% June, 1.48%* % 0.04% 0.18% 1.82% June, RISK Moderate Moderate 0.80% % % 1.23% 1.14% % % 1.76% June, 0.86% % % 0.89% 1.71% 1.71% 3.42% 2.52% 0.69% 0.32% 2.84% These local unit trusts may offer investors offshore exposure when appropriate/in line with regulation # These funds comply with Regulation 28 of the Pension Funds Act. * This fee includes the fees and costs relating to underlying global asset class exposures, which range between 0.20% and 0.50% (incl. VAT) as the fee for equity exposures is typically higher than the fee for fixed income or money market exposures. ** The Class A Fund ceased charging performance-related service fees with effect from 1 January This 36-month TER includes a portion of performance fees earned during 2015 and 2016 and will be included in the calculation of the class s TER in The Total Expense Ratio (TER) is a historic measure of the impact the deduction of management and operating costs has on a fund s value. A higher TER does not necessarily imply a poor return, nor does a low TER imply a good return. The current TER, which includes the annual service fee, may not necessarily be an accurate indication of future TER s. Transaction Cost (TC) is a necessary cost in administering the fund and impacts fund returns. It should not be considered in isolation as returns may be impacted by many other factors over time including market returns, the type of fund, the investment decisions of the investment manager and the TER. The TER and TC cannot be determined accurately for the funds that are less than one year old. Calculations are based on actual data where possible and best estimates where actual data is not available. The total investment change consists of the TER and TC. You will receive confirmation of your Effective Annual Cost (EAC) in writing once your investment has been processed. Visit for more information and to access the EAC illustrator to view the EAC of your investment selection.

13 FUNDS CONTINUED ANNUALISED SERVICE FEE (included in TER) TOTAL EXPENSES AS AT 30 SEPTEMBER 2017 Global Equity CATEGORY Global Gold Worldwide Unclassified* Growth ** INVESTMENT AIM The fund aims to offer superior returns over the medium to longer term. This rand-denominated fund invests in quality shares from around the world. The fund aims to offer superior returns over the medium to longer term through investment in the shares of companies involved in gold and other precious metals. The fund aims to offer superior returns over the medium to longer term. It invests primarily in listed companies showing above average growth potential, an entrepreneurial attitude and the potential to increase market share. Related Fees Flat Fee Min Max TER Total Expense Ratio (TER) Fee Component Transaction Cost (TC) Total Investment Charges DISTRIBUTION DATES 2.00% % % 2.27% June, 1.71% % % 2.17% June, 1.54% % 0.08% 0.31% 1.55% June, RISK High Yield Opportunity Income Fund R Interest Bearing Short Term Industrial Fund A Industrial Interest Plus Interest Bearing Short Term Minimum Monthly Investment: R1 000 International Growth Fund of Funds A Global Multi-Asset Flexible The fund aims to provide a high level of dividend income coupled with capital growth. It seeks fundamentally sound companies that have high dividend yields and good prospects for medium-term growth. The fund aims to offer a high level of income, without putting the investor s money at undue risk. The fund invests in local interest-bearing investments (bonds, fixed deposits and other high income earning securities). The fund aims to offer superior returns over the medium to longer term. It invests in a focused portfolio of listed industrial companies. The fund aims to deliver returns in excess of those offered by money market funds and similar levels of liquidity, without significantly increasing risk. The fund aims to offer higher than average capital growth over the medium to long term. This rand-denominated fund invests in a spread of international equity, bond and money market unit trusts. 1.43% % % 1.62% June, 0.86% % % 0.89% March, June, September, 1.43% % % 1.55% June, 0.63% % % Monthly 2.00% % % June These local unit trusts may offer investors offshore exposure when appropriate/in line with regulation # These funds comply with Regulation 28 of the Pension Funds Act. * This fee includes the fees and costs relating to underlying global asset class exposures, which range between 0.20% and 0.50% (incl. VAT) as the fee for equity exposures is typically higher than the fee for fixed income or money market exposures. ** The Class A Fund ceased charging performance-related service fees with effect from 1 January This 36-month TER includes a portion of performance fees earned during 2015 and 2016 and will be included in the calculation of the class s TER in The Total Expense Ratio (TER) is a historic measure of the impact the deduction of management and operating costs has on a fund s value. A higher TER does not necessarily imply a poor return, nor does a low TER imply a good return. The current TER, which includes the annual service fee, may not necessarily be an accurate indication of future TER s. Transaction Cost (TC) is a necessary cost in administering the fund and impacts fund returns. It should not be considered in isolation as returns may be impacted by many other factors over time including market returns, the type of fund, the investment decisions of the investment manager and the TER. The TER and TC cannot be determined accurately for the funds that are less than one year old. Calculations are based on actual data where possible and best estimates where actual data is not available. The total investment change consists of the TER and TC. You will receive confirmation of your Effective Annual Cost (EAC) in writing once your investment has been processed. Visit for more information and to access the EAC illustrator to view the EAC of your investment selection.

14 FUNDS CONTINUED ANNUALISED SERVICE FEE (included in TER) TOTAL EXPENSES AS AT 30 SEPTEMBER 2017 Investors Fund A ** CATEGORY Managed Alpha Equity ** Maximum Return Fund of Funds A Worldwide Flexible Mid & Small-Cap Mid & Small Cap Mining and Resources Fund A Resources Moderate Balanced Fund A # Multi-Asset Medium Equity Money Market # Interest Bearing Money Market Minimum Monthly Investment: R1 000 INVESTMENT AIM The fund aims to offer superior returns over the medium to longer term. It invests in shares across all sectors of the stock market, focusing predominantly on the Top 100 shares. The fund aims to achieve steady capital growth in excess of the long-term general equity sector average. It invests predominantly in SA equities using a quantitative investment process. The fund aims to generate the maximum possible investment return over a long-term investment horizon. While the primary focus is on shares, nothing prevents the fund manager from gaining exposure to bonds, listed property, cash or other asset classes in order to maximise long-term growth. The fund aims to offer superior returns over the medium to longer term. It invests in midand small-sized companies falling outside the FTSE/JSE Top 40 Index. The fund aims to offer superior returns over the medium to longer term. It invests in mining and resources companies showing above average prospects for growth. The fund aims to achieve long-term inflationbeating growth from an actively managed investment portfolio with a moderate balanced nature. The equity exposure will be commensurate with the exposure typically displayed by multi-asset medium equity portfolios. The fund aims to preserve investors capital while offering high levels of income. It invests in money market securities with a maturity of less than 12 months. Related Fees Flat Fee Min Max TER Total Expense Ratio (TER) Fee Component Transaction Cost (TC) Total Investment Charges DISTRIBUTION DATES 1.54% % 0.41% 0.30% 1.75% June 1.54% % 0.44% 0.28% 1.79% June RISK 1.48%* % % 1.98% 1.71% % % 1.91% June 1.43% % % 1.78% June 1.48%* % % 2.16% June Moderate 0.57% % % Monthly These local unit trusts may offer investors offshore exposure when appropriate/in line with regulation # These funds comply with Regulation 28 of the Pension Funds Act. * This fee includes the fees and costs relating to underlying global asset class exposures, which range between 0.20% and 0.50% (incl. VAT) as the fee for equity exposures is typically higher than the fee for fixed income or money market exposures. ** The Class A Fund ceased charging performance-related service fees with effect from 1 January This 36-month TER includes a portion of performance fees earned during 2015 and 2016 and will be included in the calculation of the class s TER in The Total Expense Ratio (TER) is a historic measure of the impact the deduction of management and operating costs has on a fund s value. A higher TER does not necessarily imply a poor return, nor does a low TER imply a good return. The current TER, which includes the annual service fee, may not necessarily be an accurate indication of future TER s. Transaction Cost (TC) is a necessary cost in administering the fund and impacts fund returns. It should not be considered in isolation as returns may be impacted by many other factors over time including market returns, the type of fund, the investment decisions of the investment manager and the TER. The TER and TC cannot be determined accurately for the funds that are less than one year old. Calculations are based on actual data where possible and best estimates where actual data is not available. The total investment change consists of the TER and TC. You will receive confirmation of your Effective Annual Cost (EAC) in writing once your investment has been processed. Visit for more information and to access the EAC illustrator to view the EAC of your investment selection.