Application form for Non-Zimbabwean residents

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Application form for Non-an residents APPLICATION FORM NON- ZIMBABWE RESIDENTS NNR BRIEF INSTRUCTIONS RELATING TO THE COMPLETION OF THIS APPLICATION 1.

1 Application form for Non-an residents APPLICATION FORM NON- ZIMBABWE RESIDENTS NNR BRIEF INSTRUCTIONS RELATING TO THE COMPLETION OF THIS APPLICATION 1. A BANK DRAFT OR Telegraphic Transfer confirmation MUST ACCOMPANY EACH APPLICATION FORM. Cash will not be accepted. Applications will be considered complete only when the relevant cheque or bank draft or telegraphic transfer has been paid or confirmed/received. Nominee companies may apply on behalf of their clients on one application form, but must attach a schedule of beneficial owners and the number of shares applied for by each beneficial owner. 2. Remittance must be in favour of NMB Bank GetBucks IPO Account and should be crossed not transferrable. In respect of all payments made by telegraphic transfers to NMB Bank GetBucks IPO Account, copies of the telegraphic transfers should be submitted together with the application form. 3. Persons not resident in must apply in the normal manner in United State Dollars, Pound Sterling or Republic of South Africa s Rands using the form endorsed NON-RESIDENT. Direct applications from NON- RESIDENTS WILL BE ACCEPTED. Total foreign shareholdings may not exceed 40% in the aggregate, and no single shareholder may hold in excess of 10% of the shares in issue after listing. Applications may be submitted for amount in excess of these limits but will be subject to scaling down. 4. Photocopies and scanned copies of the application WILL NOT BE ACCEPTED. 5. No receipts will be issued for application and remittances. 6. Any material alteration on the application form, other than the deletion of alternatives, must be authenticated by FULL SIGNATURE. 7. Applications may not be made in the name of a minor, a deceased estate, an insolvent estate or partnership. 8. ONLY ONE application may be submitted by an applicant or joint applicants. 9. Applicants are not required to lodge any documents in support of their applications on behalf of a third party. 10. Applications must be for a MINIMUM OF 10,000 SHARES. 11. Applications for over 10,000 shares must be in multiples of 5,000 shares. 1

2 APPLICATION FORM NON RESIDENTS NNR PUBLIC ISSUE OF ORDINARY SHARES OF EACH AT US$ PER SHARE This form when completed should be forwarded to NMB Bank GetBucks IPO Account together with a telegraphic transfer confirmation slip or bank draft for the amount due in respect of the shares applied for in favour of NMB Bank GetBucks IPO Account, Account Number , Angwa City Branch. APPLICATION LISTS WILL OPEN AT 0900 hours ON 7 DECEMBER 2015 AND WILL CLOSE AT 1600 hours ON 8 JANUARY The Directors GetBucks Financial Services Limited Ground Floor, MIPF House 5 Central Avenue HARARE Dear Directors I/We the undersigned, declare that I/we have full legal capacity to contract and, where relevant, authority to sign on behalf of the applicant and hereby irrevocably apply for and request you to accept this as my/our application for the allotment/ transfer to me/us, subject to the Memorandum of Association of GetBucks of the undermentioned number of Ordinary Shares at USD per share in the or any lesser number that may in your discretion be allocated to me/us in terms of your prospectus dated 7 December I/We understand that my/our application may be refused without reasons being given for such refusal. I/We enclose a bank draft/copy of telegraphic transfer in favour of NMB Bank GetBucks IPO Account for the amount in respect of my/our application detailed below. Signature.....Dated... day of (Company stamp, where applicable) OFFICIAL USE ONLY Residential Status APPLICATION NUMBER 2

3 THE FOLLOWING MUST BE COMPLETED BY TYPEWRITER OR IN BLOCK LETTERS BY EACH APPLICANT. PLEASE NOTE ACCOMPANYING INSTRUCTIONS. A. FIRST NAME IN FULL B. SURNAME OR NAME OF CORPORATE BODY C. POSTAL ADDRESS AND TOWN/CITY D. ADDRESS ACCOUNT NAME:... NAME OF BANK:... E. BANK DETAILS ACCOUNT NUMBER:... BRANCH:... SORT CODE:... INTERMEDIARY BANK:... NUMBER OF SHARES APPLIED FOR PAYMENT IN FULL AT USD PER SHARE FIGURES ONLY WORDS ONLY FIGURES ONLY Millions Hundred Thousands Ten Thousands Thousands Hundreds Tens Units (Do not include bank charges) ONE CHEQUE OR DRAFT PER APPLICANT TELEPHONE NUMBER BANK ENDORSEMENT ONLY (In case of query) 3

4 SHARE ADMINITSRATION OPTION An applicant must choose to receive their shares either in certificated form or electronic form. APPLICANT(S) WISHING TO RECEIVE SHARES IN CERTIFICATED FORM MUST TICK THIS BOX: AND COMPLETE INFORMATION BELOW: Shares in Certificated Form Share certificates will be registered in the name provided above and sent to the postal address provided below. Address to which the share certificates should be sent if the applicant is receiving shares in certificated form (if different from the registered address): Address: Shares in Electronic Form APPLICANT(S) WISHING TO RECEIVE SHARES IN ELECTRONIC FORM MUST TICK THIS BOX: AND COMPLETE THE INFORMATION BELOW Details of the CUSTODIAN administering Applicant s portfolio on CSD (Central Securities Depository) system: Full name of Custodian CSD Investor Account Number 1 If an applicant chooses to receive their shares in an electronic form the following must be done: a. applicant should approach the custodian directly (or indirectly through a broker) b. It is the responsibility of the custodians to fill in the securities deposit forms on behalf of investors. Willing brokers may assist custodians in order to speed up the process c. When furnished with the relevant information required to open a CSD account, Custodians will fill in the forms, create the accounts and submit a copy to the CSD d. Custodians will print the forms in triplicate. (one form to be retained by the custodian, the transfer secretaries, and CSD copy) 2 Below are most of the details an applicant should provide to the custodian: i. Investor Name ii. Investor Type (Institutional or Individual) 1 For institutional You should indicate the Institution Type iii. Investor ID 1 For Institutional Investors this is replaced by the registration number according to the form of incorporation of the account iv. v vi vii The Address of the Clients The Contact Telephone Numbers The address Tax Status of the Investor Applicant will receive a written confirmation from custodian informing them of the number of shares credited into their account. 4

5 Receiving bank branches Applications may be submitted at any branches of NMB Bank Limited whose contact details are provided below: ANGWA CITY Mezzanine Floor, Angwa City Cnr Kwame Nkrumah Avenue/Angwa Street AVONDALE PaSangano Complex 20 King George Road Avondale BORROWDALE Shop 37, 38 Sam Levy s Village Borrowdale EASTGATE Ground Floor, Eastgate Shopping Centre Cnr. Robert Mugabe Road / Second Street JOINA CITY Shop No 15, Upper Ground Floor Cnr Inez Terrace/Jason Moyo Avenue MSASA 77 Amby Drive Msasa SOUTHERTON 9 Plymouth Road Southerton NMB CENTRE Cnr. George Silundika Avenue/Leopold Takawira Street Bulawayo GWERU 36 Robert Mugabe Road Gweru MUTARE 64 Second Street/Aerodrome Road Mutare KWEKWE 57A Robert Mugabe Way Kwekwe MASVINGO Stand No. 377 Robert Mugabe Way Ground Floor, Old Mutual Building Masvingo NMB Excellence New Block 3, Suite F, Sam Levy s Village Borrowdale 5

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Application form for Zimbabwean residents

Application form for Zimbabwean residents Application form for an residents APPLICATION FORM ZIMBABWE RESIDENTS BRIEF INSTRUCTIONS RELATING TO THE COMPLETION OF THIS APPLICATION 1. A SINGLE BANK STAMPED RTGS FORM OR BANK STAMPED DEPOSIT SLIP MUST