OLD MUTUAL UNIT TRUSTS SWITCHING FORM

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OLD MUTUAL UNIT TRUSTS SWITCHING FORM To redeem units from one fund to invest in another fund HOW TO COMPLETE THIS APPLICATION FORM 1. Complete all sections from 1 to 7. Institutional investors must also complete section 9. 2. This application form can be submitted at any Old Mutual branch or faxed to +27(0)21 509 7100. In terms of the conditions of the relevant Trust Deed/s, I hereby request Old Mutual Unit Trust Managers Ltd to purchase the units indicated below from me at the price applicable on the date that this form is received before 15h00 (13h00 for Money Market ) by the above addressee, and I apply for the number of units that can be purchased by the remittance(s) referred to below as part of this switching transaction. 1. INVESTOR S PERSONAL DETAILS Please complete using CAPITALS and blocks where appropriate. Surname and initials Title and first names Postal address Residential address Postcode Telephone Fax (Code) (Home) (Code) (Work) Cellphone E-mail Preferred method of communication: Postal E-mail ID/Passport number Date of birth Type of assets (see page 3 for definitions): Retail Institutional (Please complete section 9 on page 3.) 2. SWITCHING DETAILS (There is no facility to switch out of Four Plus to other Old Mutual unit trusts.) If you transfer a monthly or lump sum investment to an existing or a new account, the amount must be equal to or greater than the stipulated fund minimums (see pages 4 & 5). COMPLETE APPROPRIATE OPTION: FROM (fund name) ACCOUNT NUMBER TO (fund name) ACCOUNT NUMBER All units Specific Number Rand Value (if existing) of Units: Please note: Should the initial charge of the fund you are switching to be higher than what you paid on your original investments, you will incur the difference (see charge details on pages 4 and 5). 3. MONTHLY INVESTMENT PLANS Please appropriate option/s or complete the necessary details. a. Current Monthly Investment/s (select one option): FUND NAME A. B. C. ACCOUNT NUMBER REMAIN CANCEL Transfer TO (fund name) (if existing) b. Activate New Monthly Investment/s: Please activate a new monthly investment, debiting my bank account (as detailed) with a total of R Debit order date (select one) 1 3 7 15 20 27 Commencing month FUND NAME MONTHLY INVESTMENT AMOUNT (Please allow at least 10 days notice before the debit date to amend a debit order.) Page 1 of 5

4. BANKING DETAILS OLD MUTUAL UNIT TRUSTS SWITCHING FORM (CONTINUED) Surname of account holder Initials Bank and Branch Branch code and Account number Account type Current Transmission Savings 5. DECLARATION I warrant that I have read this form and 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 of the fund s/funds objectives, risk factors, the charges and income distributions as set out in the fund fact sheet/s. I acknowledge that the Management Company may borrow up to 10% of the portfolio to bridge insufficient liquidity. I am also satisfied that the facts provided are accurate and complete. I further authorise Old Mutual to accept instructions from me via facsimile (please delete if not applicable). If this form is received by Old Mutual Unit Trusts head office before 15h00, the same day s prices apply. Thereafter, the following day s prices will apply. Date 6. ACCEPTANCE OF ADVICE (please one option) A B I acknowledge that no intermediary was involved in dispensing advice with regard to this investment and as such my initial charge will not include commission. I hereby confirm that, where applicable, the relevant intermediary 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 Preferred Servicing Intermediary 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 business. 7. CLIENT INSTRUCTIONS FOR PAYMENT OF COMMISSION AND FEES TO INTERMEDIARY Intermediary s Commission: The intermediary s fee for advice (see page 4/5 for maximum initial charges) will be: Annual Adviser Fee: % for equity/asset allocation funds (max 3% excl. VAT). % for fixed interest funds (max 0,6% excl. VAT). Please note: This will cancel all previous Annual Adviser Fee agreements. This is a negotiated fee agreed upon by yourself and your intermediary for ongoing service and may be deducted over and above commission paid on individual unit trusts. If no annual fee is to be deducted please insert 0% in the appropriate box. In addition to my intermediary receiving any as-and-when commission, I instruct you to institute an annual adviser fee. Please deduct an annual fee of, % (max. 1%) of my discretionary* unit trust portfolio, through the sale of units every month, from UT (select one fund only) (fund account number) Date 8. INTRODUCER I, the undersigned, hereby declare and warrant that I am duly authorised to render financial services in respect of this product. Name of introducer Branch Intermediary/Broker code Telephone no. Introducer s e-mail address Signature of introducer SPECIAL INSTRUCTIONS (Please attach in writing and submit along with this form.) Page 2 of 5

9. DETAILS OF INSTITUTIONAL INVESTOR (Please provide Self-certification of Exchange Control compliance documentation, if applicable.) Full name Company name (if applicable) Business address Postcode Telephone (Code) Fax (Code) PLEASE NOTE: Buying and selling requests For requests to be processed on the same day as submitted, all requirements must be met by 15h00 (13h00 for the Money Market ). Such investments will be valued on the day after processing. Annual Adviser Fee This annual fee is calculated as a percentage of the value of your entire discretionary (non-retirement savings) unit trust portfolio. It thus excludes all annuity products as well as the International Growth of s and all the Four Plus funds. The fee is deducted monthly, through the sale of units from the nominated fund. Should there at any time be insufficient units in the nominated fund, the fee will automatically be deducted from your money market fund, failing which, the largest fund in your portfolio. You will receive confirmation of the implementation of this fee, any adjustments made to the annual percentage or to the fund, as well as the cancellation thereof. This fee is based on an agreement between the client and the intermediary. Old Mutual 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. Old Mutual Unit Trusts will change any erroneous instructions received, but will not rectify prior payments based on erroneous instruction. TYPE OF ASSETS (As defined in South African Reserve Bank Exchange Control regulations) Institutional assets refer to assets held or managed on behalf of institutional investors, i.e. retirement funds, long term insurers, collective investment scheme managers and investment managers registered with Exchange Control as institutional investors for exchange control purposes. Retail assets refer to assets received from individuals and other entities, such as companies and trusts, etc. and include retail assets received indirectly through an intermediary, such as a linked investment service provider (LISP), nominee company or investment manager not registered as an institutional investor with Exchange Control. STATUTORY INFORMATION Unit trusts are generally medium to long term investments. Past performance is no indication of future growth. It is important that you are prepared for some shorter term fluctuations as your investment moves in line with the markets. Fluctuations or movements in exchange rates may cause the value of underlying international investments to go up or down. An initial charge (from 0% to maximum 5,7% of the investment amount) is deducted prior to the purchase of units. This charge may include commission (up to of the investment amount). An annual service fee (from 0,57% to 2%) is calculated on the market value of the fund s assets (excluding income and permissible deductions) and deducted from the portfolio on a monthly basis. Four Plus funds and the International Growth of s may pay a 0,57% commission out of the service fee. Further fees that may be deducted from the fund s portfolio are compulsory and bank charges, brokerage, marketable securities tax, other taxes and levies, custodian and trustee fees and audit fees. A schedule of fees and charges and maximum commissions is available from the company/intermediary. The daily price is based on the current value of the fund s assets plus income (minus expenses) divided by the number of units in issue. You can easily sell your investment at the ruling price of the day (calculated at 15h00 on a forward pricing basis). The Old Mutual Money Market unit price is static and interest is declared daily at 13h00. A fund of funds unit trust invests only in other collective investment schemes, which may levy their own charges. equity funds may hold greater risk as exposure limits to a single security may be higher. The Enhanced Income, Dynamic Floor and High Yield Opportunity may be capped in order to be managed in accordance with their mandates. A member of the Association of Collective Investments, SA. CONTACT DETAILS Old Mutual Unit Trust Managers Limited (Registration no. 65/08471/06) Mutualpark, Jan Smuts Drive, Pinelands 7405, South Africa PO Box 207, Cape Town 8000, South Africa Telephone no.: +27(0)21 503 1770 Helpline: 0860 234 234 Fax no.: +27(0)21 509 7100 Internet address: www.oldmutualunittrusts.co.za E-mail: unittrusts@oldmutual.com Complaints: Write to our Client Services Manager at the above address or call 0860 234 234. Compliance Department: +27(0)21 503 1770 Old Mutual Administration Services (Pty) Ltd (Registration no. 99/004377/07) Mutualpark, Jan Smuts Drive, Pinelands 7405, South Africa PO Box 66, Cape Town 8000, South Africa Telephone no. +27(0)21 504 7764 Fax no. +27(0)21 504 4724 Compliance Department: +27(0)21 504 7764 Professional indemnity and fidelity insurance cover in place. Old Mutual Administration Services is a third party administration and service provider to Old Mutual Unit Trust Managers Limited and is a licensed financial services provider. Page 3 of 5

Offshore core funds Local core funds Category Investment Aim MAXIMUM INVESTMENT INITIAL CHARGE ANNUAL MINIMUMS (incl. VAT) SERVICE Lump Sum Monthly Admin. # FEE Comm. (incl. VAT) Distribution Dates Risk Balanced Prudential Medium The fund aims to offer investors long term capital growth. It invests across shares, bonds and cash, with a bias towards shares. The fund is managed in line with OMAM's houseview for full discretionary retirement funds. The fund complies with Regulation 28. Industrial Industrial to longer term. It invests in listed companies engaged in the manufacturing and distribution of goods to consumers. 1,425% Dynamic Floor Target Absolute Return 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. 1,71% Enhanced Income The fund aims to offer a relatively high sustainable level of income as well as seeks opportunities to maximise capital gains. The fund invests across cash, bonds, property shares and other income producing assets. March, Financial and Industrial Financial & Industrial to longer term. It invests in financial and industrial companies showing above average prospects for growth. Financial Services Financial to longer term. It selectively invests in companies and financial services sectors. Flexible 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. Four Plus Capital of s Prudential Low The fund aims to provide investors with stable growth of money in excess of inflation. It invests in cash and shares moving between these investment types to protect capital and maximise growth. * Four Plus Global of s Worldwide - Asset The fund aims to maximise capital growth over the longer term. To achieve this, it invests in local and international shares, bonds and cash. * Four Plus Growth of s Prudential Medium The fund aims to maximise capital growth over the longer term. It invests in shares, bonds and cash with a bias towards shares offering long term value. * Four Plus Secure of s The fund aims to provide a total return in excess of rates offered by traditional savings deposits. It invests in the bond and money markets, with a focus on money market instruments. * Gilt Interest - Bonds 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. 0,86% Global Bond Feeder Foreign - Fixed Interest 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. 1,60% Global Equity A Foreign - Equity - to longer term. This rand-denominated fund invests in quality shares from across the globe. 2,00% Global Technology Worldwide - Equity - Technology The fund aims to offer superior returns over the longer term. This rand-denominated fund selectively invests in companies across the globe that operate in the field of technology. This fund is temporarily closed to new investments. * These funds may pay trail commission of 0,57% (including VAT) out of the annual service fee. # PLEASE NOTE: Single investments of or more per fund incur no Initial Administration charge. (This applies to non-retirement investments only). Page 4 of 5

INVESTMENT MINIMUMS MAXIMUM INITIAL CHARGE ANNUAL (incl. VAT) SERVICE FEE (incl. VAT) Category Investment Aim Lump Sum Monthly Admin. # Comm. Distribution Dates Local core funds Offshore core funds Risk Gold Resources & Basic Industries to longer term. It invests in gold and gold-related shares showing above average prospects for growth. Growth to longer term. It invests primarily in listed companies showing above average growth potential, an entrepreneurial attitude and the potential to increase market share. High Yield Opportunity 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. This fund is temporarily closed to new investments. 1,43% Income Interest - Income 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). 0,86% March, International Growth of s Foreign - Asset 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 share, bond and money market unit trusts. 1,43%* Investors to longer term. It invests in shares across all sectors of the stock market, focusing predominantly on the Top 100 shares. Mining and Resources Resources to longer term. It invests in mining and resources companies showing above average prospects for growth. Money Market Interest - Money Market 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. R25 000 0,00% 0,57% Monthly Conservative Real Income Target Absolute Return The fund aims to provide the highest level of income payout that can be sustained without eroding the fund s inflation-adjusted capital base. The aim is to grow the income and the underlying capital of the fund in line with CPIX inflation. 1,37% March, SA Quoted Property Property The fund aims to generate sustainable pre-tax income whilst growing the original capital invested. It invests in a selection of listed commercial and industrial property shares. March, Small Companies Small Companies to longer term. It invests in established smaller and emerging companies falling outside the FTSE/JSE Top 40 Index. Top 40 Top Companies Large Cap The fund aims to provide long term capital growth by tracking the performance of the FTSE/JSE Top 40 Index. to longer term. It invests in a highly concentrated portfolio of shares across all sectors of the South African stock market. March, UK Money Market Feeder Regional - Fixed The fund aims to preserve the investor's capital while offering high levels of income. This rand-denominated fund holds a portfolio of UK deposits and short dated money market instruments. 0,57% March, Conservative Value Value to longer term. It invests in shares across all industry sectors, focusing specifically on value shares (i.e. companies currently deemed undervalued relative to the rest of the stock market). * These funds may pay trail commission of 0,57% (including VAT) out of the annual service fee. This fee will increase to on 1 January 2007. # PLEASE NOTE: Single investments of or more per fund incur no Initial Administration charge. (This applies to non-retirement investments only). U4933C Page 5 of 5 October 2006