Ivestmets Applicatio forms Product Disclosure Statemet Part 3 Applicatio forms Issue No 2011/1, dated 11 April 2011 Issued by Coloial First State Ivestmets Limited ABN 98 002 348 352 AFS Licece 232468
Applicatio form checklist Sed your completed applicatio form ad cheque (if required) to: Coloial First State, Reply Paid 27, Sydey NSW 2001 FirstChoice Ivestmets applicatio form (refer to page A3) To esure that we are able to process your applicatio quickly ad efficietly, please check that you have completed the followig steps: Step 1 Part A Your details Complete sectios 1-6 Accout details Ivestor details Portfolio fee rebate ( Joit/Trust accouts oly) Cotact details Commuicatio prefereces Bak accout details Icome distributio Nomiate to ope a ew accout or ivest additioal fuds i a existig accout Provide your full ame, date of birth ad Tax File Number (TFN) or exemptio (refer to alterative codes i bold below): E Exemptio please write the full ame of the beefit that you receive (eg Age Pesio ) N No-residet please write the full ame of your coutry of residece O Not for profit orgaisatios who are ot required to lodge a TFN D No TFN or do ot wish to quote a TFN please refer to the Other iformatio booklet, sectio 3 for further iformatio Complete portfolio fee rebate accout omiatio if applicable (refer to Part 1 Key iformatio, page 13) Provide your cotact details, icludig residetial address Provide details of how you would like to receive your iformatio from us Provide your bak accout details (if applicable) Nomiate your distributio paymet istructios Step 2 Part B Your ivestmet Complete sectios 7-9 Paymet details Idicate your method of paymet. If ivestig by direct debit, please complete your bak details i sectio 5. If ivestig via cheque, please cross your cheque Not Negotiable ad make payable to: FirstChoice Ivestmets, <Ivestor ame> Ivestmet allocatio Complete your ivestmet allocatio details icludig: W The optio(s) you wish to ivest i W The percetage to be attributed to each optio for iitial ivestmets W The percetage to be attributed to each optio for regular ivestmet pla (if applicable) Step 3 Parts C & D Other iformatio ad declaratio Complete sectios 10-14 Auto-rebalacig facility Olie services Adviser service fee Maagemet cost rebate Declaratio ad sigature This facility allows you to rebalace the percetage amouts across each of your ivestmet optios, back i lie with your preferred ivestmet strategy. Please refer to the Other iformatio booklet, sectio 4 for further details of this facility Do ot cross the box if you wat olie access You oly eed to complete this sectio if you have agreed with your fiacial adviser to have a ogoig ad/or oe off adviser service fee deducted from your ivestmet Select the ivestmet optio to which ay maagemet cost rebate that may be applicable is to be credited. Refer to Part 1 Key iformatio, page 12 to see if you are eligible ad for further details o maagemet cost rebates Sig the declaratio. If you are sigig uder a Power of Attorey, please comply with the followig: W Attach a certified copy of the Power of Attorey documet W Each page of the Power of Attorey documet must be certified by a Justice of the Peace, Notary Public or Solicitor W Should the Power of Attorey documet NOT cotai a sample of the Attorey s sigature, please also supply a certified copy of the idetificatio documets for the Attorey, cotaiig a sample of their sigature, eg Driver s Licece, Passport, etc W The Attorey will also eed to complete a power of attorey idetificatio form (to eable us to establish the idetity of the Attorey) which ca be obtaied from our forms library at coloialfirststate.com.au or by phoig Ivestor Services o 13 13 36 A1
Step 4 For idividual/joit accouts (icludig sole traders) For compaies, parterships, superauatio fuds ad other etity types For your aget For verifyig officers Idetificatio ad verificatio You or your adviser must also complete the idetificatio ad verificatio form o page A17 so that we ca establish your idetity or the idetity of other people associated with your accout You or your adviser must also complete the appropriate idetificatio form which ca be foud i our forms library at coloialfirststate.com.au, so that we ca establish your idetity or the idetity of other people associated with your accout If you are appoitig a aget, the appoitmet of aget form (which icludes the idetificatio form) must be completed so that we ca establish their idetity. This form ca be foud i our forms library at coloialfirststate.com.au If you are appoitig a verifyig officer (for o-idividual ivestors), the the verifyig officer form must be completed so that we ca establish their idetity. This form ca be foud i our forms library at coloialfirststate.com.au Additioal iformatio o settig up alterative accout types Accouts o behalf of a mior We do ot accept ay ivestmets i the ame of a mior (uder 18 years of age); however, the ivestmet may be held as desigatio for the mior. I order to set up a accout as desigatio for a mior, please isert the mior s ame i the Accout desigatio field uder sectio 2. It is importat that you also complete Ivestor 1 ad/or Ivestor 2 as owers of the accout, ad provide the TFN(s) of the ivestor(s) rather tha the mior. Superauatio fud or trust Please isert the etity s ame uder Superauatio fud/trust. We will also require iformatio of the trustees. To supply this trustee iformatio, please complete Ivestor 1 ad/or Ivestor 2 if trustees are idividuals. If the trustee is a compay, please complete the Compay ame field. Default order for deductio of fees ad maagemet cost rebates Please ote: Where amouts are to be deducted from or credited to your ivestmet, for example, adviser service fees or maagemet cost rebates ad o optio or a ivalid optio has bee omiated by you, a default order exists. Geerally, the default order draws from or credits to your more coservative optio first. Special rules may apply where you hold FirstRate Term Deposit optios. Please call Ivestor Services o 13 13 36 should you require further iformatio. A2
FirstChoice Ivestmets Applicatio Form 11 April 2011 Uits i FirstChoice Ivestmets will oly be issued o receipt of this completed applicatio form ad ay documets required to be attached, issued together with the PDS dated 11 April 2011. You should read all parts of the PDS before applyig. Refer to pages A1 to A2 for istructios o how to complete this form. Please phoe Coloial First State Ivestor Services o 13 13 36 with ay equiries. Please complete this form usig BLACK INK ad prit well withi the boxes i CAPITAL LETTERS. Mark appropriate aswer boxes with a cross like the followig X. Start at the left of each aswer space ad leave a gap betwee words. OFFICE USE ONLY Fields marked with a asterisk (*) must be completed for the purposes of ati-moey lauderig laws. part a your details 1. accout DETAILS Are you opeig a ew accout? Yes x I am a ew CFS ivestor Lik to my existig CFS accout, my accout umber is No This is a additioal ivestmet for accout umber 0 7 0 2. INVESTOR DETAILS Ivestor 1 (idividual accouts/sole trader) Title Mr Mrs Miss Ms Full give ame(s)* Other Surame* Date of birth* / / Male Female Occupatio ad idustry* Your mai coutry of residece, if ot Australia* Tax File Number or reaso for exemptio (refer to page A1) or code If a foreig residet for tax purposes, specify coutry of residece Ivestor 2 (joit accouts) Title Mr Mrs Miss Ms Full give ame(s)* Other Surame* Date of birth* / / Male Female Occupatio ad idustry* Your mai coutry of residece, if ot Australia* Tax File Number or reaso for exemptio (refer to page A1) or code If a foreig residet for tax purposes, specify coutry of residece Full busiess ame of sole trader* Full address (PO Box is NOT acceptable) of pricipal place of busiess (sole traders oly)* Uit umber Street umber Street ame Suburb State Postcode Coutry ABN (if ay) of sole trader* A3
2. INVESTOR DETAILS (cotiued) accout desigatio Oly use to idicate a mior s ame for a accout desigatio (refer to page A2) PORTFOLIO FEE REBATE JOINT/TRUST ACCOUNTS ONLY Please omiate whose portfolio you wish this accout to be icluded i for the purposes of portfolio rebate calculatio. If o omiatio is made, this accout will ot be liked. Please refer to Part 1 Key iformatio, page 13 for further details ad to see if you are eligible. Ivestor 1 portfolio Ivestor 2 portfolio Do ot lik this accout o-idividual ivestors Compay/partership/superauatio fud or other etity Cross (X) the appropriate box to idicate the type of ivestor you are: Self Maaged Super Fud Trust Compay Partership Other, please specify Full ame of compay/partership/trustee/other etity* Full ame of superauatio fud/trust* Pricipal busiess/trust activity* Are you a charity?* Yes No Coutry established, if ot Australia* ABN/ARBN/ARSN Tax File Number (superauatio fud/trust/compay if applicable) 3. CONTACT DETAILS Ivestor 1 Residetial address (PO Box is NOT acceptable)* Uit umber Street umber Street ame Suburb State Postcode Coutry Postal address (if differet to above) Uit umber Street PO Box umber Street ame Suburb State Postcode Coutry Work phoe umber Home phoe umber Fax umber Mobile phoe umber Email address for ivestor 1 Ivestor 2 if applicable ad differet to above Residetial address (PO Box is NOT acceptable)* Uit umber Street umber Street ame Suburb State Postcode Coutry A4
3. CONTACT DETAILS (cotiued) Postal address (if differet to above) Uit umber Street umber PO Box Street ame Suburb State Postcode Coutry Work phoe umber Home phoe umber Fax umber Mobile phoe umber Email address for ivestor 2 No-idividual ivestors if applicable Registered office address/pricipal place of busiess (PO Box is NOT acceptable) Uit umber Street umber Street ame Suburb State Postcode Coutry Postal address (if differet to above) Uit umber Street umber PO Box Street ame Suburb State Postcode Coutry Work phoe umber Fax umber Email address for o-idividual ivestor 4. commuicatio prefereces You ca choose to receive commuicatios from us (icludig member otices, trasactio cofirmatios, statemets, reports ad other material) by either email or mail by selectig your prefereces below. You ca chage these prefereces at ay time by cotactig us. The commuicatio prefereces which you choose below will automatically apply to all of the FirstChoice accouts which you hold with Coloial First State uless you idicate otherwise by tickig the box below. If you do ot make a selectio ad you provide us with your email address i sectio 3 above, you agree that we may use that email address to provide you with iformatio about your ivestmet. However, at times we may still eed to sed you letters i the post. Commuicatio type Prefereces Statemets/cofirmatios/member otices Email Mail iq Magazie Email Mail Educatioal ad other ad-hoc materials Email Mail Opt out These prefereces will be applied to all your accouts (icludig ay joit accouts). Cross (X) here if you do ot wish this to occur. x A5
5. bak accout details You ca oly omiate a bak accout that is held i the ame(s) o this applicatio. If you wish to omiate a bak accout that is held i differet ame(s), you will have to complete the separate direct debit authority form o page A19. By providig your bak accout details i this sectio, you authorise Coloial First State to use these details for all future trasactio requests that you omiate. bak accout 1 Please provide your accout details i this sectio if you have requested us to debit or credit your bak accout. Name of Australia fiacial istitutio Brach ame Brach umber (BSB) Accout umber Name of accout holder 6. icome distributio bak accout 2 Oly complete your accout details i this sectio if you would like your regular ivestmet pla debited from a differet bak accout. Name of Australia fiacial istitutio Brach ame Brach umber (BSB) Accout umber Name of accout holder A omiatio i this sectio overrides ay previous omiatios. Distributios will be reivested uless otherwise stated. Cross (X) oe box oly. How would you like your icome distributios to be paid? Reivested i the optio Credit to my/our bak accout x Make sure you also complete your bak accout details above i sectio 5. part B your INVESTMENT 7. iteral TRANSFER details I would like to trasfer fuds from my existig CFS accout umber I would like to trasfer the etire balace. I uderstad that doig this will close my existig accout. OR I would like to retai a balace i my existig CFS accout Please trasfer exactly $,,. to ope this ew accout OR Please trasfer the balace leavig exactly $,,. i my above metioed existig accout Please leave the remaiig fuds ivested i the followig ivestmet allocatio: If o ivestmet allocatio is idicated, we will leave the balace i your curret weightigs. A6
8. paymet details How will this ivestmet be made? NOTE: Cash is ot accepted. A miimum total ivestmet of $5,000 is required to establish a accout i FirstChoice Ivestmets. A $1,000 miimum iitial balace is required if a regular ivestmet pla is set up at commecemet of the accout. The miimum regular ivestmet pla amout is $100 per moth. Total amout to be ivested $,,. icludig ay iteral trasfers show i sectio 7. Cheque (attached) x Direct debit x Make cheque payable to FirstChoice Ivestmets, <Ivestor ame>. Make sure you also complete your bak accout details i sectio 5. Earliest date fuds are to be direct debited x / / (leave blak if we ca direct debit whe your applicatio is processed) Iteral trasfer x Fuds comig from a Coloial First State accout. Please attach a redemptio request. Bpay x Cotact your bak or fiacial istitutio to make this paymet from your cheque, savigs, debit or trasactio accout. More ifo: www.bpay.com.au. Please see the Other iformatio booklet, sectio 3 for details o how to make a Bpay paymet to your accout. Direct credit x Cotact your bak or fiacial istitutio to make this paymet from your accout. Please see the Other iformatio booklet, sectio 3 for details o how to make a direct credit paymet to your accout. A7
9. INVESTMENT ALLOCATION Please specify the percetage you wish to ivest i each optio. Cross (X) this box if you would like to icrease your regular ivestmet pla amout i lie with iflatio (CPI) each year. x Optio ame FirstChoice optios Optio CODE Iitial or additioal ivestmets % Regular ivestmet pla (per moth) $,. (miimum $100 per moth) FirstChoice Defesive 001 % % FirstChoice Coservative 007 % % FirstChoice Moderate 011 % % FirstChoice Balaced 251 % % FirstChoice Growth 015 % % FirstChoice High Growth 020 % % FirstChoice Geared Growth Plus 240 % % FirstChoice Fixed Iterest 002 % % FirstChoice Property Securities 022 % % FirstChoice Global Property Securities 204 % % FirstChoice Global Ifrastructure Securities 205 % % FirstChoice Australia Share 021 % % FirstChoice Boutique Australia Share 063 % % FirstChoice Australia Small Compaies 051 % % FirstChoice Global Share 023 % % FirstChoice Global Share Hedged 082 % % FirstChoice Asia Share 202 % % FirstChoice Emergig Markets 233 % % FirstChoice Geared Boutique Australia Share 206 % % FirstChoice Multi-Idex Series FirstChoice Multi-Idex Coservative 009 % % FirstChoice Multi-Idex Balaced 017 % % Sigle maager optios Coservative Coloial First State Coservative 008 % % Perpetual Coservative Growth 010 % % A8
9. INVESTMENT ALLOCATION (cotiued) Optio ame Moderate Optio CODE Iitial or additioal ivestmets % Regular ivestmet pla Coloial First State Balaced 012 % % ING Balaced 013 % % Perpetual Diversified Growth 014 % % Growth BT Active Balaced 018 % % Coloial First State Diversified 016 % % ING Tax Effective Icome 080 % % Perpetual Balaced Growth 019 % % High growth Coloial First State High Growth 024 % % Perpetual Split Growth 025 % % Cash ad deposits Coloial First State Cash 003 % % FirstRate Saver 1 800 % % FirstRate Term Deposit 3 moth 1 810 % FirstRate Term Deposit 6 moth 1 811 % FirstRate Term Deposit 9 moth 1 812 % FirstRate Term Deposit 12 moth 1 813 % Fixed iterest ad icome Aberdee Australia Fixed Icome 006 % % Coloial First State Diversified Fixed Iterest 004 % % Coloial First State Global Credit Icome 056 % % ING Diversified Fixed Iterest 254 % % Macquarie Icome Opportuities 252 % % Ehaced yield Acadia Quat Yield 236 % % Coloial First State Ehaced Yield 073 % % Goldma Sachs Icome Plus 072 % % 1 FirstRate Saver ad FirstRate Term Deposits are deposit products of Commowealth Bak of Australia, refer to sectio 4 FirstRate Saver ad FirstRate Term Deposits i Part 1 Key iformatio, page 14. A9
9. INVESTMENT ALLOCATION (cotiued) Optio ame Optio CODE Iitial or additioal ivestmets % Regular ivestmet pla PM Capital Ehaced Yield 064 % % Schroder Hybrid Securities 057 % % Property ad ifrastructure securities BT Property Ivestmet 045 % % Challeger Property Securities 212 % % Coloial First State Idex Property Securities 067 % % Coloial First State Property Securities 043 % % Goldma Sachs Australia Ifrastructure 235 % % Pricipal Property Securities 066 % % RREEF Property Securities 044 % % Global property ad ifrastructure securities AMP Capital Global Property Securities 271 % % Coloial First State Colliers Global Property Securities 068 % % Coloial First State Global Listed Ifrastructure Securities 226 % % Australia share BlackRock Australia Share 032 % % BT Core Australia Share 034 % % Coloial First State Australia Share Core 026 % % Coloial First State Australia Share Log Short Core 231 % % Coloial First State Equity Icome 232 % % Coloial First State Imputatio 027 % % Coloial First State Idex Australia Share 028 % % Fidelity Australia Equities 078 % % ING Australia Share 030 % % Maple-Brow Abbott Imputatio 031 % % Perpetual Idustrial Share 033 % % Realidex Australia Share 241 % % Schroder Australia Equity 035 % % A10
9. INVESTMENT ALLOCATION (cotiued) Optio ame Australia share boutique Optio CODE Iitial or additioal ivestmets % Regular ivestmet pla Acadia Australia Equity 077 % % Acadia Australia Equity Log Short 075 % % Ausbil Australia Active Equity 029 % % Itegrity Australia Share 048 % % Ivestors Mutual Australia Share 054 % % Irobark Karara Australia Share 065 % % Lodestar Australia Strategic Share 253 % % Merlo Australia Share Icome 234 % % Pereial Value Australia Share 055 % % PM Capital Australia Share 053 % % Solaris Core Australia Equity 052 % % Australia share small compaies Ausbil Australia Emergig Leaders 211 % % Celeste Australia Small Compaies 070 % % Coloial First State Future Leaders 061 % % Realidex Australia Small Compaies 242 % % Global share Acadia Global Equity 069 % % AXA Global Equity Value 058 % % BT Core Global Share 042 % % Capital Iteratioal Global Share 040 % % Coloial First State Global Share 037 % % Coloial First State Idex Global Share 038 % % Coloial First State Idex Global Share Hedged 071 % % DWS Global Equity Thematic 238 % % MFS Global Equity 039 % % Perpetual Iteratioal 041 % % Realidex Global Share 243 % % Realidex Global Share Hedged 244 % % A11
9. INVESTMENT ALLOCATION (cotiued) Optio ame Optio CODE Iitial or additioal ivestmets % Regular ivestmet pla Zurich Ivestmets Global Thematic Share 270 % % Global specialist Acadia Global Equity Log Short 203 % % Coloial First State Global Emergig Markets Select 260 % % Coloial First State Global Resources 036 % % Coloial First State Global Soft Commodity 268 % % Geeratio Global Share 230 % % Goldma Sachs Global Small Compaies 059 % % Magella Global 267 % % Platium Asia 258 % % Platium Iteratioal 050 % % PM Capital Absolute Performace 081 % % Realidex Emergig Markets 263 % % Alteratives Aspect Diversified Futures 261 % % BlackRock Asset Allocatio Alpha 269 % % Geared Acadia Geared Global Equity 207 % % Coloial First State Colliers Geared Global Property Securities 208 % % Coloial First State Geared Australia Share Core 062 % % Coloial First State Geared Global Share 047 % % Coloial First State Geared Share 046 % % TOTAL 1 0 0 % 1 0 0 % part c other iformatio 10. auto-rebalacig facility Please cross (X) the boxes below to idicate if you wat your ivestmet selectio above to be applied to auto-rebalace your accout (excludig FirstRate Term Deposits). If you make o frequecy selectio, we will rebalace your portfolio aually. Before takig up this facility, refer to the Other iformatio booklet, sectio 4. Frequecy Establish auto-rebalacig facility x Please complete the frequecy for your accout Aually Quarterly A12
11. olie services Please ote that you will be automatically grated access to maage your ivestmet over the iteret through FirstNet ad by telephoe through FirstLik. Olie access is provided uder the terms ad coditios provided i the Other iformatio booklet, sectio 4. Please cross (X) this box if you do ot wish to have olie access to your ivestmet. Please ote: If you wat your adviser to trasact o your behalf, you will be automatically updated to full trasactio access o your accout via FirstNet, if you do ot already have this level of access. 12. adviser service fee ONGOING FEE Complete this sectio oly if you have agreed with your fiacial adviser to have a ogoig adviser service fee deducted. Refer to Part 1 Key iformatio, page 12 for details. Ivestmet optio from which the fee is to be deducted. Idicate oe optio oly. Optio CODE (refer to pages A8 to A12) OR FirstChoice margi loa variable rate (if applicable, for existig ivestors oly) Adviser service fee icludig GST. % per aum OR $,. per moth ONe-off FEE Complete this sectio oly if you have agreed with your fiacial adviser to have a oe-off adviser service fee deducted. Refer to Part 1 Key iformatio, page 12 for details. Ivestmet optio from which the fee is to be deducted. Idicate oe optio oly. Optio CODE (refer to pages A8 to A12) OR FirstChoice margi loa variable rate (if applicable, for existig ivestors oly) Adviser service fee icludig GST $,. If o optio, more tha oe optio, a ivalid optio or a optio with a isufficiet balace is omiated, we will deduct this fee from the first optio ivested i, as outlied o page A2. We recommed you do ot omiate FirstRate Term Deposits for deductio of ay adviser service fees, as that will create early withdrawals. 13. MANAGEMENT COST rebate Select the ivestmet optio to which ay maagemet cost rebate (adviser trail rebate ad portfolio rebate) that may be applicable is to be credited. Idicate oe optio oly. Optio CODE (refer to pages A8 to A12) OR FirstChoice margi loa variable rate (if applicable, for existig ivestors oly) If o optio or more tha oe optio or a ivalid optio is omiated, we will credit this rebate to the first o-cash optio ivested i, as outlied o page A2. x A13
part d declaratio 14. Declaratio ad sigature I/We ackowledge that if my/our applicatio to become a uitholder is accepted, my/our uitholdig will be subject to the terms of the Costitutio. I/We declare ad agree that: I/we have received ad read Part 1 ad Part 2 ad I/we ackowledge I/we have access to all statemets ad iformatio that are icorporated by referece i the Other iformatio booklet, together referred to below as the PDS, ad have received ad accepted the offer i it i Australia my/our applicatio is true ad correct. Where I am/we are applyig for oe or more of FirstRate Saver ad FirstRate Term Deposits, I/we have received ad read all relevat terms ad coditios for the omiated product(s) this applicatio form is icluded i or accompaied by Part 1 ad Part 2 of the PDS for each optio that is selected or i which I am/we are ivested: I/we ackowledge I am/we are boud by the relevat Costitutio s provisios (icludig cosets, ackowledgemets ad declaratios), terms ad coditios cotaied i ad related to a right, power, authority, discretio or obligatio i the relevat Costitutio (as ameded from time to time), ad I am/we are boud as a separate commitmet by the relevat product provider s provisios (icludig cosets, ackowledgemets ad declaratios), terms ad coditios i the PDS ad I/we ackowledge those documets are ameded from time to time ad I am/we are boud by those chages, icludig ay chages to the PDS betwee the date of sigig my/our applicatio ad the date I/we first become a member(s) of FirstChoice Ivestmets I/we have legal power to ivest my/our adviser will receive the paymets detailed i the PDS ad this applicatio form icludig via redemptio of uits from my/our ivestmet if I/we have received the PDS from the iteret or other electroic meas that I/we received it persoally or a pritout of it, accompaied by or attached to this applicatio form if this is a joit applicatio, each of us agrees, uless otherwise idicated o this applicatio or relevat optio s terms ad coditios, our ivestmet is as joit teats. Each of us is able to operate the accout ad bid the other(s) to ay trasactio icludig ivestmets, switches or withdrawals by ay available method this applicatio is ot because of a usolicited meetig with or telephoe call from aother perso future ivestmets will be made i lie with the most recet trasactio (excludig FirstRate Term Deposits ad/or regular ivestmet pla) uless I/we istruct you otherwise if ivestig as trustee, o behalf of a superauatio fud or trust I/we cofirm that I am/we are actig i accordace with my/our desigated powers ad authority uder the trust deed. I the case of superauatio fuds, I/we also cofirm that it is a complyig fud uder the Superauatio Idustry (Supervisio) Act 1993 by ivestig (ad remaiig ivested) with Coloial First State, I/we give my/our coset to the collectio, use ad disclosure of persoal iformatio as set out i the curret PDS oe of us are a US perso, ivestor or employee beefit pla. If our status chages, we will tell you. I/We ackowledge ad agree that Coloial First State ad/or its related etities ( the Group ) will ot be liable to me/us or other persos for ay loss suffered (icludig cosequetial loss) where trasactios are delayed, blocked, froze or where the Group refuses to process a trasactio or ceases to provide me/us with a product or service, icludig i circumstaces where the Group reasoably believes that I am/we are a Proscribed Perso. A Proscribed Perso meas ay perso or etity who the Group reasoably believes to be (i) i breach of the laws of ay jurisdictio prohibitig moey lauderig or terrorism fiacig, or (ii) o a list of persos with whom dealigs are proscribed by Australia laws or the laws of aother recogised jurisdictio. A Proscribed Perso icludes ay perso or etity who the Group reasoably believes to act o behalf, or for the beefit of, a perso or etity referred to i (i) ad/or (ii). I/We ackowledge that: other tha FirstRate Saver ad FirstRate Term Deposits, which are deposit products of Commowealth Bak of Australia, ivestmets i the optios are ot ivestmets, deposits or other liabilities of the Commowealth Bak of Australia or its subsidiaries ad are subject to ivestmet ad other risks, icludig possible delays i repaymet ad the loss of icome ad pricipal ivested either Coloial First State or the Commowealth Bak of Australia or its subsidiaries guaratee the repaymet of capital or the performace of the optios or ay particular rate of retur from the optios. A14
14. Declaratio ad sigature (cotiued) Prior to its completio ad sigig, this applicatio must ot be haded to ay perso uless accompaied by the PDS. Coloial First State FirstChoice Ivestmets is offered by Coloial First State Ivestmets Limited ABN 98 002 348 352 AFS Licece 232468. Joit applicats must both sig. Sigature of ivestor 1 or compay officer Sigature of ivestor 2 or compay officer 8 8 Prit ame Date / / Prit ame Date / / If this applicatio is siged uder a Power of Attorey, the Attorey declares that he/she has ot received otice of revocatio of that power (a certified copy of the Power of Attorey should be submitted with this applicatio uless we have already sighted it). The Attorey will also eed to complete a power of attorey idetificatio form (to eable us to establish the idetity of the Attorey) which ca be obtaied from our forms library at coloialfirststate.com.au or by phoig Ivestor Services o 13 13 36. Sole sigatories sigig o behalf of a compay cofirm that they are sigig as sole director ad sole secretary of the compay. Please sed the completed form to: Coloial First State Reply Paid 27, Sydey NSW 2001 A15
part e adviser details ad fees ADVISER USE ONLY Adviser ame Ivestsmart Fiacial Services Cotact phoe umber Dealer ID Adviser ID ILAN 1325 101 ILCN ILGN Dealer/Adviser stamp (please use black ik oly) By providig your (adviser) details, you certify that you are appropriately authorised to provide fiacial services i relatio to this product ad that you have read ad uderstood the Dealer Terms ad Coditios applicable to your Dealer group. Additioal commets/istructios cotributio fee Please idicate the total cotributio fee percetage to be charged (refer to Part 1 Key iformatio, page 12). If you do ot omiate a fee, the maximum fee of 4% will be charged. If omiatig a fee differet from the maximum fee, please idicate the fee to be charged to the ivestor. Maximum (4%) Miimum (0%) Other x Give details below Fee to be charged to the ivestor Other stadard fee (excludig cash ad deposit optios) Iitial ivestmet 0% 1% 2% 3% 4%. % 4. 0 0 % Iteral trasfer 0% 1% 2% 3% 4%. % 4. 0 0 % Additioal ivestmet 0% 1% 2% 3% 4%. % 4. 0 0 % Regular ivestmet pla 0% 1% 2% 3% 4%. % 4. 0 0 % Please ote: The fee above is the fee which will be deducted from your cliet s ivestmet. The remueratio paid to you icludes the gross GST ad will be 107.25% of this amout. For example: 4% fee charged to the ivestor (icludig the et effect of GST), 4.29% your remueratio (icludig GST), 3.90% your remueratio (excludig GST). Adviser Trail Please select the adviser trail you have agreed to receive up to the maximum stated below (iclusive of GST). The differece will be paid to your cliet. If you do ot omiate a adviser trail, the maximum stated below will apply. Refer to sectio 13 of the applicatio form to select the ivestmet optio to which ay rebates are to be credited. Ivestmet optios Maximum (%) Required (%) FirstRate Saver/FirstRate Term Deposits 0.25% 0. % Ivestmet optios excludig FirstRate Saver ad FirstRate Term Deposits 0.60% 0. 6 0 % Coloial first state use oly Campaig code Ivestsmart Fiacial Services Pty Ltd ABN 70 089 038 531 A16
Idetificatio ad Verificatio Form idividuals ad sole traders Full ame of ivestor All cliets applyig for a ew FirstChoice Ivestmets accout (icludig FirstRate Saver ad FirstRate Term Deposits) must complete the idetificatio procedures (for the purposes of Ati-Moey Lauderig ad Couter-Terrorism Fiacig laws). This form is to assist with those procedures for idividuals ad sole traders. If you are makig a applicatio for a o-idividual accout (for example, a compay or trust) you or your adviser will be required to complete differet forms to establish your idetity, which ca be obtaied from our forms library at coloialfirststate.com.au or by phoig Ivestor Services o 13 13 36. Fiacial advisers udertake idetificatio ad verificatio procedures by completig sectios A to C of this form or by usig other idustry stadard forms. If you do ot have a fiacial adviser, you are required to complete sectio A of this form ad provide certified copies of the ID documets (do ot sed origial documets). Please ote: For joit accouts a separate form is required for each ivestor. The list of the parties who ca certify copies of the documets is set out below. To be correctly certified we eed the ID documets to be clearly oted True copy of the origial documet. The party certifyig the ID documets will also eed to state what positio they hold ad sig ad date the certified documets. If this certificatio does ot appear, you may be asked to sed i ew certified documets. List of persos who ca certify documets* (for the purposes of Ati-Moey Lauderig ad Couter-Terrorism Fiacig laws): Justice of the Peace Solicitor Police Officer Magistrate Notary Public (for the purposes of the Statutory Declaratio Regulatios 1993) Employee of Australia Post (with two or more years of cotiuous service) Your fiacial adviser (provided they have two or more years of cotiuous service) Your accoutat (provided they hold a curret membership to a professioal accoutig body) Australia cosular officer or a Australia diplomatic officer (withi the meaig of the Cosular Fees Act 1955) A officer of a bak, buildig society, credit uio or fiace compay provided they have two or more years of cotiuous service. * There are additioal persos who ca certify documets. A full list of the persos who ca certify documets is available from our forms library at coloialfirststate.com.au. Sectio a: verificatio procedure Complete Part 1 (or if the idividual does ot ow a documet from Part 1, the complete either Part 2 or Part 3). Part 1 Tick 3 Acceptable primary ID documets Select ONE valid optio from this sectio oly Australia State/Territory driver s licece cotaiig a photograph of the perso Australia passport (a passport that has expired withi the precedig two years is acceptable) Card issued uder a State or Territory for the purpose of provig a perso s age cotaiig a photograph of the perso Foreig passport or similar travel documet cotaiig a photograph ad the sigature of the perso¹ Cotiued over the page 1 Documets that are writte i a laguage that is ot Eglish must be accompaied by a Eglish traslatio prepared by a accredited traslator. A accredited traslator is ay perso who is curretly accredited by the Natioal Accreditatio Authority for Traslators ad Iterpreters Ltd (NAATI) at the level of Professioal Traslator or above. A17
Part 2 Acceptable secodary ID documets should oly be completed if the idividual does ot ow a documet from Part 1 Tick 3 Tick 3 Select ONE valid optio from this sectio Australia birth certificate Australia citizeship certificate Pesio card issued by Cetrelik Health card issued by Cetrelik AND ONE valid optio from this sectio A documet issued by the Commowealth or a State or Territory withi the precedig 12 moths that records the provisio of fiacial beefits to the idividual ad which cotais the idividual s ame ad residetial address A documet issued by the Australia Taxatio Office withi the precedig 12 moths that records a debt payable by the idividual to the Commowealth (or by the Commowealth to the idividual), which cotais the idividual s ame ad residetial address A documet issued by a local govermet body or utilities provider withi the precedig three moths which records the provisio of services to that address or to that perso (the documet must cotai the idividual s ame ad residetial address) If uder the age of 18, a otice that was issued to the idividual by a school pricipal withi the precedig three moths; ad cotais the ame ad residetial address; ad records the period of time that the idividual atteded that school Part 3 Acceptable foreig ID documets should oly be completed if the idividual does ot ow a documet from Part 1 Tick 3 BOTH documets from this sectio must be preseted Foreig driver s licece that cotais a photograph of the perso i whose ame it is issued ad the idividual s date of birth¹ Natioal ID card issued by a foreig govermet cotaiig a photograph ad a sigature of the perso i whose ame the card was issued¹ Sectio B: RECORD OF VERIFICATION PROCEDURE FINANCIAL ADVISER USE ONLY Verify the idividual s full ame ad date of birth OR residetial address. Receipt of a completed form will costitute your agreemet as a reportig etity that you have completed the idetificatio ad verificatio of the ivestor for the purposes of Ati-Moey Lauderig ad Couter-Terrorism Fiacig laws. ID documet details Documet 1 Documet 2 Verified from Origial Certified copy Origial Certified copy Documet issuer Issue date / / / / Expiry date / / / / Documet umber Accredited Eglish traslatio N/A Sighted N/A Sighted Sectio C: FINANCIAL PLANNER DETAILS idetificatio ad verificatio coducted by: Date verified (dd/mm/yyyy) / / Fiacial plaer s ame Phoe umber AFS licesee ame AFS Licece umber 1 Documets that are writte i a laguage that is ot Eglish must be accompaied by a Eglish traslatio prepared by a accredited traslator. A accredited traslator is ay perso who is curretly accredited by the Natioal Accreditatio Authority for Traslators ad Iterpreters Ltd (NAATI) at the level of Professioal Traslator or above. A18
Coloial First State Direct Debit Authority Form Please phoe Coloial First State Ivestor Services o 13 13 36 with ay equiries. Please complete this form usig BLACK INK ad prit well withi the boxes i CAPITAL LETTERS. Mark appropriate aswer boxes with a cross like the followig X. Start at the left of each aswer space ad leave a gap betwee words. All accout holders must complete sectios 1 ad 2. If a third party is authorisig the accout holder(s) (show i sectio 1) to debit their bak accout, the third party must complete sectio 2 ad sig below. 1. ACCOUNT HOLDER(S) Please provide your ame(s) ad/or accout umber below: Accout umber 0 7 0 Ivestor 1 (idividual accouts) Title Mr Mrs Miss Ms Other Give ame(s) Surame Cotact phoe umber Compay/partership (if applicable) Ivestor 2 (joit accouts) Title Mr Mrs Miss Ms Other Give ame(s) Surame Cotact phoe umber Name of compay or partership Name of cotact perso 2. accout holder(s) or third party I/We authorise Coloial First State Ivestmets Limited (011802), util further otice i writig to arrage for fuds to be debited from my/our accout, at the fiacial istitutio idetified as described i the schedule below, ay amouts which Coloial First State may debit or charge me/us through the Direct Debit System. Please ote: Third party bak accouts caot be used for trasactig olie without authorisatio ad sigatures from all accout holders. the schedule (accout to be debited) Name of Australia fiacial istitutio Brach ame or address Brach umber (BSB) Accout umber Name of accout holder Please update the followig services with my ew bak accout details. Please tick the appropriate box(es): Regular Ivestmet Pla Regular Withdrawal Pla Olie Services Please ote: By providig bak details i this sectio you authorise Coloial First State to retai these details for all future trasactio requests that you omiate. Please see the terms ad coditios i the curret Product Disclosure Statemet. A19
2. accout holder(s) or third party (cotiued) direct debit request authorisatio I/We have read the Direct Debit Customer Service Agreemet provided i the Other iformatio booklet, sectio 4 ad agree with its terms ad coditios. I/We request this arragemet to remai i force i accordace with details set out i the schedule ad i compliace with the Direct Debit Customer Service Agreemet. Coloial First State Ivestmets Limited ABN 98 002 348 352 AFS Licece 232468 (Coloial First State) is the issuer of a rage of ivestmet, pesio ad superauatio products. Iterests i the superauatio ad pesio products are issued from the Coloial First State FirstChoice Superauatio Trust ABN 26 458 298 557 or the Coloial First State Rollover & Superauatio Fud ABN 88 854 638 840. Sigature of bak accout holder or compay officer Sigature of bak accout holder 8 8 Prit ame Date / / Prit ame Date Please mail the ORIGINAL form to: Coloial First State Reply Paid 27, Sydey NSW 2001 Faxed copies caot be accepted. / / A20
Coloial First State Adviser Olie Trasactio Authority Please phoe Coloial First State Ivestor Services o 13 13 36 with ay equiries. Please complete this form usig BLACK INK ad prit well withi the boxes i CAPITAL LETTERS. Mark appropriate aswer boxes with a cross like the followig X. Start at the left of each aswer space ad leave a gap betwee words. 1. INVESTOR DETAILS Please omiate the accouts to which the authority should be applied. All accouts I hold with Coloial First State OR Oly the followig accouts (if for this accout ow beig applied for write this accout ) This authority ca oly be applied to accouts curretly advised by the adviser amed i sectio 2 (below). Ivestor 1 (idividual accouts) Title Mr Mrs Miss Ms Other Give ame(s) Surame/Compay/Partership ame Cotact phoe umber Date of birth / / Ivestor 2 (joit accouts) Title Mr Mrs Miss Ms Other Give ame(s) Surame/Compay/Partership ame Cotact phoe umber Date of birth / / 2. ADVISER DETAILS Full ame of adviser Ivestsmart Fiacial Services Phoe umber Fax umber Mobile phoe umber Dealer ID Adviser ID 1325 101 ILCN ILAN ILGN INVESTOR(S) MUST SIGN THIS FORM OVER THE PAGE. Dealer/Adviser stamp (please use black ik oly) Ivestsmart Fiacial Services Pty Ltd ABN 70 089 038 531 x A21
3. DECLARATION CONDITIONS FOR AUTHORISING AN ADVISER TO TRANSACT ON YOUR BEHALF By sigig this authority you authorise the amed adviser, ad ay other perso authorised by that adviser, to perform the followig activities o your accout olie (if available) o your behalf: make a additioal ivestmet, set up or modify a regular ivestmet pla, switch betwee ivestmet optios ad modify accout details (excludig bak accout details) modify ivestmet selectio ad frequecy (icludig auto-rebalacig) withdraw a ivestmet (does ot apply to superauatio or pesio accouts) maage a FirstChoice margi loa by trasactig or modifyig settigs (for existig ivestors oly) trasact o FirstRate Saver, FirstRate Wholesale Saver, FirstRate Term Deposits or FirstRate Wholesale Term Deposits (icludig maagig maturity istructios). This adviser trasactio authority is subject to the followig: You agree that the amed adviser remais authorised, eve if this adviser trasfers to a ew dealer group (with the curret dealer s release) ad chages to ew arragemets without otice to you. If the dealer group s Australia Fiacial Services Licece is suspeded or cacelled by the Australia Securities ad Ivestmets Commissio, we have the discretio to switch off the adviser authority. If we reasoably believe that a perso is your authorised adviser or their authorised delegate, the aythig they do o your behalf will be treated as if you have doe it persoally. Oce you sig this authority, the we will treat your adviser (or their delegate) as beig properly appoited uless you tell us otherwise. We will ot accept or be o otice of ay restrictios o their authority. At our complete discretio we ca refuse to accept a authority, permit a perso to trasact or carry out a trasactio. You agree to release, discharge ad idemify us from ad agaist ay liability, cost or loss that is icurred by us or you as a result of our actig o this authority except if we have acted frauduletly or have wilfully defaulted i our obligatios to you ad you ackowledge we will process trasactios uder this authority util we receive a valid writte otificatio, siged by you, amedig or revokig this authority. You also agree that either you, or ay perso claimig through you, has ay claim agaist us for a trasactio doe i accordace with this authority. This authority cotiues util the secod busiess day after we receive writte otice from you of cacellatio of the authority. Use of Coloial First State s olie facilities is subject to specific terms ad coditios. These are available o our iteret site. We ca cacel or vary these coditios by givig you ot less tha seve (7) days writte otice. If durig our ormal busiess hours FirstNet is uavailable or olie trasactios are ot beig processed (as determied by us), the this authority will permit your adviser (or their delegate) to trasact o your behalf usig fax istructios. The terms of fax usage which will the apply are set out i the Other iformatio booklet, sectio 4. Ivestmets ad withdrawals ca oly be made to ad from a bak accout pre-omiated by you. Please ote: By providig this authority to your adviser you will also be automatically updated to full trasactio access o your accout via FirstNet, if you do ot already have this level of access. The adviser ad ay other perso authorised by that adviser will be authorised to carry out these activities olie oly. Please ote that the adviser may also delegate this authority to third parties, such as others i their office. Therefore you should carefully cosider the implicatios of givig this authority before proceedig. Joit applicats must both sig. PLEASE NOTE THAT BY APPOINTING AN ADVISER TO TRANSACT ON YOUR BEHALF, YOU ARE GIVING THAT ADVISER, AND ANY PERSON ACTING ON BEHALF OF THE ADVISER, AUTHORITY TO TRANSACT AND MODIFY DETAILS ON YOUR ACCOUNT(S), UNTIL WE RECEIVE A VALID WRITTEN NOTIFICATION, SIGNED BY YOU, AMENDING OR REVOKING THIS AUTHORITY. Sigature of ivestor 1 or compay officer Sigature of ivestor 2 or compay officer (if applicable) 8 8 Prit ame Date / / Prit ame Date Please sed the completed form to: Coloial First State Reply Paid 27, Sydey NSW 2001 / / A22
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Coloial First State offices: Sydey (Head Office) Level 29 52 Marti Place Sydey NSW 2000 (from August 2011 South Tower, Level 1, 1-25 Harbour Street, Sydey NSW 2000) Melboure Level 1 385 Bourke Street Melboure VIC 3000 Brisbae Level 8 240 Quee Street Brisbae QLD 4000 Perth Level 4 55 St Georges Terrace Perth WA 6000 Adelaide Level 4 100 Kig William Street Adelaide SA 5000
Coloial First State 2011_15889/FS4331/0411