Application Form INDIVIDUAL / INSTITUTIONAL INVESTOR

Application Form INDIVIDUAL / INSTITUTIONAL INVESTOR

Application Form INDIVIDUAL / INSTITUTIONAL INVESTOR Bifm Unit Trusts (Pty) Limited Registration No: CO2009/2597 All sections must be completed in full using BLOCK LETTERS Indicate all options selected by means of a cross (X) Initial any amendments made to the application form Ensure that all information provided is accurate No instruction will be processed unless all requirements have been met The daily cut-off for receipt of instructions is 10h00 for money market instructions and 14h00 for non money market instructions Completed forms are to be faxed to us on +267 3957771 or emailed to retailservices@bifm.co.bw Should you have any queries regarding this application, please contact Bifm Unit Trusts Retail Service Centre on +267 3190650 1. INVESTOR PERSONAL DETAILS Title Surname / Corporate / Entity Name Name(s) Physical Address / Principal Place of Business Code Postal Address Code Date of Birth Place of Birth Residential Status Tax Status Income Tax Number Vat Number Contact D M Y Resident Exempt W C Non Resident Non Exempt H F Email (Work) Email (Home) Omang Number / Co Registration no / Passport no (foreign national only) OMANG Number Expiry Date Nationality Occupation Passport Expiry Date D M Y D M Y page 1 of 13

APPLICATION FORM 2. ACTING ON BEHALF OF AN INVESTOR * Parent / Guardian / Person with Power of Attorney Title Name(s) Surname Omang Number or Passport Number (If foreign national) Date of Birth Postal Address Gender D M Y M F Physical Address Code Code Contact Email Capacity W C H F 3. BANKING DETAILS Domicile of Bank Account Payment Currency Swift Code Account Number Bank Banch Name Branch Code Account Holder Name Account Type LOCAL BANK ACCOUNT FOREIGN BANK ACCOUNT SAVINGS CURRENT page 2 of 13

APPLICATION FORM 4. COMMUNICATION Method of communication E-MAIL POST 5. INVESTMENT DETAILS I / We hereby apply to invest in the Bifm Unit Trusts Funds in accordance with the provisions of the relevant Deed of the fund at the respective funds price(s) ruling on the date of receipt of the monies by Bifm Unit Trusts (Pty) Ltd, subject to receipt of a duly completed Application Form, proof of deposit and all relevant supporting documentation. Bifm Unit Trusts (Pty) Ltd Funds Bifm Balanced Prudential Fund Bifm Pula Money Market Fund Bifm Global Balanced Fund Bifm Global Equity Fund Lump Sum Investment (Enter amount*) Debit Order (Enter amount**) * Min Lump-Sum Non MM Funds: P 1,000.00 * Min Lump-Sum MM Funds: P 5,000.00 ** Min Debit Order Non MM Funds: P 200.00 ** Min Debit Order MM Funds: P 1,000.00 ** Min Lump-Sum Global Funds: $1,000.00 (No Debit Orders) 6. BANK DEBIT AUTHORITY Bank Account holder Details I authorise Bifm Unit Trusts to draw monthly debits against the account specified below: Account Holder Name Name of Bank Branch Name Branch Code Current Account Number Commencement Date 21st 25th 1st M Y Escalation rate per annum 0% 2.5% 5% 10% Expiry Date D M Y Authorised Signature(s) Authorising Debit Order Date D M Y page 3 of 13

APPLICATION FORM 7. SOURCE OF CONTRIBUTIONS Savings Salary Inheritance Other (Please specify) 8. RE-INVESTMENT DETAILS Reinvest Cash Payout Please note: All distributions below P 200 will be re-invested automatically 9. FINANCIAL ADVISOR / INTERMEDIARY DETAILS I confirm that the Financial advisor whose details are completed below is my appointed financial advisor / intermediary and I agree to payment of fees as stated below. Surname Name(s) Entity Name Registration Number Broker Code Financial Advisor Initial Fees Fund Name Broker Initial Fees Fund Name Initial financial advisor / Intermediary fee* Maximum Bifm Balanced Prudential Fund 2,00% 3,00% Bifm Pula Money Market Fund 0,00% 0,00% Bifm Global Balanced Fund 0,00% 0,00% Bifm Global Equity Fund 0,00% 0,00% * The maximum initial financial advisor / intermediary fee applies where lower fees are not negotiated and completed here Financial Advisor / Intermediary Confirmation Signature page 4 of 13

APPLICATION FORM 10. FUND INFORMATION Fees Initial Fees (excl Vat) Annual Managemenet Fees (excl Vat) Income Accruals Bifm Balanced Prudential Fund 2% 2% 31 December 30 June Bifm Pula Money Market Fund 0% 1% Monthly Bifm Global Balanced Fund 5,6% 2,24% 31 December 30 June Bifm Global Equity Fund 5,6% 2,24% 31 December 30 June Banking details of the funds For new and additional investments, please transfer funds into the following Stanbic Bank Botswana Limited bank account: CIU Fund Name Fund Currency Bank Account Name Bank Account Number Branch Name/ Code Bifm Balanced Prudential Fund/ Bifm Pula Money Market Fund Bifm Global Balanced Fund/ Bifm Global Equity Fund BWP USD Bifm Unit Trusts Inflow (BWP) Bifm Unit Trust Inflow (USD) 9060001324603 Fairgrounds 064967 9060001324603 Fairgrounds 064967 11. DECLARATION BY INVESTOR I hereby apply for participatory interests (units) in the selected portfolios and understand that this investment will be subjected to the governing schemes administered by Bifm Unit Trust (Pty) Ltd. In the event that the financial advisor / intermediary detail section has not been completed, I understand and confirm that I am acting on my own account. Further I understand and confirm that any decision taken with regards to the investment is based on my own judgment. I declare that I am not relying on any communication from Bifm Unit Trusts (Pty) Ltd, whether written, oral or implied as investment advice or as a recommendation to enter into the investment. I understand that information and explanations relating to the terms of investment shall not be considered investment advice or a recommendation to enter into the investment. Bifm Unit Trusts (Pty) Ltd will not be liable for any loss incurred due to incorrect information or any misrepresentations by the investor or his / her intermediary. I / We understand that Bifm Unit Trusts (Pty) Ltd will only be able to process investments upon receipt of the following: 1. Proof of a deposit slip as illustrated in sample deposit slip. 2. Clearing of funds deposited. 3. All relevant documents listed in the KYC documents checklist. I / We hereby agree to provide all documentation required in terms of the Financial Intelligence Act, No 6 of 2009 and understand that Bifm Unit Trusts (Pty) Ltd is prohibited from processing any transaction on my behalf until all such information has been provided. Any money received by Bifm Unit Trust (Pty) Ltd that is not accompanied by the necessary documents will be held until such time the documentation is received. All the information contained herein is true and correct, in the event that this application form is signed by a representative duly nominated by myself, the signatory(ies) below have the necessary authority to do so. Authorised Signature(s) Name of Authorised Signatory(ies) Capacity of Signatory(ies) page 5 of 13 Date D M Y

APPLICATION FORM 11. DEPOSIT SLIP EXAMPLE Sample Deposit Slip 01 January xxxx X Mr / Mrs Name 3912345 XXX XXX XX 9 0 6 0 0 0 1 3 2 4 6 0 3 BIFM UNIT TRUSTS INFLOW (BWP) Fairgrounds XX DE P O S I T O R N A ME INVESTOR ACCOUNT N U M B E R page 6 of 13

KYC Documents & Annexure A

KYC Documents Prior to transacting with Bifm Unit Trusts, in order to comply with its anti-money laundering policy and business processing requirements, the investor is required to supply Bifm Unit Trusts with the documentation mentioned below. Please note: Where originals can not be provided, the copies must be certified as true copies of the original by authorised certifiers - such as a notary or police officer. 1. KYC DOCUMENTS CHECKLIST KYC Documents required Individuals Certified Copy of identity document (Botswana Citizen: OMANG; Foreign national: Passport; MINORS: Birth Certificate) Proof of address, less than 3 months old (copy of utility bill OR signed letter from a customary authority who knows the applicant OR signed letter from employer OR signed lease agreement) Proof of bank details: Copy of Bank statement OR cancelled cheque OR letter from bank confirming account (clearly indicating bank account details) KYC Documents required Botswana Companies (please also complete Annexure A) Certified Copy of Company Constitution and Certificate of Incorporation Proof of authority to act on behalf of the company, signed by the Board of the company Proof of address, less than 3 months old (copy of utility bill) Proof of bank details: Copy of Bank statement OR cancelled cheque OR letter from bank confirming account (clearly indicating bank account details) Copy of all information for shareholders and authorised signatories (as per KYC documents required: Individuals ) Certified Copy of exemption certificate issued by BURS, if exempted from withholdings tax on interest Proof of VAT registration Complete Annexure A and include the supporting documentation as listed page 7 of 13

KYC DOCUMENTS 1. KYC DOCUMENTS CHECKLIST (CONTINUED) KYC Documents required Foreign Companies (Please also complete Annexure A) Official document of Incorporation from foreign Regulator (bearing registration name, number and address) Proof of address, less than 3 months old (copy of utility bill) Proof of bank details: Copy of Bank statement OR cancelled cheque OR letter from bank confirming account (clearly indicating bank account details) Copy of all information for shareholders with a holding greater than 25% and authorised signatories (as per KYC documents required: Individuals ) Proof of authority to act on behalf of the company, signed by the Board of the company Copy of all information for institutional shareholders with a holding greater than 25% (as per KYC documents required: Botswana Companies and / or KYC documents required: Foreign Companies ) Complete Annexure A and include the supporting documentation as listed KYC Documents required Partnerships (Please also complete Annexure A) Copy of Partnership agreement containing Registrar s stamp Proof of address, less than 3 months old (copy of utility bill) Proof of bank details: Copy of Bank statement OR cancelled cheque OR letter from bank confirming account (clearly indicating bank account details) Copy of all information for authorised signatories (as per KYC documents required: Individuals ) Proof of authority to act on behalf of Partnership, signed by all the partners Certified Copy of exemption certificate issued by BURS, if exempted from withholdings tax on interest Complete Annexure A and include the supporting documentation as listed page 8 of 13

KYC DOCUMENTS 1. KYC DOCUMENTS CHECKLIST (CONTINUED) KYC Documents required Trusts (Please also complete Annexure A) The Main Deed or other founding document (e.g. Last Will & Testament) Letter of authority from Master to the Trustees Proof of address, less than 3 months old (copy of utility bill) Proof of bank details: Copy of Bank statement OR cancelled cheque OR letter from bank confirming account (clearly indicating bank account details) Copy of all information for authorised signatories (as per KYC documents required: Individuals ) A death certificate or certificate of deregistration where founder died or ceased to exist Copy of all information for trustees and beneficiaries (as per KYC documents required: Individuals ) Copy of all information for institutional trustees and institutional beneficiaries (as per KYC documents required: Botswana Companies and / or KYC documents required: Foreign Companies ) Certified Copy of exemption certificate issued by BURS, if exempted from withholdings tax on interest Complete Annexure A and include the supporting documentation as listed page 9 of 13

Annexure A Please complete a separate Annexure A for each authorised representative, founder / donor, trustee, beneficiary, member, partner, executive, manager and shareholder of the relevant entity. 1. INVESTOR DETAILS Name of investor / investing entity Designation Authorised representative Founder Trustee Beneficiary Member Partner Executive Manager Shareholder Principal Officer Title Name(s) Date of Birth D M Y Nationality OMANG / Passport Number (if foreign national) OMANG / Passport Number Expiry Date D M Y Postal Address Physical Address Contact W H Email (work) Email (home) C F page 10 of 13

ANNEXURE A 1. INVESTOR DETAILS (CONTINUED) Signatory Signatory Specimen Signature Specimen Signature Print Name Capacity Signing Instruction Print Name Capacity Signing Instruction Signatory Signatory Specimen Signature Specimen Signature Print Name Capacity Signing Instruction Print Name Capacity Signing Instruction Signatory Signatory Specimen Signature Specimen Signature Print Name Capacity Signing Instruction Print Name Capacity Signing Instruction page 11 of 13

Conditions & Disclaimers All sections must be completed in full using BLOCK LETTERS Indicate all options selected by means of a cross (X) Initial any amendments made to the application form Ensure that all information provided is accurate No instruction will be processed unless all requirements have been met The daily cut-off for receipt of instructions is 10h00 for money market instructions and 14h00 for non money market instructions Completed forms are to be faxed to us on +267 3957771 or emailed to retailservices@bifm.co.bw Should you have any queries regarding this application, please contact Bifm Unit Trusts Retail Service Centre on +267 3190650 Prior to transacting with Bifm Unit Trusts, in order to comply with its anti-money laundering policy and business processing requirements, the investor is required to supply Bifm Unit Trusts with the documentation mentioned below. Please note: Where originals can not be provided, the copies must be certified as true copies of the original by authorised certifiers - such as a notary or police officer. 1. MINIMUM DEBIT ORDER AMOUNTS ON THE CIU FUNDS Money Market funds (base currency of BWP only): BWP 1,000 Bifm Balanced Prudential Unit Trust Fund: BWP 200.00 All funds with a base currency in USD and GBP: No debit orders 2. NEW INVESTMENTS AND ADDITIONAL CONTRIBUTIONS The following are the minimum contributions that will be processed on lump-sum new investments and additional contributions Type of Fund Base Currency of Fund Amount Money Market BWP BWP 5,000 Non Money Market BWP BWP 1,000 Money Market; Non Money Market Money Market; Non Money Market USD USD 1,000 GBP GBP 1,000 3. REDEMPTIONS Redemptions of units below the minimum withdrawal amount will incur a flat fee, depending on the base currency of the fund (this fee is subject to change without notice) Base Currency of Fund Minimum Withdrawal Amount Flat Fee BWP 1 000,00 BWP 30.00 USD 1 000,00 USD 4.00 GBP 1 000,00 GBP 3.00 page 12 of 13

CONDITIONS AND DISCLAIMERS 4. SWITCHES The following rules and fees apply to switches between CIU funds: Switches can only be made between CIU funds with the same base currencies Switches between Class A CIU funds will incur a fee of 0.25% Switches from a Money Market CIU fund to a non Money Market fund will incur initial fees 5. DISTRIBUTIONS The following are the minimum amounts that will be paid out on income distributions (amounts below these minimums will be reinvested): The following rules apply to income reinvestments: Levying of Witholdings Taxes (WHT): Base Currency of Fund BWP 200,00 USD 50,00 GBP 50,00 Minimum Distribution Amounts Reinvestments of income will incur a fee of 2%(excl VAT) for non Money Market Funds WHT will be deducted on distribution payments according to income tax legislation, which is calculated according to the status of the investor being either Resident, Non Resident or Exempt Investors are advised to consult their tax advisors should they require information on the WHT legislation applicable to the Botswana Unified Revenue Services (BURS) 6. REDEMPTION AND DISTRIBUTION PAYMENTS The following rules and fees apply to redemption and distribution payments to local and offshore domiciled bank accounts: Redemption and distribution payments to offshore domiciled bank accounts will incur an additional charge. This charge is levied as a recovery of the SWIFT bank fees incurred on payments to offshore domiciled bank accounts. This charge will be subject to change without notice, and will be levied on each redemption and / or distribution payment. page 13 of 13