Personal Superannuation - IOOF Portfolio online > Login

This Forms Booklet is only available to Count Financial Limited 

IOOF Portfolio Service 

Personal 

Superannuation 

Forms Booklet 

Select 

Dated: 1 June 2011 

Issuer: IOOF Investment Management Limited (ABN 53 006 695 021, 

AFS Licence No. 230524), as Trustee of the IOOF Portfolio Service 

Superannuation Fund (ABN 70 815 369 818)

How to get started 

In this guide you will find out about: 

• the application forms included in this booklet 

• the three easy steps you need to follow to set up your IOOF Portfolio Service Personal Superannuation account 

• how to make additional contributions in your account (once it has been set up) using Bpay®. 

Which forms should you complete 

Form 


Personal Superannuation 

Application 

Form A 

When to complete this form 

You need to complete this form if you wish to set up an IOOF Portfolio 

Service Personal Superannuation account. 

Investment Authority 

Form B 

You need to complete this form to indicate: 

• in which investment option(s) you wish to invest 

• how you want to establish your Investment Instructions. 

After account set up, you may also need to complete this form if you 

wish to: 

• switch from one investment option to another or to re-weight 

your portfolio 

• switch cash from your Cash Account to one or more investment 

options 

• change your Investment Instructions. 

Direct Share Choice 


Request to transfer a 

superannuation benefit 

Death Benefit Nomination – 

Binding Nomination 

Form C 

Form D 

Form E 

You need to complete this form if you wish to buy or sell shares through 

Direct Share Choice. 

You need to complete this form if you wish to transfer monies from 

another super fund or income stream. 

Please ensure you also complete the proof of identity requirements. 

You need to complete this form if you wish to make a Binding Death 

Benefit Nomination. 

Death Benefit Nomination – 

Non-Binding Nomination 

Form F 

You need to complete this form if you wish to make a Non-Binding 

Death Benefit Nomination. 

Registered to Bpay Pty Ltd ABN 69 079 137 518 

2

Form 

When to complete this form 

Fee aggregation application Form G You need to complete this form if you wish to apply for fee aggregation. 

Direct Debit Request (DDR) Form H You need to complete this form if you wish to set up a Regular 

Contribution Plan. 

Application for Insurance Form I You may need to complete this form if you are applying for or changing 

insurance cover and it is appropriate to your circumstances. 

Before you complete any application forms, please ensure that you have read the PDS. If you require further information or any 

assistance in completing the forms, please contact our client services team on 1800 062 963 or your financial adviser. Please 

note that our client services team are not authorised to give you investment or financial product advice. 

3

How can I get started 

Step-by-step guide to opening your IOOF Portfolio Service Personal 

Superannuation account 

Once you have read the PDS and discussed your investment strategy with your financial adviser (if applicable), you are ready to 

set up your IOOF Portfolio Service Personal Superannuation account. 

How to set up your account 

Step 1 

Step 2 

Step 3 

Complete the Application (Form A) and all other forms that are relevant to you. 

Make your cheque payable to: 

‘IOOF IPS – applicant’s full name and/or account number’ 

For example, if your name is Robert Brown, your cheque should be made payable as follows: 

IOOF IPS – Robert Brown 

If you have completed one or more Request to transfer a superannuation benefit form(s) (Form D), attach the 

signed original(s) and your certified proof of identity to the application. 

Attach your cheque to your Application (Form A), and post the Application and all other completed forms to 

the following address: 


Reply Paid 264 

Melbourne, VIC 8060 

We will send you a welcome letter, normally within seven business days of joining, confirming your personal details and 

investment instructions. 

Bpay® details 

Once your account has been set up you can make additional contributions using Bpay®. 

How to use Bpay® 

Step 1 

Step 2 

Step 3 

Step 4 

Through your nominated financial institution’s telephone or internet banking service, choose the Bpay® option. 

Enter the relevant Biller Code for the type of contribution you wish to make: 

• Personal contribution 172320 

• Spouse contribution 172338 

• Salary sacrifice 212944 

• Superannuation guarantee 172304 

• Other employer contributions 172296 

Enter the Customer Reference Number (CRN) for your account and the contribution amount. 

A CRN will be allocated to you upon your joining IOOF Portfolio Service Personal Superannuation and will be 

communicated to you in your welcome letter. 

Record the receipt number provided for your transaction. Please keep this for your personal records. 

4

IOOF Investment Management Limited, ABN 53 006 695 021, AFS Licence No. 230524 

Trustee of the IOOF Portfolio Service Superannuation Fund, ABN 70 815 369 818 


A 

Form 

Application for IOOF Portfolio Service 

Personal Superannuation 

This application is only for clients of financial advisers authorised by Count Financial Limited. 

Please complete this application in BLACK INK using CAPITAL LETTERS (except for your email address) and ✓ boxes where provided. 

If you are an existing member, please provide your Client Number. 

Client Number 

Step 1: Applicant details 

Title (Dr/Mr/Mrs/Ms/Miss) 

Surname 

Given name(s) 

Residential address 

Suburb 

Mailing address 

(if different from above) 

Suburb 

State 

State 

Postcode 

Postcode 

Phone (bh) 

Phone (mobile) 

Phone (ah) 

Fax 

Email 

Date of birth 

D D / M M / Y Y Y Y 

Gender 

Male 

Female 

Occupation 

Tax File Number (TFN) Notification (mandatory) 

Tax File Number – – 

! 

This application will not be accepted without your TFN. Any contribution(s) will be refunded if we do not receive your TFN within 30 days. 

You do not have to provide your TFN by law although your application will not be accepted if it’s not provided. 

Step 2: Employment declaration 

(You must complete this declaration if you are aged 65 or over, but not yet aged 75) 

I declare that I am aged 65 or over but not yet aged 75 and have worked for at least 40 hours in 30 consecutive days in the current financial year. 

5

Step 3: Initial contribution details 

! 

The minimum initial contribution is $10,000 OR $2,000 with a Regular Contribution Plan set up for a minimum annual contribution of $1,200 p.a. 

Cheques should be made payable to: IOOF IPS – applicant’s full name and/or account number 

PART A: TRANSFER(S) FROM OTHER SUPER FUNDS 

Name of super fund 

Approximate value 

$ 

$ 

$ 

$ 

$ 

! 

If you complete this section, please include with your Application a completed ‘Request to transfer a superannuation benefit’ (Form D) for 

each super fund. Please ensure you provide certified documentation for each form completed. If you do not attach the completed form(s), 

you will be taken to have provided the required documentation direct to the other super fund(s). 

PART B: EMPLOYER CONTRIBUTION(S) 

(i) Superannuation guarantee $ 

(ii) Salary sacrifice $ 

(iii) Other employer contribution $ 

PART C: NON-CONCESSIONAL CONTRIBUTION(S) 

(i) Personal contribution $ 

Are you claiming a tax deduction 

No 

Yes 

Please attach a completed Tax Deduction Notice with your Application which can be obtained from our 

website (www.ioof.com.au) or contact our client services team on 1800 062 963. 

(ii) Spouse contribution $ 

(iii) Personal injury payment* $ 

(iv) CGT small business contribution* $ 

*Please complete and attach the appropriate Election Form which can be obtained from our website (www.ioof.com.au) or contact our client services team 

on 1800 062 963. 

PART D: DIRECTED TERMINATION PAYMENTS 

Amount $ 

PART E: TRANSFER FROM AN EXISTING PRODUCT IN THE FUND 

Account number – – 

By providing your Account number and by signing the Applicant declaration at Step 14, you authorise the transfer of the balance (in full or in part) from 

your existing IOOF Portfolio Service Superannuation Fund account into your IOOF Portfolio Service Personal Superannuation account. 

! 

Investment options not available in your IOOF Portfolio Service Personal Superannuation account will be redeemed and placed in the 

Cash Account and invested as per your Investment Instructions (if applicable). 

6

Step 4: Regular Contribution Plan (via completing the Direct Debit Request Form (Form H)) 

Do you wish to set up a Regular Contribution Plan 

No (go to Step 5) 

Yes 

To commence a Regular Contribution Plan you must complete the Direct Debit Request form(s) (Form H) 

Step 5: Managing your super account (for New Applicants only) 

(If transferring from another IOOF Portfolio Service Superannuation Fund account please go to Step 6). 

To manage your super account you should provide us with instructions for your investment option selections. 

To provide these instructions you need to complete the Investment Authority form (Form B) provided in the IOOF Portfolio Service Personal 

Superannuation Forms Booklet and attach it to this application. 

Please specify one of the following options in relation to how you would like your contributions to be invested (you may select one option only): 

Invest the contributions in accordance with your attached Investment Authority form (Form B) and/or Direct Share Choice Investment Authority 

form (Form C). 

Please note: If you do not correctly complete the relevant Investment Authority form and attach it to this application, your application will not be 

accepted. 

OR 

Invest the contributions into your Cash Account. You understand that your contributions will remain in your Cash Account until you provide a 

re-weight or switch instruction by completing the relevant Investment Authority form. 

! 

If you do not select one of the above options, your application will be incomplete and will not be accepted. 

Step 6: Transferring from another IOOF Portfolio Service Superannuation 

Fund account 

Investment Instructions 

If you are transferring from another IOOF Portfolio Service Superannuation Fund product*, please complete the following additional forms as 

applicable: 

(i) Standing investment instructions in Step 4(c) of the Investment Authority form (Form B). 

(ii) If you wish to provide a re-weight or switch instruction of existing investment options, establish new Investment Instructions or utilise any other 

features of your new IOOF Portfolio Service Personal Superannuation account, please complete the relevant parts of the Investment Authority form 

(Form B). 

Otherwise, your existing investment options which are available in the IOOF Portfolio Service Personal Superannuation account will be transferred to 

your new IOOF Portfolio Service Personal Superannuation account. Cash from any investment options which had to be redeemed will be transferred to 

and remain in your IOOF Portfolio Service Personal Superannuation Cash Account until you provide a re-weight or switch instruction by completing the 

Investment Instructions form (Form B). 

* Transfers in this manner are not possible from any LifeTrack, Spectrum or AustChoice product within the Fund. 

Step 7: Insurance options 

! 

You should not cancel any current insurance cover until your application for insurance has been accepted by the Insurer. 

Do you wish to apply for insurance cover 


Yes 

By completing the Insurance application form (Form I). 

OR 

Yes 

By your adviser completing the online insurance application in ‘Insurance Online’ using Portfolio Online (www.ioof.com.au). 

OR 

Yes 

Transfer the existing insurance arrangements from my current IOOF product into my IOOF Portfolio Service Personal Superannuation account. 

Insurance commission paid to the adviser will be the default percentage (33%) unless specified otherwise in Step 10. 

7

Step 8: Estate planning options 

! 

If you are transferring your entire balance from another IOOF Portfolio Service Superannuation Fund account, any existing 

Death Benefit Nomination for that account will be transferred to your IOOF Portfolio Service Personal Superannuation account 

unless you make a new Death Benefit Nomination. 

OR 

Please specify the type of death benefit nomination you wish to make: 

Binding Nomination (please complete Form E: Death Benefit Nomination – Binding Nomination) 

OR 

Non-Binding Nomination (please complete Form F: Death Benefit Nomination – Non-Binding Nomination) 

! 

If you do not make a Death Benefit Nomination, your death benefit will normally be paid to your legal personal representative 

in the event of your death. 

Step 9: Electronic communications 

Do you wish to receive communications from us (as Trustee) electronically 


Yes 

If you ticked Yes, you consent to receive the following communications from us electronically via Portfolio Online which can be accessed through 

the IOOF website (www.ioof.com.au). 

Please ensure you have provided your email address below: 

Email 

Select one of the following options in relation to the communications you consent to receive electronically: 

All communications, including my Member Statement, confirmation of transactions required by law to be confirmed and notice of any change or 

event required by law to be given to members. 

OR 

Tick the box(es) to select the communication(s) you consent to receive electronically: 

Member Statement. 

Confirmation of transactions which are required by law to be confirmed. 

Notice of any change or event required by law to be given to members. 

All communications other than those listed above. 

The terms and conditions are set out in the PDS. 

You must register for Portfolio Online if you have consented to receive any communications from the Trustee electronically. 

! 

If you wish to receive communications from us electronically, but do not provide your email address, you will receive 

paper based communications. 

Portfolio Online registration 

When your application is accepted you will receive a Client Number. Use this Client Number to register for Portfolio Online. Once you complete the 

online application form at www.ioof.com.au we will send you an email allowing you to create your own password. 

8

Step 10: Financial adviser remuneration 

Please note: 

• Additional contributions will retain the original commission specified unless otherwise instructed by your financial adviser (with your agreement). 

• The adviser (initial and ongoing) commission and insurance commission below are inclusive of GST. The net cost to members includes reduced input 

tax credits (RITCs) for GST. 

PART A: INITIAL COMMISSION 

If you have not specified the commission amount to be paid, the maximum fee will apply. 

Up to a maximum of 5.50% (inclusive of GST) (5.125% net of RITCs) per contribution 

Please apply adviser initial commission of . % (inclusive of GST). 

PART B: INSuRANCE COMMISSIoN 

Where no adviser insurance commission is specified and you apply for insurance cover, the maximum commission will be applied. 

Please apply adviser insurance commission of . % pa (maximum 33%) (inclusive of GST). 

PART C: oNGOINg COMMISSIoN 

You and your financial adviser may agree to rebate a portion of the ongoing commission. 

Please advise if a portion of your ongoing commission is to be refunded. 

No 

Yes What percentage of ongoing commission is to be refunded . % pa (for example 100%, 50%, etc). 

ADVISER COMMENTS 

PART D: ADVISER SERVICE FEE (IF APPLICABLE) 

Up to a maximum of 2% (inclusive of GST) (1.864% pa net of RITCs) of your account balance. 

Flat fee (percentage) . % pa (inclusive of GST). 

OR 

Up to maximum of $1,500 per month (inclusive of GST) ($1,397.73 net of RITCs). 

Flat fee (dollar amount) $ per month (inclusive of GST). 

9

Step 11: Proof of identity requirements (mandatory) 

AML/CTF Law obligates the Trustee to verify the identity of each applicant before providing financial services to them. 

! 

Generally, existing members within the IOOF group do not need to provide proof of identity. However, if you are a new IOOF Portfolio Service Personal 

Superannuation member, you will need to provide originals or certified copies of one or more of the following documents with your Application Form. 

Type of applicant 

(please tick ✓ appropriate box) 

(a) Individual 

acting for 

themselves 

(b) Individual 

who has been 

nominated as a 

Representative 

or Power of 

Attorney 

Completing proof of identity – please provide the relevant document(s) 

Either one of the following documents: 

• Current driver’s licence (issued under an Australian State/Territory, containing a photograph of the individual) 

(please copy front and back of licence) 

• Passport (a passport that has expired within the preceding 2 years is acceptable); OR 

One of the following documents: 

• Birth certificate or birth extract 

• Citizenship certificate issued by the Commonwealth 

• Centrelink card issued by Centrelink that entitles the person to financial benefits; AND 

• a notice issued to an individual (such as a tax notice within the last 12 months or a utilities bill issued within the 

last 3 months) 

Please note: Where a Power of Attorney has been granted, a certified copy of the Power of Attorney must be provided. 

Have you changed your name or are you signing on behalf of another person 

If you have changed your name or are signing on behalf of the applicant, you will need to provide a linking document. A linking document is a 

document that proves a relationship exists between two (or more) names. 

The following contains information about suitable linking documents. 

Purpose 

Suitable linking documents 

Change of name 

Marriage certificate, deed poll or change of name certificate from the Births, Deaths and Marriages Registration Office. 

Signed on behalf of the applicant Guardianship papers or Power of Attorney. 

Certification of personal documents 

All copied pages of ORIGINAL proof of identification documents (including any linking documents) need to be certified as true copies by any individual 

approved to do so (see below). 

The person who is authorised to certify documents must sight the original and the copy and make sure both documents are identical, then make sure 

all pages have been certified as true copies by writing or stamping ‘certified true copy’ followed by their signature, printed name, qualification (such as 

Justice of the Peace, Australia Post employee, etc.) and date. 

The following can certify copies 

of the originals as true and 

correct copies: 

• Chiropractor 

• Dentist 

• A legal practioner, who is on the 

roll of the Supreme Court of a 

State or Territory or the 

High Court of Australia 

• Medical practitioner 

• Nurse 

• Optometrist 

• Patent attorney 

• Pharmacist 

• Physiotherapist 

• Psychologist 

• Trade marks attorney 

Other persons: 

• Agent of the Australian Postal 

Corporation who is in charge of 

an office supplying postal services 

to the public 

• Australian Consular Officer or 

Australia Diplomatic Officer 

(within the meaning of the 

Consular Fee Act 1955) 

• Bailiff 

• Bank officer with 2 or more 

continous years of service 

• Building society officer with 2 or 

more years of continuous service 

• Chief executive officer of a 

Commonwealth court 

• Commissioner for Affidavits 

• Commissioner for Declarations 

• Credit union officer with 2 or 


10 

• Employee of the Australian Trade 

Commission who is: 

(a) in a country or place outside Australia; and 

(b) authorised under paragraph 3(c) of the Consular 

Fees Act 1955; and 

(c) exercising his or her function in that place 

• Employee of the Commonwealth who is: 





• Fellow of the National Tax Accountants’ Association 

• Finance company officer with 2 or more years 

of continuous service 

• Holder of a statutory office not specified 

in another item in this list 

• Judge of a court 

• Justice of the Peace 

• Magistrate 

• Marriage celebrant registered under Subdivision C 

of Division 1 of Part IV of the Marriage Act 1961 

• Master of a court 

• Member of Chartered Secretaries Australia 

• Member of Engineers Australia, other than at the 

grade of student 

• Member of the Association of Taxation and 

Management Accountants 

• Member of the Australian Defence Force who is: 

(a) an officer; or 

(b) a non-commissioned officer within the 

meaning of the Defence Force Discipline Act 

1982 with 2 or more years of continuous service; 

or 

(c) a warrant officer within the meaning of that Act 

• Member of the Institute of Chartered Accountants 

in Australia, the Australian Society of Certified 

Practising Accountants or the National Institute of 

Accountants 

• Member of: 

(a) the Parliament of the Commonwealth; or 

(b) the Parliament of a State; or 

(c) a Territory legislature; or 

(d) a local government authority of a State or Territory 

• Minister of religion registered under Subdivision A of 

Division 1 of Part IV of the Marriage Act 1961 

• Notary public 

• An officer with, or authorised representative of, a 

holder of an Australian financial services licence, 

having 2 or more years of continuous service with one 

or more licences 

• Permanent employee of the Australian Postal 

Corporation with 2 or more years of continuous 

service who is employed in an office supplying postal 

services to the public 

• Permanent employee of: 

(a) the Commonwealth or a Commonwealth authority; 

or 

(b) a State or Territory or a State or Territory authority; 

or 

(c) a local government authority; with 2 or more 

years of continuous service who is not specified in 

another item in this list 

• Person before whom a statutory declaration may be 

made under the law of the State or Territory in which 

the declaration is made 

• Police officer 

• Registrar, or Deputy Registrar, of a court 

• Senior Executive Service employee of: 


or 

(b) a State or Territory or a State or Territory authority 

• Sheriff 

• Sheriff’s officer 

• Teacher employed on a full-time basis at a school 

or tertiary education institution 

• Member of the Australasian Institute of Mining 

and Metallurgy

Step 12: Financial adviser details (financial adviser to complete, if applicable) 

We will only register a financial adviser who: 

• holds a current Australian Financial Services Licence, or 

• is a representative of an Australian Financial Services Licensee. 

Financial adviser details 

Dealer name 

Financial adviser name 

Contact name 

AFS Licence number 

If you are a new financial adviser^ please also complete the following details: 

Financial adviser 

number 

Business name 

Business address 

Suburb 



Suburb 

State 

State 

Postcode 

Postcode 

Phone 

Fax 


Email 

Internal client reference 

number (if applicable) 

Declaration by financial adviser 

In submitting this Application Form: 

• I declare that I hold a current Australian Financial Services Licence OR I am a representative or an authorised representative nominated to act on 

behalf of a holder of a current Australian Financial Services Licence 

• I confirm that I have provided the applicant with all the necessary information concerning their chosen investment, including the Product Disclosure 

Statement 

• I confirm that fees and commissions have been fully explained to the applicant 

• I confirm that I have conducted the relevant customer identification procedure in line with the obligations under AML/CTF Law, and: 

– I have attached the necessary proof of identity documents with this application form; OR 

– I have sighted and retained copies of the necessary proof of identity documents as recorded below in the proof of identity table: 

Record of proof of identity (ID)^ 

ID document 1 ID document 2 

Verified from 

Original 

Certified copy 

Original 

Certified copy 

Document issuer 

Issue date 

Expiry date 

Document number 





Accredited English translation 

N/A 

Sighted 

N/A 

Sighted 

^ 

For further information on the types of proof of identity which can be attached or verified and retained please refer to the proof of identity requirements section in 

Step 11. It also includes a list of persons authorised to certify copies of original documents. 

Dealer stamp 

For assistance, financial advisers can contact our adviser services team on 1800 659 634. 

11

Step 13: Financial adviser authority 

I authorise the financial adviser, whose details are set out in Step 12 to provide the Trustee with switch instructions and establish/change my 

Investment Instructions on my behalf. I acknowledge that the financial adviser should provide me with all necessary information regarding the 

investment options and should not switch my investment options and/or provide Investment Instructions under this authority without my prior 

written approval. 

I accept the terms outlined below: 

• I release, discharge and agree to indemnify the Trustee or any member of the IOOF group from and against any action, proceeding claims, 

losses, liabilities or costs arising from this authority, or the exercise of powers by the financial adviser(s) under this authority 

• I authorise the Trustee to continue to follow instructions regarding this authority until notice in writing to cancel the authority is received. 

Step 14: Applicant declaration and signature 

In signing this Application Form, I declare that: 

• I have received, read and understood the Product Disclosure Statement (PDS) for IOOF Portfolio Service Personal Superannuation 

• all details in this Application Form are true and correct and I undertake to inform the Trustee of any changes to the information supplied as and when 

they occur 

• I wish to apply for IOOF Portfolio Service Personal Superannuation and to become a member of the Fund upon the terms and conditions contained in 

the Trust Deed dated 20 June 1994 (as amended from time to time) and the PDS. 

Proof of identity 

• I have provided appropriate proof of identity documents required in Step 11: Proof of identity requirements that may be required for the purposes 

of AML/CTF Law. 

Privacy 

• I have read and understood the Your privacy section in the PDS and consent to providing the Trustee with my personal information pursuant to the 

Privacy Act 1988 for the purposes described in the PDS. I also acknowledge that the IOOF group Privacy Policy is available on the IOOF website 

(www.ioof.com.au) or can be obtained by calling the client services team on 1800 062 963. 

Personal contributions/spouse contributions 

• if I decide to either make a personal contribution(s) or have a spouse contribution(s) made on my behalf, that I meet the necessary conditions as set 

out in the PDS. 

Cash Account 

• if there are insufficient holdings in my Cash Account to meet future expenses, I direct the Trustee to redeem all or part of my investment options 

outlined in the PDS. 

Electronic communications 

• if I have consented to receive any communications from the Trustee electronically, then I do so on the terms and conditions as set out in the PDS. 

Transferring from another product within the Fund 

• if I am transferring from another product within the Fund, then I do so on the terms and conditions outlined in the PDS. 

Financial adviser (if applicable) 

• If I have acquired the services of a financial adviser to obtain advice concerning my investment in IOOF Portfolio Service Personal Superannuation, 

then I confirm that I have been fully informed of the nature and risks of the selected investment options and am satisfied these investments are 

suitable for my investment needs. 

• The Trustee will acquire the services of my financial adviser who will act on my behalf in relation to managing my super account and I also authorise 

the Trustee to charge the adviser service fee selected in Step 10 against my super account. 

Marketing material 

If you do not agree to the Trustee or any related body corporate within the IOOF group using your personal information for the purposes of 

marketing the products and services of the IOOF group from time to time, then please tick this box. 

Power of Attorney 

If your application is signed under a Power of Attorney, please enclose a certified copy of the Power of Attorney and the proof of identity documents 

required in Step 11: Proof of identity requirements for both the Applicant and the Attorney with your Application form. If signed under Power of 

Attorney, the Attorney certifies that no notice of revocation of that Power of Attorney has been received. 

Signature 

Please sign and return this form by post to: 

IOOF Portfolio Service, Reply Paid 264, Melbourne, VIC 8060 

Enquiries: 1800 062 963 

Fax: 1800 558 539 

Trustee: IOOF Investment Management Limited, ABN 53 006 695 021, AFS Licence No. 230524 

Date D D / M M / Y Y Y Y 

12



Service Operator of IOOF Portfolio Service Investments and IOOF Portfolio Service Wholesale Investments 


B 

Form 



IOOF Portfolio Service Personal Superannuation 

IOOF Portfolio Service Allocated Pension 

IOOF Portfolio Service Term Allocated Pension 

IOOF Portfolio Service Investments 

IOOF Portfolio Service Wholesale Personal Superannuation 

IOOF Portfolio Service Wholesale Allocated Pension 

IOOF Portfolio Service Wholesale Investments 

Please note: 

Where the applicant/member/investor(s) fails to clearly advise the Trustee/Service Operator of the investment option(s) for their 

contributions/deposits, these monies will be held in the Cash Account until the applicant/member/investor(s) notifies the Trustee/Service 

Operator of his/her/their chosen investment option(s), or will be invested in accordance with the most recent Standing Investment 

Instruction (if applicable). 

Please complete these instructions in BLACK INK using CAPITAL LETTERS and ✔ boxes where provided. 

Step 1: 

Your personal details 

ACCOUNT TYPE 

IOOF Portfolio Service Personal Superannuation 



IOOF Portfolio Service Wholesale Personal Superannuation 


IOOF Portfolio Service Wholesale Investments 

IOOF Portfolio Service Investments 

STATUS OF APPLICANT/MEMBER/INVESTOR 

New Member/Investor 

Existing Member/Investor Account number 

– – 

APPLICANT/MEMBER/INVESTOR 1 


Surname 

Given name(s) 

Date of birth 


FOR IOOF PORTFOLIO SERVICE INVESTMENTS AND IOOF PORTFOLIO SERVICE WHOLESALE INVESTMENTS ONLY: 

APPLICANT/INVESTOR 2 (if applicable) 


Surname 

Given name(s) 

Date of birth 


CORPORATE INVESTORS, INDIVIDUAL TRUSTS, INCORPORATED/UNINCORPORATED CLUB/BODY, SELF MANAGED 

SUPERANNUATION FUNDS, DECEASED ESTATES 

Name of entity 

(such as Company or Trust) 

For additional Account Signatories/Trustees (if applicable) please complete additional names 

Applicant/Investor 3 

Applicant/Investor 4 

13

Step 2: 

Type of Investment Instructions 

Please tick the type of Investment Instructions you wish to provide: 

INSTRUCTION 

New application 

STEPS TO READ/COMPLETE 

(where applicable) 

Steps 3, 4(a), 4(c) and 7 

Please nominate the amount for your Cash Account and establish your Investment 

Instructions. 

Additional contribution/deposit 

Steps 4(a) and 7 

Provide a specific investment instruction for an initial/one-off contribution/deposit 

made by cheque. 

Change of existing investment strategy (re-weight* instruction) 

Steps 4(b), 4(c) if applicable and 7 

Provide a re-weight instruction for a full change of my/our investment options. 

Standing instructions 

Steps 4(c) and 7 

Establish or change my/our standing instructions. 

Term deposit 

Steps 4(a), 5 and 7 

Provide an instruction to invest in a term deposit. 

Switch instruction 

Steps 4(c) if applicable, 6 and 7 

Provide a switch (excluding a re-weight) instruction for my/our investment options 

and/or invest cash from my/our Cash Account into one or more investment options. 

*Does not include term deposits. 

14

Step 3: 

Investment Instructions 

CASH ACCOUNT (compulsory for new applicants) 

To allow sufficient funds to pay fees as they are due and to cover any insurance premiums/taxes/pension payments/regular withdrawals (for IOOF 

Portfolio Service Investments and IOOF Portfolio Service Wholesale Investments only) (if applicable) from your account, a minimum amount is required 

to be maintained in your Cash Account. You must select from one of the two options below. 

Standard minimum holding 

Please note: 

The minimum holding in your Cash Account must be the higher of: 

• $500 

OR 

• 2% of total account/portfolio value for Standard Entry Fee Option and 3% of total account/portfolio value for Deferred Entry Fee Option 

PLUS 

any payment obligations as described in the relevant PDS/Offer Document. 

OR 

Nomination of higher minimum holding 

If you wish to nominate a higher minimum holding, please indicate this percentage: 

% 

Please note: 

• We recommend you speak to a financial adviser prior to completing this section. 

• If no selection is made for the Cash Account minimum on initial application, then the Standard minimum holding as described above, will apply. 

INITIAL OR ADDITIONAL CONTRIBUTION/DEPOSIT OR CHANGE OF EXISTING INVESTMENT STRATEGY 

Indicate the percentage allocation (%) for your initial or additional contribution/deposit (including rollovers and transfers) against your selected Easy 

Choice, Premier Investor Choice and Investor Choice investment options in the table in Step 4. 

Please note: The total percentage allocation must equal 100% not including the minimum Cash Account requirements. 

STANDING INSTRUCTIONS 

Investment 

Use the ‘Investment’ column in the table in Step 4(c) to indicate which investment option(s) you wish the excess cash in your Cash Account to be 

invested into. 

Please refer to the relevant PDS/Offer Document for the process we follow when you do not provide us with a standing investment instruction. 

Redemption 

Use the ‘Redemption’ column in the table in Step 4(c) to indicate which investment option(s) you wish to redeem to top-up your Cash Account or in 

the event you request a one-off lump sum withdrawal* (in the absence of a specific instruction in this circumstance). 

Please refer to the relevant PDS/Offer Document for the process we follow when you do not provide us with a standing redemption instruction. 

*There are Government restrictions on withdrawals from a superannuation product. 

Please note: 

• Standing instruction proportions must be expressed as a whole percentage and the total must add up to 100%. 

• Direct Share Choice investment options and term deposits cannot form part of your standing instructions. 

• After submitting a switch, change of investment strategy request or a change to standing instructions, it may take approximately 10 business days to 

finalise. 

• Where an investment option is no longer available (or if you have fully redeemed your holding in an investment option) and we have not received 

alternative investment instructions from you, the portion of your standing investment/redemption instruction relating to the unavailable (or fully 

redeemed) investment option will be reweighted in proportion against the remaining investment options you have nominated in your standing 

investment/redemption instruction. If there are no remaining investment options, your standing investment/redemption instruction will be deemed 

invalid, in which case contributions/deposits will remain in the Cash Account and the amount redeemed from each managed fund will be weighted in 

proportion to the balance of your investment options. Refer to the relevant PDS/Offer Document which explains this process in further detail. 

15

Step 4: 

Investment Instructions table 

Please note: The total percentage allocation in each column must equal 100% not including the minimum Cash Account requirements and 

the percentage allocation must be in whole figures. 

APIR code 

Easy Choice, Premier Investor Choice and Investor 

Choice investment options 

Asset 

code 

Step 4(a) Step 4(b) Step 4(c) 

Initial or additional 

contribution/deposit 

(specific investment 

instruction) 

Change of 

investment 

strategy 

(re-weight) 


Investment 

Redemption 

Easy Choice 

IOOF Diversified Multi – Conservative 

IOF0094AU IOOF MultiMix Capital Enhanced Trust UU1154 $ OR % % % % 

IOF0095AU IOOF MultiMix Conservative Growth Trust UU1148 $ OR % % % % 

IOOF Diversified Multi – Balanced 

IOF0090AU IOOF Multi Series Balanced Trust UU1105 $ OR % % % % 

IOF0093AU IOOF MultiMix Balanced Growth Trust UU1149 $ OR % % % % 

IOOF Diversified Multi – Growth 

IOF0097AU IOOF MultiMix Hi Growth Trust UU1147 $ OR % % % % 

IOF0099AU IOOF MultiMix Total Growth Trust UU1166 $ OR % % % % 

IOOF Sectoral Multi – Cash 

IOF0091AU IOOF MultiMix Australian Liquids Trust UU1153 $ OR % % % % 

IOOF Sectoral Multi – Fixed Interest 

IOF0096AU IOOF MultiMix Diversified Fixed Interest Trust UU1152 $ OR % % % % 

IOOF Sectoral Multi – Australian Shares 

IOF0092AU IOOF MultiMix Australian Shares Trust UU1150 $ OR % % % % 

IOOF Sectoral Multi – Global Shares 

IOF0098AU IOOF MultiMix International Shares Trust UU1151 $ OR % % % % 

Premier Investor Choice 

Global Fixed Interest 

Brandywine Global Opportunistic Fixed Income 

SSB0028AU 

UU1393 $ OR % % % % 

Trust 

Australian Shares 

SSB0029AU Legg Mason Australian Small Companies Trust UU1392 $ OR % % % % 

SCH0002AU Schroder Australian Equity Fund UU1349 $ OR % % % % 

ETL0200AU 

Tribeca Alpha Plus Fund – Class C Grant Samuel 

Tribeca Alpha Plus Units 

UU1396 $ OR % % % % 

Global Shares 

HOW0061AU Five Oceans World Fund – Class A UU1391 $ OR % % % % 

Property 

ZUR0584AU 

Zurich Investments Global Property Securities 

Fund Class D 

UU1394 $ OR % % % % 

Investor Choice 

Cash 

Cash Management 

IOF0141AU Perennial Cash Trust UU1183 $ OR % % % % 

SBC0811AU UBS Cash Fund UU1121 $ OR % % % % 

Term Deposits 

– Adelaide Bank 6 month Term Deposit $ OR % 

– Adelaide Bank 12 month Term Deposit $ OR % 

! Please ensure you complete Step 5. 

Cash Enhanced 

CSA0029AU Aberdeen Australian Floating Rate Income Fund UU1197 $ OR % % % % 

INT0030AU Ibbotson Cash Trust UU1312 $ OR % % % % 

IOF0047AU Perennial Cash Enhanced Wholesale Trust UU0100 $ OR % % % % 

16

Step 4: 

Investment Instructions table (continued) 



APIR code 



Australian Fixed Interest 

Annuity Funds 

Challenger Guaranteed Income Fund – 

HOW0058AU 

6.75 cents pa 30 June 2012 (MV$1) 

HOW0054AU 

HOW0059AU 





Asset 

code 





instruction) 

Change of 

investment 

strategy 

(re-weight) 


Investment 

UU1355 $ OR % % % 

UU1356 $ OR % % % 

UU1395 $ OR % % % 

Redemption 

Mortgages 

STL0002AU Sandhurst Select Mortgage Fund UU0181 $ OR % % % % 

Diversified 

CRS0004AU Aberdeen Australian Fixed Income Fund UU1288 $ OR % % % % 

AUS0009AU 

Australian Unity Vianova Strategic Fixed Interest 

Trust – Wholesale 

UU1189 $ OR % % % % 

SSB0122AU Legg Mason Australian Bond Trust UU0176 $ OR % % % % 

MAQ0061AU Macquarie Master Fixed Interest Fund UU0122 $ OR % % % % 

IOF0046AU Perennial Fixed Interest Wholesale Trust UU0099 $ OR % % % % 

IOF0145AU Perennial Tactical Income Trust UU1274 $ OR % % % % 

ETL0015AU PIMCO EQT Wholesale Australian Bond Fund UU1203 $ OR % % % % 

SBC0813AU UBS Australian Bond Fund UU1193 $ OR % % % % 

Enhanced Yields 

FSF0694AU Colonial First State Wholesale Enhanced Yield Fund UU1104 $ OR % % % % 

PMC0103AU PM CAPITAL Enhanced Yield Fund UU1143 $ OR % % % % 

SCH0103AU Schroder Credit Securities Fund UU1214 $ OR % % % % 

Indexed 

BGL0105AU BlackRock Indexed Australian Bond Fund UU1285 $ OR % % % % 

VAN0001AU Vanguard® Australian Fixed Interest Index Fund UU1127 $ OR % % % % 

Global Fixed Interest 

Diversified 

CSA0104AU Aberdeen Balanced Fixed Income Fund UU1291 $ OR % % % % 

AMP0557AU AMP Capital Corporate Bond Fund (Class A) UU1360 $ OR % % % % 

PPL0114AU 

Aviva Investors Professional Selection Premier 

Fixed Income Fund 

UU1190 $ OR % % % % 

PWA0825AU BlackRock Wholesale International Bond Fund UU1192 $ OR % % % % 

RFA0032AU BT Wholesale Global Fixed Interest Fund UU1065 $ OR % % % % 

INT0080AU 

Ibbotson International Bonds Active (Hedged) 

Trust 

UU1317 $ OR % % % % 

ANZ0212AU ING Wholesale Diversified Fixed Interest Trust UU1279 

MAQ0277AU Macquarie Income Opportunities Fund UU1161 $ OR % % % % 

MAQ0274AU Macquarie Master Diversified Fixed Interest Fund UU1053 $ OR % % % % 

ETL0116AU PIMCO Diversified Fixed Interest Fund UU1305 $ OR % % % % 

ETL0016AU 

PIMCO EQT Wholesale Diversified Fixed Interest 

Fund 

UU1204 

ETL0018AU PIMCO EQT Wholesale Global Bond Fund UU1206 $ OR % % % % 

ETL0114AU PIMCO Global Credit Fund UU1304 $ OR % % % % 

SCH0028AU Schroder Fixed Income Fund UU1350 $ OR % % % % 

17

Step 4: 




APIR code 



Asset 

code 





instruction) 

Change of 

investment 

strategy 

(re-weight) 


Investment 

Redemption 

SBC0007AU UBS Diversified Fixed Income Fund UU1347 $ OR % % % % 

Enhanced Yields 

CSA0045AU Bentham Professional Global Income Fund UU1077 $ OR % % % % 

CSA0038AU Bentham Wholesale Global Income Fund UU1289 $ OR % % % % 

CSA0046AU Bentham Wholesale Syndicated Loan Fund UU1290 $ OR % % % % 

MAL0012AU BlackRock Monthly Income Fund (Class D units) UU1063 $ OR % % % % 

ETL0017AU PIMCO EQT Wholesale Extended Markets Fund UU1205 $ OR % % % % 

PGI0001AU Principal Global Strategic Income Fund UU1146 $ OR % % % % 

UBS0003AU UBS Diversified Credit Fund UU1265 $ OR % % % % 

Indexed 

VAN0103AU 

Vanguard® International Fixed Interest Index Fund 

(Hedged) 

UU1128 $ OR % % % % 

Australian Shares 

Large Companies 

MGL0114AU Aberdeen Australian Equities Fund UU0128 $ OR % % % % 

VEN0006AU All Star IAM Australian Share Fund UU1178 $ OR % % % % 

PAM0001AU Alphinity Wholesale Australian Share Fund UU1046 $ OR % % % % 

AMP0370AU AMP Capital Equity Fund (Class A) UU0012 $ OR % % % % 

ARO0011AU Arnhem Australian Equity Fund UU1227 $ OR % % % % 

AAP0103AU Ausbil Australian Active Equity Fund UU1064 $ OR % % % % 

PPL0110AU Aviva Investors Australian Equities Fund UU1334 $ OR % % % % 

NML0061AU AXA Wholesale Australian Equity – Value Fund UU1330 $ OR % % % % 

PWA0823AU BlackRock Wholesale Australian Share Fund UU0168 $ OR % % % % 

BTA0055AU BT Wholesale Australian Share Fund UU0022 $ OR % % % % 

RFA0103AU BT Wholesale Imputation Fund UU1085 $ OR % % % % 

FSF0003AU Colonial First State Wholesale Imputation Fund UU0042 $ OR % % % % 

FID0008AU Fidelity Australian Equities Fund UU1160 $ OR % % % % 

JBW0009AU Goldman Sachs Australian Equities Wholesale Fund UU0117 $ OR % % % % 

AJF0804AU ING Wholesale Australian Share Trust UU0010 $ OR % % % % 

ITG0001AU Integrity Australian Share Fund UU1384 $ OR % % % % 

PAT0001AU Ironbark Karara Australian Share Fund UU1145 $ OR % % % % 

LAZ0006AU Lazard Australian Equity Fund (I Class) UU1322 $ OR % % % % 

SSB0125AU Legg Mason Australian Core Equity Trust UU1029 $ OR % % % % 

HOW0020AU Orion Wholesale Australian Share Fund UU1045 $ OR % % % % 

IOF0048AU Perennial Growth Shares Wholesale Trust UU0101 $ OR % % % % 

IOF0206AU Perennial Value Shares Wholesale Trust UU0112 $ OR % % % % 

PVA0011AU Prime Value Growth Fund UU1336 $ OR % % % % 

WHT0012AU Solaris Core Australian Equity Fund UU1221 $ OR % % % % 

SBC0817AU UBS Australian Share Fund UU0175 $ OR % % % % 

ZUR0060AU Zurich Investments Australian Value Share Fund UU1008 $ OR % % % % 

Mid/Small Companies 

ASK1203AU IOOF Blended Australian Smaller Companies UU1343 $ OR % % % % 

CSA0131AU 

Aberdeen Classic Series Australian Small 

Companies Fund 

UU1235 $ OR % % % % 

18

Step 4: 




APIR code 



Asset 

code 





instruction) 

Change of 

investment 

strategy 

(re-weight) 


Investment 

Redemption 

AAP0104AU Ausbil Australian Emerging Leaders Fund UU1277 $ OR % % % % 

AUS0108AU 

Australian Unity Acorn Capital Wholesale Microcap 

Trust 

UU1043 $ OR % % % % 

EGG0001AU Eley Griffiths Group Small Companies Fund UU1050 $ OR % % % % 

IML0003AU Investors Mutual Future Leaders Fund UU1002 $ OR % % % % 

MAQ0454AU Macquarie Australian Small Companies Fund UU1123 $ OR % % % % 

HOW0027AU NovaPort Wholesale Microcap Fund UU1062 $ OR % % % % 

PER0270AU Pengana Emerging Companies Fund UU1224 $ OR % % % % 

IOF0214AU Perennial Value Smaller Companies Trust UU1164 $ OR % % % % 

Specialist 

ASK1202AU IOOF Blended Australian Geared Shares UU1341 $ OR % % % % 

ARO0015AU Arnhem Concentrated Australian Equity Fund UU1281 $ OR % % % % 

AAP0002AU Ausbil Australian Geared Equity Fund UU1188 $ OR % % % % 

AUS0030AU 

Australian Unity Investments Platypus Australian 

Equities Trust – Wholesale 

UU1182 $ OR % % % % 

PPL0115AU 

PPL0106AU 

Aviva Investors Elite Opportunities Fund 

(Professional Selection) 

Aviva Investors High Growth Shares Fund 

(Professional Selection) 

UU1068 $ OR % % % % 

UU1055 $ OR % % % % 

BFL0004AU Bennelong ex-20 Australian Equities Fund UU1383 $ OR % % % % 

RFA0025AU BT Wholesale Ethical Share Fund UU1135 $ OR % % % % 

FSF0043AU Colonial First State Wholesale Geared Share Fund UU0050 $ OR % % % % 

HOW0019AU 

Custom Choice Wholesale Boutique Australian 

Share Portfolio 

UU1300 $ OR % % % % 

ETL0030AU EQT SGH Wholesale Absolute Return Trust UU1144 $ OR % % % % 

INT0022AU Ibbotson Australian Shares Active Trust UU1307 $ OR % % % % 

INT0074AU Ibbotson Australian Shares High Alpha Trust UU1315 $ OR % % % % 

IML0004AU Investors Mutual Industrial Share Fund UU1244 $ OR % % % % 

HBC0011AU Merlon Wholesale Australian Share Income Fund UU0064 $ OR % % % % 

MLC0264AU MLC Wholesale IncomeBuilderTM UU0131 $ OR % % % % 

OPS0001AU OC Dynamic Equity Fund UU1079 $ OR % % % % 

LEF0043AU 

Optimix Wholesale Australian Share Trust – Class 

A Units 

UU1082 $ OR % % % % 

IOF0089AU Perennial Growth High Conviction Shares Trust UU1101 $ OR % % % % 

IOF0117AU Perennial Socially Responsive Shares Trust UU1102 $ OR % % % % 

IOF0078AU Perennial Value Shares for Income Trust UU1094 $ OR % % % % 

PER0102AU Perpetual Wholesale Concentrated Equity Fund UU1380 $ OR % % % % 

PER0116AU Perpetual Wholesale Ethical SRI Fund UU1125 $ OR % % % % 

PER0071AU Perpetual Wholesale Geared Australian Fund UU1100 $ OR % % % % 

PER0046AU Perpetual Wholesale Industrial Fund UU0154 $ OR % % % % 

RIM0006AU Russell Australian Shares Fund – Class A Units UU1372 $ OR % % % % 

STL0101AU Sandhurst IML Industrial Share Fund UU0185 $ OR % % % % 

ASC0001AU Smallco Investment Fund UU1083 $ OR % % % % 

UBS0024AU UBS–HALO Australian Share Fund UU1382 $ OR % % % % 

19

Step 4: 




APIR code 

RIM0033AU 



Ventura Australian Opportunities Fund – Class A 

Units 

Asset 

code 





instruction) 

Change of 

investment 

strategy 

(re-weight) 


Investment 

Redemption 

UU1173 $ OR % % % % 

ZUR0538AU Zurich Investments Equity Income Fund UU1099 $ OR % % % % 

Indexed 

BGL0034AU BlackRock Indexed Australian Equity Fund UU0017 $ OR % % % % 

FSF0976AU Realindex RAFI Australian Share – Class A UU1386 $ OR % % % % 

FSF0978AU 

Realindex RAFI Australian Small Companies – Class 

A 

UU1387 $ OR % % % % 

VAN0002AU Vanguard® Australian Shares Index Fund UU0189 $ OR % % % % 

Global Shares 

Large Companies (Hedged) 

CSA0135AU Aberdeen Fully Hedged International Equities Fund UU1198 $ OR % % % % 

BGL0109AU 

BlackRock Scientific Hedged International Equity 

Fund 

UU1044 $ OR % % % % 

GSF0001AU 

Grant Samuel Epoch Global Equity Shareholder 

Yield (Hedged) Fund 

UU1225 $ OR % % % % 

TGP0004AU GVI Global Industrial Share Fund UU1159 $ OR % % % % 

ETL0041AU MFS Fully Hedged Global Equity Trust UU1301 $ OR % % % % 

Large Companies (Unhedged/Active Hedged) 

Aberdeen Actively Hedged International Equities 

CRS0005AU 

Fund 

UU0034 $ OR % % % % 

EQI0015AU Aberdeen International Equity Fund UU1186 $ OR % % % % 

NML0318AU AXA Wholesale Global Equity – Growth Fund UU0149 $ OR % % % % 

NML0348AU AXA Wholesale Global Equity – Value Fund UU1011 $ OR % % % % 

BAR0817AU BlackRock Scientific International Equity Fund UU0016 $ OR % % % % 

BTA0056AU BT Wholesale International Share Fund UU0023 $ OR % % % % 

MGL0004AU DWS Global Equity Thematic Fund UU1097 $ OR % % % % 

MMC0110AU 

EQT Intrinsic Value International Sharemarkets 

Fund 

UU1328 $ OR % % % % 

PER0078AU EQT Marvin & Palmer Global Equity Trust UU1332 $ OR % % % % 

FID0007AU Fidelity Global Equities Fund UU1296 $ OR % % % % 

JBW0014AU Goldman Sachs International Wholesale Fund UU1010 $ OR % % % % 

GSF0002AU 

Grant Samuel Epoch Global Equity Shareholder 

Yield (Unhedged) Fund 

UU1226 $ OR % % % % 

MGE0001AU Magellan Global Fund UU1218 $ OR % % % % 

MIA0001AU MFS Global Equity Trust UU1327 $ OR % % % % 

IOF0045AU Perennial International Shares Wholesale Trust UU0098 $ OR % % % % 

PER0050AU Perpetual Wholesale International Share Fund UU0156 $ OR % % % % 

SCH0030AU Schroder Global Active Value Fund UU1156 $ OR % % % % 

ETL0071AU T.Rowe Price Global Equity Fund UU1303 $ OR % % % % 

FRT0004AU Templeton Global Equity Fund UU1223 $ OR % % % % 

SBC0822AU UBS International Share Fund UU1056 $ OR % % % % 

MAQ0410AU Walter Scott Global Equity Fund UU1141 $ OR % % % % 

ZUR0061AU Zurich Investments Global Thematic Share Fund UU0194 $ OR % % % % 

20

Step 4: 




APIR code 



Small Companies 

Goldman Sachs Global Small Companies 

JBW0103AU 

Wholesale Fund 

Asset 

code 





instruction) 

Change of 

investment 

strategy 

(re-weight) 


Investment 

Redemption 

UU0118 $ OR % % % % 

LAZ0002AU Lazard Global Small Cap Fund (I Class) UU1321 $ OR % % % % 

Regional 

EQI0028AU Aberdeen Asian Opportunities Fund UU1185 $ OR % % % % 

ETL0032AU Aberdeen Emerging Opportunities Fund UU1103 $ OR % % % % 

BTA0054AU BT Wholesale Asian Share Fund UU1124 $ OR % % % % 

HOW0033AU Challenger Wholesale China Share Fund UU1133 $ OR % % % % 

FID0011AU Fidelity China Fund UU1207 $ OR % % % % 

FID0003AU Fidelity Europe Fund UU1294 $ OR % % % % 

FID0015AU Fidelity India Fund UU1208 $ OR % % % % 

FID0004AU Fidelity Japan Fund UU1295 $ OR % % % % 

PER0553AU HSBC Asia Select Equity Fund UU1362 $ OR % % % % 

PER0522AU HSBC Global Emerging Markets Equity Fund UU1276 $ OR % % % % 

SSB0124AU Legg Mason Emerging Market Trust UU1122 $ OR % % % % 

IOF0203AU Perennial Asian Shares Wholesale Trust UU0109 $ OR % % % % 

MAQ0635AU Premium Asia Fund UU1381 $ OR % % % % 

MAQ0441AU Premium China Fund UU1136 $ OR % % % % 

SCH0006AU Schroder Asia Pacific Fund UU1155 $ OR % % % % 

SCH0034AU Schroder Global Emerging Markets Fund UU1213 $ OR % % % % 

TGP0006AU TAAM New Asia Fund UU1352 $ OR % % % % 

FRT0006AU Templeton Emerging Markets Fund UU1222 $ OR % % % % 

Specialist 

ASK1204AU IOOF Blended Global Shares UU1342 $ OR % % % % 

FSF0891AU Acadian Wholesale Geared Global Equity Fund UU1114 $ OR % % % % 

HHA0002AU Hunter Hall Global Ethical Trust UU1299 $ OR % % % % 

HOW0002AU Hunter Hall Value Growth Trust UU1120 $ OR % % % % 

INT0086AU 

Ibbotson International Shares High Opportunities 

(Hedged) Trust 

UU1318 $ OR % % % % 

INT0069AU 

LEF0047AU 

Ibbotson International Shares High Opportunities 

(Unhedged) Trust 

Optimix Wholesale Global Share Trust – Class A 

Units 

UU1314 $ OR % % % % 

UU1080 $ OR % % % % 

IOF0080AU Perennial Global Shares High Alpha Trust UU1163 $ OR % % % % 

PLA0004AU Platinum Asia Fund UU1132 $ OR % % % % 

PLA0001AU Platinum European Fund UU1333 $ OR % % % % 

PLA0002AU Platinum International Fund UU0159 $ OR % % % % 

PLA0101AU Platinum International Technology Fund UU1131 $ OR % % % % 

PLA0003AU Platinum Japan Fund UU1130 $ OR % % % % 

PMC0100AU PM CAPITAL Absolute Performance Fund UU1027 $ OR % % % % 

RIM0009AU 

Russell International Shares Fund – $A Hedged – 

Class A Units 

UU1374 $ OR % % % % 

RIM0008AU Russell International Shares Fund – Class A Units UU1373 $ OR % % % % 

21

Step 4: 




APIR code 

Indexed 

BGL0044AU 



BlackRock Indexed Hedged International Equity 

Fund 

Asset 

code 





instruction) 

Change of 

investment 

strategy 

(re-weight) 


Investment 

Redemption 

UU1286 $ OR % % % % 

FSF0974AU Realindex RAFI Global Share Fund – Class A UU1388 $ OR % % % % 

FSF0975AU 

Realindex RAFI Global Share Hedged Fund – Class 

A 

UU1389 $ OR % % % % 

VAN0003AU Vanguard® International Shares Index Fund UU0190 $ OR % % % % 

VAN0105AU 

VAN0022AU 

Vanguard® International Shares Index Fund 

(Hedged) 

Vanguard® International Small Companies Index 

Fund (Hedged) 

UU1165 $ OR % % % % 

UU1217 $ OR % % % % 

Property 

Australian Property (Listed) 

APN0008AU APN AREIT Fund UU1390 $ OR % % % % 

CRS0007AU Challenger Wholesale Property Fund UU1199 $ OR % % % % 

HBC0008AU Challenger Wholesale Property Securities Fund UU0061 $ OR % % % % 

FSF0004AU 

Colonial First State Wholesale Property Securities 

Fund 

UU0043 $ OR % % % % 

SSB0128AU Legg Mason Property Securities Trust UU0178 $ OR % % % % 

MAQ0063AU Macquarie Master Property Securities Fund UU0123 $ OR % % % % 

IOF0079AU Perennial Australian Listed Property Securities Trust UU1319 $ OR % % % % 

IOF0044AU Perennial Australian Property Wholesale Trust UU0097 $ OR % % % % 

PER0070AU Perpetual Wholesale Property Securities Fund UU1331 $ OR % % % % 

PRE0001AU Principal Property Securities Fund UU1335 $ OR % % % % 

PAL0002AU RREEF Paladin Property Securities Fund UU1243 $ OR % % % % 

ETL0003AU 

SGH Professional Investor Listed Property 

Securities Trust 

Australian Property (Hybrid/Direct) 

Australian Unity Healthcare Property Trust – Class 

AUS0037AU 

A Units* 

YOC0100AU 

Australian Unity Property Income Fund – 

Wholesale Units 

Global Property (Listed) 

AMP Capital Global Property Securities Fund (Class 

AMP0974AU 

A) 

ETL0005AU 

INT0077AU 

EQT SGH LaSalle Global Listed Property Securities 

Trust 

Ibbotson International Property Securities 

(Hedged) Trust 

UU1292 $ OR % % % % 

UU1379 $ OR % % % % 

UU1357 $ OR % % % % 

UU1076 $ OR % % % % 

UU1293 $ OR % % % % 

UU1316 $ OR % % % % 

HML0016AU ING Wholesale Global Property Securities Fund UU1220 $ OR % % % % 

IOF0081AU Perennial Global Property Wholesale Trust UU1078 $ OR % % % % 

22

Step 4: 




APIR code 



Asset 

code 





instruction) 

Change of 

investment 

strategy 

(re-weight) 


Investment 

Redemption 

Indexed 

BGL0108AU BlackRock Indexed Australian Listed Property Fund UU1287 $ OR % % % % 

VAN0004AU 

Vanguard® Australian Property Securities Index 

Fund 

UU1126 $ OR % % % % 

Infrastructure 

Australian Infrastructure (Listed) 

JBW0030AU 

Goldman Sachs Australian Infrastructure Wholesale 

Fund 

UU1096 $ OR % % % % 

Global Infrastructure (Listed) 

Colonial First State Wholesale Global Listed 

FSF0905AU 

Infrastructure Securities Fund 

MAQ0432AU 

Macquarie International Infrastructure Securities 

Fund 

UU1196 $ OR % % % % 

UU1098 $ OR % % % % 

MGE0002AU Magellan Infrastructure Fund UU1219 $ OR % % % % 

Global Infrastructure (Hybrid/Direct) 

AMP1179AU AMP Capital Core Infrastructure Fund (Class A) UU1187 $ OR % % % % 

Commodities 

AMR0001AU Ascalon H3 Commodities Fund UU1229 $ OR % % % % 

MAL0016AU BlackRock International Gold Fund (Class D Units) UU1139 $ OR % % % % 

FSF0038AU 

Colonial First State Wholesale Global Resources 

Fund 

UU1047 $ OR % % % % 

CSA0063AU Credit Suisse Enhanced Commodity Fund UU1200 $ OR % % % % 

MGL0019AU DWS Global Equity Agribusiness Fund UU1201 $ OR % % % % 

ETL0048AU 

PIMCO Global CommodityRealReturn Fund – 

Class A 

UU1302 $ OR % % % % 

Alternative Investments 

FSF1086AU Aspect Diversified Futures Fund – Class A UU1385 $ OR % % % % 

MAL0030AU BlackRock Asset Allocation Alpha Fund Class D UU1191 $ OR % % % % 

MAL0029AU BlackRock Global Allocation Fund (Aust) UU1162 $ OR % % % % 

PER0555AU HSBC GH Diversified Strategy Fund* UU1361 $ OR % % % % 

SSB0130AU Legg Mason Tactical Allocation Trust UU0179 $ OR % % % % 

UBS0013AU UBS Absolute Return Fund (AUD) UU1215 $ OR % % % % 

MAQ0482AU Winton Global Alpha Fund UU1211 $ OR % % % % 

Diversified - Conservative 

ASK1206AU IOOF Defensive UU1340 $ OR % % % % 

PWA0821AU BlackRock Wholesale Managed Income Fund UU0166 $ OR % % % % 

INT0034AU Ibbotson Conservative Growth Trust UU1309 $ OR % % % % 

IOF0100AU Perennial Capital Stable Wholesale Trust UU0107 $ OR % % % % 

RIM0002AU Russell Conservative Fund - Class A Units UU1369 $ OR % % % % 

SBC0814AU UBS Defensive Investment Fund UU1348 $ OR % % % % 

MAQ0291AU van Eyk Blueprint Capital Stable Fund UU1324 $ OR % % % % 

VAN0109AU Vanguard® Conservative Index Fund UU1232 $ OR % % % % 

23

Step 4: 




APIR code 

* For superannuation applicants/members/investors 

24 



Asset 

code 





instruction) 

Change of 

investment 

strategy 

(re-weight) 


Investment 

Redemption 

Diversified – Balanced 

PWA0822AU BlackRock Wholesale Balanced Fund UU0167 $ OR % % % % 

INT0028AU Ibbotson Balanced Growth Trust UU1308 $ OR % % % % 

MMF0700AU ING Tax Effective Income Trust - Wholesale Units UU1051 $ OR % % % % 

AJF0802AU ING Wholesale Balanced Trust UU0009 $ OR % % % % 

MLC0260AU MLC Wholesale Horizon 4 Balanced Portfolio UU0129 $ OR % % % % 

LEF0044AU Optimix Wholesale Balanced Trust - Class A Units UU1081 $ OR % % % % 

IOF0104AU Perennial Balanced Wholesale Trust UU0108 $ OR % % % % 

RIM0001AU Russell Balanced Fund - Class A Units UU1368 $ OR % % % % 

RIM0003AU Russell Diversified 50 Fund - Class A Units UU1370 $ OR % % % % 

SCH0102AU Schroder Balanced Fund UU1351 $ OR % % % % 

SBC0815AU UBS Balanced Investment Fund UU1012 $ OR % % % % 

MAQ0290AU van Eyk Blueprint Balanced Fund UU1323 $ OR % % % % 

VAN0108AU Vanguard® Balanced Index Fund UU1231 $ OR % % % % 

RIM0019AU Ventura Diversified 50 Fund – Class A Units UU1175 $ OR % % % % 

ZUR0059AU Zurich Investments Managed Growth Fund UU0193 $ OR % % % % 

Diversified – Growth 

ASK1207AU IOOF Growth with Income UU1344 $ OR % % % % 

BAR0813AU BlackRock Scientific Diversified Growth Fund UU0015 $ OR % % % % 

JBW0017AU 

Goldman Sachs Diversified Growth Wholesale 

Fund 

UU1320 $ OR % % % % 

INT0038AU Ibbotson Growth Trust UU1310 $ OR % % % % 

INT0040AU Ibbotson High Growth Plus Trust UU1311 $ OR % % % % 

MMF0115AU ING Wholesale Managed Growth Trust UU1090 $ OR % % % % 

IOF0126AU Perennial Partners Trust UU1169 $ OR % % % % 

PER0063AU Perpetual Wholesale Balanced Growth Fund UU0158 $ OR % % % % 

RIM0004AU Russell Growth Fund - Class A Units UU1371 $ OR % % % % 

RIM0034AU Russell High Growth Fund - Class A Units UU1375 $ OR % % % % 

MAQ0292AU van Eyk Blueprint High Growth Fund UU1325 $ OR % % % % 

VAN0110AU Vanguard® Growth Index Fund UU1233 $ OR % % % % 

VAN0111AU Vanguard® High Growth Index Fund UU1234 $ OR % % % % 

RIM0020AU Ventura Growth 70 Fund – Class A Units UU1176 $ OR % % % % 

You can include new investment option(s) added since this form was printed below. 

$ OR % % % % 

$ OR % % % % 

$ OR % % % % 

$ OR % % % % 

TOTAL $ OR % % % % 

Must add up 

to 100% if 

completed 

Must add up 

to 100% if 

completed 

Must add up 

to 100% if 

completed 

Must add up 

to 100% if 

completed 

This investment option is classified as a restricted investment. You are able to invest up to 70 per cent of your account balance in restricted 

investments and no more than 30 per cent of your account balance in any single restricted investment or restricted investments within the same 

sub-category of an investment category.

Step 5: 

Term deposit details 

Please indicate how the term deposit is to be opened: 

By transfer(s) from other superannuation funds 

(Please ensure you complete and attach a ‘Request to transfer a superannuation benefit form(s)’). 

OR 

By cheque attached to this form. 

AND/OR one of the following options (for existing members only): 

Amount $ 

! 

Please ensure you have completed Step 4(a). 

OR 

Redeem funds using my existing nominated standing redemption instructions in place. 

OR 

Redeem funds from all of my existing investment options proportionately (excluding direct shares where applicable). 

OR 

Redeem funds from my existing investment options or from the Cash Account as per the instructions in the table below. 

FROM 

APIR code 

Asset code 

Name of investment option(s) 

% or $ amount 

Total 

! 

Where you elect to redeem assets to open the term deposit, we will not purchase your term deposit until the proceeds from all redemptions 

necessary have been received into the Cash Account. Please ensure you have read the terms and conditions, which are outlined in 

IPS fact sheet 13: Investing in a term deposit. 

25

Step 6: 

Switch instructions 

I/We wish to switch between the Easy Choice, Premier Investor Choice and Investor Choice investment options as indicated below: 

FROM 


APIR code 

% of investment option 

OR 

$ amount of 

investment option 

TO 


APIR code 

% of redeemed funds to be 

invested 

*Please ensure that the total amount is equal to 100%. 

For IOOF Portfolio Service Investments and IOOF Portfolio Service Wholesale Investments only – switch instructions must satisfy the minimum switch 

requirements set out in the Offer Document. 

Please note: switch requests cannot be finalised until proceeds from all redeemed investment options have been deposited into 

your Cash Account. You may incur a buy/sell spread or capital gains tax when switching between investment options. 

Total* 

Step 7: 

Applicant/Member/Investor declaration and signature 

In signing this Investment Authority (Form B), I/we direct the Trustee/Service Operator, IOOF Investment Management Limited (IIML), 

ABN 53 006 695 021, AFS Licence No. 230524, to process the transaction instructions specified in this form and I/we acknowledge that: 

• the Trustee/Service Operator provided me/us with the product disclosure statements or product guides (as applicable) for the underlying investment 

options I/we have selected via the IOOF website (www.ioof.com.au) and I/we agree to receive these product disclosure statements or product 

guides (as applicable) by obtaining them from the website 

• I/we have received (either from the IOOF website or from a financial adviser), read and understood the current Product Disclosure Statement (PDS) 

and any supplementary PDS for the relevant product or service and the current product disclosure statement or product guide (as applicable) of the 

underlying investment option(s) I/we have selected 

• I/we may not have the most current product disclosure statement and continuous disclosure information for an investment option when switches 

and/or further investments are made into the fund 

• I/we have either obtained financial advice from a licensed financial adviser concerning my/our investment option(s) or chosen not to seek such advice. 

I/we acknowledge that I/we understand the risks and effects of this transaction and take full responsibility for my/our choice of investment options, 

including the consequences of any switching instructions 

• I/we have read and understood the privacy information in the relevant PDS/Offer Document and consent to the collection, use, storage and 

disclosure of my/our personal information as described in the relevant PDS/Offer Document. I/We also acknowledge that a copy of the IOOF group 

Privacy Policy is available on the website www.ioof.com.au or can be obtained from our client services team on 1800 062 963. 

If I/we have invested in term deposits: 

• I/we have read, understood and agree to the terms and conditions regarding investing in term deposits as set out in the PDS/Offer Document 

• the Trustee/Service Operator provided me/us with the product guide for the underlying term deposit I/we selected via the IOOF website 

(www.ioof.com.au) and I/we agree to receive the product guide by obtaining it from the website 

• I/we have received (either from the IOOF website or from a financial adviser), read and understood the current product guide and any supplementary 

product guide for the relevant product or service, and the current product guide statements of the underlying term deposit I/we have selected 

• I/we acknowledge that where this Investment Instruction for a term deposit is made at the same time as a new application for an IOOF product or 

service, this Investment Instruction will be processed before any other Investment Instruction relation to your new account is processed. 

26

Step 7: 

Applicant/Member/Investor declaration and signature (continued) 

For superannuation applicants/members only 

I acknowledge that if I make an investment in an investment option that is designated as a restricted investment (in the investment menu as updated 

on our website (www.ioof.com.au)), I have been informed that: 

(a) the Trustee is not required to transfer the whole of my withdrawal benefit (or a partial amount requested to be transferred) within 30 days after 

receiving all information prescribed by super law (including all information that is necessary to process my request) 

(b) the reasons why an investment is illiquid is due to the underlying fund manager imposing withdrawal restrictions or having the ability to extend 

the withdrawal period in certain market conditions 

(c) the maximum period in which a transfer must be effected is the period set out in the underlying product disclosure statement for the restricted 

investment which may be up to 365 days for some restricted investments. 

I understand and accept that a period longer than the 30 days mentioned in (a) above is required (possibly in respect of the whole of the requested 

transfer amount) because of the illiquid nature of the investment. 

Note for Power of Attorney 

If this form is signed under a Power of Attorney, please enclose a certified copy of the Power of Attorney and the proof of identity documents for 

the Attorney with this form. If signed under Power of Attorney, the Attorney certifies that no notice of revocation of that Power of Attorney has 

been received. 

Note for corporate applicants/investors 

This form must be signed either: 

• under common seal, and/or 

• by two directors or a director and the company secretary, or 

• by the sole director (where applicable) who is also the sole company secretary. 

Applicant/Member/Investor/Trustee/Director (Sole) Signatory 1 

Common seal of company (if required) 


For IOOF Portfolio Service Investments and IOOF Portfolio Service 

Wholesale Investments only 

Joint Investor or additional Trustee/Director Signatory 2 

(if applicable) 


Additional Trustee (if applicable) Signatory 3 


Additional Trustee (if applicable) Signatory 4 




Enquiries: 1800 062 963 

Fax: 1800 558 539 

Trustee/Service Operator: IOOF Investment Management Limited, ABN 53 006 695 021, AFS Licence No. 230524 

27

28 

This page has been left blank intentionally.




C 

Form 


Direct Share Choice Investment Authority 

IOOF Portfolio Service Personal Superannuation IOOF Portfolio Service Wholesale Personal Superannuation 




(Direct Share Choice is not available for IOOF Portfolio Service Investments and IOOF Portfolio Service Wholesale Investments.) 

INVESTMENT LIMITS 

A minimum of $5,000 must be transacted for each share parcel. 

You may invest up to 80% of your account balance in direct shares and no more than 30% in any one company share. 

DIRECT SHARE FEES 

Please note that brokerage of $45.66 (net of RITCs) applies to each order to buy or sell a listed security. 

Please complete these instructions in BLACK INK using CAPITAL LETTERS and boxes where provided. 

Step 1: Your personal details 


Surname 

Given name(s) 

Account number (if known) 

Date of birth 

– – 


Step 2: 

Listed Australian stocks 

Asset 

No. 

ASX 

code 

Direct Share Choice investment options 

EO1049 AGK AGL Energy Limited 

EO1001 AWC Alumina Limited 

EO0003 AMC Amcor Limited 

EO0004 AMP AMP Limited 

EO0005 ANN Ansell Limited 

EO0006 ANZ ANZ Banking Group Limited 

EO0007 ASX ASX Limited 

EO0010 BHP BHP Billiton Limited 

EO1002 BSL BlueScope Steel Limited 

EO0012 BLD Boral Limited 

EO1050 BXB Brambles Limited 

EO0016 CCL Coca-Cola Amatil Limited 

EO0020 COH Cochlear Limited 

EO0015 CBA Commonwealth Bank of Australia 

EO0021 CPU Computershare Limited 

EO1062 CMJ Consolidated Media Holdings Limited 

EO1063 CWN Crown Limited 

EO0022 CSL CSL Limited 

EO0023 CSR CSR Limited 

EO0025 ELD Elders Limited 

EO0028 FXJ Fairfax Media Limited 

EO0026 FGL Foster’s Group Limited 

EO0032 HVN Harvey Norman Holdings Limited 

EO1012 HGG Henderson Group Plc 

EO0034 ILU Iluka Resources Limited 

EO1068 IPL Incitec Pivot Limited 

Buy 

(✔) 

Sell 

(✔) 

Number 

of shares 

At market 

price (✔) 

OR 

At maximum 

(buy)/ minimum 

(sell) price $ 

29

Step 2: 

Listed Australian stocks (continued) 

Asset 

No. 

ASX 

code 

Direct Share Choice investment options 

Buy 

(✔) 

Sell 

(✔) 

Number 

of shares 

At market 

price (✔) 

OR 

At maximum 

(buy)/ minimum 

(sell) price $ 

EO0033 IAG Insurance Australia Group Limited 

EO0036 JHX James Hardie Industries NV 

EO0037 LEI Leighton Holdings Limited 

EO0039 LLC Lend Lease Corporation Limited 

EO1059 MQG Macquarie Group Limited 

EO1009 MAP MAP Group 

EO0046 NAB National Australia Bank Limited 

EO0047 NCM Newcrest Mining Limited 

EO1010 OST OneSteel Limited 

EO0051 ORI Orica Limited 

EO0050 ORG Origin Energy Limited 

EO0054 PPX Paperlinx Limited 

EO0053 PPT Perpetual Trustees Australia Limited 

EO0056 QAN Qantas Airways Limited 

EO0057 QBE QBE Insurance Group Limited 

EO0058 RIO Rio Tinto Limited 

EO0065 STO Santos Limited 

EO1011 SWM Seven West Media Limited 

EO0063 SHL Sonic Healthcare Limited 

EO0066 SUN Suncorp Group Limited 

EO0068 TAH Tabcorp Holdings Limited 

EO0070 TEL Telecom Corporation of New Zealand Ltd 

EO0071 TLS Telstra Corporation Limited 

EO0072 TOL Toll Holdings Limited 

EO0069 TCL Transurban Group 

EO0074 WES Wesfarmers Limited 

EO0073 WBC Westpac Banking Corporation 

EO0079 WPL Woodside Petroleum Limited 

EO0078 WOW Woolworths Limited 

Exchange Traded Funds 

EO1304 GOLD ETFS Physical Gold ETF 

EO1298 IEM iShares MSCI Emerging Markets 

EO1314 IOZ iShares MSCI Australia 200 

EO1297 IAA iShares S&P Asia 50 

EO1299 IOO iShares S&P Global 100 

EO1315 ILC iShares S&P/ASX 20 

EO1316 IHD iShares S&P/ASX High Dividend 

EO1312 ISO iShares S&P/ASX Small Ordinaries 

EO1300 RDV Russell High Dividend Australian Shares ETF 

EO1303 STW SPDR S&P/ASX 200 Fund 

EO1302 SLF SPDR S&P/ASX 200 Listed Property Fund 

EO1301 SFY SPDR S&P/ASX 50 Fund 

Income Securities 

IS0002 MBLHB Macquarie Bank Income Securities 

IS0001 NABHA NAB Income Securities 

Listed Australian Property Trusts 

EO0029 CFX CFS Retail Property Trust 

EO1003 CPA Commonwealth Property Office Fund 

EO1015 DXS Dexus Property Group 

EO0031 GPT GPT Group 

EO0043 MGR Mirvac Group 

EO0062 SGP Stockland 

EO1013 WDC Westfield Group 

EO1311 WRT Westfield Retail Trust 

30

Step 3: 

Applicant/Member declaration and signature 

In signing this Investment Authority (Form C), I direct the Trustee, IOOF Investment Management Limited (IIML), ABN 53 006 695 021, AFS Licence 

No. 230524, to process the transaction instructions specified in this form and I acknowledge that: 

• I have received (either from the IOOF website or from a financial adviser), read and understood the current Product Disclosure Statement (PDS) and 

understand the Direct Share Choice investment option(s) I have selected 

• I have either obtained financial advice from a licensed financial adviser concerning my investment option(s) or chosen not to seek such advice. 

I acknowledge that I understand the risks and effects of this transaction and take full responsibility for my choice of investment options, including 

the consequences of any switching instructions 

• I have read and understood the privacy information in the relevant PDS and consent to the collection, use, storage and disclosure of my personal 

information as described in the relevant PDS. I also acknowledge that a copy of the IOOF group Privacy Policy is available on the website 

www.ioof.com.au or can be obtained from our client services team on 1800 062 963. 

Note for Power of Attorney 

If this form is signed under a Power of Attorney, please enclose a certified copy of the Power of Attorney and the proof of identity documents for 

the Attorney with this form. If signed under Power of Attorney, the Attorney certifies that no notice of revocation of that Power of Attorney has 

been received. 

Signature 




Enquiries: 1800 062 963 

Fax: 1800 558 539 


31

32 





D 

Form 

Request to transfer a superannuation benefit 

for IOOF Portfolio Service 

Use this form when you wish to transfer monies from another superannuation fund or income stream into a superannuation or pension product 

available through IOOF Portfolio Service. 

In this form a reference to a ‘transfer of a benefit’ includes a ‘rollover of a benefit’ and a reference to ‘your FROM fund’ means the super fund or income 

stream that you wish to transfer monies from. 

A separate form is required for each transfer from another super fund or income stream. Please photocopy this form or download it from our website 

(www.ioof.com.au) if required. An original signature is required on each form. 

Important information: 

• Before completing this form we recommend that you ask what (if any) charges and penalties may apply prior to making a decision to transfer your 

benefit. You should also ensure that you have adequate insurance arrangements in place before losing the benefit of any insurance cover you may 

have in your FROM fund. We recommend that you consult a financial adviser. You should do this so you fully understand the effects of transferring 

your benefit. 

• You should also ensure that you agree with your financial adviser on the amount of any Contribution Fee that may be incurred on a transfer into a 

IOOF Portfolio Service super or pension product. 

• Please provide your certified proof of identity. Refer to the proof of identity requirements section for documentation you will need to provide. 

Please complete these instructions in BLACK INK using CAPITAL LETTERS (except for your email address) and ✓ boxes where provided. 

This form including the Certificate of Compliance should be forwarded to us by post. 



Surname 

Given name(s) 


Suburb 

State 

Postcode 

Phone (bh) 


Phone (ah) 

Fax 

Email 

Date of birth 


Please nominate the IOOF Portfolio Service super or pension product that will receive the transfer of super benefit: 

IOOF Portfolio Service Personal Superannuation (SPIN IOF0057AU) 

IOOF Portfolio Service Allocated Pension (SPIN IOF0059AU) 

IOOF Portfolio Service Term Allocated Pension (SPIN IOF0075AU) 

IOOF Portfolio Service Wholesale Personal Superannuation (SPIN IOF0057AU) 

each a product forming part of the IOOF Portfolio Service Superannuation Fund. 

Account number (if known) – – 

33

Step 2: Details required for transfer 

SECTION A: DETAILS OF YOUR FROM FUND 

I request and direct that the benefit held in my super fund or income stream as detailed below, be transferred to my account in the nominated super 

or pension product specified in Step 1. 

Name of your FROM fund 

ABN (if known) 

Account/membership/ 

policy name 

Address 

Suburb 

State 

Postcode 

Phone (bh) 

Name of previous employer 

(if applicable) 

Date left employer (if applicable) 


Phone (ah) 

SECTION B: BENEFIT TO BE TRANSFERRED 

Amount to be transferred 

Entire balance (account in the FROM fund will be closed) 

Approximate value $ 

Partial balance of $ 

You should be aware that a Capital Gains Tax (CGT) liability may arise and be deducted from your benefit prior to the transfer. We recommend 

that you seek taxation advice prior to authorising a transfer. 

Payment instruction to FROM fund: 

Please forward cheque made payable to ‘IOOF IPS – full member name and/or account number’ with any related documentation to: 


Step 3: Declaration 

By signing this request form, I am making the following statements: 

• I declare that I have fully read this form and declare that the information completed is true and correct. 

• I am aware that I may ask my FROM fund for all the information that I need to understand my benefit entitlements in that fund (including any fees 

or charges that may apply and any other information about the effect this transfer may have on my benefit). 

• I understand and acknowledge the implications of transferring my benefit from my FROM fund into my account in the nominated IOOF super 

product. 

• I discharge the trustee of my FROM fund from all further liability in respect of the benefits paid and transferred from my FROM fund to my 

nominated IOOF account. 

• I authorise the trustee to make arrangements to have my benefit (including any employer contributions still to be made to my FROM fund) 

transferred from my FROM fund to my nominated IOOF account and I authorise IOOF Investment Management Limited (IIML) (the Trustee) to act 

on my behalf in arranging and receiving information on this transfer. 

• I am aware of and authorise the deduction of any fees or charges by my FROM fund and any tax payable from the benefit transferred to my account 

in the nominated IOOF super product (subject to legislative restrictions). 

Signature 




Enquiries: 1800 062 963 

Fax: 1800 558 539 


34

Proof of identity requirements 

You will need to provide documentation with this transfer request to prove you are the person to whom the superannuation entitlements belong. 

Acceptable documents 

The following documents may be used. EITHER one of the following documents only: 

• driver’s licence issued under State or Territory law 

• passport; OR 


• birth certificate or birth extract 

• citizenship certificate issued by the Commonwealth 

• pension card issued by Centrelink that entitles the person to financial benefits; AND 


• letter from Centrelink regarding a Government assistance payment 

• notice issued by Commonwealth, State or Territory within the past twelve months that contains your name and residential address. For example: 

– Tax Office Notice of Assessment 

– Rates notice from local council 

Have you changed your name or are signing on behalf of another person 

If you have changed your name or are signing on behalf of the applicant, you will need to provide a linking document. A linking document 

is a document that proves a relationship exists between two (or more) names. 

The following table contains information about suitable linking documents. 

Purpose 

Change of name 

Signed on behalf of the applicant 

Certification of personal documents 

Suitable linking documents 

Marriage certificate, deed poll or change of name certificate from the Births, Deaths and Marriages 

Registration Office. 

Guardianship papers or Power of Attorney. 

All copied pages of ORIGINAL proof of identification documents (including any linking documents) need to be certified as true copies by any individual 

approved to do so (see below). 

The person who is authorised to certify documents must sight the original and the copy and make sure both documents are identical, then make sure 

all pages have been certified as true copies by writing or stamping ‘certified true copy’ followed by their signature, printed name, qualification 

(such as Justice of the Peace, Australia Post employee, etc) and date. 

The following can certify copies 

of the originals as true and 

correct copies: 

• Chiropractor 

• Dentist 

• A legal practioner, who is on the 

roll of the Supreme Court of a 

State or Territory or the 

High Court of Australia 

• Medical practitioner 

• Nurse 

• Optometrist 

• Patent attorney 

• Pharmacist 

• Physiotherapist 

• Psychologist 

• Trade marks attorney 

Other persons: 

• Agent of the Australian Postal 

Corporation who is in charge of 

an office supplying postal services 

to the public 

• Australian Consular Officer or 

Australia Diplomatic Officer 

(within the meaning of the 

Consular Fee Act 1955) 

• Bailiff 

• Bank officer with 2 or more 

continous years of service 

• Building society officer with 2 or 


• Chief executive officer of a 

Commonwealth court 

• Commissioner for Affidavits 

• Commissioner for Declarations 

• Credit union officer with 2 or 


• Employee of the Australian Trade 

Commission who is: 





• Employee of the Commonwealth who is: 





• Fellow of the National Tax Accountants’ Association 

• Finance company officer with 2 or more years 

of continuous service 

• Holder of a statutory office not specified 

in another item in this list 

• Judge of a court 

• Justice of the Peace 

• Magistrate 

• Marriage celebrant registered under Subdivision C 

of Division 1 of Part IV of the Marriage Act 1961 

• Master of a court 

• Member of Chartered Secretaries Australia 

• Member of Engineers Australia, other than at the 

grade of student 

• Member of the Association of Taxation and 

Management Accountants 

• Member of the Australian Defence Force who is: 

(a) an officer; or 

(b) a non-commissioned officer within the 

meaning of the Defence Force Discipline Act 

1982 with 2 or more years of continuous service; 

or 

(c) a warrant officer within the meaning of that Act 

• Member of the Institute of Chartered Accountants 

in Australia, the Australian Society of Certified 

Practising Accountants or the National Institute of 

Accountants 

• Member of: 

(a) the Parliament of the Commonwealth; or 

(b) the Parliament of a State; or 

(c) a Territory legislature; or 

(d) a local government authority of a State or Territory 

• Minister of religion registered under Subdivision A of 

Division 1 of Part IV of the Marriage Act 1961 

• Notary public 

• An officer with, or authorised representative of, a 

holder of an Australian financial services licence, 

having 2 or more years of continuous service with one 

or more licences 

• Permanent employee of the Australian Postal 

Corporation with 2 or more years of continuous 

service who is employed in an office supplying postal 

services to the public 

• Permanent employee of: 


or 

(b) a State or Territory or a State or Territory authority; 

or 

(c) a local government authority; with 2 or more 

years of continuous service who is not specified in 

another item in this list 

• Person before whom a statutory declaration may be 

made under the law of the State or Territory in which 

the declaration is made 

• Police officer 

• Registrar, or Deputy Registrar, of a court 

• Senior Executive Service employee of: 


or 

(b) a State or Territory or a State or Territory authority 

• Sheriff 

• Sheriff’s officer 

• Teacher employed on a full-time basis at a school 

or tertiary education institution 

• Member of the Australasian Institute of Mining 

and Metallurgy 

35


D 

Form 

Certificate of compliance 

Please note: This letter can be provided to the fund you are transferring from to confirm that IOOF Portfolio Service Superannuation Fund 

is a complying superannuation fund. 

To whom it may concern 

Date: 31 May 2011 

CERTIFICATE OF COMPLIANCE 

IOOF Portfolio Service Superannuation Fund (SFN 3002/079/41), ABN 70 815 369 818, incorporating: 

• IOOF Portfolio Service Personal Superannuation (SPIN IOF0057AU) 

• IOOF Portfolio Service Allocated Pension (SPIN IOF0059AU) 

• IOOF Portfolio Service Term Allocated Pension (SPIN IOF0075AU) 

• IOOF Portfolio Service Wholesale Personal Superannuation (SPIN IOF0057AU) 

We certify that: 

1. IOOF Portfolio Service Superannuation Fund (Fund) is a complying superannuation fund within the meaning of the Superannuation Industry 

(Supervision) Act 1993 (Act) 

2. the Trustee is IOOF Investment Management Limited (IIML) ABN 53 006 695 021, AFS Licence No. 230524 

3. the Trustee of the Fund has not been directed by the Australian Prudential Regulation Authority to cease accepting 

contributions under Section 63 of the Act 

4. the Trust Deed allows benefits to be transferred/rolled over to the Fund. 

Ron Beard 

General Manager Operations 

On behalf of IOOF Investment Management Limited 

Trustee 

IOOF Investment Management Limited 

ABN 53 006 695 021 

AFS Licence No. 230524 

Registered Address: Level 6, 161 Collins Street, Melbourne, VIC 3000 

Client Services 

Postal Address: Reply Paid 264, Melbourne, VIC 8060 

Phone: 1800 062 963 

Fax: 1800 558 539 

Email: clientservices@ioof.com.au 

36




E 

Form 

Death Benefit Nomination – Binding Nomination 

for IOOF Portfolio Service Personal Superannuation 

Please complete this form if you have selected a Binding Nomination in the Application form. You should also read the section Dependants 

– paying benefits if you die in the Product Disclosure Statement before completing this Binding Nomination form. 




Surname 

Given name(s) 


Suburb 



Suburb 

State 

State 

Postcode 

Postcode 

Phone (bh) 


Phone (ah) 

Fax 

Email 

Date of birth 


Gender 

Male 

Female 

Account number* (if known) – – 

*You must complete a separate Binding Nomination form for each account that you hold. 

Step 2: Nomination 

In the event of my death, I direct the Trustee to pay my benefit in accordance with the following direction: 

• To nominate one or more of your dependants complete Part A. 

• To nominate a legal personal representative complete Part B. 

• To nominate both a dependant(s) and a legal personal representative complete Parts A and B and ensure that the total of Parts A and B add up to 100%. 

• To nominate more than four dependants, please complete a second nomination form and clearly state that the second form is a continuation of the first. 

PART A: DEPENDANTS 

Dependant 1 


Surname 

Given name(s) 


Suburb 



Suburb 

State 

State 

Postcode 

Postcode 

Phone 


Date of birth 


Gender 

Male 

Female 

Relationship to member 

Spouse De facto spouse Child Interdependency relationship Financial dependant 

Percentage of benefit % 

Preferred form 

Lump sum 

of payment is: 

Pension 

Please note your preferred form of payment is not binding on the Trustee. 

37

Step 2: Nomination (continued) 


Dependant 2 


Surname 

Given name(s) 


Suburb 



Suburb 

State 

State 

Postcode 

Postcode 

Phone 


Date of birth 


Gender 

Male 

Female 

Relationship to member Spouse De facto spouse Child Interdependency relationship Financial dependant 




Lump sum 

Pension 


Dependant 3 


Surname 

Given name(s) 


Suburb 



Suburb 

State 

State 

Postcode 

Postcode 

Phone 


Date of birth 


Gender 

Male 

Female 




Lump sum 


Pension 


Dependant 4 


Surname 

Given name(s) 


Suburb 



Suburb 

State 

State 

Postcode 

Postcode 

Phone 


Date of birth 


Gender 

Male 

Female 




Lump sum 


Pension 


38


PART B: LEGAL PERSONAL REPRESENTATIVE 

Legal personal representative 

Percentage of benefit 

% 

If the percentage to be paid to your legal personal representative is less than 100% please ensure that the total amount of benefit to be 

allocated to your dependants and your legal personal representative adds up to 100%. 

Total of PART A and PART B % 

The percentages nominated in Step 2 must add up to 100% or your Binding Nomination will be invalid, and will be treated as a 

Non‐Binding Nomination. 

Step 3: Member declaration and signature 

I understand that: 

• the nomination must be in favour of one or more of my dependants or my legal personal representative 

• each dependant nominated must be my dependant at the date of nomination and at the date of my death 

• the allocation of my benefit must be clearly set out 

• 100% of my benefit must be allocated. The entire nomination will be invalid if the allocation does not equal 100% 

• I must sign and date my Binding Nomination in the presence of 2 witnesses both of whom are at least 18 years of age and not nominated to receive 

my benefit 

• my Binding Nomination will not be in effect until it has been received and accepted by the Trustee 

• my Binding Nomination will expire 3 years after the date it is first signed or last confirmed or amended 

• I can revoke my Binding Nomination at any time in accordance with the Trustee’s procedures 

• if my Binding Nomination is not valid for any reason or has expired at the date of my death, it will be treated as a Non-Binding Nomination 

• it is my responsibility to ensure my Binding Nomination remains valid and current. 

Member signature 

Please ensure that you sign and date this Binding Nomination form in the presence of 2 witnesses, each of whom is at least 18 years of age and neither 

of whom is nominated as a beneficiary in this Binding Nomination. Please also ensure that both witnesses sign and date the Witness declaration and 

signature section of this Binding Nomination form at the same time as you do and in each others presence, otherwise your Binding Nomination will 

be invalid. 

Signature 

Please complete Step 4: Witness declaration and signature below. 

Date* 


Step 4: Witness declaration and signature 

Each witness must sign and date the Binding Nomination form in each others presence and at the same time as the member, otherwise the 

Binding Nomination will be invalid. 

I declare that I am at least 18 years of age, I have not been nominated as a beneficiary and that this Binding Nomination form was signed and dated by 

the member in my presence and in the presence of the other witness. 

Witness 1 

Signature of witness 1 

Witness 1 name 

Date* 


Witness 2 

Signature of witness 2 

Witness 2 name 

Date* 


*Please ensure that all three dates are the same, otherwise the Binding Nomination will be invalid. 



Enquiries: 1800 062 963 

Fax: 1800 558 539 


39

40 





F 

Form 

Death Benefit Nomination – Non-Binding Nomination 

for IOOF Portfolio Service Personal Superannuation 

Please complete this form if you have selected a Non-Binding Nomination in the Application form. You should also read the section 

Dependants – paying benefits if you die in the Product Disclosure Statement before completing this Non-Binding Nomination form. 




Surname 

Given name(s) 


Suburb 



Suburb 

State 

State 

Postcode 

Postcode 

Phone (bh) 


Phone (ah) 

Fax 

Email 

Date of birth 


Gender 

Male 

Female 

Account number* (if known) – – 

*You must complete a separate Non-Binding Nomination form for each account that you hold. 

Step 2: Nomination 

In the event of my death, please pay my benefit in accordance with the following direction: 

• To nominate one or more of your dependants complete Part A. 

• To nominate a legal personal representative complete Part B. 

• To nominate both a dependant(s) and a legal personal representative complete Parts A and B and ensure that the total of Parts A and B add up to 100%. 

• To nominate more than four dependants, please complete a second nomination form and clearly state that the second form is a continuation of the first. 


Dependant 1 


Surname 

Given name(s) 


Suburb 



Suburb 

State 

State 

Postcode 

Postcode 

Phone 


Date of birth 


Gender 

Male 

Female 





Lump sum 

Pension 


41



Dependant 2 


Surname 

Given name(s) 


Suburb 



Suburb 

State 

State 

Postcode 

Postcode 

Phone 


Date of birth 


Gender 

Male 

Female 





Lump sum 

Pension 


Dependant 3 


Surname 

Given name(s) 


Suburb 



Suburb 

State 

State 

Postcode 

Postcode 

Phone 


Date of birth 


Gender 

Male 

Female 




Lump sum 


Pension 


Dependant 4 


Surname 

Given name(s) 


Suburb 



Suburb 

State 

State 

Postcode 

Postcode 

Phone 


Date of birth 


Gender 

Male 

Female 




Lump sum 


Pension 


42


PART B: LEGAL PERSONAL REPRESENTATIVE 

Legal personal representative 

Percentage of benefit 

% 

If the percentage to be paid to your legal personal representative is less than 100% please ensure that the total amount of benefit to be 

allocated to your dependants and your legal personal representative adds up to 100%. 

Total of PART A and PART B % 

The percentages nominated in Step 2 must add up to 100%. 

Step 3: Member declaration and signature 

I understand that: 

• the persons nominated must be my dependants at the date of nomination and at the date of my death 

• my Non-Binding Nomination will cancel any other Non-Binding Nomination made by me and will not be in effect until it has been received and 

accepted by the Trustee 

• my Non-Binding Nomination is not binding on the Trustee but will be taken into consideration by the Trustee when it determines to whom to pay 

my death benefit. 

Signature 

Date 




Enquiries: 1800 062 963 

Fax: 1800 558 539 


43

44 




Service Operator of IOOF Portfolio Service Investments and IOOF Portfolio Service Wholesale Investments 


G 

Form 

Fee aggregation application 


Complete the following form to apply for fee aggregation across IOOF Portfolio Service accounts* and IOOF Portfolio Service Wholesale accounts # . 

*IOOF Portfolio Service accounts include: IOOF Portfolio Service Personal Superannuation, IOOF Portfolio Service Allocated Pension, IOOF Portfolio Service Term Allocated 

Pension and IOOF Portfolio Service Investments. 

# IOOF Portfolio Service Wholesale accounts include: IOOF Portfolio Service Wholesale Personal Superannuation, IOOF Portfolio Service Wholesale Allocated Pension and 

IOOF Portfolio Service Wholesale Investments. 

Terms and conditions 

• Each person applying to link for the purposes of fee aggregation must be a member of the same immediate family (husband, wife, son, daughter, 

de facto, partner, father, mother, brother, sister). 

• A fee aggregation request can be rejected and a linking can be cancelled at any time by IOOF. 

• Any new fee aggregation nomination will override any previous nomination. 

• Each person must have the same financial adviser. 

• Any Employer Superannuation arrangement with IOOF will not be eligible to participate in fee aggregation. 

• IOOF Portfolio Service accounts can only be linked with other IOOF Portfolio Service accounts and IOOF Portfolio Service Wholesale accounts can 

only be linked with other IOOF Portfolio Service Wholesale accounts. 

Any account(s) in IOOF Portfolio Service Investments and IOOF Portfolio Service Wholesale Investments held in the name of a trust or company can be 

linked for the purposes of fee aggregation, provided that either a director or trustee has a linked account in their own name or the director or trustee is 

an immediate family member with another linked account. 

Please ensure that each linked member/investor, (including yourself) completes and signs this form, and that each member/investor has 

read and understood the terms and conditions of this application and the information in the relevant Product Disclosure Statement (PDS) 

or the IDPS Guide. 

Please complete these instructions in BLACK INK using CAPITAL LETTERS. 

Linked member/Investor 1 

Name of investor/member 

Date of birth 

Account number 

Relationship to group 

(such as husband, wife) 


– 

– 

Declaration: I have read the current PDS and/or IDPS Guide, and the terms and conditions of fee aggregation. I apply for my account(s) to be linked to 

other parties detailed on this application for the purpose of calculating the administration fee, and warrant that the information I have disclosed in this 

application is true and correct. 

Signature 

Date 




Date of birth 





– 

– 




Signature 

Date 


45



Date of birth 

D 

D 

/ 

M 

M 

/ 

Y 

Y 

Y 

Y 




– 

– 




Signature 

Date 

D 

D 

/ 

M 

M 

/ 

Y 

Y 

Y 

Y 



Date of birth 

D 

D 

/ 

M 

M 

/ 

Y 

Y 

Y 

Y 




– 

– 




Signature 

Date 

D 

D 

/ 

M 

M 

/ 

Y 

Y 

Y 

Y 



Date of birth 

D 

D 

/ 

M 

M 

/ 

Y 

Y 

Y 

Y 




– 

– 




Signature 

Date 

D 

D 

/ 

M 

M 

/ 

Y 

Y 

Y 

Y 



Date of birth 

D 

D 

/ 

M 

M 

/ 

Y 

Y 

Y 

Y 




– 

– 




Signature 

Date 

D 

D 

/ 

M 

M 

/ 

Y 

Y 

Y 

Y 



Enquiries: 1800 062 963 

Fax: 1800 558 539 


46



Dated: 1 February 2012 

H 

Form 

Direct Debit Request (DDR) 


Please complete these instructions in BLACK INK using CAPITAL LETTERS and ✓ boxes where provided. 


Existing member 



Surname 

Given name(s) 

Step 2: Type of instruction 

Depending on the type of instruction(s) you wish to give, please tick the applicable box(es) and follow the relevant steps. 

Instruction 

Steps to complete 

Initial one-off contribution Steps 3, 7 and 8 

New Regular Contribution Plan Steps 4, 5, 6, 7 and 8 

Change to an existing regular contribution amount Steps 5 and 8 

Change to an existing debit frequency Steps 6 and 8 

Change to your nominated account with a financial institution Steps 7 and 8 

Cancellation of an existing direct debit request. Step 8 

Step 3: Initial one-off contribution (new applicants only) 

Please indicate the preferred date of the one-off payment D D / M M / 2 0 Y Y 

Please note that applications to establish a one-off payment must be received at least 5 business days before the preferred date to ensure that your 

deduction is processed. If an application is not received within these timeframes or no date is specified, the one-off payment will be deducted on the 

final processing date possible. 

Please indicate the one-off amount to be debited from your nominated account and deposited into your Cash Account: 

$ 

Please ensure you have completed Step 3: Initial contribution details in the Application form (Form A). 

Step 4: Regular Contribution Plan 

Please indicate the commencement date of the first payment. 2 8 / M M / 2 0 Y Y 

Please note that applications to establish a direct debit must be received at least 5 business days before the 28th of the month to ensure that your 

deduction is processed that month. If an application is not received within these timeframes, it will be processed either that month or the following 

month (and then continue regularly according to the frequency you selected). 

47

Step 5: Regular contribution amount 

Please indicate the regular amount to be debited from your nominated account with a financial institution and deposited into your Cash Account: 

Personal contribution* $ 

Spouse contribution $ 

Employer contribution (tick box below) 

Superannuation guarantee $ 

Salary sacrifice $ 

Other employer contributions $ 

Total regular amount to be debited $ 

* After each 1 July, a Section 290-170 ITAA notice will be forwarded to you for completion. You can only claim a tax deduction for your personal contributions after 

completing this form before you lodge your tax return, and receiving confirmation from us. 

If the financial institution account details are not held solely in the name of the member, please refer to Step 8 for signatory requirements 

relating to third parties. 

Please note: 

• For new applicants, a direct debit will not normally be established until an initial contribution of at least $2,000 has been made with a regular 

contribution plan set up for a minimum annual contribution of $1,200 pa or a transfer/rollover or directed termination payment to meet this 

requirement has been authorised. 

• The amount of regular contributions will be debited from your nominated account with a financial institution on the 28th day of the relevant month 

(or the nearest business day after the 28th). 

• You will need to complete a standing investment instruction in the Investment Authority form (Form B) (located in the IOOF Portfolio Service 

Personal Superannuation Forms Booklet) to provide us with an Investment Instruction specifying the managed fund(s) you wish to utilise for regular 

contributions. 

• If you do not provide an Investment Instruction, the regular contributions will remain in your Cash Account, until a standing investment instruction 

is provided. 

Step 6: Debit frequency 

Please indicate the debit frequency: 

Monthly Quarterly Half-yearly 

Step 7: 

Financial institution details 

Name 

Branch 

Address 

Suburb State Postcode 

Account name 

BSB number – Account number 

I/We, the holder(s) of the above account, authorise and request the Trustee, IOOF Investment Management Limited (IIML), ABN 53 006 695 021 (Debit 

User ID 032105) until further notice in writing, to arrange for funds to be debited through the Bulk Electronic Clearing System (BECS) from my/our 

account at the financial institution identified above as instructed by me/us or any other amounts as instructed or authorised to be debited in accordance 

with the terms and conditions of the Direct Debit Request Service Agreement (DDRSA) as amended from time to time. This authority allows the debiting 

of amounts payable by the member under the agreement between the customer and IIML. 

48

Step 8: Application declaration and signature 

I/We acknowledge that I/we have read and understood the privacy section in the relevant IOOF Portfolio Service Personal Superannuation Product 

Disclosure Statement (PDS). I/We consent to the collection, use, storage and disclosure of my/our personal information as provided in this form and 

understand that if I/we do not provide the information requested, we may not be able to process any direct debits requested. 

Note for third party 

If the financial institution account in Step 7 is held in the name of the member and a third party, or third party/ies only, the third party/ies must also sign 

under the heading ‘Third Party’ below. 

A third party is a person/company/employer who is not the member of the IOOF Portfolio Service Superannuation Fund that this direct debit 

arrangement relates to. 

If the third party is a company, please ensure that the form is signed either: 

• under common seal; and/or 

• by two directors or a director and the company secretary; or 

• by the sole director (where applicable) who is also the sole company secretary. 

Individual applicant 

Signatory 1 

Full name 

✗ 


Third party 

Third party 1 

Full name 

Third party 2 

Full name 

✗ 

✗ 



Common seal 

(of company) if required 



Enquiries: 1800 062 963 

Fax: 1800 558 539 


49

50 



H 

Form 

Direct Debit Request 

Service Agreement (DDRSA) 

Please retain this service agreement for your records. 

Direct Debit Request facility 

• In addition to making one-off contributions, you have the opportunity 

to implement a Regular Contribution Plan through a DDR arrangement. 

• The DDR arrangement enables you to instruct the Trustee – IOOF 

Investment Management Limited (IIML) ABN 53 006 695 021, AFS 

Licence No. 230524, (Debit User ID 032105) to make regular monthly, 

quarterly or half-yearly deductions from an account with a financial 

institution such as a bank, building society or credit union and credit 

the amount to your Cash Account. 

• The DDR arrangement through BECS is not available on the full range 

of accounts provided by financial institutions. You are advised to check 

with your financial institution as to its availability before nominating 

an account. You should check your account details against a recent 

statement from the financial institution. 

Our service commitment 

This agreement outlines our service commitment to you in respect 

of the DDR arrangements made between you and IIML. 

It also sets out your rights and responsibilities. 

Initial terms of the arrangement 

Under the terms of the DDR arrangement entered into with you, we 

undertake to periodically debit from your nominated account with a 

financial institution, a specified amount or amounts for deposit into your 

Cash Account. 

Drawing arrangements 

Deposits will be deducted from your financial institution account on the 

28th day of each month, or nearest business day after the 28th day of the 

month if the 28th is not a business day, in accordance with the frequency 

you have nominated. If you are uncertain as to when a deduction will be 

made, please contact us. 

IIML may, in its absolute discretion, by giving 14 days notice in writing 

to you: 

• suspend or terminate the drawing arrangement, and/or 

• change the operation of your DDR facility. 

Your rights 

Changes to the arrangement: 

• You may stop or defer an individual debit or cancel or suspend your 

DDR arrangement by giving written instructions to IIML. If you suspend 

your DDR arrangement you may restart it by giving written instructions 

to IIML. 

• You may alter payments by forwarding to us, a new DDR form from 

our website or a current IOOF Portfolio Service Forms Booklet. 

• We will endeavour to act upon your request within 5 business days 

of receipt. 

Enquiries 

If you have any enquiries about your DDR arrangement, or you believe 

a debit has been incorrectly made or processed, please call our client 

services team on 1800 062 963, email us at clientservices@ioof.com.au or 

write to us at: 

IOOF 

Reply Paid 264 

Melbourne VIC 3001 

Complaints 

If you have a complaint or dispute in relation to your DDR arrangement, 

you should contact the Manager, Customer Care on 1800 062 963 or 

the relevant financial institution. IIML will consider and deal with the 

complaint within 90 days of receiving details of your complaint. If our 

investigations show that your Account has been incorrectly debited, we 

will arrange for the financial institution to adjust your account accordingly. 

We will also notify you in writing of the amount by which your Account 

has been adjusted. 

If, following our investigations, we believe on reasonable grounds that 

your Account has been correctly debited, we will respond to your query 

by providing you with reasons and copies of any evidence for this finding. 

If we cannot resolve the matter, you can still refer it to your financial 

Institution, which will obtain details from you of the disputed payment 

and may lodge a claim on your behalf. 

Confidentiality 

All information held by IIML in relation to your DDR arrangement will 

be kept confidential by us, except where: 

• such information is required to be provided to IIML’s financial institution 

to initiate, change or cancel your drawing arrangement 

• disclosure is required or authorised by law 

• the Bank may require such information to be provided in the event 

of a claim or relating to an alleged incorrect or wrongful debit 

• you authorise or otherwise give your consent to the release of the 

information either directly or through a duly appointed agent or attorney. 

Your obligations 

It is your responsibility to ensure: 

• your account details are correct 

• your nominated account can accept direct debits 

• there are sufficient cleared funds in the nominated account on the 

drawing date 

• you advise us if the nominated account is altered, transferred or closed. 

IIML will notify you if your debit is dishonoured or rejected. We may, with 

14 days notice, cancel your DDR arrangement if there is insufficient funds 

in your account to honour the direct debit. 

Should we be charged any dishonour fees as a result of insufficient funds 

in your nominated account, then we may deduct these charges from your 

Cash Account or charge these fees directly to you. To avoid dishonour 

fees, you should always ensure that there are enough cleared funds in 

your account before your direct debit falls due. 

Where the designated bank account is that of a third party (typically 

your employer), it is your responsibility to advise IIML to cease 

deductions on that account if contributions from that account are 

to cease (typically, when you leave the service of that employer). 

No refund of overpaid contributions will be made if we are not advised 

to cease deduction of contributions from a third party account. 

Fairness 

If any provision of this DDRSA is found to be illegal, void or unenforceable 

for unfairness or any other reason (for example, if a court or other tribunal 

or authority declares it so), the remaining provisions of this DDRSA 

will continue to apply to the extent possible as if the void or 

unenforceable provision had never existed. 

51

52 





I 

Form 

Application for insurance 


Incorporates Personal Health Statement 

This form should also be used to change any existing insurance you may have. 





Surname 

Given name(s) 

Email 

Date of birth 


Are you an Australian resident 

Yes 

No 

Height 

cm 

Weight 

kg 

Gender 

Male 

Female 

If any of the answers you give in this application are unclear to us, we would like to be able to clarify them with you over the telephone, as this can save 

delays in finalising your insurance. 

Phone (bh) 

Best time to call am until pm 


Occupation details 

Employer’s name 

Occupation 

Annual salary/renumeration package (gross) 1 $ 

1 

Salary/remuneration package (gross) – comprises your current wages or salary, plus commissions, plus all other regular cash and non-cash payments and benefits provided 

to you or for your benefit by your employer, and excludes superannuation guarantee contributions. 

Employment status 

Full-time 

Hours worked per week 

Less than 15 hours* 

Part-time 

Hours worked per week 

15 hours and over 

Casual/Contractor 

Other 

*Please note: To be eligible to apply for income protection cover you must be employed and working 15 hours or more per week. 

Please provide details of your daily duties (such as clerical, light manual, counter sales, manual work, etc.) 

Step 2: Death or death and total and permanent disablement (TPD) cover 

Fixed dollar cover 

Fixed premium cover per week (such as $1, $2, other) 

Total death cover $ $ 

OR 

Total death & TPD cover $ 

$ 

Please note: TPD cover is unavailable without death cover. You must apply for death and TPD cover if you wish to have TPD cover. 

The TPD cover cannot exceed the amount of death cover. 

53

Step 3: Income Protection cover 


Yes 

Please note: Maximum benefit is 75% of your Declared Earned Income or $25,000 per month, whichever is the lesser. 

Please specify the cover you wish to apply for: 

Specify cover required (mandatory information) 

Income level (% of your Declared Earned Income) 

50% 

66 2 / 3 

% 

75% 

Other (up to 75%) 

Waiting period (days) 

30 

60 

90 

Benefit payment period 

2 years 

5 years 

to age 65 

Superannuation contributions benefit (optional) 

Do you want the Superannuation Contributions benefit Yes No 

Income level (% of your Declared Earned Income) 

% 

(up to 10% of your Declared Earned Income, limited to the actual level of contribution made) 

See IPS Fact Sheet 12: Insurance through personal super for more information. 

Step 4: Health and medical history – Personal Health Statement 

1. Name and address of your usual doctor 

2. Details of last medical consultation with your usual doctor 

Reason 

Date 


Outcome/Results 

3. If you have attended that doctor for less than 12 months, name and address of previous doctor 

4. (a) Within the LAST THREE YEARS have you consulted, been examined, treated by, or received advice from any doctor, 

psychologist, psychiatrist, counsellor, chiropractor, physiotherapist or any other health care professional (naturopath, 

etc.) or been in a hospital or been advised to have an operation or taken any medication, drugs, stimulants, sedatives 

or tranquilisers 

No 

Yes 

(b) Have you EVER had an ECG, X-ray, transfusion, mammogram, surgery or any other investigation 

(c) Have you EVER had any blood tests which revealed an abnormality such as raised blood sugar, liver function, 

renal function results, or anaemia, etc 

No Yes 

(d) Do you contemplate seeking any medical examination, advice, treatment or surgery, in the future No Yes 

No 

Yes 

54

Step 4: Health and medical history – Personal Health Statement (continued) 

Please provide full details for all ‘Yes’ answers for Questions 4 (a), (b), (c) and (d) 

Question Dates (from/to) 

Name and address of doctor, hospital 

or clinic 

Condition, medications, treatment and 

time off work 

Recovery % 

Please attach a separate sheet if there is insufficient space. 

5.1 Have you ever had, been advised that you had, or received advice or treatment for any of the following: 

(a) High blood pressure, raised cholesterol, chest pain, heart attack, rheumatic fever, stroke or circulatory disorder 

(b) Bowel, stomach or intestinal problem, gallbladder or liver disease 

(c) Epilepsy, stroke, paralysis, multiple sclerosis or fainting attacks 

(d) Depression, anxiety, panic attacks, stress, chronic fatigue or any mental or nervous condition 

(e) Diabetes, sugar in urine, pancreatic or thyroid problem 

(f) Cancer, tumour, melanoma, sunspots, mole or growth of any kind 

(g) Disease, injury or disorder of joints, neck, back or bones, gout, arthritis or a repetitive strain injury or tendonitis 

(h) Impairment of sight, hearing or speech 

(i) Asthma, bronchitis or any lung complaint 

(j) Leukaemia, haemochromatosis or any blood problems 

(k) Kidney or bladder problems 

(l) Psoriasis, eczema or any skin problem 

(m) Any other disability, congenital abnormality, deformity or symptoms of ill health, illness or injury 

(n) To the best of your knowledge, do you, or any of your current or past sexual partners, have HIV/AIDS, or are you 

experiencing any unexplained night sweats or unintentional weight loss, or do you/have you engaged in any 

activity/ies reasonably accepted as having an increased risk of exposure to the virus 

Females only 

(o) Have you ever had gynaecological conditions (such as endometriosis, abnormal pap smear, etc.) 

(p) Have you ever had any complications of pregnancy or childbirth 

No 

No 

No 

No 

No 

No 

No 

No 

No 

No 

No 

No 

No 

No 

No 

No 

Yes 

Yes 

Yes 

Yes 

Yes 

Yes 

Yes 

Yes 

Yes 

Yes 

Yes 

Yes 

Yes 

Yes 

Yes 

Yes 

(q) Are you currently pregnant If Yes when is the expected delivery 


No 

Yes 

(r) Have you ever had a breast lump (even if you have not seen a doctor about it) 

Please provide details for all Yes answers in Step 5: Additional medical information 

No 

Yes 

55

Step 4: Health and medical history – Personal Health Statement (continued) 

5.2 Please give details of your family history 

Living relatives 

Deceased relatives 

Relative 

Current age 

Specify current state of health 

Age at death Specify cause of death 

Mother 

Father 

Sisters 

Brothers 

5.3 Have any of your immediate family (living or deceased) suffered from diabetes, heart disease, cancer, kidney disease, 

high blood pressure, mental problems or breakdown, haemophilia, Huntington’s Chorea or any hereditary disease 

If Yes, please provide full details 

No 

Yes 

56

Step 5: Additional medical information 

Please provide details for all Yes answers in 5.1 (a) to (r) in the table below. Please place the question number with the Yes answer at the top of the 

column (such as 5.1(a)) and then respond to the questions (1) to (13) below in the column. You many provide details on a separate sheet if required. If 

the question in the table does not apply to your condition please write Not applicable. 

Question No 

Please select the relevant question 

(on page 55) with a Yes answer, 

(such as 5.1(a)) and place to the 

right at the top of the column. 

Q Q Q Q 

Specific condition 

Please state your specific 

condition to the right. 

(1) Date symptoms first started 

and description of symptoms 

(2) What was the condition and 

which part and side of the 

body was affected 

(3) What was the medical 

diagnosis including results of 

x-rays and investigations 

(4) What was the frequency (daily, 

weekly, etc.) of attacks or 

symptoms 

(5) What was the severity (mild/ 

moderate/severe) and 

duration of attacks or 

symptoms 

(6) How long were you unable to 

work or perform your normal 

duties/activities 

(7) If a hospital visit was required, 

please provide date and 

duration of your stay. 

(8) What advice/treatment 

did you receive 

(9) Are you still receiving 

treatment If so, please advise 

nature and frequency of 

treatment 

(10) Date treatment/medication 

ceased. 

(11) When did you last suffer from 

any symptoms 

(12) Degree of recovery (%) 

(13) Please supply the name 

and address of all doctors, 

hospitals or other practitioners 

consulted. 

57

Step 6: Additional details 

6.1 Is this an increase to your existing insurance 

6.2 Have you ever held or applied for any life, disability, accident and sickness or trauma insurance, that was declined, 

postponed, premium increased or modified, or had a current policy cancelled or renewal refused 

6.3 Have you claimed on any type of disability, trauma, accident and sickness or such benefits as Workers’ Compensation 

or Motor Vehicle Third Party 

6.4 Do you have, or are you applying for, any other life or disability cover 

If Yes to 6.2, 6.3 and/or 6.4, please provide full details below: 

No 

No 

No 

No 

Yes 

Yes 

Yes 

Yes 

Name of company Cover type Sum insured Date of application Accepted/loaded/ 

exclusion/declined 

To be replaced 

(Yes/No) 

6.5 Do you drink alcohol 

If Yes, state type and daily quantity 

No 

Yes 

6.6 Have you smoked in the last 12 months 

If Yes, state type and daily quantity 

No 

Yes 

6.7 Have you ever used or injected yourself with any drug not prescribed by a doctor, or received counselling or treatment 

for the use of alcohol or drugs 

If Yes, please provide full details 

No 

Yes 

6.8 Do you currently, or do you intend to engage in any hazardous pastime and/or sporting activity such as aviation 

(other than as a fare paying passenger travelling over recognised routes), motor racing, diving, football, parachuting, 

hang-gliding or any other extreme sport 

If Yes, please complete Step 7 

No 

Yes 

6.9 Do you intend travelling outside Australia within the next 2 years No Yes 

If Yes, please provide details below (where, when, duration and reason) 

6.10 Are you an Australian or New Zealand citizen No Yes 

6.11 Do you hold an Australian Permanent Resident’s Visa No Yes 

If No to either 6.10 or 6.11, please provide details 

58

Step 7: Sports and pastimes statement 

Complete sections of this step as appropriate to your circumstances. 

(a) Scuba or skin diving 

Specify diving 

qualification held 

Dive history 

Average depth 

Maximum depth 

metres 

metres 

No. of dives p.a. 

No. of dives p.a. 

Do you use explosives while diving 

Give details 

Do you dive in caves, potholes or wrecks 

Give details 

Do you intend to change the scope of your diving activities 

Give details 

No 

No 

No 

Yes 

Yes 

Yes 

Please specify additional information you think we may need to know. Include details of any injuries you have suffered. 

(b) Motorsports (such as car, bike, boat) 

Specify types of motorsport and type of vehicle 

Motorsport 

Vehicle 

Engine size 

Maximum speed 

Period 

Type of competition Amateur Professional 

No. of races p.a. 

Specify type of events, categories or racing 


59

Step 7: Sports and pastimes statement (continued) 

(c) Football 

Code of game played 

e.g. rugby union/league, soccer 

Type of competition 

Amateur 

Professional 

No. of times p.a. 


(d) Mountain climbing/abseiling/caving 

Specify type of activity 

Location where activity 

is conducted 

Type of activity 

Indoor 

Outdoor 



(e) Other activities (such as boxing, skiing, bungy jumping, sky diving) 



Amateur 

Professional 





Amateur 

Professional 





Amateur 

Professional 



60

Step 8: Your duty of disclosure 

You have a duty under the Insurance Contracts Act 1984 to disclose to the Trustee and the Insurer every matter that you know or could reasonably be 

expected to know, that is relevant to the Insurer’s decision whether to accept the risk of insurance and, if so, on what terms. 

You have the same duty to disclose those matters to the Insurer or Trustee before you apply: 

• to vary your existing insurance cover; 

• for new cover; or 

• for any lapsed cover to be reinstated. 

Your duty, however, does not require disclosure of a matter that: 

• diminishes the risk to be undertaken by the Insurer 

• is common knowledge 

• the Insurer knows or, in the ordinary course of their business, ought to know 

• the Insurer has waived. 

Your duty of disclosure continues until the insurance cover has been accepted by the Insurer and confirmation is issued to the Trustee. 

If you do not disclose to the Insurer every matter that you know, or could reasonably be expected to know, that would be relevant to its decision to 

accept the risk, the Insurer may avoid the cover in respect of any insurance provided for you within three years of entering into it. 

If the Insurer is entitled to avoid insurance cover, it may elect not to avoid it but reduce the sum that you have been insured for in accordance with a 

formula that takes into account the premium that would have been payable if you had disclosed all relevant matters to the Insurer. 

If your non-disclosure is fraudulent, the Insurer may avoid your cover at any time. 

Step 9: Privacy statement 

Privacy laws protect your privacy. The way in which IOOF and TAL collect, use, disclose and handle your information is described in the IOOF 

Investment Management Limited ABN 53 006 695 021 (IIML) and the TAL Life Limited (TAL) ABN 70 050 109 450 Privacy Policies. Please be aware that 

the duty of disclosure explained in IPS fact sheet 12: Insurance through personal super (available at www.ioof.com.au) applies to the information you 

give in this form. If you fail to comply with this duty you may be in breach of it. The consequences of this is explained above. 

IIML and TAL may collect, use or disclose your personal information (including health and sensitive information) to assess, verify and process your 

application and any claim made. IIML and TAL may collect or disclose information relating to you or your application or any claims you may make to 

or from a range of services including: financial advisers, reinsurers, past or present medical practitioners, health professionals, hospitals, government 

department(s) which retain health records or as part of our regulatory requirements, personal accountants, current or former employers, lawyers, claim 

investigators and other third party service providers, and each other. If this information is not provided, your application for insurance or an insurance 

claim may not be processed. You have a right to access any personal information held about you unless IIML and TAL are legally entitled to deny access. 

If you want to know more about IIML’s or TAL’s approach to privacy, or you want to know more about your application, please contact IIML on 

1800 062 963 or TAL on 1800 221 142. 

Step 10: Applicant declaration and signature 

• I acknowledge that I have read the notice explaining my duty of disclosure in Step 8 and understand that this duty also applies until formal 

notification of acceptance. I have read and checked any answers not completed in my handwriting and to the best of my knowledge and belief 

all the answers to the questions in this application which relate to me are true and correct and no information material to the assessment of this 

insurance has been withheld. 

• I authorise and direct any medical or other practitioner to divulge at any time to IIML and TAL or to any lawfully constituted tribunal any and all 

information concerning my state of health and medical history, acquired in the course of professional attendance or consultation. A photocopy of 

this authority is as effective and valid as the original. To this extent, all professional confidence and privilege is waived. 

• I consent to my personal information (including health and sensitive information) being collected, used and disclosed by IIML and TAL or their 

external service providers/contractors as contemplated in this form, including collecting it from, or disclosing it to, any medical practitioner or third 

party as required to assess, verify or process my application or any claim I may make. This consent applies to any health and sensitive information 

IIML and TAL collect on this form or future forms in relation to this insurance. 

• If you have provided us with information about another person, we understand you will advise them that: 

– we collect, hold and use the personal information for the purpose set out in the IOOF group’s privacy statement 

– their personal information may be disclosed to a third party 

– they may access or correct any personal information held about them. 

Signature 



Enquiries: 1800 062 963 

Fax: 1800 558 539 


Date 


61

62 


Contact us 

We provide you with a number of access options to make it easy for you to contact us: 

Internet 

www.ioof.com.au 

Telephone 1800 062 963 

Email 

clientservices@ioof.com.au 

Fax 1800 558 539 

Mail GPO Box 264 

Melbourne, VIC 3001 

Registered Office of IOOF Investment Management Limited 

Level 6, 161 Collins Street, Melbourne, VIC 3000 

63

Contact us 

POSTAL ADDRESS 

Client Services 

GPO Box 264 


TELEPHONE 

1800 062 963 

FAX 

1800 558 539 

EMAIL 

clientservices@ioof.com.au 

WEBSITE 

www.ioof.com.au 

TRUSTEE 

IOOF Investment Management Limited 

Level 6, 161 Collins Street 


PLA-2232

Personal Superannuation - IOOF Portfolio online > Login

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?