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Linked member/Investor 3<br />

Name of investor/member<br />

Date of birth<br />

D<br />

D<br />

/<br />

M<br />

M<br />

/<br />

Y<br />

Y<br />

Y<br />

Y<br />

Account number<br />

Relationship to group<br />

(such as husband, wife)<br />

–<br />

–<br />

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<br />

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

application is true and correct.<br />

Signature<br />

Date<br />

D<br />

D<br />

/<br />

M<br />

M<br />

/<br />

Y<br />

Y<br />

Y<br />

Y<br />

Linked member/Investor 4<br />

Name of investor/member<br />

Date of birth<br />

D<br />

D<br />

/<br />

M<br />

M<br />

/<br />

Y<br />

Y<br />

Y<br />

Y<br />

Account number<br />

Relationship to group<br />

(such as husband, wife)<br />

–<br />

–<br />

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<br />

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

application is true and correct.<br />

Signature<br />

Date<br />

D<br />

D<br />

/<br />

M<br />

M<br />

/<br />

Y<br />

Y<br />

Y<br />

Y<br />

Linked member/Investor 5<br />

Name of investor/member<br />

Date of birth<br />

D<br />

D<br />

/<br />

M<br />

M<br />

/<br />

Y<br />

Y<br />

Y<br />

Y<br />

Account number<br />

Relationship to group<br />

(such as husband, wife)<br />

–<br />

–<br />

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<br />

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

application is true and correct.<br />

Signature<br />

Date<br />

D<br />

D<br />

/<br />

M<br />

M<br />

/<br />

Y<br />

Y<br />

Y<br />

Y<br />

Linked member/Investor 6<br />

Name of investor/member<br />

Date of birth<br />

D<br />

D<br />

/<br />

M<br />

M<br />

/<br />

Y<br />

Y<br />

Y<br />

Y<br />

Account number<br />

Relationship to group<br />

(such as husband, wife)<br />

–<br />

–<br />

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<br />

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

application is true and correct.<br />

Signature<br />

Date<br />

D<br />

D<br />

/<br />

M<br />

M<br />

/<br />

Y<br />

Y<br />

Y<br />

Y<br />

Please sign and return this form by post to:<br />

<strong>IOOF</strong> <strong>Portfolio</strong> Service, Reply Paid 264, Melbourne, VIC 8060<br />

Enquiries: 1800 062 963<br />

Fax: 1800 558 539<br />

Trustee: <strong>IOOF</strong> Investment Management Limited, ABN 53 006 695 021, AFS Licence No. 230524<br />

46

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