Managed Investment Funds - Colonial First State

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PLEASE DO NOT STAPLETransfereeHeading(buyer) Identification and Verification Form –individuals and sole tradersFull name of transfereennnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnIf you are a transferee (buyer) that is an individual or sole trader, you must complete this form (for the purposes of Anti-Money Laundering andCounter-Terrorism Financing laws).Financial advisers undertake identification and verification of a transferee (buyer) by completing sections A to C of this form or by using otherindustry standard forms.Otherwise, the transferee (buyer) must complete section A of this form and provide certified copies of the ID documents (do not send originaldocuments). Please note: A separate form is required for each transferee (buyer).The list of the parties who can certify copies of the documents is set out below. To be correctly certified we need the ID documents to be clearlynoted ‘True copy of the original document’. The party certifying the ID documents will also need to state what position they hold and sign anddate the certified documents. If this certification does not appear, you may be asked to send in new certified documents.List of persons who can certify documents* (for the purpose of Anti-Money Laundering and Counter-Terrorism Financial laws):WWJustice of the PeaceWWSolicitorWWPolice officerWWMagistrateWWNotary Public (for the purposes of the Statutory Declaration Regulations 1993)WWEmployee of Australia Post (with two or more years of continuous service)WWYour financial adviser (provided they have two or more years of continuous service)WWYour accountant (provided they have two or more years of continuous membership to a professional accounting body)WWAustralian consular officer or an Australian diplomatic officer (within the meaning of the Consular Fees Act 1955)WWA permanent employee of a financial institution (eg bank) provided they have two or more years of continuous service.* There may be additional persons that can certify documents due to changes to the law. From time to time, we will provide an updated list ofthese additional persons in our forms library at colonialfirststate.com.au.Section a: verification procedureComplete Part 1 (or if the individual does not own a document from Part 1, then complete either Part 2 or Part 3).Part 1Tick 3nnnnAcceptable primary ID documentsSelect ONE valid option from this section onlyAustralian State/Territory driver’s licence containing a photograph of the personAustralian passport (a passport that has expired within the preceding two years is acceptable)Card issued under a State or Territory for the purpose of proving a person’s age containing a photograph of the personForeign passport or similar travel document containing a photograph and the signature of the person¹Continued over the page…1 Documents that are written in a language that is not English must be accompanied by an English translation prepared by an accredited translator.

Part 2Tick 3nnnnTick 3nnnnAcceptable secondary ID documentsSelect ONE valid option from this sectionAustralian birth certificateAustralian citizenship certificatePension card issued by CentrelinkHealth card issued by CentrelinkAND ONE valid option from this sectionA document issued by the Commonwealth or a State or Territory within the preceding 12 months that records the provision of financialbenefits to the individual and which contains the individual’s name and residential addressA document issued by the Australian Taxation Office within the preceding 12 months that records a debt payable by the individual to theCommonwealth (or by the Commonwealth to the individual), which contains the individual’s name and residential addressA document issued by a local government body or utilities provider within the preceding three months which records the provision ofservices to that address or to that person (the document must contain the individual’s name and residential address)If under the age of 18, a notice that was issued to the individual by a school principal within the preceding three months; and containsthe name and residential address; and records the period of time that the individual attended that schoolPart 3 Acceptable foreign ID documents – should only be completed if the individual does not own a document from Part 1Tick 3 BOTH documents from this section must be presentednnForeign driver’s licence that contains a photograph of the person in whose name it is issued and the individual’s date of birth¹National ID card issued by a foreign government containing a photograph and a signature of the person in whose name the card was issued¹Section B: RECORD OF VERIFICATION PROCEDUREFINANCIAL ADVISER USE ONLYVerify the transferee’s full name and date of birth OR residential address.Receipt of a completed form will constitute your agreement as a reporting entity that you have completed the identification and verification of theinvestor for the purposes of Anti-Money Laundering and Counter-Terrorism Financing laws.ID document details Document 1 Document 2Verified from n Original n Certified copy n Original n Certified copyDocument issuerIssue dateExpiry dateDocument numberAccredited English translation n N/A n Sighted n N/A n SightedSection C: FINANCIAL PLANNER DETAILS – identification and verification conducted by:Date verified (dd/mm/yyyy) nn / nn / nnnnFinancial planner’s name nnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnPhone number nn nnnnnnnnAFS licensee name nnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnAFS Licence number nnnnnn1 Documents that are written in a language that is not English must be accompanied by an English translation prepared by an accredited translator.

PLEASE DO NOT STAPLEColonial First State –Transfer and Acceptance of Units FormPlease phone Colonial First State Investor Services on 13 13 36 with any questions.Please complete this form using BLACK INK and print well within the boxes in CAPITAL LETTERS. Mark appropriate answer boxeswith a cross like the following X . Start at the left of each answer space and leave a gap between words. All sections must becompleted and the form signed by both Seller and Buyer. Use this form even if you are not paying for the units eg. they are a gift.1. Transferor (Seller) DetailsAccount numbernnnnnnnnnInvestor 1 OR COMPANY/PARTNERSHIPTitleMr n Mrs n Miss n Ms nOther nnnnnnnGiven name(s)nnnnnnnnnnnnnnnnnnSurname/Company/Partnership namennnnnnnnnnnnnnnnnnPostal addressUnitStreetnumber nnnn number PO Boxnnnn nnnnStreetname nnnnnnnnnnnnnnnnnSuburbnnnnnnnnnnnnnnnnnStatePostcodennn nnnnCountrynnnnnnnnnnnnnnnnnInvestor 2TitleMr n Mrs n Miss n Ms nOther nnnnnnnGiven name(s)nnnnnnnnnnnnnnnnnnSurname/Company/Partnership namennnnnnnnnnnnnnnnnnPostal addressUnitStreetnumber nnnn number PO Boxnnnn nnnnStreetname nnnnnnnnnnnnnnnnnSuburbnnnnnnnnnnnnnnnnnStatePostcodennn nnnnCountrynnnnnnnnnnnnnnnnn2. transferEE (BUYER) DETAILSTransfer to my existing account number (if applicable)nnnnnnnnnnnnIndividual n Joint n Superannuation n Company n Trust n

2. transferee (BUYER) DETAILS (continued)Fields marked with an asterisk (*) must be completed for the purposes of anti-money laundering laws.Investor 1 (individual accounts/sole trader)TitleMr n Mrs n Miss n Ms n Other nnnnnnnFull given name(s)*nnnnnnnnnnnnnnnnnnSurname*nnnnnnnnnnnnnnnnnnDate of birth*nn / nn / nnnn Male n Female nOccupation*nnnnnnnnnnnnnnnnnnYour main country of residence, if not Australia*nnnnnnnnnnnnnnnnnnTax File Number or reason for exemptionnnn nnn nnn or code nnnnnnnnnnnnnnnnnnnIf a foreign resident for tax purposes, specify country of residencennnnnnnnnnnnnnnnnnInvestor 2 (joint accounts)TitleMr n Mrs n Miss n Ms n Other nnnnnnnFull given name(s)*nnnnnnnnnnnnnnnnnnSurname*nnnnnnnnnnnnnnnnnnDate of birth*nn / nn / nnnn Male n Female nOccupation*nnnnnnnnnnnnnnnnnnYour main country of residence, if not Australia*nnnnnnnnnnnnnnnnnnTax File Number or reason for exemptionnnn nnn nnn or code nnnnnnnnnnnnnnnnnnnIf a foreign resident for tax purposes, specify country of residencennnnnnnnnnnnnnnnnnCompany/partnership/superannuation fund or other entity (including sole trader)Full name of company/partnership/trustee/sole trader*nnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnFull name of superannuation fund/trust*nnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnPrincipal business/trust activity*Are you a charity?*nnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn Yes n No nPrincipal place of business (sole traders only)*nnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnCountry established, if not Australia*nnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnABN/ARBN/ARSNTax File Numbernnnnnnnnnnnnnnnnnn nnn nnn nnnEmail addressnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnBy providing your email address, you agree that we may use this address to provide you with information about your investment (such astransaction confirmations, statements, reports and other material). From time to time we may still need to send you letters in the post.account designationFor the use of trustee(s), trust or minor as designation (refer to current Product Disclosure Statement for details).nnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn

3. CONTACT DETAILS – TransfereE (Buyer)Residential address (PO Box is NOT acceptable) – Investor 1*Unitnumber nnnn Streetnumber nnnn Streetname nnnnnnnnnnnnnnnnnnnnnnnSuburbnnnnnnnnnnnnnnnnnnnnnnnn nnn nnnnState PostcodeCountrynnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnResidential address (PO Box is NOT acceptable) – Investor 2 (if applicable and different to above)*Unitnumber nnnn Streetnumber nnnn Streetname nnnnnnnnnnnnnnnnnnnnnnnSuburbnnnnnnnnnnnnnnnnnnnnnnnn nnn nnnnState PostcodeCountrynnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnWork phone number Home phone number Fax number Mobile phone numbernn nnnnnnnn nn nnnnnnnn nn nnnnnnnn nnnnnnnnnnEmail address for investor 1nnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnEmail address for investor 2 (if applicable)nnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnBy providing your email address, you agree that we may use this address to provide you with information about your investment (such astransaction confirmations, statements, reports and other material). From time to time we may still need to send you letters in the post.Postal address (if different to above)Unitnumber nnnn StreetnumberPO Boxnnnn nnnnStreetname nnnnnnnnnnnnnnnnnSuburbnnnnnnnnnnnnnnnnnnnnnnnn nnn nnnnState PostcodeCountrynnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn4. IMPORTANT INCOME DISTRIBUTIONYour answer in this section overrides any previous nominations for the units. Distributions will be reinvested unless otherwise stated. Cross (X)one box only.How would you like your income distributions to be paid?Reinvested in the fundnxCredit to my/our bank account nx Make sure you also complete your bank account details in Section 5I/we acknowledge that direct deposits not accepted by my/our bank, building society or credit union will be paid to me/us by chequeor reinvested as additional units.

6. Transfer and declaration (continued)Sole signatories signing on behalf of a company confirm that they are signing in their capacity as sole director and sole secretary of the company.Joint applicants must both sign.Signature of Transferor/SellerSignature of Transferor/Seller8 8Print namennnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnDatenn / nn / nnnnSignature of Transferee/BuyerPrint namennnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnDatenn / nn / nnnnSignature of Transferee/Buyer8 8Print namennnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnDatenn / nn / nnnnPrint namennnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnDatenn / nn / nnnnWhen you have completed this form, please send it to:NSW Office of State RevenueGPO Box 4042, Sydney NSW 2001Stamp duty will be payable on the transfer. Please phone Colonial First State Investor Services on 13 13 36 for details.After submitting the form to the NSW Office of State RevenuePlease send the completed form to:Colonial First StateReply Paid 27, Sydney NSW 2001

adviser use onlyAdviser namennnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnContact numbernn nnnnnnnnDealer ID Adviser IDnnnn nnnnILCNILANnnnnnnnnn nnnnnnnILGNnnnnnnnnnDealer/Adviser stamp (please use black ink only)

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