Managed Investment Funds - Colonial First State

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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
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Managed Investment Funds - Colonial First State

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