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E-mail instructions@stanlib.com Facsimile 0867 277 501 or 011 448 6666 Investment Form Classic Retirement Annuity Fund, Classic Preservation Pension Plan, Classic Preservation Provident Plan A copy of this form must be sent to STANLIB and the Financial Adviser must also retain a complete copy. In terms of the FAIS Act, the Financial adviser that dealt with the Client must deliver the original to the Client for safe custody. Registration details: Classic Retirement Annuity Fund Registration number 12/8/34304 (SARS Registration number 18/20/4/41660), Classic Preservation Pension Fund Registration number 12/8/34312 (SARS Registration number 18/20/4/39087), Classic Preservation Provident Fund Registration number 12/8/34309 (SARS Registration number 18/20/4/041659) NEW SECTION 14 TRANSFER CASH TRANSFER UNIT TRANSFER If you have selected 'Unit Transfer', please complete the Transfer form available on our website, www.stanlib.com CLIENT DETAILS: NATURAL PERSON INVESTMENT PROPOSAL NUMBER TITLE NAME/S SURNAME ID/PASSPORT NUMBER DATE OF BIRTH D D PASSPORT EXPIRY DATE M M D D Y Y Y Y COUNTRY OF ISSUE M CELLPHONE NUMBER Y Y Y Y TELEPHONE (WORK) - TELEPHONE (HOME) M - - EMAIL ADDRESS INCOME TAX NUMBER SOURCE OF FUNDS SOURCE OF INCOME COUNTRY OF RESIDENCE CLIENT'S PHYSICAL ADDRESS COMPLEX / UNIT / HOUSE NUMBER COMPLEX NAME / ESTATE STREET NUMBER STREET NAME / NAME OF FARM SUBURB / DISTRICT CITY / TOWN COUNTRY STALIINV006 | 2014/07 74DR52 CODE Please note this form expires on 2014/12/31. Up to date forms are always available on www.stanlib.com Page 1 of 10 < - - P a g e B r e a k - - > CLIENT'S POSTAL ADDRESS SAME AS PHYSICAL ADDRESS PO BOX NUMBER POST OFFICE NAME POSTAL CODE PRIVATE BAG NUMBER POST OFFICE NAME POSTAL CODE POSTNET SUITE NUMBER PRIVATE BAG NUMBER POST OFFICE NAME CODE PHASE-IN OPTION (UNIT TRUST PORTFOLIOS ONLY) Where the Phase-in option has been selected the investment amount will be held in a Standard Bank Call account. The investment amount will be divided by the frequency selected and the amounts derived will be withdrawn from the call account and invested proportionately in the portfolios selected on the selected dates. Only available on Lump sum investments, not available for Additional Investments NUMBER OF PHASE IN MONTHS 3 COMMENCEMENT DAY 3RD OR 6 9 17TH 12 15 18 24 OF THE MONTH PLAN DETAILS The minimum lump sum investment amount is R25 000 and R500 for recurring debit orders (RA's only). Please select no more than 12 Unit Trust portfolios and indicate the portfolio range. Where the Client has chosen a portfolio but the Portfolio Range was left blank, the Linked Range will be applied. If the Portfolio Range selected is not offered on the Linked Range, then the Select Portfolio Range will apply. Visit www.stanlib.com for a complete list of our portfolio ranges. Retirement funds need to comply with Regulation 28 on a total fund basis but also on an individual member level where the fund provides individual member choice. Investments that do not comply with Regulation 28 will not be allowed. A brochure detailing the new investment limits is available on our website, www.stanlib.com. Please ensure your Investment selection adheres to these limits. PRODUCT TOTAL INVESTMENT AMOUNT RETIREMENT ANNUITY FUND PRESERVATION PENSION PLAN R PRESERVATION PROVIDENT PLAN . INTENDED RETIREMENT AGE CONTRACT INITIATED BY MEANS OF NEW INVESTMENT (RA ONLY) TRANSFER FROM ANOTHER ADMINISTRATOR TRANSFER FROM PENSION / PROVIDENT PLAN, RETIREMENT ANNUITY FUND TRANSFER FROM A LIFE COMPANY UPFRONT SPREAD CHARGE YES NO OPTIONAL DEATH BENEFIT YES NO To qualitfy for the optional death benefit, the client must select at least 4 Unit trust portfolios with a minimum of 15% in each. If the contract is initiated by means of a transfer, please complete the transferring details: A recognition of transfer form must be submitted in all instances. NAME OF TRANSFERRING COMPANY STALIINV006 | 2014/07 74DR52 Please note this form expires on 2014/12/31. Up to date forms are always available on www.stanlib.com Page 2 of 10 < - - P a g e B r e a k - - > UNIT TRUST PORTFOLIOS Portfolio Range (e.g. Linked Range, Select) Portfolio Name Percentage 1. % 2. % 3. % 4. % 5. % 6. % 7. % 8. % 9. % 10. % 11. % 12. % TOTAL: % DEBIT ORDER DETAILS FOR A ONCE OFF DEBIT ONCE OFF DEBIT AMOUNT R . ONCE OFF DEBIT DATE D D M M Y Y Y Y A maximum of R500 000 may be debited from a client's bank account within a 45 day period. I hereby authorise STANLIB Wealth Management Limited to arrange with my bank for the payment of the investment amounts as indicated above, including amendments that may be made during the life of the investment on the specific day as indicated. BANKING DETAILS FOR A ONCE OFF DEBIT BANK BRANCH BRANCH CODE ACCOUNT NUMBER ACCOUNT TYPE CHEQUE SAVINGS TRANSMISSION ACCOUNT HOLDER'S ID NUMBER ACCOUNT HOLDER'S NAME SIGNATURE OF BANK ACCOUNT HOLDER/ AUTHORISED SIGNATORY Once off debits are not allowed from Call/ notice accounts. If the debit order is funded by a 3rd party (spouse included): * For individuals: Certified copy of the third party’s identity document with a specimen signature. * For entities: Standard Bank – Bank account mandate * Other banks – Letter from the bank confirming signing authority and a certified copy of identity document with a specimen signature of the signatory/ies. STALIINV006 | 2014/07 74DR52 Please note this form expires on 2014/12/31. Up to date forms are always available on www.stanlib.com Page 3 of 10 < - - P a g e B r e a k - - > BANK ACCOUNT DETAILS Account name: STANLIB Wealth Management Nominees - Classic Preservation Pension Fund Account name: STANLIB Wealth Management Account name: STANLIB Wealth Management Nominees - Classic Preservation Provident Nominees - Classic Retirement Annuity Fund Fund Bank: Standard Bank Bank: Standard Bank Bank: Standard Bank Branch code: 018105 (Sandton) Branch code: 018105 (Sandton) Branch code: 018105 (Sandton) Account number: 22-0405-190 Account number: 22-0405 -255 Account number: 02-305-7882 Reference: Surname and ID/ Contract number DEPOSIT REFERENCE DEPOSIT AMOUNT R . DEPOSIT DATE D - D M M Y Y Y Y DEPOSIT REFERENCE E.G. ID NUMBER, CONTRACT NUMBER ETC PORTFOLIO NOMINATION FOR FEE DEDUCTION STANLIB allows you to select a specific portfolio/s for the deduction of fees. If you have not selected a specific portfolio/s, STANLIB will deduct fees from Call accounts and Money Market portfolios first. Thereafter, fees will be deducted proportionately from Unit Trust portfolios, then Model Portfolios and lastly Personal Share Portfolios. If a portfolio/s is selected below, all fees will be deducted from this portfolio until the portfolio is depleted. If multiple portfolios are selected, the fees will be deducted proportionately across these portfolios until the portfolios are depleted. Thereafter the default fee deduction rules will apply. Portfolio Name RECURRING DEBIT ORDER DETAILS Applicable to the Classic Investment Plan and Classic Retirement Annuity plan for Unit Trust portfolios. Not available for Structured Portfolios and Personal Share Portfolios. The minimum recurring debit order amount for a Classic Investment Plan is R1 000 per investment and R500 per portfolio. The minimum recurring debit order amount for a Retirement Annuity is R500. The total portfolio range is restricted to a maximum of 12 portolios including the lump sum portfolios. RECURRING DEBIT ORDER AMOUNT R DEBIT ORDER DATE . 1ST OR STARTING MONTH 15TH M M Y Y Y Y UNIT TRUST PORTFOLIOS Portfolio Range (e.g. Linked Range, Select) Portfolio Name Percentage 1. % 2. % 3. % 4. % 5. % 6. % 7. % STALIINV006 | 2014/07 74DR52 Please note this form expires on 2014/12/31. Up to date forms are always available on www.stanlib.com Page 4 of 10 8. % 9. % 10. % 11. % 12. % TOTAL: % ANNUAL CONTRIBUTION INCREASE Should you wish to increase your recurring premium automatically each year, please indicate this below: PERCENTAGE INCREASE PER ANNUM 5% 10% EFFECTIVE MONTH 15% 20% M M Y Y Y Y BANKING DETAILS FOR A RECURRING DEBIT ORDER USE DIFFERENT BANK DETAILS FOR THE RECURRING DEBIT ORDER (COMPLETE THE DETAILS BELOW) USE THE SAME BANK DETAILS SPECIFIED FOR THE ONCE OFF DEBIT BANK BRANCH BRANCH CODE ACCOUNT NUMBER ACCOUNT TYPE CHEQUE SAVINGS TRANSMISSION ACCOUNT HOLDER'S ID NUMBER ACCOUNT HOLDER'S NAME SIGNATURE OF BANK ACCOUNT HOLDER/ AUTHORISED SIGNATORY If the debit order is funded by a 3rd party (spouse included): * For individuals: Certified copy of the third party’s identity document with a specimen signature. * For entities: Standard Bank – Bank account mandate * For Other banks – Letter from the bank confirming signing authority and a certified copy of identity document with a specimen signature of the signatory/ies STATEMENT OF WISHES ESTATE IN TERMS OF MY WILL NOMINEES AS LISTED BELOW I acknowledge that on my death the investments I hold in this Product will be distributed by the Trustees of the Fund in terms of section 37 C of the Pension Funds Act as amended. I hereby nominate the following persons as nominees to who I request the Trustees of the Fund to consider as potential recipients of the proceeds of this Product should they find no dependents to whom to pay out the proceeds of this product NAME/S SURNAME IDENTITY NUMBER DATE OF BIRTH D D M M Y Y Y Y RELATIONSHIP PERCENTAGE NAME/S SURNAME IDENTITY NUMBER STALIINV006 | 2014/07 74DR52 Please note this form expires on 2014/12/31. Up to date forms are always available on www.stanlib.com Page 5 of 10 % DATE OF BIRTH D D M M Y Y Y Y RELATIONSHIP PERCENTAGE % PERCENTAGE % PERCENTAGE % NAME/S SURNAME IDENTITY NUMBER DATE OF BIRTH D D M M Y Y Y Y RELATIONSHIP NAME/S SURNAME IDENTITY NUMBER DATE OF BIRTH D D M M Y Y Y Y RELATIONSHIP FINANCIAL SERVICES PROVIDER 1. The Client hereby confirms that he/she has appointed/hereby appoints the Financial Services Provider (FSP) whose FSB licence number is disclosed below for purposes of his/her dealings with STANLIB. 2. The Client agrees that STANLIB will pay the Financial Services Provider (FSP) the charges as set out in this application form. Where the FSP is a legal entity (e.g a company or a close corporation) the FSP is represented herein by the natural person identified in the relevant block below. Where the FSP has a Category II FAIS licence and the Client has mandated the FSP (or it’s Representative) to act on his/her behalf in terms of a written agreement a copy of the written agreement must be provided to STANLIB. STANLIB will not act on instructions from the FSP if it has not received a copy of this agreement. STANLIB is obliged by law to decline any instructions from an FSP who is not properly licensed with the Financial Services Board. 3. Where charges are to be shared between two Financial Advisers, specify the servicing Financial Adviser first. 4. Where the Client has terminated his FSP’s appointment, it is the Client’s responsibility to advise STANLIB of such termination immediately. On receipt of such written notification, STANLIB will cease payment of all charges, other than accrued charges to the FSP. 5. The Client understands that where he/she changes FSP the consequences of such change may result in different or new fund and fees structures. This may result in an increase to the platform service charges. It is the Client’s and where applicable the Client’s Financial adviser’s responsibility to determine the relevant fund and or charge implications. STANLIB will deduct the charges from the Client’s portfolios. For further details please refer to www.stanlib.com. FINANCIAL SERVICES PROVIDER 1 FSP LICENCE NO: STANLIB ID NAME OF SOLE PROPRIETOR OR NAME OF REPRESENTATIVE FINANCIAL SERVICES PROVIDER 2 STANLIB ID NAME OF SOLE PROPRIETOR OR NAME OF REPRESENTATIVE FINANCIAL SERVICE PROVIDER CHARGES (EXCLUDING VAT) Where the Client has not specified an Initial FSP charge for lump sum or recurring investments, STANLIB will not deduct a fee. FEE SPLIT: Only available to advisers from the same Financial Service Provider INITIAL FSP CHARGE: LUMP SUM INVESTMENT % FINANCIAL ADVISER 1 % FSP SERVICE CHARGE % FINANCIAL ADVISER 2 % INITIAL FSP CHARGE: RECURRING INVESTMENT % STALIINV006 | 2014/07 74DR52 Please note this form expires on 2014/12/31. Up to date forms are always available on www.stanlib.com Page 6 of 10 TERMS AND CONDITIONS The terms and conditions must be completed and signed by all contracting parties and submitted to STANLIB Wealth Management Limited. The terms and conditions is entered into by and between the Client and STANLIB Wealth Management Limited. (Reg. No. 1996/005412/06) (26/10/590), hereinafter referred to as “STANLIB”. The Client hereby appoints STANLIB as an administrative Financial Services Provider to administer the investments on behalf of the Client. 1. General terms and conditions 1.1. The client acknowledges the risks associated with the chosen investment, such as political, currency, regulatory, settlement, market, taxation and premium risk. The client acknowledges that the capital value and income of collective investments (like unit trusts) or other financial products may fluctuate and past performance is no guarantee of future returns, except where express written guarantees have been given. The client acknowledges that he/she carries all investment risks. For further disclosure of risk factors and risk ratings associated with collective investments, please refer to the relevant investment portfolio fact sheet. 1.2. Please note that the South African Reserve Bank prescribes that the foreign investment allowance for institutions, such as the Classic Retirement Annuity Fund/ Classic Preservation Pension Plan or Classic Preservation Provident Plan, is limited to a maximum of 20% of its retail assets. In adhering to these requirements, the members of the Classic Retirement Annuity Fund/Classic Preservation Pension Plan or Classic Preservation Provident Plan hereby understand that the trustees of the Classic Retirement Annuity Fund/Classic Preservation Pension Plan or Classic Preservation Provident Plan may instruct STANLIB as administrator, to cap certain collective investment portfolios with foreign exposure where investments into those portfolios would result in the Classic Retirement Annuity Fund/Classic Preservation Pension Plan or Classic Preservation Provident Plan exceeding the 20% limit. The members affected shall be required to select other funds in these instances. 1.3. STANLIB does not guarantee the performance of the investment, and any guarantees, which are secured, are derived from the investment itself. 1.4. The Client agrees that STANLIB shall be entitled to implement all signed instructions and applications received by facsimile and email including all other electronic formats. STANLIB is indemnified against any losses, claims or damages arising from STANLIB acting on such instructions and/or applications. 1.5. Should a portfolio or other investment that the Client has selected no longer be offered on STANLIB's platform, STANLIB shall give the Client a reasonable period of notice within which to switch the investment. Should STANLIB not receive such notification from the Client, STANLIB shall disinvest the Client from the discontinued portfolio or other investment and place the proceeds into a similar portfolio selected and deemed appropriate by STANLIB. 1.6. STANLIB does not give advice. The Client confirms that no advice was given by STANLIB in respect of this application. 1.7. This contract will become effective once all requirements have been received from the Client and STANLIB has matched the money received from the Client to the application form. The Client understands that any transactions that are mistakenly processed without all the requirements being satisfied will be reversed. 1.8.No payments will be made to third parties. 1.9. Conflicts of interest disclosure: STANLIB shall, wherever possible avoid situations causing a conflict of interest. Where it is not possible to avoid such conflict: STANLIB shall advise the Client, of such conflict in writing at the earliest reasonable opportunity and shall mitigate the conflict of interest in accordance with its Conflict of Interest Management Policy. A copy of this Policy is available on the STANLIB website. STANLIB is part of the Standard Bank Group of companies and both the Liberty Group and Standard Bank Financial Consultancy – a division of the Standard Bank of South Africa Limited intermediaries are permitted to sell various STANLIB products. Stonehouse Capital Pty Limited holds equity interests in various FSP’s which may result in an unavoidable conflict of interest. Clients of StoneHouse Capital Pty Limited partners, are encouraged to familiarize themselves with the conflict of interest disclosures, as required by their FAIS license, prior to engagement 1.10. Interest: bank interest at current account rates will be allocated pro rata to the Client’s account in respect of the Clients’ contributions awaiting investment in bank accounts. The deposit date is included and date of investment is excluded from the calculation 1.11. Registration of the investment: STANLIB shall register this investment in the name of the Classic Retirement Annuity Fund/ Classic Preservation Pension Plan or Classic Preservation Provident Plan in its capacity as an independent custodian except in the case where law prescribes that the investment is held in the name of the Client. 1.12. STANLIB will verify all bank account details received, but reserves the right to request proof of bank details before processing an instruction 2. Specific terms and conditions for the Classic Retirement Annuity/ Classic Preservation Pension Plan or Classic Preservation Provident Plan 2.1. The Client hereby declares that he/she has completed either the Classic Retirement Annuity/ Classic Preservation Pension Plan or Classic Preservation Provident Plan application form and that all information inserted therein by or on behalf of him/her is correct. 2.2. The Client shall make his/her selection from the local collective investment schemes and other investment vehicles, which may be permitted by the Trustees from time to time. The Client shall be entitled to instruct STANLIB to repurchase and purchase units on his/her behalf from time to time. 2.3. The Classic Retirement Annuity Fund/Classic Preservation Pension Plan or Classic Preservation Provident Plan has appointed STANLIB to administer investments on behalf of its Clients and to administer the affairs of the fund. The charges payable to STANLIB in terms hereof are charges payable in respect of the Administration of the Fund. 2.4. By applying to invest in the Classic Retirement Annuity Fund Classic Preservation Pension Plan or Classic Preservation Provident Plan, the Client becomes a member of the relevant Fund if the Trustees of the Fund accept the application. The investment will be subject to the Rules of the Fund. A summary of the Rules of the Fund will be forwarded to the Client on acceptance of the Client's application by the Trustees of the Fund. 2.5. The Rules of the Fund permit the Member (“the Client”) to select the investments in which the Trustees of the Fund will invest his Member's Share of the Fund. Any instruction in terms of this Mandate will be deemed to be an instruction to the Trustees to invest the Member's Share of the Fund in the elected investments. 2.6. Any indemnity given by the Client in favor of STANLIB in terms hereof is given in favor of the Trustees of the Fund as well. 2.7. Although the Client may nominate the dependants as set out in the Statement of Wishes, it is the duty of the trustees to determine the dependants of the Client and make the necessary award. 3. Unit Trust – Specific terms and conditions, charges and administrative processes 3.1. Investments placed with the Manager are made and will be administered subject to the provisions of the Collective Investment Schemes Control Act, No. 45 of 2002, in accordance with the deeds of the relevant Manager. In the unlikely event of insufficient liquidity, the Manager may borrow up to 10% of the market value of the portfolio. 3.2. An optional investment guarantee on death may be selected by the Client. A charge as indicated in this document will be calculated and charged by STANLIB in respect of this benefit. The benefit will be payable on death of the Client, provided that the Client does not die by his/her own hand. The benefit will be paid, subject to the instruction of the executor or trustee, as the case may be, to the beneficiary/ies nominated by the Client and notified to STANLIB. The benefit will be an amount equal to the greater of the investment value at the immediately preceding anniversary of the investment or the investment value at the date of death. The amount of all withdrawals from the Client's investment account and all charges levied against the Client's investment account will be deducted for purposes of determining the value of the benefit. 3.3. To qualify for the optional death benefit, the Client must select at least 4 collective investment portfolios, with a minimum of 15% in each. Where the Client has selected the optional death benefit, STANLIB will levy the following service charge on the total investment value: Age at Next Anniversary Service charge (excl. VAT Below age 65 next 0.10% 65 next to 74 next 0.20% STALIINV006 | 2014/07 74DR52 Please note this form expires on 2014/12/31. Up to date forms are always available on www.stanlib.com Page 7 of 10 75 next to 84 next 0.50% 3.4. The collective investment scheme investments will be subject to the deeds of the respective local collective investment scheme/s. An initial manager charge will be payable to the Manager of the local collective investment scheme/s. The purchase of participatory interests ("units") within products will be at a reduced initial manager charge compared to the standard charge levied on units purchased directly from the Manager. Statutory charges will also be levied by Managers and will need to be taken into account in calculating the charges for the investment. A service charge based on the portfolio's market value is also payable to the Manager of the local collective investment scheme/s. For a complete list of the underlying portfolios and charges, please visit www.stanlib.com. The service charge is deducted by the Manager from the income before the declaration of distribution/s. All distributions by the Manager will be reinvested in the portfolio from which the distribution is made. For details on income distributions, please refer to the relevant investment's portfolio fact sheet. The Client understands that manager service charges may be increased. The manager through STANLIB will give the Client three months prior notice of such increase. 3.5. Unit prices are calculated on a net asset value basis by determining the total market value of all assets in the portfolio, including any income accruals, less any permissible deductions from the portfolio, divided by the units in issue. The following costs may be deducted from the portfolio: Financial adviser charge, Marketable Securities Tax, Value Added Tax, auditors' charge, bank charges, trustee and custodian charge, Regional Services Council levies and the service charge of the Manager. 3.6. New Business instruction: Where a fully completed and accurate instruction is received by STANLIB head office before close of business (15h30) on business day 1 (and where the relevant funds have been credited to the appropriate STANLIB bank account), the instruction to purchase participatory interests (“units”) will be forwarded to the respective Collective Investment Scheme Managers (“the Manager/s” for a market value within 2 business days (for daily priced funds). Where funds are received via a once-off debit instruction, the Client’s investment will be priced within 2 business days. The Client hereby indemnifies STANLIB against any loss of any nature which may arise should any funds, credited to a STANLIB bank account, as contemplated above, be reversed for any reason. Where an additional deposit is paid into the respective Wealth Management bank account, the Client must advise STANLIB of such an additional contribution and use the current investment number as a reference. Unidentified deposits will not be allocated to an investment until such time supporting documentation is provided by the client to proof the payment. Small balances and additional investments will be allocated in the existing fund split if no clear instruction is submitted to STANLIB within 24 hours of making the payment. 3.7. Withdrawal instruction: Where a fully completed and accurate instruction is received by STANLIB head office before close of business on business day 1, payment to the client will be made by no later than the end of business on business day 4. 3.8. Switch instruction: Where a fully completed and accurate instruction is received by STANLIB head office before close of business on business day 1, the switch into the new portfolio will be completed by no later than the end of business on business day 4. Please note: The monthly expense run takes place on the 10th of the month. In the event of the 10th being a weekend or public holiday, the expense run will take place on the next business day. The monthly annuity income run takes place on the 22nd of the month. In the event of the 22nd being a weekend or public holiday, the annuity income run will take place on the preceding business day. Withdrawal and switch requests received 2 business days before the monthly expense run or monthly annuity income run will be processed before the expense/ annuity income run. Once the withdrawal/ switch transaction has been priced up the monthly expense/ annuity income run will continue. Switch and withdrawal requests received during the monthly expense run or monthly annuity income run will be processed once the run has priced up. This will generally add up to 2 business days to the above service levels. STANLIB reserves the right to change the expense and annuity income run dates without prior notification. Please refer to our website for more information regarding the dates. The website is updated on a regular basis and the information is available on the Knowledge Centre (Individuals tab), refer to LISP Schedules. 3.9. Units purchased with the proceeds of a debit order instruction may be repurchased, but the proceeds of such repurchases will not be paid to the Client until the expiry of 45 days from the debit order transaction date. 3.10 Sequential Processing: More than one instruction cannot be processed simultaneously. Once the first instruction has been completed and priced up, the next instruction will be processed. Withdrawals and additional contributions or transfers will take priority in the processing sequence should simultaneous instructions be received. 3.11. Income Distributions: Income distributions are made at regular intervals for all portfolios. Portfolios either declare distributions monthly, quarterly, bi-annually, or annually. The monthly income distribution process takes place between the 1st and the 10th of the month. A follow on distribution transaction is applicable where a 100%switch or withdrawal has been processed by you on your investment. The income distribution for this fund will generate and paid to your investment the following month after this instruction has been proceed. The income distribution transaction might have an impact on new transactions like switches, withdrawals, unit transfers, regular withdrawal and annuity payments if there are unpriced transactions and might delay the transaction with 2 business days. Please refer to the latest fact sheet(s) for more details. 4. Charges – General Terms 4.1. The Client hereby authorises STANLIB to repurchase units in the collective investment schemes' portfolios or such other appropriate investments in the Client's Classic Retirement Annuity/ Classic Preservation Pension Plan or Classic Preservation Provident Plan contract, as is necessary to comply with the withdrawal, regular income and optional death benefit charge or spread charge request. 4.2. The Client agrees to pay the Financial adviser an initial Financial adviser charge and Financial adviser service charge. 4.3. The Client agrees to pay STANLIB the charges specified in this document. Such charges shall be calculated and charged as indicated. STANLIB shall be entitled to increase the charges charged to the Client by giving the Client three months prior notice of such an increase. 4.4. The Client agrees that all initial charges, including the Financial adviser's initial charge, will be deducted from the amount remitted on or on behalf of the Client to STANLIB and that the amount remaining after such deduction will be applied to the selected investment, unless the Client selected to spread STANLIB's initial charge. 4.5. Where the Client has selected the spread charge option, the outstanding charges will be deducted from any full withdrawal instruction processed during the spread charge period. 4.6. STANLIB will deduct charges from call accounts and money market portfolios first. Thereafter charges will be deducted proportionately from other portfolios. 4.7. The platform service charge will be calculated on the last business day prior to the 10th day of each month on the market value of the portfolios selected by the Client. 4.8. All service charges and Financial adviser charges will be calculated and deducted monthly from the Client's investment. These charges will be calculated on the last business day prior to the 10th day of each month, on the market value of the investment on that day. The Client authorises STANLIB to repurchase units in the Collective Investment Scheme's portfolio or make other appropriate investments as is necessary to deduct STANLIB's service charge and Financial adviser charge. 4.9. The parties agree that the clauses in this application form create a binding agreement between them. Where any representations have been made (verbal or otherwise) that contradict the clauses contained herein, the clauses contained in this agreement shall prevail. 5. Charges - Financial Adviser charges 5.1. Financial adviser Initial charge: The Client hereby agrees to pay the Financial adviser an initial Financial adviser charge. This initial Financial adviser charge will be deducted from the gross amount remitted by or on behalf of the Client to STANLIB and will be paid by STANLIB to the Financial adviser on the Client's behalf. 5.2. Financial Adviser Annual Ongoing Service charge for Classic portfolios and Select portfolios: The Client hereby agrees to pay the Financial adviser a service charge. The service charge will be calculated on the last business day prior to the 10th day of each month at the rate agreed by the client on the value of the portfolios selected by the Client. STANLIB will pay the charge to the Financial adviser on behalf of the Client. The Client hereby authorises STANLIB to repurchase units in the collective investment scheme portfolios or such other appropriate investments in the Client's Classic Retirement Annuity Fund/ Classic Preservation Pension Plan or Classic Preservation Provident Plan contract as is necessary to make payment of the service charge to the Financial adviser. STANLIB will recover service charges in order of priority from call accounts and money market portfolios and thereafter proportionately from other portfolios. Should the Client cancel the appointment of the Financial adviser, then STANLIB will after receipt of written notification from the Client of such termination, cease paying the service charge to the Financial adviser. 6. Platform: Initial charges STANLIB will levy an initial charge (excl. VAT) on receipt of the total investment amount. These charges (excl. VAT) are as follows: STALIINV006 | 2014/07 74DR52 Please note this form expires on 2014/12/31. Up to date forms are always available on www.stanlib.com Page 8 of 10 R0 - R100 000 1,75% R100 001 - R200 000 1,25% R200 001 - R250 000 0,75% Thereafter 0,00% The charges on the Client's investment are fully disclosed in the welcome pack (new business document) that STANLIB will send to the Client. The initial charge is based on a sliding scale, i.e. the first R100 000 attracts an initial charge of 1.75%, the next R200 000 attracts an initial charge of 1,25%, etc. STANLIB reserves the right, in its sole discretion, to reduce the Platform initial charge. STANLIB shall advise the Client in writing of any reduction in the Platform initial charge. 7. Platform: Annual Service Charge 7.1. STANLIB Linked Fund range STANLIB will levy an annual platform service charge (excl. VAT) on receipt of the total investments value within the Linked Investment Fund Range according to the hurdle rate below: First R150 000 R750 >R150 000 R1 million R3 million 0,25% 7.2. Platform Service charge for Classic portfolios: STANLIB will levy a platform service charge (excl. VAT) on the total investment value within the Classic portfolios according to the sliding scale below: Platform service charge First R250 000 0.75% Next R750 000 0.50% Thereafter 0.25% 7.3. Platform service charge for Select portfolios: The platform service charge is determined as: 0.50% less any portfolio charge discount received by STANLIB Wealth Management from the relevant Collective Investment Scheme (CIS). This is a discount on the platform service charge paid by the fund manager company to STANLIB Wealth Management. This discount is disclosed and is passed on to the investor by reducing the platform service charge. Should the Manager for any reason whatsoever cease paying the portfolio discount to STANLIB, then STANLIB will not be liable for the portfolio charge discount to the Client. 7.4. All service charges and distribution fees will be calculated and deducted monthly from the Client's investment 7.5. These charges will be calculated on the last business day prior to the 10th day of each month, on the market value of the investment on that day. The Client authorises STANLIB to repurchase units in the Collective Investment Scheme's portfolios or make other appropriate investments in the Client's Classic Retirement Annuity Fund/ Classic Preservation Pension Plan or Classic Preservation Provident Plan contract as is necessary to deduct STANLIB's service charge. STANLIB will deduct charges from call accounts and money market portfolios first. Thereafter charges will be deducted proportionately from other portfolios. 7.6. Value Added Tax (VAT): All charges quoted have been quoted exclusive of Value Added Tax, which will be levied at the applicable rate from time to time. 7.7. The Client understands that where he/she switches to other products/portfolios, different or new cost structures could apply and that it is the Client's responsibility, or where applicable, that of the Client's Financial adviser, to determine the relevant cost structures prior to conducting a switch. 7.8. Please complete the Annexure for Wealth Portfolio or Fundamental Choice which shall be deemed to be incorporated in and form part of the Classic Retirement Annuity Fund/ Classic Preservation Pension Plan or Classic Preservation Provident Plan Application Form and shall form the basis of the contract which is entered into with STANLIB. 8. Client Reporting 8.1. STANLIB will provide the Client with a statement on a quarterly basis, unless the Client consents not to receive the report in writing, because the Financial adviser or Client is able to access the information continuously 8.2. Notwithstanding the above, the Client or Financial adviser may request a written report (or electronic report where STANLIB is able to provide it) concerning the Client's investment from STANLIB from time to time. The Client authorises STANLIB to when necessary, furnish the Financial adviser with a written report concerning the Client's investments. 8.3. STANLIB must obtain and transmit to the Client any information which a Collective Investment Scheme or listed company must disclose in terms of law (such as financial statements) unless the Client specifically requests STANLIB not to provide such information. The Client hereby requests that he/she does not want to receive the relevant information but, notwithstanding the above the Client may request the information from STANLIB from time to time 9. Limited discretion: STANLIB shall act on all instructions provided by the Client or authorised FSP. 10. Electronic Transactions: the Client agrees that STANLIB shall be entitled to implement all instructions and applications of whatever nature received on their Internet site, by telephone, by fax or any other electronic medium and which appear to emanate from the Client. STANLIB are indemnified against any losses, claims or damages arising from acting on such instructions and/or applications, notwithstanding that it may later be proved that any such instruction was not given by the Client. The Client agrees that the electronic records of all instructions and applications processed by/or on behalf of him/her or which purport to be processed on behalf of the Client via STANLIB's Internet site, telefax, telephone or any other electronic medium shall constitute prima facie proof of the contents of such instructions and applications. 11. Contact details: STANLIB Wealth Management Limited Registration number 1996/005412/06 Authorised Administrative FSP in terms of the FAIS Act, 2002 (FSP No. 26/10/590) 17 Melrose Boulevard, Melrose Arch, 2196 | P O Box 202, Melrose Arch, 2076; T + 27 (0)11 448 6000 | F 086 727 7505/+ 27 (0)11 448 6666; E contact@stanlib.com | W www.stanlib.com 12. Query Support and Middle Office: STANLIB Compliance and Complaints, PO Box 202, Melrose Arch, 2076 Telephone: 0860 123 003 13.Complaints: Should the Client wish to lodge a complaint with STANLIB regarding the services being provided, the Client can locate STANLIB’s Complaints procedure on www.stanlib.com/Contactus/ Pages/ FurtherQueries, alternatively the Client can send an email to rateus@stanlib.com DECLARATION I/We hereby agree to provide all documentation and information required in terms of the Financial Intelligence Centre Act, No. 38 of 2001, and understand that STANLIB is prohibited from processing any transaction on my behalf until all such documentation and information has been provided. Any money received by STANLIB that is not accompanied by the required documentation will be held in a call account until said documentation is received. The Client and the Financial Adviser, by signing this form, state and declare that they have each read and understood the terms and conditions pertaining to the investment; including but not limited to Investment objective, Information on Nett Asset Value, Charges, Risk Factors, Income accruals and declare that the STANLIB and Financial Adviser charges as indicated on this STALIINV006 | 2014/07 74DR52 Please note this form expires on 2014/12/31. Up to date forms are always available on www.stanlib.com Page 9 of 10 application form are correct; warrant that all statements given by each of them in this application form are true and correct in every aspect; and that such statements shall form the basis of the contract which is to be entered into with STANLIB as well as the contract between the Client and the Financial Adviser. The Client understands that in terms of the Financial Advisory and Intermediary Services Act, 2002 (“FAIS”), his Financial Adviser must be mandated by a licensed Financial Services Provider (“FSP”) as a representative with the necessary FAIS sub - categories to act on the Client's behalf and that it is also the Client's responsibility to determine whether his Financial Adviser has the necessary authorization. (FSB toll free number: 0800 110443). The Client understands and confirms that STANLIB is entitled to act on his Financial Adviser's instructions, whether in written or electronic format, as if they were the Client's own instructions. The Client hereby indemnifies STANLIB against all losses or damage, which he may sustain, as a result of transactions entered into on the basis of this delegation of authority by the Client to the Financial Adviser. Where the Client has terminated his Financial Adviser's appointment, it is the Client's responsibility to advise STANLIB of such termination immediately. On receipt of such written notification, STANLIB will cease payment of all charges, other than accrued charges, to the Financial Adviser. The Client agrees that STANLIB will pay to such Financial Adviser the agreed charges as set out in this Application Form. If a Financial Adviser is not mandated as required by the Financial Services Board, STANLIB is obliged by law to decline any instructions from such Financial Adviser. STANLIB may and will accept instructions on the strength of the Client’s signature. DATE SIGNATURE OF CLIENT/ AUTHORISED SIGNATORY D D D D M M M M Y Y Y Y Y Y Y Y SIGNED AT DATE SIGNATURE OF FINANCIAL ADVISER/S - SIGNED AT STALIINV006 | 2014/07 74DR52 Please note this form expires on 2014/12/31. Up to date forms are always available on www.stanlib.com Page 10 of 10 -