TRANSFER OF UNIT TRUST FUNDS / SECURITIES Absa Investment Management Services is an authorised financial services provider. All relevant sections must be completed in full. Please indicate all options selected by means of a tick (9). The investor must initial next to any amendments made. In order to process this application form, the following documentation must accompany this application form: Unit Transfer to AIMS A fully completed Transfer of Unit Trust Funds / Securities form Current valuation of the units held at the Management Company client is transferring from A fully completed AIMS Investment application form or Additional Investment application form with all supporting documentation (required in all cases) A fully completed Switch Request form, should the investor wish to amend the Unit Trust selection once the transfer process has been completed. A weighted average cost per fund must be supplied by the transferring company (only applicable to discretionary products) Unit Transfer from AIMS A fully completed Transfer of Unit Trust Funds / Securities form Copy of Identity Document or Passport and Utility Bill or proof of Residential Address (if applicable) Letter from Investor instructing the Manco to transfer. The letter must indicate the contact person and contact details at the Manco (applicable to NewRand and NewGold Transfers) Investment Number Investment Product Please indicate with a tick (9) the applicable transfer option Portfolio Number Portfolio Number Transfer only indicated Portfolio number/s Portfolio Number Portfolio Number Switch only indicated Portfolio number/s OR Transfer all Portfolios in the above specified Investment Product INVESTOR DETAILS Title Surname / Registered Name of Institution / Trust First Name/s Initials Trade Name (if Company / Close Corporation) Identity / Passport / Trust Number OR Registration Number (If Company / Close Corporation) Telephone Number ( ) Contact Person Transfer of Unit Trust Funds / Securities V5 Absa Investment Management Services (AIMS) Authorised Financial Services Provider PO Box 974, Johannesburg, 2000 Absa Insurance and Financial Adviser Clients 0860 000 005 / Independent Financial Adviser Clients 0860 000 022 Transfer of Unit Trust Funds / Securities Absa Investment Management Services (AIMS) Fax No : 0861 339 Authorised 265 / Internet Website : www.absainvestments.co.za V5 Financial Services Provider 1/3 03 / 2011 1/3 03 / 2011 UNIT TRANSFER DETAILS I hereby instruct the Management Company to transfer the units as indicated below. Please indicate with a tick (9) the relevant transfer option Management Company Name Transfer to AIMS from OR Management Company Name Transfer from AIMS to Fund Code Fund Name % Units Account Number . . . . . . . . On Unit Transfer Out Debit Order to be cancelled Yes No Income to be cancelled Yes No Please note 1. No AIMS initial fees will be charged on Transfers. SECURITY TRANSFER DETAILS (applicable to Exchange Traded Funds – ETF’s only) Please indicate with a tick (9) the applicable transfer option Transfer to AIMS OR Transfer from AIMS Transfer of Securities to another Central Securities Depository Participant (CSDP) CSDP Name Security Code Security Name Shares Bank Details Name of Account Holder CSDP Account Number Initials Name of Account Holder (If Company / Close Corporation / Trust) Name of Bank Account Type Account Number Current Savings Branch Code Transmission Please note 1. On Transfers out, AIMS will charge an administration fee of R175 (excl VAT). This fee will be disinvested from the AIMS Distribution Fund. In the event that there is insufficient funds in the AIMS Distribution Fund, then a direct debit will be done from the Investor’s bank account. 2. Please provide proof of Bank details for Direct Debit (e.g. copy of bank statement or cancelled cheque). Transfer of Unit Trust Funds / Securities V5 Absa Investment Management Services (AIMS) Authorised Financial Services Provider 2/3 03 / 2011 SECURITY TRANSFER DETAILS CONTINUED (applicable to NewRand and NewGold products) FOR OFFICE USE ONLY Type of Trade c Trade Date c y y / m m / d d c Settlement Date c y y / m m / d d Name of Beneficial Owner I hereby instruct AIMS and Absa CSDP to transfer the securities as detailed above, as well as debit my account for the administration fee. c Signature of Investor c y y m / m d / d Date DECLARATION AND SIGNATURE Important Note Should any person (“sender”) choose to submit an instruction to Absa Investment Management Services (Pty) Ltd (AIMS) via fax, e-mail, post or hand delivery, then it is done so at the sender’s own risk. A positive fax transmission report or e-mail delivery acceptance message received by the sender will not be proof of the actual receipt of the document by AIMS. AIMS automatically sends an sms/e-mail to the Financial Services Provider recorded against the investment and on receipt of this message it shall be deemed that the instruction has been received by AIMS. Should this not be received, the sender may wish to confirm the receipt of the instruction by AIMS by contacting AIMS Client Services on 0860 000 005 (for Absa Insurance and Financial Adviser Clients) or 0860 000 022 (for Independent Financial Adviser Clients). AIMS shall not in any circumstances be liable for any damages suffered as a result of using a document that was not telephonically confirmed as received and herewith disclaims any such liability. The sender hereby confirms that this disclaimer has been read, and understands and accepts the terms and conditions thereof. I, hereby instruct the Management Company (mentioned above) to transfer units in the funds detailed above. c c y y / / Signed at Date Signature of Investor (or duly authorised person/s where applicable) Signature of Legal Guardian (If applicable) m m d d SIGNATURE OF FINANCIAL SERVICES PROVIDER / REPRESENTATIVE I hereby confirm that the above details are true and correct, and have attached a copy of the approved FSP Discretionary Mandate (if applicable). Name and Surname of Financial Services Adviser / Representative Financial Adviser / Representative Code Signed at Date c c y Transfer of Unit Trust Funds / Securities V5 y / m m / d d Signature of Financial Services Provider / Representative Absa Investment Management Services (AIMS) Authorised Financial Services Provider 3/3 03 / 2011