Schroder Vested Benefits Foundation Investment savings including investments in bonds and collective investment schemes without asset management mandate Last name First name AHV number Investments shall be made in the following investments pursuant to 19a (3) (a) and (b) Freizügigkeitsverordnung "FZV" (Swiss Vested Benefits Ordinance): Name CURR Website Brief description Minimum liquidity CHF Credit balance CHF Selection Allocation % 3% Swiss equities CS ETF (CH) on SMI® CHF www.csetf.com SMI Index Fund (ETF) CS ETF (CH) on SMIM® CHF www.csetf.com SMIM Index Fund (ETF) Mid caps CS ETF (CH) on SLI® CHF www.csetf.com SLI Index Fund (ETF) Schroder ISF Swiss Equity Opportunity Fund CHF www.schroders.ch Active CH equity fund DWS Zürich Invest Aktien Schweiz EUR www.dws.ch Active CH equity fund Pictet (CH) Swiss Equities CHF www.pictetfunds.com Active CH equity fund iSHARES DJ EURO STOXX 50 EUR www.ishares.com Euro Stoxx 50 Index Fund (ETF) Reyl European Equities EUR www.reyl-sa.com Active Europe equity fund Schroder ISF European Special Situations EUR www.schroders.ch Active Europe equity fund SPDR S&P 500 USD www.spdrs.com S&P 100 Index Fund (ETF) BGF US Basic Value USD www.blackrock.com Active US equity fund Julius Bär Quality USA USD www.swissglobal-am.com Active US equity fund Topix Zertifikat (Nomura) JPY www.altrus.com Topix Index Linked Note Fidelity Japan Advantage JPY www.fidelity-international.com Active Japan equity fund Fidelity South East Asia USD www.fidelity-international.com Active SE Asia equity fund USD www.aberdeen-asset.com Active EM equity fund Schroder ImmoPLUS CHF www.schroders.ch CH real estate fund CS1 A Immo PK CHF www.credit-suisse.com Direct invest CH real estate Swisscanto CH Bond Corporate CHF www.swisscanto.ch CHF bond fund CS ETF (CH) SBI GOV 1-3 CHF www.csetf.com CHF domestic bonds, up to 3 years (ETF) CS ETF (CH) SBI GOV 3-7 CHF www.csetf.com CHF domestic bonds, up to 7 years (ETF) CS ETF (CH) SBI GOV 7+ CHF www.csetf.com CHF domestic bonds, 7+ years (ETF) European equities US equities Asian equities Emerging market equities Aberdeen Global Emerging Markets Equitys Swiss real estate Swiss bonds European bonds Schroder ISF EURO Corporate Bond Fund EUR www.schroders.ch European corporate bond fund iBoxx Europe Corporate Bond EUR www.iboxx.com European corporate bonds ETF BlueBay Investment Grade Bond Fund EUR www.bluewbayinvest.com Active bond fund Templeton Global Total Return Fund EUR- www.templeton.lu hed Active bond fund Global bonds 100% Total Version 01.01.2012 Investment savings incl. investments in bonds and collective investment schemes without asset management mandate Page 1 of 2 Vested Benefits Foundation of Schroder & Co Bank AG Central 2, CH-8021 Zurich Tel. +41 (0)44 250 11 11 Fax +41 (0)44 250 13 12 www.schroders.ch Investment restrictions in accordance with Art. 19a (3) (a) and (b) FZV in conjunction with Arts. 49-58 Verordnung über die berufliche Alters-, Hinterlassenen- und Invalidenvorsorge "BVV2" (Occupational Pension Funds Ordinance). a. Direct investments in bonds and other debt instruments: Investments may be made in bonds guaranteed by the federal government or cantons, Swiss mortgage bonds (Pfandbriefe), medium-term notes and time deposits at FINMA-regulated banks; such debt claims must be denominated in Swiss francs. b. Collective investment schemes: Investments may be made in collective investment schemes, which are regulated by FINMA, authorised for sale in Switzerland by FINMA, or have been established by Swiss investment foundations. Collective investment schemes may invest in the following investments: • No more than 30% real estate, with a maximum of 1/3 outside Switzerland; • Swiss or foreign equities, maximum of 50%; tradable equities only; • Swiss or foreign bonds, no limit; • No more than 15% in alternative investments, investments with no obligation to provide additional capital only; • Mortgages and other charges on land, subject to a maximum of 50%, maximum 80% loan-to-value ratio; • Cash and debt claims with entitlement to a fixed sum, no limit; • Individual limits: for bonds 10% per issuer (no limit for government bonds etc.); for equities 5% per company; for real estate 5% per item of real estate. Foreign exchange investments with no currency hedging, subject to a maximum of 30%. Withholding tax reclaims The Member hereby authorises Schroder Vested Benefits Foundation until further notice to reclaim any withholding tax payable on income due in his/her name and on his/her behalf from the Swiss Federal Tax Administration by using the cashless payment process to facilitate the transfer of tax. The Member is aware that he/she may not therefore reclaim withholding tax directly from the Swiss Federal Tax Administration. Risk capacity In order to determine your risk capacity, we need to ask you the following questions: a) Do you have any previous experience of investing in securities? Yes No b) Are you prepared to accept declines in the value of your investments? Yes c) No Do you intend to withdraw your pension capital in the next three years for other reasons (e.g. travel abroad, early retirement etc.)? Yes No d) Do you intend, in the next three years, to use your pension capital to finance the purchase of a home? Yes No By signing this document, you confirm that you have answered our questions accurately and that you have been fully informed as to the investment strategy adopted and the risks associated with our sub-funds or the investment funds selected. You also confirm that you have received a copy of the brochure "Special Risks in Securities Trading" and that you have read and understood the information set out therein. You are aware that any investment in securities may result in losses. Any investments are made solely at your own risk. You have no entitlement to a minimum interest rate or to any guaranteed asset value. Place, date Member Member's spouse Place, date Version 01.01.2012 Client advisor Investment savings incl. investments in bonds and collective investment schemes without asset management mandate Page 2 of 2 Vested Benefits Foundation of Schroder & Co Bank AG Central 2, CH-8021 Zurich Tel. +41 (0)44 250 11 11 Fax +41 (0)44 250 13 12 www.schroders.ch