BT Private
Portfolio
Investment Management
Agreement for Investors
applying directly
Between
WESTPAC RE LIMITED
ABN 80 000 742 478 AFSL 233717
of Level 10, Tower Two, International Towers Sydney,
200 Barangaroo Avenue, Sydney
(Manager)
THE PERSON(S) NAMED IN THE APPLICATION FORM
(Client)
BT Private Portfolio is a specialised investment management service offered
by Westpac RE Limited through BT Managed Accounts and is structured as
an Individually Managed Account (IMA).
Exclusive portfolio management
BT Private Portfolio is available to individuals and organisations with a minimum of $1 million to invest and is
designed to work closely with your banker, financial planner and others in delivering a holistic wealth solution.
Your dedicated Portfolio Manager provides individualised portfolio management that reflects your investment
objectives in establishing and managing a tax-effective, diversified investment portfolio.
Why use BT Private Portfolio?
} } Dedicated
} } Access
Portfolio Manager
to expert investment professionals
} } Beneficial
ownership of Australian shares and listed property
} } Professional
} }A
portfolio management
tailored, diversified portfolio
} } Comprehensive
portfolio administration and online reporting
Dedicated Portfolio Manager
Portfolio Managers are experienced individuals with extensive investment markets knowledge, relevant
professional qualifications, sound relationship management skills and offer a ‘high touch’ approach to
portfolio management.
A dedicated Portfolio Manager is your primary source of contact and is personally responsible and
accountable for the relationship.
Access to expert investment professionals
BT Investment Management (Institutional) Limited (‘BTIM’), has a professional team of equity and property
analysts that provide the research for and create our model portfolios. Portfolios are constructed and
dynamically managed based on established valuation principles that reflect both return objectives and risk
management characteristics at a stock, sector and portfolio level.
Beneficial ownership of Australian shares and listed property
An IMA offers beneficial ownership of the underlying Australian shares and listed property assets in
your portfolio. A key advantage of beneficial ownership is that you are entitled to all income (dividends,
distributions) and any taxation concessions for which you qualify (franking credits).
BT Private Portfolio also offers the ability to seamlessly transfer any existing investments (Australian equities)
into your portfolio. The transfer of stock does not generally result in a change of beneficial ownership and
as a result there are no taxation implications, noting that individual taxation advice is recommended.
Professional portfolio management
As the securities held in your BT Private Portfolio are beneficially owned, your Portfolio Manager will be
influenced by the need to consider the after tax outcomes of any trading activity. This is in contrast to an
investment in a pooled (managed) fund whereby any taxation liabilities are to the fund, and in turn, allocated
to all unitholders equally.
BT Private Portfolio offers three taxation accounting methods from which to choose:
} } Maximise
} } First
capital losses or, if no capital losses are available, minimise capital gains (default);
In, First Out method, meaning the first investments bought are the first sold; or
} } Maximise
capital gains or, if no capital gains are available, minimise capital losses.
1
A tailored, diversified portfolio
You can choose a model portfolio that is suited to your risk appetite and investment needs. Furthermore, you
can select from a variety of unlisted Managed Funds to gain exposure to other asset classes.
A list of these unlisted Managed Funds can be found in Section 5 of the application form. Detailed
information on the unlisted Managed Funds can be found at www.btim.com.au/AllFunds , or
www.bt.com.au/downloads/offerdocs/wfs_investorchoice_PDS.pdf or by contacting our Client Service Team
on 1800 222 790.
Your Portfolio Manager can invest the initial capital over an agreed period of time rather than all at once and
seek to take advantage of opportunities created by market fluctuations as they arise. Additionally, you can
elect to place restrictions on stocks and sectors to suit your preferences (for example, ethical considerations
or substantial holdings).
Comprehensive portfolio administration and online reporting
A comprehensive range of daily, quarterly and annual reports are available online, while additional one-off
reports can be made available by contacting your Portfolio Manager.
2
Model portfolios
Characteristics
Core
Model Type
High yield
Dynamic
Specialised
Australian equities*
Australian
Listed
Property
Trust
Property**
Investment
objective
To provide
strong capital
growth over
the long
term with a
secondary
focus on
tax-effective
income.
To provide
a strong
return over
the long term
comprised of
capital growth
and income.
The primary
focus of the
portfolio is on
providing a taxeffective return
with added
emphasis on
income.
To provide a
high level of
capital growth
over the
long term by
investing in a
concentrated
portfolio of
Australian
shares.
To provide a
strong long
term aftertax return to
tax-exempt
investors who
are able to
use franking
credits.
To provide a
strong return
consisting of
capital growth
and income
over the long
term.
Typical number
of stocks
20–40
20–40
15–30
20–40
8–15
Target yield
Benchmark
dividend yield
Higher than
benchmark
dividend yield
Benchmark
dividend yield
Higher than
benchmark
dividend yield
Benchmark
dividend yield
Recommended investment time-frame: five years or more
* Benchmark S&P/ASX 200 (ex-LPT)
** Benchmark S&P/ASX 200 Property Accumulation Index
3
Is BT Private Portfolio right for you?
The BT Private Portfolio investment services are intended for individuals and organisations with a minimum of
$1 million to invest. Clients may use a BT Margin Loan in order to meet the minimum investment requirement.
As with any investment, BT Private Portfolio is subject to investment risk and various other risks including
the possibility of adverse regulatory changes and operational risks.
Investment Manager Profile —
­ BT Investment Management
Investment management has been part of BTIM’s core business for over 45 years. BTIM combines a strong
institutional platform with an investment-led culture to achieve strong risk-adjusted returns for our investors
via our ‘multi-boutique’ approach.
BTIM is a wholly owned subsidiary of BT Investment Management Limited. BT Investment Management
Limited is one of the largest ASX-listed pure investment managers (ASX:BTT), with a market capitalisation of
around $2.6 billion and funds under management of close to $80 billion as at 30 September 2015.
The BT Investment Management Limited Board consists of a majority of independent directors with the Westpac
Group as the major shareholder. Staff of BTIM and J O Hambro Capital Management (a wholly owned subsidiary
of BT Investment Management Limited) are significant equity holders along with institutional and retail investors.
BTIM follows a ’multi-boutique’ business model, where teams of investment professionals focus exclusively
on asset management, while distribution, compliance, business and general management functions are
delivered centrally.
The model is designed to provide the best of both worlds. Fund managers operate in a boutique environment
where they maintain full autonomy over their investment approaches and share in the economic value
that they create for clients, combined with the strength of a significant institution with a strong operational
platform (brand, distribution, compliance, sales and marketing, back office).
BTIM Core Model Portfolio
Investment objective
The Core Model Portfolio seeks to provide strong capital growth over a long-term investment horizon.
The primary focus of the Core Model Portfolio is to generate tax-effective capital growth, with a secondary
focus on income through the receipt of franked dividends.
Designed for investors who...
} } Seek
capital growth from exposure to Australian equities;
} } Want
an active investment management strategy applied to their Portfolio; and
} } Have
a long-term investment horizon.
Investment Strategy and Approach
The investment strategy of the Core Model Portfolio is to invest in an actively managed portfolio of Australian
shares that are believed to be trading at a discount to their perceived value. The portfolio aims to invest only
in stocks with the highest levels of conviction to generate the greatest absolute returns for shareholders over
the long-term.
The Core Model Portfolio aims to maintain tax efficiency, while monitoring the realised and unrealised tax
position on a regular basis. The portfolio invests in securities from the S&P/ASX 200, and typically consists
of between 20 and 40 stocks with good long-term value.
Benchmark Index
4
S&P/ASX All Australian 200 (ex-LPT) Accumulation Index.
BTIM High Yield Model Portfolio
Investment objective
The High Yield Model Portfolio seeks to provide tax-effective income over a long-term investment horizon.
The primary focus of the High Yield Model Portfolio is to generate tax-effective income, with a secondary
focus on capital growth.
Designed for investors who...
} } Seek
tax-effective income from exposure to Australian equities;
} } Want
an active investment management strategy applied to their Portfolio; and
} } Have
a long-term investment horizon.
Investment Strategy and Approach
The investment strategy of the High Yield Model Portfolio is to invest in an actively managed portfolio of
Australian shares that are believed to be trading at a discount to their perceived value. The portfolio will target
stocks expected to generate a high yield, in order to produce a high level of income.
The High Yield Model Portfolio aims to maintain tax efficiency, while monitoring the realised and unrealised
tax position on a regular basis. The portfolio invests in securities from the S&P/ASX 200, and typically
consists of between 20 and 40 stocks with attractive yield prospects.
Benchmark Index
S&P/ASX All Australian 200 (ex-LPT) Accumulation Index
BTIM Dynamic Model Portfolio
Investment objective
The Dynamic Model Portfolio focuses on absolute returns in a long-term investment horizon. The primary aim
of the Dynamic Model Portfolio is on capital growth through investing in a more highly-concentrated portfolio
of Australian shares.
Designed for investors who...
} } Seek
a higher absolute return, balanced with an appropriate level of risk from exposure to
Australian equities;
} } Want
an active investment management strategy applied to their Portfolio; and
} } Have
a long-term investment horizon.
Investment Strategy and Approach
The investment strategy of the Dynamic Model Portfolio is to invest in an actively managed, more highly
concentrated portfolio of Australian shares that are believed to be trading at a discount to their perceived
value. The portfolio will focus exclusively on shares expected to provide a higher absolute level of return over
the medium to long-term.
Given the risk profile of the typical investor in the Dynamic Model Portfolio, the turnover of shares will be
medium to high, in order to achieve a higher absolute return. The portfolio invests in securities from the
S&P/ASX 200 and typically consists of between 15 and 30 stocks with good long-term value.
Benchmark Index
S&P/ASX All Australian 200 (ex-LPT) Accumulation Index.
5
BTIM Specialised Model Portfolio
Investment objective
The Specialised Model Portfolio seeks to provide a high level of income over a long-term investment horizon.
The primary focus of the Specialised Model Portfolio is to produce a strong income and franking credit yield
primarily for tax exempt investors with a secondary focus on capital growth.
Designed for investors who...
} } Are
tax exempt and seek income and capital growth from Australian Equities;
} } Want
an active investment management strategy applied to their Portfolio; and
} } Have
a long-term investment horizon.
Investment Strategy and Approach
The investment strategy of the Specialised Model Portfolio is to invest in an actively managed portfolio of
Australian shares that are believed to be trading at a discount to their perceived value. In order to generate
a higher level of income, the portfolio aims to invest in high yielding stocks.
Given the nature of the typical investor in the Specialised Model Portfolio, the turnover of stocks will be high.
The portfolio invests in securities from the S&P/ASX 200, and typically consists of between 20 and 40 stocks
with attractive yield prospects.
Benchmark Index
S&P/ASX All Australian 200 (ex-LPT) Accumulation Index.
BTIM Australian Listed Property Model Portfolio
Investment objective
The Australian Listed Property Model Portfolio seeks to provide a high level of income over a long-term
investment horizon. The primary focus of the Australian Listed Property Model Portfolio is to produce a high
level of income and capital growth.
Designed for investors who...
} } Seek
a regular income stream from a diversified portfolio of listed property trusts and property
related securities;
} } Want
an active investment management strategy applied to their Portfolio; and
} } Seek
growth in the long-term.
Investment Strategy and Approach
The investment strategy of the Australian Listed Property Model Portfolio is to seek opportunities from market
inefficiencies by identifying and purchasing property securities and trusts that are underpriced compared
to what BTIM considers their fundamental value. Fundamental value is assessed based on the quality of
management, the strength of business franchise and underlying real estate valuations.
The Australian Listed Property Model Portfolio prioritises tax efficiency, meaning turnover in the portfolio will
be low. The portfolio invests in securities from the S&P/ASX 200 Property Accumulation Index and typically
consists of between 8 and 15 stocks with good long-term value.
Benchmark Index
S&P/ASX ASX 200 Property Accumulation Index.
6
1. APPOINTMENT
1.1Manager
The Client appoints the Manager as its agent to invest and manage the Portfolio in accordance with this
agreement. In doing so, the Manager will have the powers of a natural person, subject to directions in the
Application Form or any instructions of the Client.
1.2Custodian
The Client authorises the Manager to appoint a Custodian on its behalf to provide custodial services for the
Portfolio on terms considered appropriate by the Manager, and to replace the Custodian from time to time.
1.3Administrator
The Manager appoints Westpac Banking Corporation and other Westpac Group entities, and through them
the Administrator, to operate and manage the day to day functions of BT Private Portfolio. The Administrator
operates within the Insurance and Investments division of BT Financial Group, which is the wealth
management arm of the Westpac Group.
2. INVESTMENT RESTRICTIONS AND DEALINGS WITH
RELATED PARTIES
2.1Investment restrictions
The Manager must comply with the investment directions (if any) in the Application Form (as varied in
writing between the Manager and the Client from time to time). If the Portfolio does not comply with any
directions and the Manager rectifies the non-compliance as soon as reasonably practicable after identifying the
non‑compliance, there is taken to have been no breach of the agreement, and the non‑compliance (if remedied,
and has not caused material loss to the Client) will not give rise to any right or remedy in the Client. Investment
restrictions must be submitted on the Client stock/sector restrictions (Appendix E) section of the Application
Form. Further investment restrictions can be placed by requesting a copy of the Client stock/sector restrictions
form on our website at www.bt.com.au or by email on privateclients@btfinancialgroup.com, and returning the
completed form to the Manager.
2.2Dealing with related parties
The Manager may invest in, deal with, hold assets with or engage the services of the Manager’s related
bodies corporate which are engaged in separate business activities which are entitled to charge fees,
brokerage and commissions provided that they are in the ordinary course of business and on arm’s length
terms. The Manager may also invest any part of the Portfolio in a fund or trust of which the Manager or a
related body corporate is a trustee or manager.
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3. INDEMNITY AND EXPENSES
3.1Indemnity
The Client must indemnify the Manager against any losses, liabilities or expenses incurred by the Manager
as a consequence of the Manager acting under this agreement, except to the extent that the loss, liability or
expense is directly caused by the Manager’s negligence, fraud or dishonesty. This obligation continues after
termination of this agreement.
3.2 Expenses
The Client must pay all taxes, duties, costs, charges and expenses properly incurred in connection with the
investment and management of the Portfolio, the custodial services provided in relation to the Portfolio, or
the acquisition, disposal or maintenance of any investment in the Portfolio or in acting under this agreement,
which the Manager may deduct or cause to be deducted from the Portfolio.
4. DEPOSITS AND WITHDRAWALS
4.1Deposits
The Client may advise the Manager of any additional money made available for investment and management
under this agreement. The Manager is entitled to regard any amount so notified as being available in cleared
funds for investment and management on the day on which the Manager has been notified that the amount
is so available, or on the day the Manager receives notice from the Custodian that the amount is so available.
4.2 Withdrawals
The Client may, by notice to the Manager, withdraw funds from the Portfolio. A notice of withdrawal must state the
date on which the funds are required. The Manager will use reasonable endeavours to enable sufficient assets of
the Portfolio to be realised to pay the withdrawal on that date or as soon as practicable after it.
5. FEES
5.1 Management fees
The Manager is entitled to the fees specified in the Schedule or as otherwise agreed for its services under
this agreement. Unless specified otherwise, the fee is calculated daily and is payable at the end of each
calendar quarter. Unless otherwise agreed, fees charged by the Manager (or any related body corporate) in
any unit trust in which the Portfolio is invested must be deducted from the fees payable to the Manager under
this agreement. The Manager may deduct fees from the Portfolio. The fees specified in the Schedule exclude
GST, unless otherwise specified.
5.2GST
If the Manager becomes liable to pay GST on any supply under this agreement, then in addition to the fees
payable under this agreement the Manager is entitled to be paid an additional amount equal to the increase
in the Manager’s costs on account of GST, unless the supply is already specified to be inclusive of GST.
6. REPORTING
The Manager will provide regular reports to the Client at reasonable intervals and in reasonable detail
concerning the Portfolio and transactions in relation to the Portfolio. The Manager will also provide such
additional reporting as is agreed.
8
7. TERM
7.1Termination
This agreement remains in force until terminated by any party on giving not less than 5 Business Days’
written notice of termination.
7.2Effect of termination
Termination of this agreement does not affect any right or claim, or any transaction, entered into or accrued
before termination. The Manager may deal with the Portfolio for up to 30 Business Days from the effective
date of termination in order to vest control of it in the Client (or as the Client otherwise directs) and during that
time the Manager:
(a) may enter into transactions to settle or otherwise extinguish or offset obligations incurred by the Manager in
relation to the Portfolio before that date;
(b) must, with respect to obligations not capable of settlement before transfer of the Portfolio, create provision
for the contingent liability anticipated by the Manager to arise and direct the Custodian
to hold sufficient assets of the Portfolio to satisfy that liability;
(c) may instruct the Custodian to deduct from the Portfolio the Manager’s fees, charges and expenses due as
of the date on which the transfer of the Portfolio is to be effected;
(d) may pay or cause to be paid to the Client (or as the Client otherwise directs) the net realisable value
of any shares listed on an exchange or any interest in a trust or a managed investment scheme promoted
by the Manager or the proportion of any asset which is held jointly and is indivisible;
(e) may deal with the Portfolio in accordance with instructions from a new manager appointed by the Client.
The Manager is not under any obligation to do anything in connection with the investment or management
or safe keeping of the Portfolio after the effective date of termination. The Client must take all necessary
steps to facilitate the transfer of the Portfolio from the Manager. The Manager must cause the Custodian
to deliver the Portfolio to the Client or its nominee after payment of all fees, expenses and other amounts
payable within a reasonable time after termination of this agreement.
9
8. R
EPRESENTATIONS, WARRANTIES AND UNDERTAKINGS
8.1Client warranties
The Client represents and warrants to the Manager that:
(a) the Client has power to enter into and perform this agreement and all necessary authorisations have been
obtained to permit it to do so;
(b) the Client is not aware of any circumstances which would render the execution of the agreement unlawful
or unenforceable;
(c) if the Client enters into this agreement as trustee:
(i) it is the sole trustee of the relevant trust;
(ii) it has the power and authority to sign the agreement and perform its obligations under the
agreement; and
(iii) it has the right to be indemnified out of the trust fund for all obligations it incurs under the agreement;
(d) the Client has formed its own view as to the appropriateness of appointing the Manager under
this agreement;
(e) the Client acknowledges the Manager is not acting in a fiduciary capacity with respect to the Client;
(f) the Client acknowledges that investing under this agreement involves the risk of loss, and that the Manager
does not guarantee the return of the amount invested or any rate of return; and
(g) the Client is a wholesale client for the purposes of the Corporations Act 2001 (Cth) whereby:
(i) the amount invested by the Client under this agreement is at least $500,000, disregarding any amount
loaned by Westpac Banking Corporation or any of its related bodies corporate;
(ii) a certificate has been given by a qualified accountant within the previous 6 months (or any longer period
permitted by relevant legislation) that the Client has net assets of at least $2,500,000,
or has a gross income for each of the last 2 financial years of at least $250,000 a year; or
(iii) the Client is a professional investor, as defined in Section 9 of the Corporations Act 2001 (Cth).
8.2 Manager warranties
The Manager represents and warrants to the Client that it:
(a) has the power to enter into and perform this agreement;
(b) holds all licences necessary to perform its functions under this agreement.
8.3 Client Undertakings
The Client undertakes to the Manager that:
(a) if the Client is a body corporate — the Client is responsible for compliance with its constitution and any law
to which it is subject and the Manager has no obligation to ensure such compliance;
(b) if the Client is a trustee or executor — the Client is responsible for compliance with the trust deed,
any instrument of appointment and any law to which it is subject and the Manager has no obligation to
ensure such compliance.
10
9. EFFECT OF DEATH AND INCAPACITY
9.1Death or incapacity of Client
If the Client is a natural person and the Client dies or becomes incapacitated, the Client’s personal
representative must ratify and confirm all acts of the Manager (excluding such acts that are unauthorised
under the terms of this agreement) between the date of death or incapacitation and receipt by the Manager
of the notice of death or letter of appointment.
9.2 Survivorship
Where the Client consists of more than one person, the investments held in the Portfolio are held jointly and
if one of those persons dies the investments will be deliverable to the survivor(s) only. The Manager will have
no liability to any person for delivering the investments to the survivor(s) or in acting on the instructions of
the survivor.
You should discuss with your tax adviser the consequences of jointly holding securities in your Portfolio.
10. AUTHORISED REPRESENTATIVES AND NOTICES
10.1 Authorised Representatives
The persons (Authorised Representatives) who are authorised to make any written communication or
take action on behalf of the Client are specified the Application Form. The Client may vary their Authorised
Representatives by notice in writing.
10.2 Notices
Any notice given under this agreement must be sent to the address or fax number set out in the Application
Form or to any other address or fax number that any party may specify to the others. A notice will be taken
to have been given:
(a) delivery — when delivered, received or left at that party’s address;
(b) post — two days after posting (if within Australia) or 7 days after posting (if outside Australia);
(c) fax — on production of a transmission report by the machine from which the fax was sent which indicates
that the fax was sent in its entirety to the number of the recipient, but if delivery or receipt occurs on a day
which is not a Business Day or is later than 4pm (Sydney time) it will be taken to have been given at the
start of the next Business Day; or
(d) email — upon receipt of the email but if delivery or receipt occurs on a day which is not a Business Day or
later than 4pm (Sydney time) it will be taken to have been given at the start of the next Business Day.
The Manager may assume any notice or instruction which purports to be from the Client is valid without
further enquiry unless it appears on its face that the communication was not authorised by the Client and the
Manager will have no liability for acting on such a notice or instruction. The Manager may (but is not obliged
to) seek confirmation of any notice or instruction from the Client or each other and will have no liability for
deferring any action until confirmation is received.
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11. ANTI-MONEY LAUNDERING
The Manager is bound by laws about the prevention of money laundering and the financing of terrorism,
including the Anti-Money Laundering and Counter-Terrorism Financing Act 2006 (“AML/CTF Laws”).
Upon entering into this agreement with the Manager, the Client agrees that:
(a) it is not and will not enter into any agreement with the Manager under an assumed name;
(b) any funds used by Client to invest in the BT Private Portfolio have not been derived from or related
to any criminal activities;
(c) any payments received from the Manager will not be used in relation to any criminal activities;
(d) if the Manager asks, Client will provide the Manager with additional information reasonably required
(including information about the source of funds used to invest in the BT Private Portfolio); and
(e) the Manager may obtain information about Client or any beneficial owner of an interest in the BT Private
Portfolio from third parties if the Manager believes this is necessary to comply.
In order to comply with AML/CTF Laws the Manager may be required to take action, including:
(f) delaying or refusing the processing of any transaction; or
(g) disclosing information that it holds about Client to its related bodies corporate or service providers,
or relevant regulators of AML/CTF Laws (whether in or outside of Australia).
12. FURTHER ASSURANCES
The Client agrees to enter into and perform any instrument or agreement necessary to give effect to this
agreement. The Client authorises the Manager on its behalf to enter into any master trading, clearing or other
agreement considered desirable by the Manager and authorises the Manager to act under those agreements
as necessary in the ordinary course of investment management.
13. CONFIDENTIALITY
The Manager will not disclose any information concerning the Client or the Portfolio to any person except:
(a) as required by law, any exchange, Securities System or self-regulatory organisation;
(b) as required under the terms of any investment;
(c) for the purposes of legal proceedings;
(d) the Client’s financial or professional adviser;
(e) the Manager’s professional advisers and agents, employees and service providers; or
(f) to a related body corporate of the Manager.
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14. ASSIGNMENT AND WAIVER
Neither party may assign its rights under this agreement except:
(a) with the consent of the other; and
(b) in the case of the Manager, an assignment to a related body corporate, and the Client consents to the
related body corporate assuming the rights and obligations of the Manager.
No failure to exercise or any delay in exercising any right, power of remedy under this agreement shall operate
as a waiver. No single or partial exercise of any right, power or remedy precludes any other or further exercise
of that right or any other right, power or remedy.
15. GOVERNING LAW
This agreement is governed by the laws of New South Wales and the parties submit to the non-exclusive
jurisdiction of the courts of New South Wales.
16. OUR REPORTING OBLIGATIONS
We are required to identify certain US persons in order to meet account information reporting requirements
under local and international laws.
If you or (where you are an entity) any office bearer* of the entity and/or any individual who holds an interest
in the entity of more than 25% (a Controlling Person) are a US citizen or US tax resident, you must telephone
1300 725 863 at the time of entering into this agreement. When you contact us you will be asked to provide
additional information about your US tax status and/or the US tax status of any Controlling Person which will
constitute certification of US tax status for the purposes of this agreement.
Unless you notify us that you and/or any Controlling Person are a US citizen or US tax resident as specified
above, signing and completing the Application Form and entering into this agreement constitutes certification
that you and/or any Controlling Person are not a US citizen or US tax resident.
If at any time after account opening, information in our possession suggests that you and/or any Controlling
Person may be a US citizen or US tax resident, you may be contacted to provide further information on your
US tax status and/or the US tax status of any Controlling Person. Failure to respond may lead to certain
reporting requirements applying to your portfolio.
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*Director of a company, partner in a partnership, trustee of a trust, chairman, secretary or treasurer of an association
or co-operative.
17. DEFINITIONS
In this agreement:
Administrator means BT Managed Accounts, a portfolio management solution provider operating within the
Insurance and Investments division of BT Financial Group.
Application Form means the BT Private Portfolio service application form attached to this agreement.
Authorised Representative means a person (typically a financial adviser) appointed by the applicant, to
operate their Portfolio on their behalf by providing instructions to the Manager.
BTFG means BT Financial Group, the wealth management arm of the Westpac Group.
BTIM means BT Investment Management (Institutional) Limited ABN 17 126 390 627, AFSL 316455.
Business Day means a day other than a Saturday, Sunday or public holiday on which banks are open for
general banking business in Sydney.
Client means the person(s) named in the Application Form.
Corporations Act means the Corporations Act 2001 (Cth).
Custodian means the entity appointed by a member to hold securities in their Portfolio on their behalf.
GST means any goods and services tax, consumption tax, value-added tax or any similar impost or duty
which is or may be levied or becomes payable in connection with the supply of goods or services.
Managed Funds means a managed investment scheme in accordance with the Corporations Act, managed
by a responsible entity, where investor funds are pooled together.
Manager means Westpac RE Limited ABN 80 000 742 478, AFSL 233717.
Model Portfolio Manager means the investment adviser appointed by the Manager to provide advisory
services in the construction of Model Portfolios.
Portfolio means all assets which the Client allocates to be invested and managed by the Manager under this
agreement and all income, accretions and replacement investments, and all liabilities or obligations incurred
in connection with any of those assets.
Portfolio Specialist means a person appointed by the Administrator who is responsible for the trading on
portfolios based on the asset allocation and equity model portfolios.
Related bodies corporate has the meaning in the Corporations Act.
Securities System means any association, exchange, clearing house or agency which acts as a securities
depository or another system for the central handling of securities.
We, our, us means the Manager of BT Private Portfolio and any internal service providers who are part of
BT Financial Group and/or the Westpac Group, that have been engaged by the Manager.
Westpac Banking Corporation means Westpac Banking Corporation ABN 33 007 457 141, AFSL 233714.
Westpac Group means Westpac Banking Corporation and its related entities.
In this document, all references to time are to Sydney time and all references to ‘dollars’ or ‘$’ are to
Australian dollars.
14
Schedule
1. FEES
Manager
Total
Management Fee (excluding GST)
First $1,000,000
1.26% pa
$1,000,000–$2,000,000
1.09% pa
$2,000,000–$3,000,000
0.96% pa
Thereafter
0.59% pa
Minimum Fee
} } Management
} } Any
$12,600 pa
fees apply on total funds under management, irrespective of where the funds are invested.
funds invested in a BT Financial Group fund with internal management fees have the internal
management fees rebated and disclosed on reports.
} } Fees
} } The
} } All
are calculated on daily portfolio values and charged quarterly in arrears.
minimum initial contribution is $1,000,000 unless otherwise agreed with the Manager.
fees are quoted exclusive of GST.
Custodian Fees
Custodian fees are to be paid by the Manager from its management fees.
Brokerage Fees
Brokerage fees are charged at wholesale/institutional rates, between 0.11% and 0.25% of the value of the
trade, and are generally accounted for as a capital cost (forming part of the cost base of the asset), not
as an expense.
2. CONTACT DETAILS — MANAGER
Address
Level 10
Tower Two
International Towers Sydney
200 Barangaroo Avenue, Sydney NSW 2000
Telephone 1800 222 790
Email
privateclients@btfinancialgroup.com
Fax
(02) 9274 5902
15
Executed as an agreement
SIGNED on behalf of
Manager
WESTPAC RE LIMITED
by its attorney, who by signing below affirms he or she is duly appointed, and is acting in accordance with
(and has no notice of the revocation of) the power of attorney authorising execution in this manner.
Attorney:
Print name:
Date:
Client
INDIVIDUAL(S)
Signature:
Signature of additional Client (if any):
Print name:
Print name:
Witness:
Witness:
Print name:
Print name:
Date:
Date:
COMPANY
Signature of:
} } Director
} } Director
} } Sole
} } Company
Director and Company Secretary
Print name:
Print name:
Date:
Date:
Witness:
Witness:
Print name:
Print name:
Date:
Date:
16
Secretary
17
About us
BT Managed Accounts is a business within the
Equities division of Westpac Banking Corporation.
Over the past 40 years, BT Managed Accounts
has established a leading market position within
the private client sector as a preferred solution
for portfolio management services.
Our long history of servicing individuals,
private companies, charities and self managed
superannuation funds, demonstrates our
commitment to developing and maintaining
relationships with our clients — many of whom
have been with us for over 25 years.
The success of our tailored investment solutions,
combined with our dedication to understand
the needs of our clients, has led to BT Managed
Accounts managing in excess of 2.0 billion of
client funds, as at 30 September 2015.
For more information
1800 222 790
9:00am–5:30pm (AEST),
Monday to Friday.
privateclients@
btfinancialgroup.com
www.bt.com.au
Disclaimer
BT Private Portfolio is an Individually Managed Account
service provided to wholesale clients only by Westpac
RE Limited (ABN 80 000 742 478 AFSL 233717). An
investment made using the BT Private Portfolio service
does not represent either a deposit with or a liability of,
Westpac Banking Corporation or any other company
in the Westpac Group of companies. It is subject to
investment risk, including possible delays in repayment
or loss of income and principal invested. Neither
Westpac Banking Corporation nor its related entities
stand behind or otherwise guarantee the capital value
or investment performance of an investment made using
the BT Private Portfolio service. This information has
been prepared without taking account of your individual
objectives, financial situation or needs. Because of this
you should, before acting on this information, consider
its appropriateness having regard to your objectives,
financial situation and needs. BT Securities Limited
ABN 84 000 720 114 and Westpac Banking Corporation
ABN 33 007 457 141 are together the issuers of the
BT Margin Lending Margin Loan – Product Disclosure
Statement dated 15 November 2010. You can obtain
a copy of the BT Margin Lending Margin Loan product
disclosure statement and other disclosure documents
by phoning 1800 816 222. Please consider these
before you decide whether to acquire or continue
holding the product.
BT40138-1215sx
BT Private Portfolio
Application Form
For Self Directed Clients
Please return your completed Application Form to:
BT Managed Accounts, Tower Two, International Towers Sydney, Mercantile Walk,
200 Barangaroo Avenue, Barangaroo NSW 2000
COMPLETE THIS FORM USING BLACK PEN — PRINT IN CLEAR CAPITAL LETTERS
Westpac RE Limited ABN 80 000 742 478, AFSL 233717 is the Manager of BT Private Portfolio and is referred to as ‘we’, ‘our’ ‘us’
or the ‘Manager’ in this Application Form.
Applications cannot be accepted for individuals under age 18. If the Application Form is incomplete, your application may not be
processed. If you require help completing this form, please call the Client Service Team on 1800 222 790.
You can submit this form by:
mail BT Managed Accounts, Tower Two, International Towers Sydney, Mercantile Walk, 200 Barangaroo Avenue,
Barangaroo NSW 2000
fax
(02) 9274 5902
Or in person at any Westpac Branch
Westpac branch stamp
Please tick [  ] your type of investor:
Individual/Joint/Sole Trader, please complete Section 1, then proceed to Section 5
Company, please complete Section 2, then proceed to Section 5
Trust/Superannuation Fund, please complete Section 3, then proceed to Section 5
Association/Club/Registered Charity, please complete Section 4, then proceed to Section 5
Individual Trustee, please complete Section 1 and Section 3, then proceed to Section 5
Corporate Trustee, please complete Section 2 and Section 3, then proceed to Section 5
Name of Portfolio to be established:
BT12135-1215sx
Page 1 of 48
1. YOUR DETAILS — INDIVIDUAL / JOINT / SOLE TRADER
PART A. APPLICANT 1 DETAILS
Title:
Mr
Mrs
Miss
Ms
Other:
Surname:
Given name(s):
Alternate names (any other name you may be known by):
Date of birth (dd/mm/yy):
/
Occupation:
/
Residential address (PO Box not acceptable):
State:
Postcode:
Country, if not Australia:
Mailing Address (if different to Residential Address):
State:
Postcode:
Country, if not Australia:
Phone: (
)
Fax: (
)
Email:
Employment type – please select one of the below options:
Retired
Dependent Contractor
Casual
Self Employed
Full Time
Social Security Recipient
Independent Contractor
Student
Other (Home Duties/Work Compensation)
Temporary
Part Time
Unemployed
Primary source of funds to be used to deposit into this account:
Salary/Wages
Sale of assets
Commission
Liquidation of assets
Bonus
Redundancy
Business Income/Earnings
Inheritance
Business Profits
Gift/Donation
Rental Income
Windfall
Superannuation/Pension
Tax refund
Loan
Additional source (provide source)
Insurance Payment
Compensation Payment
Government benefits
Page 2 of 48
BT12135-1215sx
What is your primary source of Wealth?
Salary/Wages
Liquidation of assets
Business Income/Earnings
Redundancy
Business Profits
Inheritance
Investment Income/Earnings
Gift/Donation
Rental Income
Own real estate/property
Superannuation/Pension
Windfall
Insurance Payment
Additional source (provide source)
Compensation Payment
Government benefits
Sale of assets
Tax file number (TFN)*:
OR Exemption Number*:
Alternatively, check this box if you are a non-resident of Australia for tax purposes
* W
here you do not supply your TFN or a valid exemption, tax will be withheld from any income earned on the investment and
remitted to the Australian Taxation Office. We reserve the right to reject the application if a TFN or Exemption Number is not
provided. Declining to quote a TFN is not an offence.
PART B. SOLE TRADER
Are you a Sole Trader?
Yes — Please complete Part B
No — Move on to Part C
Full business/trading name (if any):
Australian Business Number (ABN):
If you do not yet have an ABN but will be getting one in the future, please provide it to us once you receive it.
Industry description, please select one of the following:
Accommodation, cafes and restaurants
Health and community services
Agriculture, forestry and fishing
Manufacturing
Communication services
Mining
Construction
Personal and other services
Property and business services
Education
Retail trade
Electricity, gas and water supply
Transport and storage
Finance and insurance
Wholesale trade
Government administration and defence
Cultural and recreational services
Principal place of business address (if any) (PO Box not acceptable):
Same as Residential address
State:
Same as Mailing address
Postcode:
Country, if not Australia:
BT12135-1215sx
Page 3 of 48
Other, please specify below:
PART C. APPLICANT 1 CUSTOMER IDENTIFICATION
Are you an existing Westpac customer?
Yes —Complete ONE of the following forms of identification located below. Note – Only one of the following forms of
identification is required.
a. Westpac BSB and Account Number
BSB number:
Account number:
OR
b. Westpac Customer Number:
OR
c. CIS Key:
No —Each Applicant will need to complete a ‘Certified Copy Certificate’ (Appendix C) located at the end of this application
form, attaching copies of your identification documents. If you are a sole trader please also complete an organisational
‘Certified Copy Certificate’ (Appendix D). This reflects our obligations under the Anti Money Laundering/CounterTerrorism Financing Act 2006, to identify customers before we provide a service. We reserve the right to decline
applications where information sought in this form is not provided to our satisfaction or further information is not provided
when requested. Please contact your Westpac representative if you have any questions.
PART D. JOINT APPLICATION
Is this a Joint Application?
Yes — Please complete the remainder of Section 1
No — Move on to Section 5
May applicants act on their own?
Yes — Each applicant may act on their own
No — Applicants may only act jointly
PART E. APPLICANT 2 DETAILS
Title:
Mr
Mrs
Miss
Ms
Other:
Surname:
Given name(s):
Alternate names (any other name you may be known by):
Date of birth (dd/mm/yy):
/
/
Occupation:
Residential address (PO Box not acceptable):
State:
Postcode:
Country, if not Australia:
Mailing Address (if different to Residential Address):
State:
Postcode:
Country, if not Australia:
Phone: (
)
Fax: (
)
Email:
Page 4 of 48
BT12135-1215sx
Employment type – please select one of the below options:
Retired
Dependent Contractor
Casual
Self Employed
Full Time
Social Security Recipient
Independent Contractor
Student
Other (Home Duties/Work Compensation)
Temporary
Part Time
Unemployed
Primary source of funds to be used to deposit into this account:
Salary/Wages
Sale of assets
Commission
Liquidation of assets
Bonus
Redundancy
Business Income/Earnings
Inheritance
Business Profits
Gift/Donation
Rental Income
Windfall
Superannuation/Pension
Tax refund
Loan
Additional source (provide source)
Insurance Payment
Compensation Payment
Government benefits
What is your primary source of Wealth?
Salary/Wages
Liquidation of assets
Business Income/Earnings
Redundancy
Business Profits
Inheritance
Investment Income/Earnings
Gift/Donation
Rental Income
Own real estate/property
Superannuation/Pension
Windfall
Insurance Payment
Additional source (provide source)
Compensation Payment
Government benefits
Sale of assets
Tax file number (TFN)*:
OR Exemption Number*:
* W
here you do not supply your TFN or a valid exemption, tax will be withheld from any income earned on the investment and
remitted to the Australian Taxation Office. We reserve the right to reject the application if a TFN or Exemption Number is not
provided. Declining to quote a TFN is not an offence.
Alternatively, please tick [  ] here if you are a non-resident of Australia for tax purposes.
Australian Business Number (ABN):
If you do not yet have an ABN but will be getting one in the future, please provide it to us once you receive it.
BT12135-1215sx
Page 5 of 48
PART F. APPLICANT 2 CUSTOMER IDENTIFICATION
Are you an existing Westpac customer?
Yes —Complete ONE of the following forms of identification located below. Note – Only one of the following forms of
identification is required.
a. Westpac BSB and Account Number
BSB number:
Account number:
OR
b. Westpac Customer Number:
OR
c. CIS Key:
No —Each Applicant will need to complete a ‘Certified Copy Certificate’ (Appendix C) located at the end of this application
form, attaching copies of your identification documents. This reflects our obligations under the Anti Money Laundering/
Counter-Terrorism Financing Act 2006, to identify customers before we provide a service. We reserve the right to decline
applications where information sought in this form is not provided to our satisfaction or further information is not provided
when requested. Please contact your Westpac representative if you have any questions.
Page 6 of 48
BT12135-1215sx
2. Y
OUR DETAILS — COMPANY
PART A. COMPANY DETAILS
Company name (as registered by ASIC):
Business name (if any or different to above):
Nature of business:
Primary source of funds to be used to deposit into this account:
Commission
Government grant
Bonus
Sale of assets
Business Income/Earnings
Liquidation of assets
Business Profits
Mergers and Acquisitions
Investment Income/Earnings
Controlled Money Account
Corporate Investment/Earnings
Gift/Donation
Rental Income
Tax refund
Loan
Additional source (provide source)
Ext investment/Capital Injection
Insurance Payment
Compensation Payment
What is the Company’s primary source of Wealth?
Business income/earnings
Liquidation of assets
Business profits
Mergers and Acquisitions
Investment Income/Earnings
Controlled Money Account
Corporate Investment/Earnings
Gift/Donation
Rental Income
Additional source (provide source)
Insurance Payment
Compensation Payment
Own real estate/property
Sale of assets
Australian Company Number (ACN):
Australian Business Number (ABN):
If you do not yet have an ABN but will be getting one in the future, please provide it to us once you receive it.
Tax File Number (TFN)*:
OR Exemption Number*:
* W
here you do not supply your TFN or a valid exemption, tax will be withheld from any income earned on the investment and
remitted to the Australian Taxation Office. We reserve the right to reject the application if a TFN or Exemption Number is not
provided. Declining to quote a TFN is not an offence.
Place of registration (e.g. State or Territory):
Date of registration (dd/mm/yy):
BT12135-1215sx
/
/
Page 7 of 48
Registered office address (PO Box not acceptable):
State:
Postcode:
Country, if not Australia:
Principal place of business address (if different to registered office address):
State:
Postcode:
Country, if not Australia:
Mailing name (e.g. The secretary):
Phone: (
)
Fax: (
)
Email:
PART B. COMPANY REGULATION
Is the company regulated?
(ie licensed and subject to regulatory oversight by a statutory
Commonwealth state or territory regulator)
Yes
No
If YES, what is the name of the regulator?
Licence details (e.g. licence number):
Yes
Is the company an Australian listed company?
No
If YES, what market or exchange is the company listed on?
Is the company a majority owned subsidiary of an Australian
listed company?
Yes — Please continue to complete Part B
No — Move on to Part C
Proprietary— Please complete remainder of Part C,
Part D (if applicable) then move onto Part E
Public
If YES, what is that listed company’s name?
And, what market or exchange is that company listed on?
PART C. COMPANY TYPE
Is the company Public or Proprietary?
— Move on to Part D and then E
Full name of each director:
Page 8 of 48
BT12135-1215sx
PART D. BENEFICIAL OWNER
Please note, you only need to complete Part D if you are a:
1. Unregulated Domestic Proprietary Company
2. Unlisted AND Unregulated Domestic Public Company
Are there any shareholders with 25% or more shareholding of
the company?
Yes — Please provide the name, date of birth and
residential address of each of these individuals
in the space below
No — Move on to Other Beneficial Owners or
Controlling Parties
Shareholder 1
Title:
Mr
Mrs
Miss
Ms
Other:
Surname:
Given name(s):
Alternate name (any other names that the shareholder may be known by):
Date of birth (dd/mm/yy):
/
/
Residential address (PO Box not acceptable):
State:
Postcode:
Country, if not Australia:
Is the shareholder an existing Westpac customer?
Yes —Complete ONE of the following forms of identification located below. Note – Only one of the following forms of
identification is required.
a. Westpac BSB and Account Number
BSB number:
Account number:
OR
b. Westpac Customer Number:
OR
c. CIS Key:
No —Complete a ‘Certified Copy Certificate’ (Appendix C) located at the end of this application form, attaching copies of
Beneficial Owners identification documents. This reflects our obligations under the Anti Money Laundering/CounterTerrorism Financing Act 2006, to identify customers before we provide a service. We reserve the right to decline
applications where information sought on this form is not provided to our satisfaction or further information is not provided
when requested. Please contact your Westpac representative if you have any questions.
BT12135-1215sx
Page 9 of 48
Shareholder 2
Title:
Mr
Mrs
Miss
Ms
Other:
Surname:
Given name(s):
Alternate name (any other names that the shareholder may be known by):
Date of birth (dd/mm/yy):
/
/
Residential address (PO Box not acceptable):
State:
Postcode:
Country, if not Australia:
Is the shareholder an existing Westpac customer?
Yes —Complete ONE of the following forms of identification located below. Note – Only one of the following forms of
identification is required.
a. Westpac BSB and Account Number
BSB number:
Account number:
OR
b. Westpac Customer Number:
OR
c. CIS Key:
No —Complete a ‘Certified Copy Certificate’ (Appendix C) located at the end of this application form, attaching copies of
Beneficial Owners identification documents. This reflects our obligations under the Anti Money Laundering/CounterTerrorism Financing Act 2006, to identify customers before we provide a service. We reserve the right to decline
applications where information sought on this form is not provided to our satisfaction or further information is not provided
when requested. Please contact your Westpac representative if you have any questions.
Page 10 of 48
BT12135-1215sx
Shareholder 3
Title:
Mr
Mrs
Miss
Ms
Other:
Surname:
Given name(s):
Alternate name (any other names that the shareholder may be known by):
Date of birth (dd/mm/yy):
/
/
Residential address (PO Box not acceptable):
State
Postcode:
Country, if not Australia:
Is the shareholder an existing Westpac customer?
Yes —Complete ONE of the following forms of identification located below. Note – Only one of the following forms of
identification is required.
a. Westpac BSB and Account Number
BSB number:
Account number:
OR
b. Westpac Customer Number:
OR
c. CIS Key:
No —Complete a ‘Certified Copy Certificate’ (Appendix C) located at the end of this application form, attaching copies of
Beneficial Owners identification documents. This reflects our obligations under the Anti Money Laundering/CounterTerrorism Financing Act 2006, to identify customers before we provide a service. We reserve the right to decline
applications where information sought on this form is not provided to our satisfaction or further information is not provided
when requested. Please contact your Westpac representative if you have any questions.
BT12135-1215sx
Page 11 of 48
Shareholder 4
Title:
Mr
Mrs
Miss
Ms
Other:
Surname:
Given name(s):
Alternate name (any other names that the shareholder may be known by):
Date of birth (dd/mm/yy):
/
/
Residential address (PO Box not acceptable):
State:
Postcode:
Country, if not Australia:
Is the shareholder an existing Westpac customer?
Yes —Complete ONE of the following forms of identification located below. Note – Only one of the following forms of
identification is required.
a. Westpac BSB and Account Number
BSB number:
Account number:
OR
b. Westpac Customer Number:
OR
c. CIS Key:
No —Complete a ‘Certified Copy Certificate’ (Appendix C) located at the end of this application form, attaching copies of
Beneficial Owners identification documents. This reflects our obligations under the Anti Money Laundering/CounterTerrorism Financing Act 2006, to identify customers before we provide a service. We reserve the right to decline
applications where information sought on this form is not provided to our satisfaction or further information is not provided
when requested. Please contact your Westpac representative if you have any questions.
OTHER BENEFICIAL OWNERS OR CONTROLLING PARTIES
Are there any Individuals who have not already been captured as
shareholders who directly or indirectly control* the company?
* Includes exercising control through the capacity to
determine decisions about financial or operating policies,
or by means of trusts, agreements, arrangements,
understandings and practices.
Page 12 of 48
Yes —Provide details of all Individuals below
No —If there are no individuals who meet the
requirements above and no shareholders have
been captured, please provide the details of
all individuals who are entitled to exercise 25%
or more voting rights of the company including
veto powers; or who holds a position of a Senior
Managing Official (this includes but is not limited to
Director, CFO or CEO)
BT12135-1215sx
Beneficial Owner(s): Photocopy this page if there is more than one individual identified in this section and provide details.
Title:
Mr
Mrs
Miss
Ms
Other:
Surname:
Given name(s):
Alternate name (any other names that the person may be known by):
Date of birth (dd/mm/yy):
/
/
Role:
Residential address (PO Box not acceptable):
State:
Postcode:
Country, if not Australia:
Is the Beneficial Owner an existing Westpac customer?
Yes —Complete ONE of the following forms of identification located below. Note – Only one of the following forms of
identification is required.
a. Westpac BSB and Account Number
BSB number:
Account number:
OR
b. Westpac Customer Number:
OR
c. CIS Key:
No —Complete a ‘Certified Copy Certificate’ (Appendix C) located at the end of this application form, attaching copies of
Beneficial Owners identification documents. This reflects our obligations under the Anti Money Laundering/CounterTerrorism Financing Act 2006, to identify customers before we provide a service. We reserve the right to decline
applications where information sought on this form is not provided to our satisfaction or further information is not provided
when requested. Please contact your Westpac representative if you have any questions.
BT12135-1215sx
Page 13 of 48
PART E. CUSTOMER IDENTIFICATION
Is the Company an existing Westpac customer?
Yes —Complete ONE of the following forms of identification located below. Note – Only one of the following forms of
identification is required.
a. Westpac BSB and Account Number
BSB number:
Account number:
OR
b. Westpac Customer Number:
OR
c. CIS Key:
No —Complete an organisation ‘Certified Copy Certificate’ (Appendix D) located at the end of this application form, attaching
copies of your identification documents. This reflects our obligations under the Anti Money Laundering/Counter-Terrorism
Financing Act 2006, to identify customers before we provide a service. We reserve the right to decline applications where
information sought in this form is not provided to our satisfaction or further information is not provided when requested.
Please contact your Westpac representative if you have any questions.
3. Y
OUR DETAILS — TRUST / SUPERANNUATION FUND
PART A. TRUST/FUND DETAILS
Full trust/fund name (e.g. ABC Pty Ltd as trustee for the ABC Unit Trust):
Full business name (if any) of the trustee / custodian / nominee / responsible entity in respect of the trust / fund:
Nature of business:
Full name of Settlor of Trust* (not applicable for Testamentary Trust):
* Settlor of the Trust could be an individual or an organisation (e.g. Law Firm or Accountancy) that has created the Trust by settling
a sum of money or item of property on a Trust for the benefit of the Beneficiaries.
Primary source of funds to be used to deposit into this account:
Commission
Government grant
Bonus
Sale of assets
Business Income/Earnings
Liquidation of assets
Business Profits
Mergers and Acquisitions
Investment Income/Earnings
Controlled Money Account
Corporate Investment/Earnings
Gift/Donation
Rental Income
Tax refund
Loan
Additional source (provide source)
Ext investment/Capital Injection
Insurance Payment
Compensation Payment
Page 14 of 48
BT12135-1215sx
What is the Trust’s primary source of Wealth?
Business income/earnings
Liquidation of assets
Business profits
Mergers and Acquisitions
Investment Income/earnings
Controlled Money Account
Corporate Investment/Earnings
Gift/Donation
Rental Income
Additional source (provide source)
Insurance Payment
Compensation Payment
Own real estate/property
Sale of assets
Health and community services
Industry description, please select one of the following:
Accommodation, cafes and restaurants
Agriculture, forestry and fishing
Manufacturing
Communication services
Mining
Construction
Personal and other services
Property and business services
Education
Retail trade
Electricity, gas and water supply
Transport and storage
Finance and insurance
Wholesale trade
Government administration and defence
Cultural and recreational services
Trust/fund Australian Business Number (ABN):
If the trust/fund does not have an ABN but will be getting one in the future, please provide it to us once you receive it.
Tax File Number (TFN)*:
OR Exemption Number*:
* W
here you do not supply your TFN or a valid exemption, tax will be withheld from any income earned on the investment and
remitted to the Australian Taxation Office. We reserve the right to reject the application if a TFN or Exemption Number is not
provided. Declining to quote a TFN is not an offence.
Country of establishment:
State or Territory of establishment:
Registered address of the trust/fund (if any) (PO Box not acceptable):
State:
Postcode:
Country, if not Australia:
Principal place of business (if different to registered address):
State:
Postcode:
Country, if not Australia:
Mailing name (e.g. The secretary):
Phone: (
BT12135-1215sx
)
Fax: (
Page 15 of 48
)
Email:
Is the trust a standard trust?
Yes — Please complete Part B, then Part D
No — Please complete Part C, then Part D
A Standard Trust occurs whereby a fund or property is held or administered (by a trustee) for the benefit of others (beneficiaries),
and includes testamentary trusts, unit trusts and discretionary trusts (including family trusts).
A Standard Trust does not include registered managed investment schemes or government superannuation funds.
PART B. STANDARD TRUST
What is the trust type?
Testamentary
Other, please specify:
Unit
Discretionary (including Family Trust)
Do the terms of the trust identify beneficiaries by reference to
membership of a class?
Yes
No
If YES, please provide details of the class
(e.g. unit holders, family members, charitable purpose):
If NO, please provide the full name of each beneficiary:
PART C. TRUST OTHER THAN STANDARD TRUST / SUPERANNUATION FUND
Yes
Are you applying on behalf of a superannuation fund?
No
If YES, what phase is the fund in?
Is the trust/fund regulated?
(ie registered and subject to regulatory oversight of a
Commonwealth statutory regulator in relation to its activities as
a trust/fund)
Accumulation phase
Pension phase
Yes
No
If YES, what is the name of the regulator?
And, what are the Licence details/Registration number
(e.g. licence number)?
Is the trust/fund a government superannuation fund?
(Ie a superannuation fund for government employees
established by legislation)
Yes
If YES, what is the name of the legislation establishing
the fund?
Superannuation Industry (Supervision) Act 1993
Other, please specify:
No
Page 16 of 48
BT12135-1215sx
Yes
Are you applying on behalf of a registered managed
investment scheme?
No
If YES, what is the Australian Registered Scheme Number
(ARSN)?
PART D. INDIVIDUAL / CORPORATE TRUSTEE
Individual — P
lease complete Part E and F and ensure
you have completed Section 1 (Your
Details — Individual/Joint/Sole Trader)
Corporate — P
lease complete Part E and F and ensure
you have completed Section 2 (Your
Details — Company)
Are you an Individual or Corporate trustee?
PART E. BENEFICIAL OWNERS (ONLY APPLICABLE TO STANDARD TRUSTS)
Are there any Individuals who have not already been captured as
Trustees who are acting in the capacity of a beneficial owner?
A Beneficial owner is any individual who has ownership (directly or
indirectly) or has control (directly or indirectly) of the Trust. Control
includes the capacity to influence the way in which the trust
conducts its affairs, including by having the ability to determine
decisions about the trust’s financial and operating policies.
Yes — Complete section below for all Beneficial Owners.
No — Move onto
PART F. CUSTOMER IDENTIFICATION
This includes but is not limited to Beneficiaries (who hold 25%
or more beneficial interest in the trust property) and appointer
who has the power to appoint or remove trustees of the trust.
BT12135-1215sx
Page 17 of 48
Beneficial Owner(s): Photocopy this page if there is more than one individual identified in this section and provide details.
Title:
Mr
Mrs
Miss
Ms
Other:
Surname:
Given name(s):
Alternate name (any other names that the person may be known by):
Date of birth (dd/mm/yy):
/
/
Role:
Residential address (PO Box not acceptable):
State:
Postcode:
Country, if not Australia:
Is the Beneficial Owner an existing Westpac customer?
Yes —Complete ONE of the following forms of identification located below. Note – Only one of the following forms of
identification is required.
a. Westpac BSB and Account Number
BSB number:
Account number:
OR
b. Westpac Customer Number:
OR
c. CIS Key:
No —Complete a ‘Certified Copy Certificate’ (Appendix C) located at the end of this application form, attaching copies of
Beneficial Owners identification documents. This reflects our obligations under the Anti Money Laundering/CounterTerrorism Financing Act 2006, to identify customers before we provide a service. We reserve the right to decline
applications where information sought on this form is not provided to our satisfaction or further information is not provided
when requested. Please contact your Westpac representative if you have any questions.
Page 18 of 48
BT12135-1215sx
PART F. CUSTOMER IDENTIFICATION
Is the trust/fund an existing Westpac customer?
Yes —Complete ONE of the following forms of identification located below. Note – Only one of the following forms of
identification is required.
a. Westpac BSB and Account Number
BSB number:
Account number:
OR
b. Westpac Customer Number:
OR
c. CIS Key:
No —Complete an organisation ‘Certified Copy Certificate’ (Appendix D) located at the end of this application form, attaching
copies of your identification documents. This reflects our obligations under the Anti Money Laundering/Counter-Terrorism
Financing Act 2006, to identify customers before we provide a service. We reserve the right to decline applications where
information sought in this form is not provided to our satisfaction or further information is not provided when requested.
Please contact your Westpac representative if you have any questions.
4. YOUR DETAILS — ASSOCIATION / CLUB / REGISTERED CHARITY
PART A. ASSOCIATION / ORGANISATION DETAILS
Full association/organisation name:
Full registered business name (if any or different to above):
Nature of business:
Primary source of funds to be used to deposit into this account (from the list below):
Commission
Government grant
Bonus
Sale of assets
Business Income/Earnings
Liquidation of assets
Business Profits
Mergers and Acquisitions
Investment Income/Earnings
Controlled Money Account
Corporate Investment/Earnings
Gift/Donation
Rental Income
Tax refund
Loan
Additional source (provide source)
Ext investment/Capital Injection
Insurance Payment
Compensation Payment
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Page 19 of 48
What is the primary source of Wealth?
Business income/earnings
Liquidation of assets
Business profits
Mergers and Acquisitions
Investment Income/earnings
Controlled Money Account
Corporate Investment/Earnings
Gift/Donation
Rental Income
Additional source (provide source)
Insurance Payment
Compensation Payment
Own real estate/property
Sale of assets
Health and community services
Industry description, please select one of the following:
Accommodation, cafes and restaurants
Agriculture, forestry and fishing
Manufacturing
Communication services
Mining
Construction
Personal and other services
Property and business services
Education
Retail trade
Electricity, gas and water supply
Transport and storage
Finance and insurance
Wholesale trade
Government administration and defence
Cultural and recreational services
Place of registration (state/territory):
Date of registration (dd/mm/yy):
Is organisation run for Profit or Non-profit?
Profit
Non-Profit
Is the organisation a registered charity?
Yes
No
/
/
Details of Chairman/President
Title:
Mr
Mrs
Miss
Ms
Other:
Full name of Chairman/President or equivalent officer:
Alternate name (any other names that the person may be known by):
Date of birth (dd/mm/yy):
/
/
Residential address (PO Box not acceptable):
State:
Postcode:
Country, if not Australia:
Page 20 of 48
BT12135-1215sx
MEMBER IDENTIFICATION
Is the member an existing Westpac customer?
Yes —Complete ONE of the following forms of identification located below. Note – Only one of the following forms of
identification is required.
a. Westpac BSB and Account Number
BSB number:
Account number:
OR
b. Westpac Customer Number:
OR
c. CIS Key:
No —the member will need to complete a ‘Certified Copy Certificate’ (Appendix C) located at the end of this application
form, attaching copies of their identification documents. This reflects our obligations under the Anti Money Laundering/
Counter-Terrorism Financing Act 2006, to identify customers before we provide a service. We reserve the right to decline
applications where information sought in this form is not provided to our satisfaction or further information is not provided
when requested. Please contact your Westpac representative if you have any questions.
Full name of Secretary or equivalent officer:
Full name of Treasurer or equivalent officer:
Australian Business Number (ABN):
If the association/organisation does not yet have an ABN but will be getting one in the future, please provide it to us once you receive it.
Tax File Number (TFN)*:
OR Exemption Number*:
* W
here you do not supply your TFN or a valid exemption, tax will be withheld from any income earned on the investment and
remitted to the Australian Taxation Office. We reserve the right to reject the application if a TFN or Exemption Number is not
provided. Declining to quote a TFN is not an offence.
Registered office address (PO Box not acceptable):
State:
Postcode:
Country, if not Australia:
Full address of the association’s principal place of administration (if different to registered address):
State:
Postcode:
Country, if not Australia:
Mailing name (e.g. The secretary):
Phone: (
)
Fax: (
)
Email:
The Association/Organisation is:
Unincorporated— Please complete Part D
Incorporated
— Please complete Part C, then Part D
An incorporated association is a group of persons who have agreed to join together in pursuit of one or more common objective,
which is incorporated in accordance with Australian State or Territory legislation or an overseas body.
An unincorporated association is a group of persons who have agreed to join together in pursuit of one or more common objective,
which is not incorporated.
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Page 21 of 48
PART B. BENEFICIAL OWNER: This is to be completed by both Incorporated and Unincorporated Associations.
Provide the names of the individual members that directly or indirectly control* the Association, such as the Chairman, President,
Treasurer or Secretary of the association (excluding any Chairman which have been captured in the section above).
* Includes exercising control through the capacity to determine decisions about financial or operating policies; or by means of
trusts, agreements, arrangements, understanding and practices, arrangements, understandings and practices.
Beneficial Owner 1
Title:
Mr
Mrs
Miss
Ms
Other:
Surname:
Given name(s):
Alternate name (any other names that the person may be known by):
/
Date of birth (dd/mm/yy):
Role:
/
Residential address (PO Box not acceptable):
State:
Postcode:
Country, if not Australia:
Is the Beneficial Owner an existing Westpac customer?
Yes —Complete ONE of the following forms of identification located below. Note – Only one of the following forms of
identification is required.
a. Westpac BSB and Account Number
BSB number:
Account number:
OR
b. Westpac Customer Number:
OR
c. CIS Key:
No —Complete a ‘Certified Copy Certificate’ (Appendix C) located at the end of this application form, attaching copies of
Beneficial Owners identification documents. This reflects our obligations under the Anti Money Laundering/CounterTerrorism Financing Act 2006, to identify customers before we provide a service. We reserve the right to decline
applications where information sought on this form is not provided to our satisfaction or further information is not provided
when requested. Please contact your Westpac representative if you have any questions.
Beneficial Owner 2
Title:
Mr
Mrs
Miss
Ms
Other:
Surname:
Given name(s):
Alternate name (any other names that the person may be known by):
Date of birth (dd/mm/yy):
/
/
Role:
Residential address (PO Box not acceptable):
State:
Postcode:
Country, if not Australia:
Page 22 of 48
BT12135-1215sx
Is the Beneficial Owner an existing Westpac customer?
Yes —Complete ONE of the following forms of identification located below. Note – Only one of the following forms of
identification is required.
a. Westpac BSB and Account Number
BSB number:
Account number:
OR
b. Westpac Customer Number:
OR
c. CIS Key:
No —Complete a ‘Certified Copy Certificate’ (Appendix C) located at the end of this application form, attaching copies of
Beneficial Owners identification documents. This reflects our obligations under the Anti Money Laundering/CounterTerrorism Financing Act 2006, to identify customers before we provide a service. We reserve the right to decline
applications where information sought on this form is not provided to our satisfaction or further information is not provided
when requested. Please contact your Westpac representative if you have any questions.
PART C. INCORPORATED ASSOCIATION
Identification number issued upon incorporation:
State, territory or foreign country of incorporation:
Date of Incorporation (dd/mm/yy):
/
/
PART D. CUSTOMER IDENTIFICATION
Is the Association/Organisation an existing Westpac customer?
Yes —Complete ONE of the following forms of identification located below. Note – Only one of the following forms of
identification is required.
a. Westpac BSB and Account Number
BSB number:
Account number:
OR
b. Westpac Customer Number:
OR
c. CIS Key:
No —Complete an organisation ‘Certified Copy Certificate’ (Appendix D) located at the end of this application form, attaching
copies of Beneficial Owners identification documents. This reflects our obligations under the Anti Money Laundering/
Counter-Terrorism Financing Act 2006, to identify customers before we provide a service. We reserve the right to decline
applications where information sought on this form is not provided to our satisfaction or further information is not provided
when requested. Please contact your Westpac representative if you have any questions.
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Page 23 of 48
5. YOUR INVESTMENT
Please indicate the desired allocation of your portfolio. Please note that it may not be possible to achieve the exact allocation that you
request. You acknowledge that Westpac RE Limited may adjust the allocations by up to 10% at its sole discretion.
Asset class
Name
% Allocation
Australian Shares
Please select only one strategy from the
direct equity models
BTIM Core Model
%
BTIM High Yield Model
%
BTIM Dynamic Model
%
BTIM Specialised Model
%
BT Wholesale Focus Australian Share Fund
%
BT Wholesale Smaller Companies Fund
%
BT Wholesale MicroCap Opportunities Fund
%
BT Wholesale MidCap Fund
%
Total Australian Shares Allocation
International Shares
%
BT Wholesale Core Global Share Fund
%
BT Wholesale Core Hedged Global Share Fund
%
BT Diversified Global Equity Fund
%
BT Dynamic Global Equity Fund
%
BT Wholesale Global Emerging Markets Opportunities Fund
%
BT Wholesale American Share Fund
%
BT Wholesale Asian Share Fund
%
BT Wholesale Japanese Share Fund
%
BT Wholesale European Share Fund
%
Total International Shares Allocation
Property
%
BTIM LPT Model
%
BT Wholesale Global Property Securities Fund
%
Total Property Allocation
Diversified Fixed Interest
%
BT Wholesale Fixed Interest Fund
%
BT Wholesale Enhanced Credit Fund
%
BT Wholesale Monthly Income Plus Fund
%
BT Pure Alpha Fixed Income Fund
%
BT Wholesale Global Fixed Interest Fund
%
BT Institutional Enhanced Global Fixed Interest Fund
%
BT Government Bond Fund
%
Total Diversified Fixed Interest
Alternative Assets
%
BT Total Return Fund
Total Alternative Assets
Cash
%
BT Wholesale Managed Cash Fund
%
BT Wholesale Enhanced Cash Fund
%
BT Institutional Stable Cash Plus Fund
%
Total Cash Assets
Other
%
%
BT Defensive Equity Income Fund
%
BT Balanced Equity Income Fund
%
Total Other Assets
%
TOTAL ASSET ALLOCATION
100%
Page 24 of 48
BT12135-1215sx
INITIAL / ADDITIONAL CONTRIBUTIONS
What is your initial cash deposit? (Min $500k, no gearing)
$
If you are transferring in stock, please complete Appendix A.
Approximate value of stock transfer if applicable?
$
Please note: The total amount to be invested (including the initial cash deposit and any stock transfers) is subject to a minimum of
$1 million.
BED DOWN PERIOD
Do you require the portfolio to be fully invested immediately (ie. within 30 days)?
Yes
No
If No, how long do you want the bed down period to be?
OR
at Portfolio Managers discretion:
months
FINANCIAL YEAR END
/
Financial year end date if not June 30 (dd/mm/yy):
/
WITHDRAWALS
Would you like regular withdrawals from your portfolio?
Yes
No
Please indicate whether:
you would like all income to be withdrawn; or
you would like a regular fixed capital remittance.
Date of first withdrawal (dd/mm/yy):
Frequency:
Monthly
Quarterly
/
Amount: $
/
Biannually
Annually
Please note, all withdrawals will be paid into the bank account nominated in Section 6. If you are transferring in stock, please
complete Appendix A. If you have any stock or sector restrictions, please complete Appendix E.
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Page 25 of 48
6. YOUR DIRECT CREDIT ARRANGEMENTS
Please nominate the bank account to be used for withdrawals from your portfolio.
BSB number:
Account number:
Account name1:
Name of financial Institution:
Branch:
I/We request and authorise Westpac RE Limited, to arrange for any amounts which become payable in respect of this investment
to be credited through the Bulk Electronic Funds Transfer system. I/We understand and acknowledge that my/our financial
institution has absolute discretion to decide the order in which it will pay monies under this request, or any other request, authority
or mandate, and including the discretion to refuse to honour this request at any time.
Applicant 1’s/ Director’s/Chairman’s/President’s/
Equivalent Officer’s signature:
Date (dd/mm/yy):
/
/
Date (dd/mm/yy):
/
/
Signatory’s full name (please print):
Applicant 2’s/ Director’s/ Company Secretary’s/
Treasurer’s/Equivalent Officer’s signature:
Signatory’s full name (please print):
1
The account name must match the name of the applicant/holder of the Portfolio.
Page 26 of 48
BT12135-1215sx
7. YOUR WHOLESALE CLIENT STATUS
Is the value of your investment at least AU$500,000?
Please complete Part A
OR
Is the applicant a Professional Investor?
Please complete Part B OR
Does the Applicant have the necessary net worth?
Please complete Part C
PART A. THE VALUE OF YOUR INVESTMENT AT LEAST AU$500,000
Applicant’s certificate as to value
I certify that the Total Assets to be Invested shown in Section 5 of this Application Form are equal to or greater than AU$500,000; and
1.none of the money to be invested is superannuation-sourced money for the purposes of Regulation 7.1.26 of the Corporations
Regulations 2001 (Cth), or is sourced from money lent by the Manager (or any associate of the Manager); or
2.if some portion of the Total Assets to be Invested is superannuation-sourced money and/or sourced from money lent by the
Manager (or any associate of the Manager), the balance is equal to or greater than AU$500,000.
I certify that the above calculations are accurate in all respects.
Applicant 1’s/ Director’s/Chairman’s/President’s/
Equivalent Officer’s signature:
Date (dd/mm/yy):
/
/
Date (dd/mm/yy):
/
/
Signatory’s full name (please print):
Applicant 2’s/ Director’s/ Company Secretary’s/
Treasurer’s/Equivalent Officer’s signature:
Signatory’s full name (please print):
PART B. THE APPLICANT IS A PROFESSIONAL INVESTOR
Applicant’s certificate as to Professional Investor status
I certify that the Applicant is a “professional investor” under Section 9 of the Corporations Act 2001 (Cth), including by virtue of its status as:
a financial services licensee;
a body regulated by APRA (other than a trustee of a superannuation fund, an approved deposit fund, a pooled
superannuation trust or a public sector superannuation scheme);
a trustee of a superannuation fund, an approved deposit fund, a pooled superannuation trust or a public superannuation
scheme within the meaning of the Superannuation Industry (Supervision) Act 1993 and the fund, trust or scheme has net
assets of at least AU$10 million;
a listed entity, or a related body corporate of a listed entity;
an exempt public authority: or
other (please specify) Applicant 1’s/ Director’s/Chairman’s/President’s/
Equivalent Officer’s signature:
Date (dd/mm/yy):
/
/
Date (dd/mm/yy):
/
/
Signatory’s full name (please print):
Applicant 2’s/ Director’s/ Company Secretary’s/
Treasurer’s/Equivalent Officer’s signature:
Signatory’s full name (please print):
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Page 27 of 48
PART C. THE APPLICANT HAS THE NECESSARY NET WORTH
Investment not for business purpose
I certify that the investment is not to be provided for use in connection with a business.
Applicant 1’s/ Director’s/Chairman’s/President’s/
Equivalent Officer’s signature:
Date (dd/mm/yy):
/
/
Date (dd/mm/yy):
/
/
Signatory’s full name (please print):
Applicant 2’s/ Director’s/ Company Secretary’s/
Treasurer’s/Equivalent Officer’s signature:
Signatory’s full name (please print):
Qualified accountant’s certificate
I certify that I am a ‘qualified accountant’ within the definition of Section 9 of the Corporations Act 2001 (Cth) and:
1.where the Applicant is an individual or a company, the Applicant is my client and has net assets of at least AU$2.5 million, or
has had a gross income for each of the last two financial years of at least AU$250,000 a year;
2.where two individuals are joint Applicants, they are each my clients, and they each have net assets of at least AU$2.5 million, or
have each had a gross income for each of the last two financial years of at least AU$250,000 a year; or
3.where the Applicant is applying in their capacity as trustee of a trust, that trust has net assets of at least AU$2.5 million, or has
had a gross income for each of the last two financial years of at least AU$250,000 a year.
Accountant’s signature:
Date (dd/mm/yy):
/
/
Accountant’s name:
Professional body and membership number:
Page 28 of 48
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8. YOUR COST BASE
WE RECOMMEND YOU CONSULT YOUR TAX ADVISOR OR ACCOUNTANT BEFORE COMPLETING THIS SECTION.
Please note that by submitting this Application Form, you agree that if any of the information in this Section 8 changes, you
will notify us as soon as possible, and you agree to pay us on demand for all material losses we may suffer as a result of this
representation being or becoming untrue, incorrect or incomplete.
AUSTRALIAN RESIDENTS
Entitlement to input tax credits
In order to calculate the capital gains tax cost base of assets purchased on your behalf in the context of Australian Goods and
Services Tax, it is necessary for us to know the extent to which you are able to claim input tax credits for various service fees.
Please enter the relevant tax percentage of input tax credits you will be eligible for — with 0% meaning you have no entitlement to
claim input tax credits and 100% meaning you have full entitlement to claim input tax credits and 75% meaning some entitlement.
Management Fee
%
Ongoing Advice Fee
%
Contribution Fee
%
Brokerage and/or Futures Commission
%
Other (please specify):
%
Please note, if you make no selection, 0% will be applied by default.
NON-RESIDENTS
Entitlement to input tax credits
The Goods and Services Tax rate which currently applies is 10%, and persons making taxable supplies will be required to remit
GST to the Australian Taxation Office. The supply of investment management services to Australian residents will usually be taxable
— this may not be the case for our overseas clients.
To qualify for GST free services, you must:
1. not be an Australian resident for the purposes of the Income Tax Assessment Act 1936 (Cth);
2. not be in Australia at the time the investment management services are being provided; and
3.ensure we do not provide the same investment management services to another individual, entity or trust resident in Australia
under your instruction or by your agreement.
Do you satisfy each of these criteria?
Yes
No
TAX ACCOUNTING METHOD
Please select the tax accounting method you would like us to apply to your securities:
Maximise capital losses, or if no capital losses are available, minimise capital gains — please note, if you make no selection,
this method will be applied by default;
First In First Out method; or
Maximise capital gains, or if no capital gains are available, minimise capital losses.
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Page 29 of 48
9. REPRESENTATIVES WITH ACCESS TO ONLINE REPORTING
Representative’s name:
Email address:
Phone number: (
)
Phone number: (
)
Phone number: (
)
Phone number: (
)
Representative’s name:
Email address:
Representative’s name:
Email address:
Representative’s name:
Email address:
ACCOUNTANT (OPTIONAL)
Accountant’s name:
Accountant’s email address:
Accountant’s phone number: (
Page 30 of 48
)
BT12135-1215sx
10. ONLINE REPORTING TERMS OF USE, TRANSACTING VIA E-MAIL AND PRIVACY ENTITLEMENTS
1.Westpac RE Limited ABN 80 000 742 478 (we, us, the Manager) will make access available to a password-protected customised
website (Website). The Website will enable you to view portfolio information in relation to the portfolio managed by us for you,
including units in any fund managed by us. You may nominate Representatives from time to time. Representatives will have access to
www.bt.com.au for the purpose of viewing portfolio information, market information, reports and other information available to you on
the Website. You may also notify us in writing or by email that persons are no longer Representatives. Any nomination or notification
relating to Representatives must be signed by authorised signatories or (in the case of email) will be taken as valid if purporting to
come from an authorised signatory. The initial Representatives are set out above. We will provide each Representative with a user
name and password for the Website. You must ensure that Representatives keep these confidential, and comply with the Website’s
security procedures. We may vary these terms at any time after giving you notice in writing. We may suspend access or cancel your
ability to use the Website at any time without notice.
2.The Website provides general information in respect of your Portfolio, and has been prepared without taking your personal
circumstances, needs or objectives into account. You should consider its appropriateness, and seek independent advice as
necessary. The Website is not an offer or recommendation of any financial product, and does not constitute an invitation to take
up any financial product in any state, country or jurisdiction.
3.The Manager bears no responsibility for any consequence of the use of the Website by any person other than you or your
Representatives. The value of your Portfolio shown on the Website may differ from the actual value, as information displayed
may not include recent transactions which are yet to be processed, and valuations may not reflect the latest information. The
information on the Website is given by the Manager in good faith and has been derived from sources which are believed to be
reliable and accurate. However the information may not be complete for the purpose you require. It is current at
the time of posting, and remains subject to change without notice.
4. We will use our best endeavours to update or correct any errors in the information on the Website of which we become aware.
5.Some links provided on the Website link to external sites. When you use these links, you are leaving the Website and entering a
website provided by another organisation, for which the Manager has no responsibility.
6.You may reproduce information contained on the Website solely for your personal or internal use. The information may not
otherwise be reproduced, distributed or transmitted to any person or incorporated in any way into other materials without the
Manager’s prior written consent. Unless the Manager gives notice to the contrary, the Manager consents to the inclusion of
information derived from the Website in client reports on the condition that its source is duly attributed.
ONLINE INFORMATION SERVICES
1. A confidential Personal Identification Number (PIN) and password may be issued and you remain responsible for keeping them
confidential. You must tell us immediately if you lose your PIN or password or think someone else knows it.
2. You must comply with the Website Use terms set out above in this Application Form, and we may vary those conditions at any
time after giving notice in writing, or notice by email and other electronic communication.
TRANSACTING VIA EMAIL
Please ensure you read these Email terms that relate to you being able to email us.
You agree as follows:
1. you may (but do not have to) give instructions or notices, including withdrawal requests (Communications) to us by email
2. you agree to ensure that only persons authorised by you will give any Communications via email. You must comply with any
security or verification procedures required by us
3. we are entitled to assume that any Communication by email which purports to have been sent by or on behalf of you has
been authorised by you and we are not required to investigate or confirm authority unless it appears on its face that the
Communication was not authorised by you. We are not obliged to investigate the validity of any Communication by email
unless it appears on its face to be invalid by reason of fraud or forgery. We do not have any liability to you for relying on
any Communication by email, whether or not the Communication has been authorised by you except in the case of gross
negligence or fraud on our part
4. without limiting paragraphs 2 and 3, if we have reasonable grounds to suspect that the Communication was not authorised by
you, we may refuse to act on any Communication by email until the validity of the Communication and its contents have been
confirmed and we will have no liability to you or any other person for any consequences as a result of our refusal to act
5. you indemnify us against any cost, expense, liability or claim incurred by us as a consequence of accepting a Communication
by email, unless the cost, expense, liability or claim is a direct result of our gross negligence or wilful default, and
6. for the purposes of these Email Terms, we may obtain the benefit of these terms as agent for the other recipients of
the Communication.
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Page 31 of 48
PRIVACY STATEMENT
Personal information
We collect personal information from you to process your
application, provide you with your product or service,
and manage your product or service. We may also use
your information to comply with legislative or regulatory
requirements in any jurisdiction, prevent fraud, crime or other
activity that may cause harm in relation to our products or
services and help us run our business. We may also use your
information to tell you about products or services we think may
interest you.
If you do not provide all the information we request, we may
need to reject your application or we may no longer be able to
provide a product or service to you.
We may disclose your personal information to other members
of the Westpac Group, anyone we engage to do something on
our behalf such as a service provider, and other organisations
that assist us with our business.
We may disclose your personal information to an entity which
is located outside Australia. Details of the countries where
the overseas recipients are likely to be located are in our
privacy policy.
As a provider of financial services, we have obligations to
disclose some personal information to government agencies
and regulators in Australia, and in some cases offshore. We
are not able to ensure that foreign government agencies or
regulators will comply with Australian privacy laws, although
they may have their own privacy laws. By using our products or
services, you consent to these disclosures.
We are required or authorised to collect personal information
from you by certain laws. Details of these laws are in the BT
Privacy Policy.
The BT Privacy Policy is available at bt.com.au or by calling
132 032. It covers:
} how you can access the personal information we hold about
you and ask for it to be corrected;
} how you may complain about a breach of the Australian
Privacy Principles or a registered privacy code and how we
will deal with your complaint;
} how we collect, hold, use and disclose your personal
information in more detail.
We will update our privacy policy from time to time.
Other acknowledgements and consents
We may confirm the details of the information provided in
this application.
} Where you have provided information about another
individual, you must make them aware of that fact and the
contents of the Privacy Statement.
} This application form is not an offer or acceptance of credit.
}
Information about products and services
We and members of the Westpac Group will use or disclose your
personal information to contact you or send you information about
other products and services offered by the Westpac Group or its
preferred suppliers. Please call 1800 222 790 if you do not wish to
receive marketing communications from us.
Our Reporting Obligations
We are required to identify certain US persons in order to meet
account information reporting requirements under local and
international laws.
If you or (where you are applying on behalf of an entity)
the entity and/or any office bearer* of the entity and/or any
individual who holds an interest in the entity of more than 25%
(a Controlling Person) are a US citizen or US tax resident, you
must telephone 1300 725 863 at the time of completing this
application. When you contact us you will be asked to provide
additional information about your US tax status and/or the US
tax status of the entity and/or any Controlling Person which
will constitute certification of US tax status for the purposes of
this agreement.
Unless you notify us that you or (where you are applying on
behalf of an entity) the entity and/or any Controlling Person
are a US citizen or US tax resident as specified above, signing
and completing the Application Form and entering into this
agreement constitutes certification that you and/or any
Controlling Person are not a US citizen or US tax resident.
If at any time after account opening, information in our
possession suggests that you, the entity and/or any Controlling
Person may be a US citizen or US tax resident, you may be
contacted to provide further information on your US tax status
and/or the US tax status of the entity and/or any Controlling
Person. Failure to respond may lead to certain reporting
requirements applying to your Portfolio.
* Director of a company, partner in a partnership, trustee of a trust,
chairman, secretary or treasurer of an association or co-operative.
Definitions
“We”, “our”, “us”, means Westpac RE Limited ABN 80 000 742 478. “Westpac Group” means Westpac Banking Corporation
ABN 33 007 457 141 and its related bodies corporate.
Applicant 1’s/ Director’s/Chairman’s/President’s/
Equivalent Officer’s signature:
Date (dd/mm/yy):
/
/
Date (dd/mm/yy):
/
/
Signatory’s full name (please print):
Applicant 2’s/ Director’s/ Company Secretary’s/
Treasurer’s/Equivalent Officer’s signature:
Signatory’s full name (please print):
Page 32 of 48
BT12135-1215sx
11. AUTHORISED REPRESENTATIVE / SIGNATORIES
PLEASE NOTE — An Authorised Representative (named below) can do anything you can do in relation to your investment until
you give written notice terminating their appointment. We are authorised to provide them with any information relating to your
investment, and can assume that each Authorised Representative has the authority to operate the investment independently. You
agree to ratify each action taken by the Authorised Representative.
If you are appointing more than one Authorised Representative, please indicate whether:
each Authorised Representative may act on their own; or
Title:
Mr
Mrs
Miss
Ms
Authorised Representatives may only act jointly.
Other:
Surname:
Given name(s):
Alternate name (any other names that the person may be known by):
Employment type (see page 5):
Occupation:
Residential address (PO Box not acceptable):
State:
Postcode:
Country, if not Australia:
Phone: (
)
Fax: (
)
Email:
CUSTOMER IDENTIFICATION
Is the Authorised Representative an existing Westpac customer?
Yes —Complete ONE of the following forms of identification located below. Note – Only one of the following forms of
identification is required.
a. Westpac BSB and Account Number
BSB number:
Account number:
OR
b. Westpac Customer Number:
OR
c. CIS Key:
No —Each Authorised Representative will need to complete a ‘Certified Copy Certificate’ (Appendix C) located at the end of
this Application Form, attaching copies of their identification documents. This reflects our obligations under the Anti Money
Laundering/Counter-Terrorism Financing Act 2006, to identify agents of customers before we provide a service. We reserve
the right to decline applications where information sought in this form is not provided to our satisfaction or further
information is not provided when requested. Please contact your Westpac representative if you have any questions.
Authorised Representative’s sample signature:
Applicant 1’s/ Director’s/Chairman’s/President’s/
Equivalent Officer’s signature:
Date (dd/mm/yy):
/
/
Date (dd/mm/yy):
/
/
Date (dd/mm/yy):
/
/
Signatory’s full name (please print):
Applicant 2’s/ Director’s/ Company Secretary’s/
Treasurer’s/Equivalent Officer’s signature:
Signatory’s full name (please print):
BT12135-1215sx
Page 33 of 48
AUTHORISED REPRESENTATIVE 2
Title:
Mr
Mrs
Miss
Ms
Other:
Surname:
Given name(s):
Alternate name (any other names that the person may be known by):
Employment type (see page 5):
Occupation:
Residential address (PO Box not acceptable):
State:
Postcode:
Country, if not Australia:
Phone: (
)
Fax: (
)
Email:
CUSTOMER IDENTIFICATION
Are you an existing Westpac customer?
Yes —Complete ONE of the following forms of identification located below. Note – Only one of the following forms of
identification is required.
a. Westpac BSB and Account Number
BSB number:
Account number:
OR
b. Westpac Customer Number:
OR
c. CIS Key:
No —Each Authorised Representative will need to complete a ‘Certified Copy Certificate’ (Appendix C) located at the end of
this Application Form, attaching copies of their identification documents. This reflects our obligations under the Anti Money
Laundering/Counter-Terrorism Financing Act 2006, to identify agents of customers before we provide a service. We reserve
the right to decline applications where information sought in this form is not provided to our satisfaction or further
information is not provided when requested. Please contact your Westpac representative if you have any questions.
Authorised Representative’s sample signature:
Applicant 1’s/ Director’s/Chairman’s/President’s/
Equivalent Officer’s signature:
Date (dd/mm/yy):
/
/
Date (dd/mm/yy):
/
/
Date (dd/mm/yy):
/
/
Signatory’s full name (please print):
Applicant 2’s/ Director’s/ Company Secretary’s/
Treasurer’s/Equivalent Officer’s signature:
Signatory’s full name (please print):
Page 34 of 48
BT12135-1215sx
12. YOUR ACKNOWLEDGMENTS AND DECLARATIONS
I/We represent and warrant that:
1. I/we have read the Investment Management Agreement relating to this application and agree to be bound by this Application Form;
2.all information provided in this Application Form is true and correct;
3. (if you are an individual) I am/we are not bankrupt or (if you are an organisation) financially insolvent;
4. (if you are an individual) I am/we are at least 18 years old; and
5. (if you are a trustee) the applicant has the power and capacity under the terms of the instrument constituting the trust to
execute this Application Form and to appoint Westpac RE Limited to provide the investment service here applied for.
I/We acknowledge that:
1.neither Westpac RE Limited nor any entity in the Westpac Group guarantee repayment of capital or the performance of
the investment;
2.
my/our investment is not an investment in, deposit or other liability of Westpac RE Limited nor any entity in the Westpac Group; and
3.investments are subject to investment risks — including possible delays in payment of withdrawal proceeds and loss of income
and principal invested.
INDIVIDUALS / INDIVIDUAL TRUSTEES — SIGN HERE
Applicant 1’s signature:
Applicant 2’s signature (if applicable):
Date (dd/mm/yy):
/
/
Date (dd/mm/yy):
/
/
Date (dd/mm/yy):
/
/
/
/
Date (dd/mm/yy):
/
/
Date (dd/mm/yy):
/
/
COMPANIES / CORPORATE TRUSTEES — SIGN HERE
Company name:
Director’s signature:
Director’s name:
ABN:
Director’s / Company Secretary’s signature:
Date (dd/mm/yy):
Director’s / Company Secretary’s name:
ASSOCIATION / CLUB / REGISTERED CHARITY — SIGN HERE
Association/organisation name:
Chairman’s/President’s/Equivalent Officer’s signature
Chairman’s/President’s/Equivalent Officer’s name:
Secretary, Treasurer or equivalent officer’s signature (if any):
Secretary, Treasurer or equivalent officer’s (if any):
BT12135-1215sx
Page 35 of 48
APPENDIX A: YOUR CURRENT HOLDINGS
Please complete this section if you wish to transfer any securities into your portfolio, or transfer cash held in a broking account.
YOUR BROKER
Please complete if you have a current broker-sponsored shareholding which you would like to be consolidated into your Portfolio.
Broking account name:
Broking account number:
Broker’s name:
Broker’s PID:
Broker’s address:
State:
Postcode:
Country, if not Australia:
Broker’s phone number: (
)
YOUR HOLDINGS AND CASH HISTORIES
Would you like to transfer:
All holdings in the above mentioned account. Full and up to date cost histories are required to enable us to correctly record
the shareholdings being transferred. Please forward the information in a spreadsheet in the format as follows by email to
privateclients@btfinancialgroup.com.au.
The holdings as detailed below
ASX Code
Name
Number
Date purchased
/
/
/
/
/
/
/
/
Cost at purchase
YOUR CASH HOLDINGS
If you have cash held with your broking account, which you would like to be consolidated into your Portfolio, please indicate if you
would like:
Tick [  ] the relevant box.
the cash balance of your Broking Account (identified above); or
the sum of $
to be transferred
These funds will be deposited into the following account:
Account name: WREL PPM (APP) CLIENT TRUST Bank: HSBC BSB: 342-011 Account Number: 503851-021
Applicant 1’s/ Director’s/Chairman’s/President’s/
Equivalent Officer’s signature:
Date (dd/mm/yy):
/
/
Date (dd/mm/yy):
/
/
Signatory’s full name (please print):
Applicant 2’s/ Director’s/ Company Secretary’s/
Treasurer’s/Equivalent Officer’s signature:
Signatory’s full name (please print):
Page 36 of 48
BT12135-1215sx
APPENDIX B: YOUR LENDING ARRANGEMENTS
BT MARGIN LENDING – NOTICE OF MORTGAGE
Please tick [  ] here if your Portfolio will be used as security against a BT Margin Loan. If so, this Section applies.
By signing below and electing to fund a portion of the initial and/or
regular amount, you:
1. give notice to the Custodian and the Manager that for the
purposes of securing repayment of cash advances or financial
accommodation to be made by the Lender (as defined or
specified in the relevant margin lending facility agreement
(Facility Agreement)) to you, you have mortgaged to the
Lender all interest and rights in your BT Private Portfolio (the
Property) without limitation
2. irrevocably authorise and direct the Custodian to hold the
Property at the absolute discretion of the Lender, and to act
on the Manager’s instructions only in relation to the disposal
of the Property
3. irrevocably direct that the Custodian may not, and the Manager
may not instruct the Custodian to, without the prior written
consent of the Lender:
a) transfer cash or any other investment out of the Property
or sell any of the Property except for the purposes of
reinvestment in the same investment
b) accept any changes to your BT Private Portfolio or
registration details from you or any other person, or
c) otherwise act on your instructions
4. confirm, agree and acknowledge to the Lender that:
a) your interest in the Property will form part of the property
mortgaged to the Lender under the Facility Agreement,
once the Lender has agreed to that
Applicant 1’s/ Director’s/Chairman’s/President’s/
Equivalent Officer’s signature:
b) if there is an event of default under the terms of the
Facility Agreement, the Lender may, but is not obliged
to, direct the sale of some or all of the Property and
apply the proceeds of any such sale to repay the
amount outstanding
c) the Lender will not act as your sponsoring participant on
CHESS in relation to any part of the Property, and
d) you will not be able to make any withdrawal of cash
from your BT Private Portfolio without the prior written
consent of the Lender until the Lender’s mortgage has
been released
5. request and authorise the Lender to pay the amounts specified
above, as loans to you under the Facility Agreement, to the
Manager, the Custodian or such other entity nominated by
the Manager (as directed by the Manager) for the purposes
of acquiring the assets in your BT Private Portfolio.
This acknowledgment and authority will remain in effect
notwithstanding any notice that you give terminating your
agreement with the Manager with respect to your BT Private
Portfolio (Investment Management Agreement) until such time
as the Lender has given you written notice of the release.
Capitalised terms used in this acknowledgment and authority
have the meanings given to them in the Investment Management
Agreement, unless the context otherwise requires.
Date (dd/mm/yy):
/
/
Date (dd/mm/yy):
/
/
Signatory’s full name (please print):
Applicant 2’s/ Director’s/ Company Secretary’s/
Treasurer’s/Equivalent Officer’s signature:
Signatory’s full name (please print):
OFFICE USE ONLY
Executed on behalf of:
BT Securities Limited ABN 84 000 720 114
OFFICE USE ONLY
Executed on behalf of:
Westpac RE Limited ABN 80 000 742 478
BT12135-1215sx
Page 37 of 48
EXTERNAL MARGIN LENDING
Please complete this section if your Portfolio will be used against an external Margin Loan.
Name of loan provider:
Loan account number:
BT Securities Limited (ABN 84 000 720 114) and Westpac Banking Corporation (ABN 33 007 457 141 are together the issuers of
the BT Margin Lending Margin Loan – Product Disclosure Statement (“PDS”). The PDS and other disclosure documents are
relevant when deciding whether to acquire or hold a BT Margin Loan and can be obtained by calling 1800 816 222.
APPENDIX C: CERTIFIED COPY CERTIFICATE – INDIVIDUAL IDENTIFICATION DOCUMENTS
INDIVIDUAL 1
PART A: YOUR DETAILS
Please complete ALL of this section if you are not an existing Westpac customer and you have not already provided your name,
date of birth and residential address in another section of the Application Form. If you have already provided your name, date of
birth and residential address, then you only need to sign and date this section in the presence of the certifier.
Title:
Mr
Mrs
Miss
Ms
Other:
Given name(s):
Surname:
/
Date of birth (dd/mm/yy):
/
Residential address:
State:
Postcode:
Country, if not Australia:
Your signature (to be signed in the presence of the certifier):
Date (dd/mm/yy):
/
/
Privacy Statement: The personal information we collect from you on this form will be used to identify you. We will use and disclose
your personal information to other members of the Westpac Group, anyone we engage to do something on our
behalf, and other organisations that assist us with our business. The BT Privacy Policy, available at bt.com.au or by
calling 132 032, contains information about how we handle your personal information.
PART B: CERTIFIER DETAILS
Title:
Mr
Mrs
Miss
Ms
Other:
Given name(s):
Surname:
Occupation:
Place of employment:
Category of certifier (see Part E):
Employment address:
State:
Postcode:
Country, if not Australia:
Business phone number: (
)
Where the name of the identification documents differs from the name used by the individual, provide an explanation given by the
individual or sight and record documentation which identifies the individual in the former name e.g. marriage certificate or deed poll.
Page 38 of 48
BT12135-1215sx
SIGNATURE OF CERTIFIER
}
}
}
I have examined the originals of all the documents which are set out in Part C of this form.
The copy documents attached are true and correct copies of the original documents examined by me.
The individual signed Part A of this form in my presence.
Privacy Statement: The personal information we collect from you on this form will be used to identify the applicant named in Part A.
We will use and disclose your personal information to other members of the Westpac Group, anyone we engage
to do something on our behalf, and other organisations that assist us with our business. The BT Privacy Policy,
available at bt.com.au or by calling 132 032, contains information about how we handle your personal information.
Certifier’s signature
Date (dd/mm/yy):
/
/
PART C: DETAILS OF DOCUMENTS CERTIFIED
}
}
}
}
}
At least ONE Primary Photographic Identification document, or if unable to ONE Primary Non-Photographic Identification
Document and ONE Secondary Identification document must be certified.
The combination of identification documents certified must contain the individual’s full name and date of birth.
Certify the first page of the document(s) with “This is a true copy of the original document” followed by the Certifier’s signature and
the date. Initial any subsequent pages.
All documents must be current unless specified otherwise.
If any document is written in a language other than English it must be accompanied by an English translation prepared by an
accredited translator.
Please tick [  ] which documents(s) are certified.
Document
Certified
PRIMARY PHOTOGRAPHIC DOCUMENTS
Driver’s licence — Australian*
Learner’s driver’s licence — Australian*
Passport — Australian*
(can either be a current or expired within the last 2 years; must not be cancelled, defaced or mutilated)
Passport — Foreign* (issued by a foreign government, the United Nations or an agency of the United Nations;
must not be cancelled, defaced or mutilated)
Travel document — Foreign*
(issued by a foreign government, the United Nations or an agency of the United Nations)
National identity card*
(issued by a foreign government, the United Nations or an agency of the United Nations)
Foreign Drivers license which contains a photo
* must contain a photograph and signature
PRIMARY NON-PHOTOGRAPHIC IDENTIFICATION DOCUMENTS
Birth Certificate – Australian (Full birth certificate or extract birth certificate)
Birth Certificate – Foreign (issued by a foreign government, the United Nations or an agency of the United
Nations, must be a full birth certificate)
Citizenship Certificate – Australian
Citizenship Certificate – Foreign* (issued by foreign government)
Pension Card – Centrelink
* must contain a photograph and signature
BT12135-1215sx
Page 39 of 48
SECONDARY IDENTIFICATION DOCUMENTS
A financial benefits notice (issued by the Commonwealth or a State/Territory within the last 12 months and
includes the customer’s name and residential address (e.g. a notice from Centrelink))
Australian Taxation Office (ATO) notice (issued within the last 12 months and includes the customer’s name
and residential address)
Utilities notice (issued by a local government or utilities provider within the last 3 months and includes the
customer’s name and residential address)
Foreign driver’s licence (which does not contain a photograph)
Department of Veterans’ Affairs pension concession card (Australian)
A current tenancy/lease agreement (must not be cancelled or expired)
Medicare card
Australian Marriage certificate (issued by State/Territory Registry of Births, Deaths and Marriages)
Identification card (issued to a student at an Australian higher education institution (TAFE or University)^)
^
Must contain a photograph and signature.
Notice issued by the principal of a school (must be less than 3 months old, include the name of the
customer, residential address, period of school attendance and issued on a school letterhead)
A current card (issued under a Commonwealth, State, or Territory law for the purpose of identification, for a
government service, or as a licence)
PART D: CHECKLIST FOR CERTIFIER
Must be completed in full by the Certifier
Please tick [  ]
Parts A, B and C of this form have been completed.
You are a person within a specified class of accepted certifiers defined below in “Category of Certifiers”.
All identification documents are certified as a true copy of the original document.
At least two identification documents are certified with at least one being a primary identification document.
The combination of identification documents certified contains the individual’s full name and date of birth.
Part A of this form was signed by the individual in your presence
The certified copies are attached to this form.
NOTE: It is an offence under the Anti-Money Laundering and Counter-Terrorism Financing Act (Cth) 2006 to knowingly provide
false or misleading information or knowingly produce a false or misleading document.
Penalty: Imprisonment of up to 10 years.
PART E: CATEGORY OF CERTIFIERS
(Note: Overseas customers can ONLY use category 11 or 16 below)
1. A person who is enrolled on the roll of the Supreme Court of a State or Territory, or the High Court of Australia, as a legal
practitioner (however described)
2. A judge of a court
3. A magistrate
4. A chief executive officer of a Commonwealth court
5. A registrar or deputy registrar of a court
6. A Justice of the Peace
7. A notary public (for the purposes of the Statutory Declaration Regulations 1993)
8. A police officer
9. An Agent of the Australian Postal Corporation who is in charge of an office supplying postal services to the public
Page 40 of 48
BT12135-1215sx
10.A permanent employee of the Australian Postal Corporation with 2 or more years of continuous service who is employed in an
office supplying postal services to the public
11.An Australian consular officer or an Australian diplomatic officer (within the meaning of the Consular Fees Act 1955)
12.An officer with 2 or more continuous years of service with one or more financial institutions (for the purposes of the Statutory
Declaration Regulations 1993)
13.A finance company officer with 2 or more continuous years of service with one or more finance companies (for the purposes of
the Statutory Declaration Regulations 1993)
14.An officer with, or authorised representative of, a holder of an Australian financial services licence, having 2 or more continuous
years of service with one or more licensees
15.A member of the Institute of Chartered Accountants in Australia, CPA Australia or the National Institute of Accountants with 2 or
more years of continuous membership
16.An international bank employee authorised by their institution to open accounts, where the international bank is acceptable to
the Bank
17. A Commissioner for Declarations or a Commissioner for Affidavits
PART F: BANK USE ONLY
Bank officer’s name:
Branch/Department:
Salary number:
BSB number:
Customer IDV number:
Signature:
Date (dd/mm/yy):
/
/
INDIVIDUAL 2
PART A: YOUR DETAILS
Please complete ALL of this section if you are not an existing Westpac customer and you have not already provided your name,
date of birth and residential address in another section of the Application Form. If you have already provided your name, date of
birth and residential address, then you only need to sign and date this section in the presence of the certifier.
Title:
Mr
Mrs
Miss
Ms
Other:
Given name(s):
Surname:
Date of birth (dd/mm/yy):
/
/
Residential address:
State:
Postcode:
Country, if not Australia:
Your signature (to be signed in the presence of the certifier):
Date (dd/mm/yy):
/
/
Privacy Statement: The personal information we collect from you on this form will be used to identify you. We will use and disclose
your personal information to other members of the Westpac Group, anyone we engage to do something on our
behalf, and other organisations that assist us with our business. The BT Privacy Policy, available at bt.com.au or by
calling 132 032, contains information about how we handle your personal information.
PART B: CERTIFIER DETAILS
Title:
Mr
Mrs
Miss
Ms
Other:
Given name(s):
Surname:
Occupation:
Place of employment:
BT12135-1215sx
Page 41 of 48
Category of certifier (see Part E):
Employment address:
State:
Postcode:
Country, if not Australia:
Business phone number: (
)
Where the name of the identification documents differs from the name used by the individual, provide an explanation given by the
individual or sight and record documentation which identifies the individual in the former name e.g. marriage certificate or deed poll.
SIGNATURE OF CERTIFIER
}
}
}
I have examined the originals of all the documents which are set out in Part C of this form.
The copy documents attached are true and correct copies of the original documents examined by me.
The individual signed Part A of this form in my presence.
Privacy Statement: The personal information we collect from you on this form will be used to identify the applicant named in Part A.
We will use and disclose your personal information to other members of the Westpac Group, anyone we engage
to do something on our behalf, and other organisations that assist us with our business. The BT Privacy Policy,
available at bt.com.au or by calling 132 032, contains information about how we handle your personal information.
Certifier’s signature
Date (dd/mm/yy):
/
/
PART C: DETAILS OF DOCUMENTS CERTIFIED
}
}
}
}
}
At least ONE Primary Photographic Identification document, or if unable to ONE Primary Non-Photographic Identification
Document and ONE Secondary Identification document must be certified.
The combination of identification documents certified must contain the individual’s full name and date of birth.
Certify the first page of the document(s) with “This is a true copy of the original document” followed by the Certifier’s signature and
the date. Initial any subsequent pages.
All documents must be current unless specified otherwise.
If any document is written in a language other than English it must be accompanied by an English translation prepared by an
accredited translator.
Please tick [  ] which documents(s) are certified.
Document
Certified
PRIMARY PHOTOGRAPHIC DOCUMENTS
Driver’s licence — Australian*
Learner’s driver’s licence — Australian*
Passport — Australian*
(can either be a current or expired within the last 2 years; must not be cancelled, defaced or mutilated)
Passport — Foreign* (issued by a foreign government, the United Nations or an agency of the United Nations;
must not be cancelled, defaced or mutilated)
Travel document — Foreign*
(issued by a foreign government, the United Nations or an agency of the United Nations)
National identity card*
(issued by a foreign government, the United Nations or an agency of the United Nations)
Foreign Drivers license which contains a photo
* must contain a photograph and signature
Page 42 of 48
BT12135-1215sx
PRIMARY NON-PHOTOGRAPHIC IDENTIFICATION DOCUMENTS
Birth Certificate – Australian (Full birth certificate or extract birth certificate)
Birth Certificate – Foreign (issued by a foreign government, the United Nations or an agency of the United
Nations, must be a full birth certificate)
Citizenship Certificate – Australian
Citizenship Certificate – Foreign* (issued by foreign government)
Pension Card – Centrelink
* must contain a photograph and signature
SECONDARY IDENTIFICATION DOCUMENTS
A financial benefits notice (issued by the Commonwealth or a State/Territory within the last 12 months and
includes the customer’s name and residential address (e.g. a notice from Centrelink))
Australian Taxation Office (ATO) notice (issued within the last 12 months and includes the customer’s name
and residential address)
Utilities notice (issued by a local government or utilities provider within the last 3 months and includes the
customer’s name and residential address)
Foreign driver’s licence (which does not contain a photograph)
Department of Veterans’ Affairs pension concession card (Australian)
A current tenancy/lease agreement (must not be cancelled or expired)
Medicare card
Australian Marriage certificate (issued by State/Territory Registry of Births, Deaths and Marriages)
Identification card (issued to a student at an Australian higher education institution (TAFE or University)*)
* Must contain a photograph and signature.
Notice issued by the principal of a school (must be less than 3 months old, include the name of the
customer, residential address, period of school attendance and issued on a school letterhead)
A current card (issued under a Commonwealth, State, or Territory law for the purpose of identification, for a
government service, or as a licence)
PART D: CHECKLIST FOR CERTIFIER
Must be completed in full by the Certifier
Please tick [  ]
Parts A, B and C of this form have been completed.
You are a person within a specified class of accepted certifiers defined below in “Category of Certifiers”.
All identification documents are certified as a true copy of the original document.
At least two identification documents are certified with at least one being a primary identification document.
The combination of identification documents certified contains the individual’s full name and date of birth.
Part A of this form was signed by the individual in your presence
The certified copies are attached to this form.
NOTE: It is an offence under the Anti-Money Laundering and Counter-Terrorism Financing Act (Cth) 2006 to knowingly provide
false or misleading information or knowingly produce a false or misleading document.
Penalty: Imprisonment of up to 10 years.
BT12135-1215sx
Page 43 of 48
PART E: CATEGORY OF CERTIFIERS
(Note: Overseas customers can ONLY use category 11 or 16 below)
1. A person who is enrolled on the roll of the Supreme Court of a State or Territory, or the High Court of Australia, as a legal
practitioner (however described)
2. A judge of a court
3. A magistrate
4. A chief executive officer of a Commonwealth court
5. A registrar or deputy registrar of a court
6. A Justice of the Peace
7. A notary public (for the purposes of the Statutory Declaration Regulations 1993)
8. A police officer
9. An Agent of the Australian Postal Corporation who is in charge of an office supplying postal services to the public
10.A permanent employee of the Australian Postal Corporation with 2 or more years of continuous service who is employed in an
office supplying postal services to the public
11.An Australian consular officer or an Australian diplomatic officer (within the meaning of the Consular Fees Act 1955)
12.An officer with 2 or more continuous years of service with one or more financial institutions (for the purposes of the Statutory
Declaration Regulations 1993)
13.A finance company officer with 2 or more continuous years of service with one or more finance companies (for the purposes of
the Statutory Declaration Regulations 1993)
14.An officer with, or authorised representative of, a holder of an Australian financial services licence, having 2 or more continuous
years of service with one or more licensees
15.A member of the Institute of Chartered Accountants in Australia, CPA Australia or the National Institute of Accountants with 2 or
more years of continuous membership
16.An international bank employee authorised by their institution to open accounts, where the international bank is acceptable to
the Bank
17. A Commissioner for Declarations or a Commissioner for Affidavits
PART F: BANK USE ONLY
Bank officer’s name:
Branch/Department:
Salary number:
BSB number:
Customer IDV number:
Signature:
Date (dd/mm/yy):
Page 44 of 48
/
/
BT12135-1215sx
PPENDIX D: CERTIFIED COPY CERTIFICATE
A
— ORGANISATIONS CUSTOMER IDENTIFICATION DOCUMENTS
PART A: APPLICANT DETAILS
Type of Customer:
Sole Trader:
Company
Trust / Superannuation Fund
Association / Club / Registered Charity
PART B: CERTIFIER DETAILS
Title:
Mr
Mrs
Miss
Ms
Other:
Given name(s):
Surname:
Occupation:
Employer:
Employer address (PO Box not acceptable):
State:
Business phone: (
Postcode:
)
Category of Certifier (see list in Part E):
SIGNATURE OF CERTIFIER
}
I have examined the originals of all the documents which are set out in Part C of this form.
}
The copy documents attached are true and correct copies of the original documents examined by me.
Privacy Statement: The personal information we collect from you on this form will be used to identify the applicant named in Part A.
We will use and disclose your personal information to other members of the Westpac Group, anyone we
engage to do something on our behalf, and other organisations that assist us with our business. The BT
Privacy Policy, available at bt.com.au or by calling 132 032, contains information about how we handle your
personal information.
Certifier’s signature
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Date (dd/mm/yy):
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PART C: DETAILS OF DOCUMENTS CERTIFIED
}
Certify the first page of the document(s) with “This is a true copy of the original document” followed by the Certifier’s signature and
the date. Initial any subsequent pages.
}
All documents must be current unless specified otherwise.
}
If any document is written in a language other than English it must be accompanied by an English translation prepared by an
accredited translator.
Customer
Document
Certified
Sole Trader
Certificate of registration of business name
Company
Certificate of incorporation or registration in Australia; or equivalent
document issued by the relevant foreign registration body
Trust / Superannuation Fund
Trust Deed (or extract) where the names of the trust, trustees,
beneficiaries, settlor(s) and execution page are evident
Settlement Deed or other document that contains a declaration of
trust where the names of the trust and/or settlor(s) are evident
If a self-managed superannuation fund, search of the Super
Fund Lookup database
A notice issued by the ATO within the last 12 months (e.g.
Notice of Assessment)
ABR search
A letter from a solicitor or qualified accountant that confirms
the name of the trust and/or settlor(s)
Association / Club /
Registered Charity
Certificate of incorporation or registration in Australia; or equivalent
document issued by the relevant foreign registration body
Constitution or rules or minutes of a meeting of the association
or relevant extract where the full name and registration number
(if applicable) of the association are evident
PART D: CHECKLIST FOR CERTIFIER
Must be completed in full by the Certifier
Please tick [  ]
Parts A, B and C of this form have been completed.
You are a person within a specified class of accepted certifiers defined below in “Category of Certifiers”.
All documents contain on the first page, a written statement, signed and dated by you, stating that “the document is
certified as a true copy of the original document.”
The certified copies containing the Certifier’s original signature are attached to this form
Note: It is an offence under the Anti-Money Laundering and Counter-Terrorism Financing Act (Cth) 2006 to knowingly provide false
or misleading information or knowingly produce a false or misleading document.
Penalty: Imprisonment of up to 10 years.
Page 46 of 48
BT12135-1215sx
PART E. CATEGORY OF CERTIFIERS
(Note: Overseas customers can ONLY use category 11 or 16 below)
1. A person who is enrolled on the roll of the Supreme Court of a State or Territory, or the High Court of Australia, as a legal
practitioner (however described)
2. A judge of a court
3. A magistrate
4. A chief executive officer of a Commonwealth court
5. A registrar or deputy registrar of a court
6. A Justice of the Peace
7. A notary public (for the purposes of the Statutory Declaration Regulations 1993)
8. A police officer
9. An Agent of the Australian Postal Corporation who is in charge of an office supplying postal services to the public
10.A permanent employee of the Australian Postal Corporation with 2 or more years of continuous service who is employed in an
office supplying postal services to the public
11.An Australian consular officer or an Australian diplomatic officer (within the meaning of the Consular Fees Act 1955)
12.An officer with 2 or more continuous years of service with one or more financial institutions (for the purposes of the Statutory
Declaration Regulations 1993)
13.A finance company officer with 2 or more continuous years of service with one or more finance companies (for the purposes of
the Statutory Declaration Regulations 1993)
14.An officer with, or authorised representative of, a holder of an Australian financial services licence, having 2 or more continuous
years of service with one or more licensees
15.A member of the Institute of Chartered Accountants in Australia, CPA Australia or the National Institute of Accountants with 2 or
more years of continuous membership
16.An international bank employee authorised by their institution to open accounts, where the international bank is acceptable to
the Bank
17. A Commissioner for Declarations or a Commissioner for Affidavits
PART F. BANK USE ONLY
Bank officer’s name:
Branch/department:
Salary number:
BSB number:
Customer IDV number:
Signature:
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Date (dd/mm/yy):
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APPENDIX E: CLIENT STOCK/SECTOR RESTRICTIONS
Portfolio name:
Portfolio number:
Portfolio Front Office Code:
ASX Code/Sector Code
Security name/Sector name
Applicant 1’s/ Director’s/Chairman’s/President’s/
Equivalent Officer’s signature:
Do not buy
Do not sell
Comments
Date (dd/mm/yy):
/
/
Date (dd/mm/yy):
/
/
Signatory’s full name (please print):
Applicant 2’s/ Director’s/ Company Secretary’s/
Treasurer’s/Equivalent Officer’s signature:
Signatory’s full name (please print):
Page 48 of 48
BT12135-1215sx