L A N Y O N A U S T R A L I A N V A L U E F U N D

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Product Disclosure Statement

Contents

Contact Details

Investment Manager

Lanyon Asset Management Pty Limited ABN 45 140 631 714 AFSL 342955 Level 7/66 Hunter Street Sydney NSW 2000 Australia Phone: +61 (0)2 8203 3800 Website: www.lanyonam.com

Responsible Entity

This PDS is issued by The Trust Company (RE Services) Limited ABN 45 003 278 831 AFSL 235150 Level 18, Angel Place, 123 Pitt Street Sydney NSW 2000 Phone: +61 (02) 9229 9000 Website: www.perpetual.com.au

Administrator

MacKenzie Managed Funds Pty Ltd ABN 56 112 760 095 11-13 Bentham Street Adelaide SA 5000 Phone: 1300 780 799 Email: [email protected]

Custodian

RBC Investor Services Trust ABN 75 116 809 824 Level 47, 2 Park Street Sydney NSW 2000

1. About Perpetual 2. How the Lanyon Australian Value Fund works 3. Benefits of investing in the Lanyon Australian Value Fund 4. Risks of managed investment schemes 5. How we invest your money 6. Fees and costs 7. How managed investment schemes are taxed 8. How to apply

9. Other information

Read this

This PDS is a summary of significant information. Persons should consider that information before making a decision about the Lanyon Australian Value Fund. The information provided in the PDS is general information only and does not take account of your personal financial situation or needs. You should obtain financial advice tailored to your personal circumstances.

Important notice

The Trust Company (RE Services) Limited (ABN 45 003 278 831) (part of the Perpetual Limited group of companies) (Perpetual) is the responsible entity (Responsible Entity) of the Lanyon Australian Value Fund (ARSN 151 492 849) (Fund). Perpetual holds Australian financial services licence number 235150 issued by ASIC, which authorises it to operate the Fund. Perpetual is the issuer of units in the Fund (Units) and of this Product Disclosure Statement (PDS) as the Responsible Entity of the Fund. This PDS is dated 26 March 2018.

Neither Perpetual nor its directors guarantees the performance or success of the Fund, the offer detailed in this PDS (Offer), the repayment of capital or any particular rate of capital or income return.

An electronic copy of the latest version of this PDS is available from http://www.lanyonam.com. A copy of this PDS is also available free of charge on request by telephoning (02) 8203 3800 or by email: [email protected]. The Offer under this PDS is only available to persons receiving the PDS within Australia (including in electronic form). This PDS does not constitute an offer or invitation in any place outside Australia. This PDS is not to be distributed in jurisdictions outside Australia.

Information contained in this PDS is subject to change from time to time. Where updated information is not materially adverse, Perpetual will ensure updated information is made available on the investment manager’s website at http://www.lanyonam.com. A paper copy of the updated information will also be given, or an electronic copy made available, to a person upon request without charge. When any other changes occur, a new PDS will be issued in accordance with the Corporations Act 2001 (Corporations Act). For investors investing through a platform, updated information may be obtained from the platform operator.

This PDS contains important information about the Fund. It does not take into account your investment objectives, financial situation or particular needs. Before you invest, you should read this PDS carefully in its entirety and consider whether an investment in the Fund is appropriate to your objectives, financial situation and needs. You are encouraged to obtain independent legal, taxation and financial advice.

In this PDS, 'Perpetual', ‘Responsible Entity’, ‘RE’, ‘we’, ‘us’ or ‘our’ refers to the Responsible Entity and ‘you or ‘your’ refers to prospective unitholders. Unless otherwise stated, all amounts in this PDS are quoted in Australian dollars. Any expression or term used in this PDS which is defined in the Fund's constitution (Constitution) has the same meaning in this PDS as is given to it in the Constitution. This PDS may be provided to people who wish to invest in the Fund through a platform. In this circumstance, the platform becomes an investor in the Fund, acquires the rights of an investor and may exercise or decline to exercise those rights on your behalf.

L A N Y O N A U S T R A L I A N V A L U E F U N D

PRODUCT DISCLOSURE STATEMENT (PDS) Dated 26 March 2018

http://www.lanyonam.com/

mailto:[email protected]

http://www.lanyonam.com/

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1. About Perpetual 1.1 Responsible Entity – Perpetual

Perpetual is the responsible entity of the Fund and is the issuer of Units in the Fund. It is also the issuer of this PDS. Perpetual is a wholly-owned subsidiary of Perpetual Limited, which has been in operation for over 130 years and listed on the Australian Securities Exchange for over 40 years.

Perpetual is responsible for overseeing the Fund’s operations and managing and administering the Fund in the best interests of unitholders.

1.2 Investment Manager – Lanyon Asset Management

Lanyon Asset Management Pty Ltd (Lanyon or Investment Manager) is an Australian based equities fund manager and has been appointed as the investment manager to manage the investments of the Fund. Lanyon is a privately held firm, founded in 2010. Lanyon employs a value investment approach and invests in various types of assets, including financial assets and traded securities of publicly listed entities.

Lanyon's investment process is based on long-established, value investment principles. Investments are made when Lanyon believes there is a sufficient margin of safety between price and Lanyon's view of intrinsic value. Typically, securities will be purchased at discounts to Lanyon’s view of intrinsic value, to the value of their tangible assets or on very low multiples of sustainable free cash flow, following an intensive research effort.

Lanyon's focus is on managing funds for superannuation funds, government institutions, religious bodies, endowments, charities, families and individuals.

2. How the Lanyon Australian Value Fund works

2.1 The structure

The Lanyon Australian Value Fund opened on 1 July 2010 and was registered with ASIC on 21 June 2011.

The Fund is a registered managed investment scheme, established as a unit trust, where funds from unitholders are pooled with other unitholders’ funds. Lanyon invests these funds on behalf of all unitholders.

The Fund is established and governed by the Fund’s Constitution, which sets out the rights of unitholders and the powers and responsibilities of the Responsible Entity. The Responsible Entity is bound by the Fund’s Constitution and the Corporations Act.

The Responsible Entity follows a compliance plan lodged with ASIC which sets out the key measures which the Responsible Entity will apply to comply with the Constitution and the Corporations Act. The Responsible Entity has also established a compliance committee, which comprises a majority of external members. The compliance plan is overseen by the compliance committee and is audited annually with the audit report being lodged with ASIC.

The Responsible Entity has the power to delegate certain aspects of its duties. The Responsible Entity has appointed Lanyon as the investment manager of the Fund pursuant to an investment management agreement. The Responsible Entity is able to terminate Lanyon’s appointment under the investment management agreement at any time in certain circumstances, including but not limited to:

• fraud, misconduct, dishonesty or gross negligence on the part of the Investment Manager;

• where the Investment Manager enters into receivership, liquidation, ceases to carry on business, sells its business or is legally unable to operate as an investment manager of a registered managed investment scheme; and

• where the investment manager is in breach of any representations or warranties to the Responsible Entity and fails to rectify the breach.

Termination in these circumstances is without payment of any penalty.

The Responsible Entity has appointed RBC Investor Services Trust (ABN 75 116 809 824) (Custodian) as external custodian of the Fund's assets, which also has the ability to appoint sub custodians to manage the assets in foreign jurisdictions and has appointed MacKenzie Managed Funds Pty Limited (Administrator) as the Fund's administrator.

2.2 Interests in the Fund

The beneficial interest in the net assets of the Fund is divided into Units and every Unit confers on its holder an equal interest in the net assets of the Fund. A Unit does not confer any interest in any particular part of the net assets, but only such interest in the net assets as a whole as is conferred under the Constitution. All of the Units issued rank equally except as provided to the contrary in the Constitution. Unitholders acquire Units in the Fund. The price of interests will vary as the market value of assets in the Fund rises or falls.

2.3 Minimum Investment Amount

The minimum initial investment is $25,000 with any amount able to be added or withdrawn subject to a minimum investment balance of $25,000, or such other amounts as are determined by the Responsible Entity from time to time. If you are investing through a platform, you should read your platform operator’s offer document for the minimum investment amount.

2.4 Acquiring and disposing of interests

You may acquire Units in the Fund by completing the Application Form and providing it to the Administrator and paying for the Units applied for in accordance with the instructions set out in the Application Form. If the Application Form is accepted by the Responsible Entity, Units will be issued at the Application Price. The Application Price will be calculated weekly in accordance with the Constitution and the following formula:

Net Asset Value (NAV) + Transaction Costs Number of Units on issue

The number of Units an investor receives will be calculated in accordance with the Constitution and the following formula:

N = S/AP

where:

N is the number of Units to be issued (rounded down to four decimal places);

S is the Subscription for Units; and

AP is the Application Price for Units.

The Responsible Entity will retain any interest earned on application money before it is paid into the Fund.

You can increase your investment by acquiring Units in the Fund in the same manner as set out above or by reinvesting your distributions (if permitted), which is explained further in section 2.5 below.

You can decrease your investment by withdrawing some or all of your Units at any time by completing and sending a withdrawal form to the Administrator, setting out your instructions as to the number of Units or the amount you wish to redeem, and your payment instructions. The Redemption Price is calculated by dividing Net Asset Value by the number of Units on issue less Transaction Costs. You can make either a partial or full redemption. Proceeds from a redemption will normally be available within 14 days of receipt of a request. Redemption

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proceeds are also subject to clearance by your bank, building society or credit union.

However, the Constitution specifies that a redemption request is to be satisfied only if the Fund is ‘liquid’ as defined in the Corporations Act or if the redemption request is made in response to a current withdrawal offer made by the Responsible Entity. Generally speaking this definition requires at least 80% of the assets of the Fund to be realisable for market value within the period set out in the Constitution for satisfying redemption requests. If the Fund becomes 'illiquid', redemption rights may be suspended until the Fund is no longer "illiquid".

Further, the Constitution specifies that the Responsible Entity may in its sole discretion for such period as the Responsible Entity considers reasonable, refuse to cause to be redeemed Units where such redemption within that period would result in the Responsible Entity having insufficient funds or such redemptions would otherwise prejudice the interests of remaining unitholders.

In some circumstances, such as when there is a freeze on withdrawals, unitholders may not be able to withdraw their Units within the usual period upon request. The Responsible Entity reserves the right to change processing times.

If you are investing through a platform, you may be subject to different conditions from those referred to in this PDS. You should follow the instructions of the platform operator when making an investment or withdrawing you investment from the Fund.

2.5 Distributions

The distributable income of the Fund will generally consist of interest, net realised capital gains on the sale of underlying assets and dividends (and in some cases interest or other trust distributions) received by the Fund less fees and expenses of the Fund. Your entitlement to distributions is calculated by dividing the net distributable income by the total number of Units on issue at the distribution date and multiplying the result by the number of Units you hold on that date. Please refer to section 6 of this PDS for further information on fees and costs.

If you have not provided a TFN or exemption category, or if your application shows a country of residence other than Australia, withholding tax will be deducted from your distributions.

The Responsible Entity intends to make distributions at least annually following the end of June of each year and may make half year distributions following the end of December. While the Constitution allows the Fund to take up to 60 days for payment of distributions, it is anticipated that distributions will be made approximately 30 business days after the end of the relevant period.

If you have nominated to reinvest your distributions, your new Units will be issued immediately before the next valuation after the distribution period at the prevailing Application Price (excluding Transaction Costs). If you have nominated to receive your distribution directly to your bank account and the transfer is unsuccessful on three occasions, those distributions will be reinvested in the Fund, and your future distribution method will be changed to reinvestment until you specify otherwise.

The Responsible Entity may decide to permit or require you to reinvest some or all of any distribution to acquire additional Units. If the Responsible Entity suspends the distribution reinvestment option, all subsequent distributions will be paid directly into your bank account until reinvestments recommence. If you have invested in this Fund through an IDPS, then all distributions and distribution statements relating to investments made via an IDPS will be provided to the operator of that service.

3. Benefits of investing in the Lanyon Australian Value Fund

The significant features of the Fund are:

Significant Features

Investment strategy

The Fund will primarily invest in securities of entities listed on the Australian Securities Exchange.

The Fund will follow a value approach to investing consistent with the core investment philosophy of Lanyon.

Investment objective

The investment objective of the Fund is to earn long-term returns superior to the S&P/ASX300 Accumulation Index (Benchmark).

Nature of investment return

It is intended that Unitholders will be able to access a combination of investment returns, income distributions and capital gains, over the medium to long term.

Distribution reinvestment

Reinvestment is available.

Distribution frequency

At least annually.

The significant benefits of the Fund are:

• your money is managed by a leading professional investment manager who has skills and experience that may not be possessed by all unitholders;

• access to investment opportunities, markets and diversified portfolio that may not be accessible to all unitholders;

• access to assets with the potential for long-term growth; and

• fund managers can often invest for lower cost than other investors.

The significant features and the significant benefits of the Fund which are set out in this section are a summary only. You should read the whole PDS before deciding whether to complete the Application Form as it contains important information about this investment.

4. Risks of managed investment schemes

4.1 General

Before investing, you should consider whether the Fund is suitable for you given your investment objectives. An investment in the Fund should be considered long-term. If you require further information regarding the potential risks of this investment, you should seek appropriate financial advice.

All investments carry risk and there are many factors that can impact on the performance of an investment. You should expect that the values of assets in which the Fund invests, and the level of income derived by the Fund, might fluctuate. Consequently, the value of your investment and the amount of any income entitlement distributed may rise or fall and you may suffer losses.

Different strategies may carry different levels of risk, depending on the assets that make up the strategy. Further, assets with the highest long-term returns may also carry the highest level of short-term risk.

Although it is not possible to identify all the potential risks, the summary below details the significant risks that you should be aware of when investing in the Fund. It does not purport to be a comprehensive statement of all the risks.

It is not possible to protect the value of your investment from all risks. However the Responsible Entity will maintain investment

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and management processes that are intended to help minimise some of the risks.

4.2 Significant risks of the Fund

The significant risks of investing in the Fund are:

Economic risk – The performance of the Fund can be affected by a range of economic factors including changes in exchange rates, interest rates, inflation, government policy (including monetary and taxation policy and other laws), fluctuations in general market prices for property, shares, bonds and other tradeable investments and the general state of domestic and world conditions.

Market volatility – Investments in the Australian share market, and in listed entities can be volatile and may be subject to large price fluctuations from time to time. As a result of fluctuations in the price of securities in which the Fund invests, the value of the Fund and the price of a unitholder’s Units in the Fund will change.

Investment risk – There is a risk that investments chosen by the Investment Manager will not perform as well as others. Returns on investments may be adversely affected by changes in the underlying strength of cash flows, earnings and balance sheets of the entities in which the Fund invests. Factors which may cause this to happen include changes in company management, competitor behaviour, global events, currency movements and government policy. Individual investments made by the Fund will fluctuate in value and can fall in value for many reasons.

Liquidity risk – Securities that are not actively traded may not be readily convertible into cash without some, and potentially significant, loss of capital. The Fund is not suited to those who seek a short term investment, or who are adverse to unit price volatility, or who are unable to sustain a loss of investment capital.

Income risk – The level of income distributed to unitholders in the Fund can fall as well as rise, and the tax status of such income may also change.

Government and taxation policies – Any changes in government and taxation polices may affect the amount of distributions receivable by unitholders, as well as the taxation treatment of those distributions in their hands.

Dependence on key personnel – The Investment Manager and other key service providers are dependent on a small number of key personnel. It follows that the loss of key personnel of the Investment Manager or other key service providers may adversely affect the Fund's performance.

Cyber risk – There is a risk of fraud, data loss, business disruption or damage to the information of the Fund or to investors’ personal information as a result of a threat or failure to protect the information or personal data stored within the IT systems and networks of the Responsible Entity or other service providers.

Potential conflicts of interest – The Investment Manager may be the investment manager of other funds not described in this PDS and entities within the ‘Perpetual Group’ (comprising Perpetual Limited and its subsidiaries, including the Responsible Entity) may act in various capacities (such as responsible entity, trustee and custodian) for other funds or accounts. The Investment Manager and Perpetual Group have implemented policies and procedures to identify and where possible mitigate or avoid the conflict.

Operational risk – Risks associated with the operation of the Fund may include human error, a systems breakdown,

external threats and other factors beyond the Responsible Entity’s control.

4.3 Significant risks of investing in managed investment schemes generally

The value of investments will vary. The level of returns will vary, and future returns may differ from past returns. Further, returns are not guaranteed, and unitholders may lose some of their money. Laws affecting registered managed investment schemes may change in the future. The level of risk for each person will vary depending on a range of factors, including age, investment time frames, where other parts of the unitholder's wealth are invested and the unitholder's risk tolerance.

5. How we invest your money

The Investment Manager offers a single investment option and it is not intended that the Fund will offer any other investment options to unitholders. The Fund’s investment strategy is to primarily invest in securities of entities listed on the Australian Stock Exchange. The strategic target asset class allocation is predominantly focused on approximately 30-90% listed securities, with the balance of 10-70% held in cash and cash equivalents. However, this strategic target asset class allocation is a target only and actual asset class allocations may differ from the target.

The Fund aims to provide unitholders with superior long-term returns by investing in predictive, free cash-flow generative businesses that trade at a compelling discount to their intrinsic value. The Fund’s investment return objective is to earn returns superior to the Benchmark after taking account of fees and costs incurred by the Fund. However, there is no guarantee that such outperformance will occur. Further, returns are not guaranteed and a loss of investment may occur..

In general, this investment opportunity is only suitable for types of investors who are primarily seeking long-term investment with a significant exposure to Australian listed securities and the potential for high returns, and who are prepared to hold the investment for at least 3 to 5 years due to the risk and volatility associated with listed equities investment in general. The minimum suggested investment timeframe is therefore at least 3 years.

This Fund is considered a medium to high risk investment.

The Responsible Entity has the right to terminate the Fund, or change the Fund’s investment return objective (including without limitation the strategic asset class allocations and the investment strategy) without providing prior notice to investors in some cases. The Responsible Entity will inform investors of any material changes to the Fund in accordance with the law.

The Fund makes its investments on the recommendation of the Investment Manager. The Investment Manager is responsible for the identification and assessment of securities that it believes (individually or in combination with other investments of the Fund) are suitable for meeting the requirements of the Fund’s investment strategy.

The Investment Manager is then responsible for the ongoing monitoring and assessment of the performance of each investment in the portfolio.

Warning: When choosing whether to invest in the Fund, you should consider the likely investment return, the risk, and your investment timeframe.

While the Fund intends to conduct itself in an ethical and sound manner, the Responsible Entity and Investment Manager do not take into account labour standards or environmental, social or ethical considerations when selecting, retaining or realising an investment of the Fund.

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6. Fees and costs

DID YOU KNOW?

Small differences in both investment performance and fees and costs can have a substantial impact on your long term returns.

For example, total annual fees and costs of 2% of your investment balance rather than 1% could reduce your final return

by up to 20% over a 30 year period (for example, reduce it from $100 000 to $80 000).

You should consider whether features such as superior investment performance or the provision of better member services justify higher fees and costs.

You may be able to negotiate to pay lower contribution fees and management costs where applicable. Ask the fund or your financial adviser.

TO FIND OUT MORE

If you would like to find out more, or see the impact of the fees based on your own circumstances, the Australian Securities and Investments Commission (ASIC) website (www.moneysmart.gov.au) has a managed funds fee calculator

to help you check out different fee options.

The managed funds fee calculator on the ASIC website (www.moneysmart.gov.au) can also be used to calculate the effect of fees and costs on account balances.

6.1 Fees and other costs

This document shows fees and other costs that you may be charged. These fees and costs may be deducted from your money, from the returns on your investment or from the assets of the managed investment scheme as a whole. Taxes are set out section 7 of this PDS.

You should read all information about fees and costs because it is important to understand their impact on your investment. The information in the template can be used to compare costs between different simple managed investment schemes. If you are investing via a platform, any additional fees that you may be charged by your platform operator for investing in the Fund via the platform should be set-out in the platform’s offer document.

All the fees and costs shown in this section include stamp duty and GST less any reduced input tax credits (RITC) unless otherwise stated.

Lanyon Australian Value Fund

Type of fee or cost Amount How and when paid

Fees when your money moves in or out of the managed investment product

Establishment Fee1 The fee to open your investment

Nil Not applicable

Contribution Fee1 The fee on each amount contributed to your investment

Nil Not applicable

Withdrawal Fee The fee on each amount you take out of your investment

Nil Not applicable

Exit Fee The fee to close your investment

Nil Not applicable

Management Costs

The fees and costs for managing your investment2

1.35% p.a. (including GST less RITC) of the net asset value of the Fund, comprising:

• 1.35% p.a. (including GST less RITC) management fee3 of the net asset value of the Fund4, of which:

o approximately 0.25% (including GST less RITC) in total will be paid to the Responsible Entity, Administrator, Custodian, any sub-custodian, auditor and other service providers; and

o approximately 1.1% (including GST less RITC)

The management fee is calculated and accrued weekly and is deducted from the Fund within 14 days of the end of each month.

Expenses are recovered from the assets of the Fund as and when they arise.

The performance fee is calculated

http://www.moneysmart.gov.au/

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will be paid to the Investment Manager;

• nil estimated expense recoveries5; and

• nil estimated performance fee6.

and accrued weekly and is deducted from the Fund within 14 days of the end of each six month period.

Service fees

Switching fee The fee for changing investment options

Nil Not applicable

1. When you acquire Units in the Fund, the Responsible Entity's estimate of transaction costs (i.e. the buy spread) is incorporated in the Application Price.

2. This fee does not include an amount payable to an advisor. See “Advisor remuneration and commissions” under the heading “Additional explanation of fees and costs” for more information.

3. The amount of this fee can be negotiated. See “Differential arrangements” under the heading “Additional explanation of fees and costs” for more information.

4. The Responsible Entity will pay the fees of the Administrator, Custodian, any sub-custodian, auditor and other service providers out of the funds it receives from the management fee, retain its fee and then pay the balance to the Investment Manager.

5. See “Management Costs” under the heading “Additional explanation of fees and costs” for more information. 6. If the performance of the Fund exceeds the performance benchmark, the Responsible Entity is entitled to a performance fee

which is paid to the Investment Manager. The Fund has previously paid a performance fee but, based on the Fund’s results in the 2017 financial year, has estimated the performance fee for the 2018 financial year to be nil. See “Performance fee” under the heading “Additional explanation of fees and costs” for more information.

Warning: Additional fees may be paid to a financial advisor if a financial advisor is consulted. Please refer to the Statement of Advice in which details of the fees are set out.

Additional explanation of fees and costs

6.2 Management costs

Management costs are the total fees and costs incurred in managing the investments of the Fund, comprising the management fee paid to the Investment Manager, fees payable to the Responsible Entity, Administrator, Custodian, sub-Custodian, auditor and other service providers, administration expenses and other expense recoveries. These costs, charges, expenses and outgoings that are incurred in the proper performance of its duties can be recovered by the Responsible Entity from the assets of the Fund. The Responsible Entity pays the fees of the Administrator, Custodian, any sub-custodian, auditor and other service providers out of the funds it receives from the management fee, retains its fee and then pays the balance to the Investment Manager. As these fees and costs are recovered from the Fund, they are not directly deducted from your investment.

6.3 Performance fee

The performance fee forms part of the management costs for the Fund and will increase such management costs when charged. The performance fee is 20% (exclusive of GST) or 20.5% (inclusive of GST less RITC) of the Fund’s outperformance of the Benchmark. The performance fee is calculated and accrued weekly and is deducted from the Fund within 14 days of the end of each six month period. The performance fee is subject to a “high water mark” whereby such fee will only be payable when the value of unitholders’ holdings (including any distributions) exceeds the previous highest month-end level (after any distributions). The Fund has previously paid a performance fee but, based on the Fund’s results in the 2017 financial year, has estimated the performance fee for the 2018 financial year to be nil. However, a performance fee may be charged depending on the performance of the Fund.

6.4 Transactional and operational costs

In addition to management costs, the Fund may incur transactional and operational costs when acquiring and disposing of certain Fund assets. These costs may include brokerage, buy-sell spreads, settlement costs, clearing costs

and stamp duty. All transactional and operational costs of the Fund which are incurred by the Responsible Entity in the proper performance of its duties will be recovered from the Fund after they are incurred. Transactional and operational costs are estimated to be 0.30% of the net asset value of the Fund. Transactional and operational costs are offset to some degree from benefits that the Fund receives by charging a buy/sell spread.

A buy/sell spread of 0.25% (plus GST) applies to the Fund. For example, if you invested $50,000 in the Fund, the cost of the buy/sell spread would be $125. The buy/sell spread is designed to fairly allocate costs associated with the Fund buying and selling assets as a result of investors buying and selling Units in the Fund. The buy/sell spread is charged to investors via a deduction from the value of the Units that investors buy or sell and is an additional cost to those investors. It is retained by the Fund and is not a fee payable to the Responsible Entity.

The Responsible Entity estimates that the buy/sell spread will account for most of the transactional and operational costs of the Fund. Where the transactional and operational costs exceed the amount recovered through the buy/sell spread, the excess amount will be borne by the Fund. Conversely, where the amount recovered through the buy/sell spread exceeds the transactional and operational costs, the excess amount will be retained by the Fund.

6.5 Advisor remuneration and commissions

The Responsible Entity does not currently pay any adviser remuneration or commissions to those who are engaged to promote the Fund. However, the Responsible Entity reserves the right to negotiate such amounts on a case-by-case basis and only with those who are authorised to operate under an Australian financial services licence or are otherwise permitted by law to receive such payments.

The Responsible Entity or Investment Manager also reserves the right to negotiate to pay ongoing service fees and/or performance fees from their resources. Service fees may be paid under any sponsorship arrangements entered into with those engaged to promote the Fund. Such fees can be negotiated with those engaged to promote the Fund. If such service fees are negotiated, these payments will be paid by the Responsible Entity or Investment Manager from their own resources and will not be an additional cost to you.

6.6 Differential fee arrangements

From time to time, the Responsible Entity may consider making arrangements with certain wholesale clients (as defined in the

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Corporations Act) on an individual case-by-case basis or with platform operators, in relation to the charging, rebating or waiving of management fees in circumstances permitted by the Corporations Act or where applicable relief has been granted by ASIC. Any such arrangement will be entered into in accordance with the requirements of the Corporations Act, ASIC class orders and ASIC instruments. The Responsible Entity does not negotiate fees with retail investors or individual platform investors. Any differential fee arrangements will not adversely affect the fees paid or to be paid by any Unitholder of the Fund who is not entitled to the benefit of those fee arrangements. Requests to negotiate fees must be put in writing to the Responsible Entity and sent to the Administrator.

6.7 Fee changes and waivers

While the Constitution provides the discretion of the Responsible Entity to charge fees up to a maximum defined threshold that may differ from the fees stated in this PDS, it is not currently intended to do so. Although the Responsible Entity has the right to change the amount of fees at any time without the investor’s consent, the Responsible Entity intends to communicate any changes to you or your platform operator (as applicable) in writing at least 30 days prior to any proposed change. This would allow enough time for you or your platform operator (as applicable) to withdraw if you or they wish. Furthermore, although not intended, the Responsible Entity and/or the Investment Manager may elect to waive or defer the payment of fees. Any deferred fees are payable on the removal of the Responsible Entity or Investment Manager as appropriate.

6.8 Tax

For information about tax, please see section 7 “How managed investment schemes are taxed”.

6.9 Example of annual fees and costs for this Fund

This table gives an example of how the fees and costs for this managed investment product can affect your investment over a 1 year period. You should use this table to compare this product with other managed investment products.

EXAMPLE BALANCE OF $50 000 WITH A CONTRIBUTION OF $5 000 DURING YEAR

Contribution Fees

Nil For every additional $5 000 you put in, you will not be charged any fees.

PLUS Management Costs

1.35% p.a. of the net asset value of the Fund

And, for every $50 000 you have in the Fund, you will be charged $675.00 each year.

EQUALS

Cost of Fund

If you had an investment of $50,000 at the beginning of the year and you put in an additional $5,000 during that year, you would be charged fees of $675.00*.

What it costs you will depend on the fees you

negotiate.

*Additional fees may apply. The actual amount you will be charged will also depend on the timing of additional investments. This example assumes that the additional contribution of $5,000 is invested at the end of the year. This example does not include additional fees that may be charged by your platform operator for investing in the Fund.

6.10 More information

If you would like to find out more, see ASIC's website (www.moneysmart.gov.au).

7. How managed investment schemes are taxed

Warning: Investing in a registered managed investment scheme is likely to have tax consequences. Persons are strongly advised to seek professional tax advice.

7.1 Tax position of the Fund

Based on Australian taxation laws at the date of this PDS, no Australian tax will be payable by the Fund provided that the Responsible Entity distributes all distributable income of the relevant Fund to unitholders in full for each year of income. It is the Responsible Entity's intention to make such distributions. Registered managed investment schemes do not pay tax on behalf of unitholders.

7.2 Tax on income

Fund distributions should generally be included as part of an unitholder’s assessable income in the year in which the entitlement arises. This assessable income includes income and capital gains that a unitholder is entitled to but has not yet received. Unitholders are assessed for tax on any income and capital gains generated by the Fund.

However, as the taxation treatment of distributions depends on each unitholder’s individual circumstances, they should consult their taxation advisor.

You should note that the price of a Unit will fall by the amount of any distribution (per Unit) immediately after the distribution is made. Accordingly, where you invest just prior to a distribution date, then that distribution effectively represents a return of your investment. Depending on your particular circumstances, this may have certain tax implications and we recommend that you consult your taxation advisor.

7.3 AMIT

Perpetual intends to make an election for the Fund to operate as an Attribution Managed Investment Trust (AMIT). An AMIT, in broad terms, is a managed investment trust (MIT) whose unitholders have clearly defined interests in relation to the income and capital of the trust and the trustee or responsible entity of the MIT has made an irrevocable election to apply the regime. The AMIT rules, set out in the Income Tax Assessment Act 1997 (Cth), contain a number of provisions that will impact on the taxation treatment of the Fund. The key features of these rules include an attribution model for determining member tax liabilities, which also allows amounts to retain their tax character as they flow through a MIT to its unitholders, the ability to carry forward understatements and overstatements of taxable income, instead of re-issuing investor statements, deemed fixed trust treatment under the income tax law, upwards cost base adjustments to units to address double taxation, and legislative certainty about the treatment of tax deferred distributions.

Reforms to the taxation of trusts are generally ongoing. Investors should seek their own advice and monitor the progress of announcements and proposed legislative changes on the potential impact.

8. How to apply

8.1 How to invest in the Fund

If you wish to apply, you must do so using the Application Form accompanying this PDS. The Application Price is calculated weekly. The weekly cut off for application documentation and associated cleared funds is 2.30pm (AET) on a Wednesday. You can make an investment in the Fund by completing the attached Application Form, providing it to the Administrator and paying for the Units applied for. Payment method can be by cheque or electronic funds transfer in accordance with the instructions in the Application Form. Where completed Application Forms and deposits are received and accepted by the Administrator before 2.30pm (AET) on a Wednesday, you

http://www.moneysmart.gov.au/

8

will start earning distribution returns from that day. Where received and accepted by the Administrator after 2.30pm (AET) on a Wednesday, you may not start earning distribution returns until the next week.

Notwithstanding the above, your application may be accepted or rejected in part or in full at the absolute discretion of the Responsible Entity. If you are investing through a platform, you should refer to your platform operator for information about the treatment of your investment.

8.2 How to add to an existing investment

In order to add to an existing investment in the Fund, please complete the Application Form, send your completed Application Form the Administrator and pay for the units applied for by way of cheque or electronic funds transfer in accordance with the instructions in the Application Form. The weekly cut off for application documentation and associated cleared funds explained in section 8.1 above (2.30pm (AET) on a Wednesday) applies to additional investments.

8.3 Cooling off

Subject to the Corporations Act and Corporations Regulations, retail investors have the right to return their Units in the Fund to the Responsible Entity and to have their investment repaid. However, this right does not apply in certain circumstances, such as where the Units acquired were offered or issued under distribution reinvestment plans, acquired as additional contributions and where the Units were issued at the time when the Fund is not liquid. If after investing in the Fund you change your mind and wish to exercise your cooling-off right, you may notify the Responsible Entity in writing or electronically and request that your investment be repaid.

The right to cool off can only be exercised during the period of 14 days from the earlier of the time when you receive written confirmation of your investment from the Responsible Entity, and the end of the fifth business day after the day on which the Units were issued to you.

The amount that is repaid to you will be adjusted to take into account any reasonable transaction and administration costs (other than commissions), any increase or decrease in the price of Units in the Fund and any tax or duty paid or payable by the Responsible Entity because of the issue of Units which cannot be refunded or released as a result of the exercise of the right to return the Units. If a distribution has occurred between acceptance of your application by the Responsible Entity and receipt of your notification to cool off during the cooling-off period, there may be taxation implications for you. We suggest that you seek professional tax advice in these circumstances. Your right to cool off does not apply if you exercise any rights as a unitholder, you are a wholesale client (as defined in the Corporations Act) or you invest in the Fund via an IDPS.

If you wish to have your investment repaid during the cooling off period, please contact the Administrator in writing or electronically.

8.4 Complaints procedure

The Responsible Entity has established procedures for dealing with complaints. If an investor has a complaint, they can contact the Responsible Entity during business hours.

The Responsible Entity will use reasonable endeavours to deal with and resolve the complaint within a reasonable time but in any case no later than 45 days after receipt of the complaint.

If an investor is not satisfied with the outcome, the complaint can be referred to the Financial Ombudsman Service (FOS), an external complaints resolution scheme of which the Responsible Entity and the Investment Manager are members. FOS’s postal address is GPO Box 3, Melbourne, Victoria 3001 and the toll free number is 1300 780 808. FOS’s role and terms of reference

are specified in FOS’s rules, available from its website: www.fos.org.au

All investors (regardless of whether you hold Units in the Fund directly or hold Units indirectly via a platform) are able to access the Responsible Entity’s complaints procedures outlined above. However, if you are investing via a platform and your complaint concerns the operation of the platform, then you should contact the platform operator directly.

9. Other Information

9.1 Continuous disclosure and interim reports

If 100 or more unitholders hold Units, the Fund will be a disclosing entity under the Corporations Act. As a disclosing entity, the Fund is subject to regular reporting and disclosure obligations which require lodgement of annual and half yearly reports and continuous disclosure notices. All of this information may be obtained from, or inspected at, an ASIC office.

If applicable, you may also obtain from the Responsible Entity, free of charge, copies of the most recent annual financial report lodged with ASIC, any half yearly financial report lodged with ASIC after the lodgement of the annual financial report and before the date of the PDS, and any continuous disclosure notices lodged with ASIC after the lodgement of the annual financial report and before the date of the PDS.

9.2 Consents and declaration of interest

Lanyon Asset Management Pty Ltd, MacKenzie Managed Funds Pty Limited and RBC Investor Services Trust have given their consent to be named as the Investment Manager, Administrator and external custodian respectively in this PDS and to the statements in this PDS concerning their respective roles and activities, in each case in the form and context in which it is included or named, and have not withdrawn this consent before the date of this PDS.

9.3 Privacy

We collect personal information from you in the Application Form and any other relevant forms, in order to process your application, administer your investment and comply with any relevant laws. Information regarding our collection, use and disclosure of personal information is set out in the Application Form.

If you are investing indirectly through a platform, we do not collect or hold your personal information in connection with your investment in the Fund. Please contact your platform operator for more information about their privacy policy.

9.4 AML/CTF, FATCA and Common Reporting Standard

Perpetual is required to comply with, and has obligations under the Anti-Money Laundering and Counter-Terrorism Financing Act 2006 (Cth) and other applicable anti-money laundering and counter terrorism laws, regulations, rules and policies, the Foreign Account Tax Compliance Act, and the Common Reporting Standard, implemented under The Tax Laws Amendment (Implementation of the Common Reporting Standard) Act 2016 (Cth).

In order to comply with these obligations, Perpetual is required to, amongst other things, collect additional information and certifications from you (or anyone acting on your behalf) as part of your application for Units. Further information regarding these requirements, as well as the information and certifications we require from you, is set out in the Application Form.

APPLICATION FORM_1

INITIAL APPLICATION FORM

THE TRUST COMPANY (RE SERVICES) LIMITED ABN 45 003 278 831 LANYON AUSTRALIAN VALUE FUND ARSN 151 492 849

This Initial Application Form relates to a Product Disclosure Statement dated 1 March 2018 ("PDS") issued by

The Trust Company (RE Services) Limited ABN 45 003 278 831, AFSL 235150, for the offer of units in the

Lanyon Australian Value Fund ARSN 151 492 849 ("Fund"). Terms defined in the PDS have the same meaning

in this Initial Application Form. The PDS contains important information about investing in the Fund, and you

are advised to read the PDS before completing this Initial Application Form.

If you are an existing Unitholder(s) and this is an additional investment, please use the Additional Investment

Form.

If you are a new investor, or if you are an existing Unitholder(s) and this investment is NOT in the same name(s)

and fund as your existing account, please complete the sections of this Initial Application Form and the

identification Forms noted below in Section 1. If you have not been provided with the identification form with

this application you can obtain this at http://www.lanyonam.com.

1. INVESTOR TYPE

Investor Type Complete

Sections

Please complete the

required Identification

Form and provide

certified copies of the

identification

requested on the

Identification Form

Individual and

Joint investors

A natural person or persons. 2,4,5,6,7,&8 Form A- Individuals

Sole trader A natural person operating a business

under their own name with a registered

business name.

3,4, 5,6,7,&8 Form A- Individuals

Companies A company registered as an Australian

public company or an Australian

proprietary company, or a foreign

company.

3,4, 5,6,7,&8 For a Company

complete the relevant

form based on company

type either Forms B or

C.

All Beneficial Owners

named on Form B or C

must complete Form A.

Trusts Types of trusts include self-managed

superannuation funds, registered

managed investment schemes,

unregistered wholesale managed

3,4, 5,6,7,&8 For the Trust complete

either Form D or E; and

For an Individual

Trustee complete Form

APPLICATION FORM_2

investment schemes, government

superannuation funds or other trusts

(such as family trusts and charitable

trusts).

A; or

For a Company Trustee

complete Form B or C


named on Form D or E

must be complete Form

A

Partnership A partnership created under a

partnership agreement.

3,4, 5,6,7,&8 For the Partnership

please complete Form

F


named on Form F must

complete Form A.

Associations Incorporated associations are

associations registered under State or

Territory based incorporated association

statutes. Unincorporated associations

are those of persons who are not

registered under an incorporated

associations statute and thus do not

have the legal capacity to enter into

agreements.

3,4, 5,6,7,&8 For the Association

please complete Form

G.


named on Form G must

complete Form A.

Registered co-

operative

An autonomous association of persons

united voluntarily to meet common

economic, social and cultural needs and

aspirations through a jointly-owned and

democratically-controlled enterprise

registered under a registry system

maintained by a State or Territory. This

investor type can include agricultural

businesses such as a dairy co-operative.

3,4, 5,6,7,&8 For the Registered co-

operative please

complete Form H.


named on Form H must

complete Form A.

Government body The government of a country, an agency

or authority of the government of a

country, the government of part of a

country or an agency or authority of the

government of part of a country.

3,4, 5,6,7,&8 For a Government body

please complete Form I.


named on Form i must

complete Form A.

2. INDIVIDUALS AND JOINT ACCOUNT HOLDERS INVESTOR DETAILS

Applicant 1 Applicant 2 (if applicable)

Investor Type Individual

Individual

Title:

Given Name:

APPLICATION FORM_3

Surname:

Occupation:

Australian Tax File

Number:

Residential

Address:

Street address 1:

Street Address 2:

Suburb:

State:

Postcode:

Country:

Postal Address if

different to

Residential

Address:

Street address 1:

Street Address 2:

Suburb:

State:

Postcode:

Country:

Phone Number

(business hours):

Phone Number

(non-business

hours):

Mobile Number:

Email Address:

Preferred contact

method:

I consent to receive all investor

correspondence from you by

email to the email address

provided.

I wish to receive all investor

correspondence by post to the

address provided in on this

Application Form.

I consent to receive all investor

correspondence from you by email

to the email address provided

I wish to receive all investor

correspondence by post to the

address provided in on this

Application Form.

I nominate my financial advisor as

APPLICATION FORM_4

I nominate my financial advisor as

noted in section 6 to receive all

investor correspondence.

noted in section 6 to receive all

investor correspondence.

3. ALL OTHER ACCOUNT HOLDERS INVESTOR DETAILS

Investor Type/Capacity: Company

Sole Trader

Trust

Partnership

Association

Co-operative

Government Body

Other

Full Name of Company/

Business if Sole Trader/ Trust

(including Trustee details) /

Partnership/Association/

Cooperative/ Government

Body:

Tax File Number:

ABN (if applicable):

Principle Business Activity:

Address:

Street address 1:

Street Address 2:

Suburb:

State:

Postcode:

Country:

Phone Number (business

hours):

Mobile Number:

Fax Number:

Email address:

Preferred contact method: I consent to receive all investor correspondence from you by email to

APPLICATION FORM_5

the email address provided

I wish to receive all investor correspondence by post to the address

provided in on this Application Form.

4. AUTHORISED REPRESENTATIVE DETAILS

Complete this section if you wish to appoint a person to act in a legal capacity as your authorised

representative and to operate your investment in the Fund on your behalf. In general, an authorised

representative can do everything you can do with your investment, except appoint another authorised

representative.

We may act on the sole instructions of the authorised representative until you advise us in writing that

the appointment of your authorised representative has terminated. We may also terminate or vary an

appointment of an authorised representative by giving you 14 days prior notice.

If an authorised representative is a partnership or a company, any one of the partners or any Director of

the company is individually deemed to have the powers of the authorised representative.

Please attach a certified copy of your Power of Attorney.

For information on how to certify your document please refer to the Certification Information Sheet

Given Name:

Surname:

Signature of

Authorised

Representative:

Date:

5. INVESTMENT DETAILS

Please specify a class if applying into a

specific class (if applicable):

Investment Amount:

(Subject to minimums)

Source of funds being invested (choose most

relevant)

Retirement income

Employment income

Business activities

Sale of assets

Inheritance/gifts

Financial investments

APPLICATION FORM_6

Other

Payment Method:

Cheque

Perpetual Corporate Trust Limited

ACF Lanyon Australian Value Fund

Direct Credit/Electronic Funds

Transfer

WBC

Perpetual Corporate Trust Limited

ACF Lanyon Australian Value Fund

BSB: 032-143

A/C: 431963

Distribution payment instructions (choose one payment instruction):

Please reinvest my distributions in the relevant Fund

Please pay my distributions directly to my nominated bank account

Note: If no election is made, distributions will be automatically reinvested in additional units

Your Distribution Bank Account Details:

Bank:

Account Name:

BSB:

Account Number:

If you wish to have a separate bank account

for redemption payments please fill the below:

Your Redemption Bank Account Details:

Bank:

Account Name:

BSB:

Account Number:

6. FINANCIAL ADVISOR DETAILS

By filling out this section you nominate and consent the named Financial Advisor access to your

information.

Advisor Name (full

name):

APPLICATION FORM_7

Name of Advisory Firm:

Name of Dealer Group:

AFSL or AFSL

Representative Number:

Address:

Suburb:

State:

Postcode:

Country:

Phone Number (business

hours):

Mobile Number:

Fax Number:

Email address:

If you have elected you financial advisor to receive all investor correspondence, please confirm the financial advisors preferred contact method:

I consent to receive all investor correspondence from you by email to the

email address provided in section 6.

I wish to receive all investor correspondence by post to the address

provided in section 6.

APPLICATION FORM_8

7. DECLARATION

I/we declare and agree each of the following:

- I/we have read the current PDS to which this application applies and have received and accepted the

offer in it.

- My/our application is true and correct.

- I am/we are bound by any terms and conditions contained in the current PDS and the provisions of the constitution of the Fund as amended from time to time.

- I/we have legal power to invest.

- If this is a joint application, each of us agrees that our investment is as joint tenants. Each of us is able

to operate the account and bind the other to any transaction including investments or withdrawals by any available method.

- If investing as trustee on behalf of a super fund or trust, I/we confirm that I am/we are acting in accordance with my/our designated powers and authority under the relevant trust deed. In the case of

a super fund, I/we also confirm that it is a complying fund under the Superannuation Industry (Supervision) Act 1993.

- I/we acknowledge that none of The Trust Company (RE Services) Limited ABN 45 003 278 831 or any

of their related entities, officers or employees or any related company or any of the appointed service providers including the investment manager and custodian guarantee the repayment of capital or the

performance of the Fund or of any particular rate of return by the Fund. - I/we agree to the anti-money laundering and counter-terrorism financing statements contained in the

PDS. I/we agree to provide further information or personal details to The Trust Company (RE

Services) Limited and the custodian if required to meet their obligations under any anti- money laundering and counter-terrorism law and regulations, and acknowledge that processing or my/our

application may be delayed and will be processed at the unit price applicable for the business day on which all required information has been received and verified.

- I/we have read and understood the privacy disclosure as detailed in the PDS. I/we consent to my/our personal information being collected, held, used and disclosed in accordance with the privacy disclosure. I/we consent to The Trust Company (RE Services) Limited disclosing this information to

my/our financial adviser (named in this form) for units in the Fund. Where the financial adviser no longer acts on my/our behalf, I/we will notify The Trust Company (RE Services) Limited of the change.

- If I/we have appointed an authorised representative, I/we release, discharge and indemnify The Trust Company (RE Services) Limited from any loss, expense, action or other liability which may be

suffered by, brought against me/us or The Trust Company (RE Services) Limited for any action or omissions by the authorised representative whether authorised by me/us or not.

- If I/we have appointed a financial adviser, payment to the financial adviser of the amount stated in

section 6, which includes any amounts invested under the Savings Plan. - I/we certify that the information provided in the separate ID forms, including information relating to tax-

related requirements, is reasonable based on verifiable documentation.

I/we acknowledge and agree that:

- The Trust Company (RE Services) Limited may be required to pass on my/our personal information or

information about my/our investment to the relevant regulatory authorities, including for compliance with

anti-Money laundering and counter-terrorism law and regulations as well as any tax-related requirements

for tax residents of other countries.

-

APPLICATION FORM_9

8. SIGNATURES

Joint applicants must both sign, For Individual Trustee Trust/Superannuation Funds each individual Trustee

must sign. For Corporate Trustee Trust/Superannuation Funds 2 Directors, a Director and Secretary or Sole

Director must sign.

Applicant 1

Signature Full Name Date

Tick capacity (mandatory for companies):

Sole Director and Company Secretary

Director

Secretary

Non-corporate trustee

Partner

Applicant 2

Signature Full Name Date

Tick capacity (mandatory for companies):

Director

Secretary

Non-corporate trustee

Partner

Post your original signed Initial Application Form, Identification Forms and certified copies of your

identification required to:

MacKenzie Managed Funds Pty Limited, 11-13 Bentham Street, Adelaide SA 5000

Please ensure that you have transferred your Application Monies or enclose a cheque for payment.

IDENTIFICATION FORM INDIVIDUALS & SOLE TRADERS

19 May 2017 version – Refer to FSC/FPA GUIDANCE - MANAGING AML/CTF AND FATCA/CRS CUSTOMER IDENTIFICATION OBLIGATIONS for conditions of use Copyright © May 2017 Financial Services Council Limited and Financial Planning Association of Australia Limited

1/2

GUIDE TO COMPLETING THIS FORM o Complete one form for each individual. Complete all applicable sections of this form in BLOCK LETTERS. o Tax information must be collected from the individual o Contact your licensee if you have any queries.

SECTION 1: PERSONAL DETAILS

Surname Date of Birth dd/mm/yyyy

Full Given Name(s)

Residential Address (PO Box is NOT acceptable)

Street

Suburb State Postcode Country

COMPLETE THIS PART IF INDIVIDUAL IS A SOLE TRADER

Full Business Name (if any) ABN (if any)

Principal Place of Business (if any) (PO Box is NOT acceptable)

Street


SECTION 2: TAX INFORMATION

Tax Residency rules differ by country. Whether an individual is tax resident of a particular country is often (but not always) based on the amount of time a person spends in a country, the location of a person’s residence or place of work. For the US, tax residency can be as a result of citizenship or residency.

Please answer both tax residency questions:

Is the individual a tax resident of Australia? Yes No

Is the individual a tax resident of another Country? Yes No

If the individual is a tax resident of a country other than Australia, please provide their tax identification number (TIN) or equivalent below. If they are a tax resident of more than one other country, please list all relevant countries below.

A TIN is the number assigned by each country for the purposes of administering tax laws. This is the equivalent of a Tax File Number in Australia or a Social Security Number in the US. If a TIN is not provided, please list one of the three reasons specified (A, B or C) for not providing a TIN.

1. Country TIN If no TIN, list reason A, B or C



If there are more countries, provide details on a separate sheet and tick this box. .

Reason A The country of tax residency does not issue TINs to tax residents

Reason B The individual has not been issued with a TIN

Reason C The country of tax residency does not require the TIN to be disclosed

(Form A)

IDENTIFICATION FORM INDIVIDUALS & SOLE TRADERS

19 May 2017 version – Refer to FSC/FPA GUIDANCE - MANAGING AML/CTF AND FATCA/CRS CUSTOMER IDENTIFICATION OBLIGATIONS for conditions of use

Copyright © May 2017 Financial Services Council Limited and Financial Planning Association of Australia Limited

2/2

SECTION 3: VERIFICATION PROCEDURE

Verify the individual’s full name; and EITHER their date of birth or residential address. o Complete Part I (or if the individual does not own a document from Part I, then complete either Part II or III.) o Contact your licensee if the individual is unable to provide the required documents.

PART I – ACCEPTABLE PRIMARY PHOTOGRAPHIC ID DOCUMENTS

Tick Select ONE valid option from this section only

Australian State / Territory driver’s licence containing a photograph of the person

Australian passport (a passport that has expired within the preceding 2 years is acceptable)

Card issued under a State or Territory for the purpose of proving a person’s age containing a photograph of the person

Foreign passport or similar travel document containing a photograph and the signature of the person*

PART II – ACCEPTABLE SECONDARY ID DOCUMENTS – should only be completed if the individual does not own a document from Part I Tick Select ONE valid option from this section

Australian birth certificate

Australian citizenship certificate

Pension card issued by Department of Human Services (previously known as Centrelink)

Tick AND ONE valid option from this section

A document issued by the Commonwealth or a State or Territory within the preceding 12 months that records the provision of financial benefits to the individual and which contains the individual’s name and residential address

A document issued by the Australian Taxation Office within the preceding 12 months that records a debt payable by the individual to the Commonwealth (or by the Commonwealth to the individual), which contains the individual’s name and residential address. Block out the TFN before scanning, copying or storing this document.

A document issued by a local government body or utilities provider within the preceding 3 months which records the provision of services to that address or to that person (the document must contain the individual’s name and residential address)

If under the age of 18, a notice that: was issued to the individual by a school principal within the preceding 3 months; and contains the name and residential address; and records the period of time that the individual attended that school

PART III – ACCEPTABLE FOREIGN PHOTOGRAPHIC ID DOCUMENTS – should only be completed if the individual does not own a document from Part I Tick Select ONE valid option from this section only

Foreign driver's licence that contains a photograph of the person in whose name it issued and the individual’s date of birth*

National ID card issued by a foreign government containing a photograph and a signature of the person in whose name the card was issued*

*Documents that are written in a language that is not English must be accompanied by an English translation prepared by an accredited translator. IMPORTANT NOTE: Either attach a legible certified copy of the ID documentation used to verify the individual (and any required translation) OR Alternatively, if agreed between your licensee and the product issuer, complete the Record of Verification Procedure section below and

DO NOT attach copies of the ID Documents

SECTION 4: RECORD OF VERIFICATION PROCEDURE

ID DOCUMENT DETAILS Document 1 Document 2 (if required)

Verified From Original Certified Copy Original Certified Copy

Document Issuer

Issue Date

Expiry Date

Document Number

Accredited English Translation N/A Sighted N/A Sighted

By completing and signing this Record of Verification Procedure I declare that:

• an identity verification procedure has been completed in accordance with the AML/CTF Rules, in the capacity of an AFSL holder or their authorised representative and

• the tax information provided is reasonable considering the documentation provided.

AFS Licensee Name AFSL No.

Representative/ Employee Name Phone No.

Signature Date

Verification Completed

IDENTIFICATION FORM AUSTRALIAN COMPANIES


1/4

GUIDE TO COMPLETING THIS FORM

o This form is for AUSTRALIAN COMPANIES only. For companies incorporated outside of Australia use the FOREIGN COMPANIES IDENTIFICATION FORM.o Complete one form for each company.o Complete separate INDIVIDUAL ID Forms for each of the company’s Beneficial Owners.o Tax information must be collected from an authorised representative of the Company o Complete all applicable sections of this form in BLOCK LETTERS.

SECTION 1: AUSTRALIAN COMPANY IDENTIFICATION PROCEDURE

1.1 General Information

Full name as registered by ASIC

ACN

Registered office address (PO Box is NOT acceptable)

Street


Principal place of business (if any) (PO Box is NOT acceptable)

Street


Companies incorporated outside of Australia should complete the FOREIGN COMPANIES IDENTIFICATION FORM, rather than this form.

1.2 Company Type (select only ONE of the following categories)

Proprietary (companies whose name ends with Proprietary Ltd or Pty Ltd; also known as private companies), proceed to 1.3

Public (companies whose name does not include the word Pty or proprietary), proceed to 1.4

1.3 Directors (Required for all Proprietary Companies as per 1.2, NOT required for Public Companies)

Provide the names of all directors.

Full given name(s) Surname

1

2

3

4

If there are more directors, provide details on a separate sheet and tick this box .1.4 Listing and Regulatory Details (Select any of the following categories if applicable)

Australian Public Listed company (companies that are listed on an Australian financial market such as the ASX) Proceed to Section 2

Name of market / exchange

Majority Owned Subsidiary of an Australian Public Listed company (companies that are majority owned by anAustralian company that is listed on an Australian financial market such as the ASX)

Proceed to Section 2

Australian listed company name


Regulated company (subject to the supervision of a Commonwealth, State or Territory statutory regulator beyondthat provided by ASIC as a company registration body. Examples include Australian Financial Services Licensees (AFSL); Australian Credit Licensees (ACL); or Registrable Superannuation Entity (RSE) Licensees).

Proceed to Section 2

Regulator name

Licence details (e.g. AFSL, ACL, RSE)

(Form B)

IDENTIFICATION FORM AUSTRALIAN COMPANIES 19 May 2017


2/4

1.5 Beneficial Ownership

To be completed for all companies that are not Australian Public Listed companies, majority owned by an Australian Public Listed company or Regulated Companies as per 1.4.

Are there any individuals who ultimately own 25% or more of the company’s issued share capital (through direct or indirect shareholdings)?

Yes (Complete 1.5.1) No (Complete 1.5.2) 1.5.1 Shareholder Beneficial Owners

Provide the names of the individuals who ultimately own 25% or more of the company’s issued share capital (through direct or indirect shareholdings).

Complete separate individual customer ID Forms for each of these individuals.


If Beneficial Owner name/s are provided above, proceed to section 2. 1.5.2 Other Beneficial Owners If there are no individuals who meet the requirement of 1.5.1, provide the names of the individuals 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, understanding & practices; voting rights of 25% or more; or power of veto. If no such person can be identified then the most senior managing official/s of the company (such as the managing director or directors who are authorised to sign on the company’s behalf).


Full given name(s) Surname Role (such as Managing Director)

If there are more Beneficial Owners, provide details on a separate sheet and tick this box .


Collection of tax status in accordance with the United States Foreign Account Tax Compliance Act (FATCA) and Common Reporting Standard (CRS).

2.1 Tax Status

Tick one of the Tax Status boxes below or on the next page (if the company is a Financial Institution, please provide all the requested information below)

A Financial Institution (A custodial or depository institution, an investment entity or a specified insurance company for FATCA / CRS purposes)

Provide the company’s Global Intermediary Identification Number (GIIN), if applicable

If the company is a Financial Institution but does not have a GIIN, provide its FATCA status (select ONE of the following statuses)

Deemed Compliant Financial Institution

Excepted Financial Institution

Exempt Beneficial Owner

Non Reporting IGA Financial Institution

Nonparticipating Financial Institution

Other (describe the company’s FATCA status in the box provided)

If the company is a Financial Institution, please proceed to section 3 to complete the form.

Australian Public Listed Company, Majority Owned Subsidiary of an Australian Public Listed company or Australian Registered Charity (Public listed companies or majority owned subsidiaries of Australian listed companies as per 1.4 that are not Financial Institutions as described above or a company that is an Australian Registered Charity)

If the company type is listed above, please proceed to section 3 to complete the form.

Section 2.1 continues on the next page


19 May 2017 version – Refer to FSC/FPA GUIDANCE - MANAGING AML/CTF AND FATCA/CRS CUSTOMER IDENTIFICATION OBLIGATIONS for conditions of use 9Copyright © May 2017 Financial Services Council Limited and Financial Planning Association of Australia Limited

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2.1 Tax Status

An Active Non-Financial Entity (NFE) (Active NFEs include entities where, during the previous reporting period, less than 50% of their gross income was passive income (e.g. dividends, interests and royalties) and less than 50% of assets held produced passive income. For other types of Active NFEs, refer to Section VIII in the Annexure of the OECD 'Standard for Automatic Exchange of Financial Account Information' at www.oecd.org.)

If the company is an Active NFE, please proceed to section 3 to complete the form.

Other (Entities that are not previously listed – Passive Non-Financial Entities)

Please proceed to section 2.2 (Foreign Beneficial Owners). 2.2 Foreign Beneficial Owners

Are any of the company’s Beneficial Owners tax residents of countries other than Australia? Yes No If Yes, please provide the details of these individuals below and complete a separate Individual Identification Form for each Beneficial Owner (unless already provided in section 1.5).

Full given name(s) Surname Role (such as Director or Senior Managing Official)

If there are more Beneficial Owners, provide details on a separate sheet and tick this box. .

Tax Residency rules differ by country. Whether an individual is tax resident of a particular country is often (but not always) based on the amount of time a person spends in a country, the location of a person’s residence or place of work. For the US, tax residency can also be as a result of citizenship or residency.

2.3 Country of Tax Residency

Is the Company a tax resident of a country other than Australia? Yes No If Yes, please provide the Company’s country of tax residence and tax identification number (TIN) or equivalent below. If the Company is a tax resident of more than one other country, please list all relevant countries below. If No, please proceed to section 3 to complete the form.

A TIN is the number assigned by each country for the purposes of administering tax laws. This is the equivalent of a Tax File Number in Australia or an Employer Identification Number in the US. If a TIN is not provided, please list one of the three reasons specified (A, B or C) for not providing a TIN.





Reason A The country of tax residency does not issue TINs to tax residents Reason B The Company has not been issued with a TIN Reason C The country of tax residency does not require the TIN to be disclosed



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SECTION 3: AUSTRALIAN COMPANY VERIFICATION PROCEDURE

Identification documentation is to be provided to verify the information listed in the standard or simplified verification procedure described below. The simplified verification procedure is to be used for Australian Public Listed companies, Majority Owned Subsidiaries of Australian Public Listed companies and Regulated companies as described in section 1.4 of this form. All other companies are to be verified according to the standard verification procedure.

Standard verification procedure Information to be verified: o The full name of the company as registered by ASIC o Whether the company is registered as a proprietary or a public company o The ACN issued to the company.

Tick Verification options (select one of the following options used to verify the Company)

Perform a search of the relevant ASIC database.

If the ASIC database is not reasonably available, an original or certified copy of the certification of registration issued by ASIC.

Simplified verification procedure for an Australian Public Listed company, a Majority Owned Subsidiary of an Australian Public Listed company or a Regulated company (as described in section 1.4 of this form) Information to be verified: o The full name of the company o That the company is an Australian Public Listed company, a Majority Owned Subsidiary of an Australian Public Listed company or a Regulated company (whichever is applicable).

Tick Verification options (select one or more of the following options used to verify the Company)

Perform a search of the relevant market/exchange.


Perform a search of the licence or other records of the relevant Commonwealth, State or Territory statutory regulator.

A public document issued by the relevant company.

IMPORTANT NOTE:

Ensure that individual customer ID Forms have been provided for the Company’s Beneficial Owners as per 1.5 AND

Attach a legible certified copy of the ID documentation used to verify the company OR

Alternatively, if agreed between your licensee and the product issuer, complete the Record of Verification Procedure section below and DO NOT attach copies of the ID Documents


ID DOCUMENT DETAILS

Document 1 Document 2 (if required)

Verified From Performed search Original Certified copy Performed search Original Certified copy

Document Issuer / Website

Public Document Type

Issue date / Search date By completing and signing this Record of Verification Procedure I declare that: an identity verification procedure has been completed in accordance with the AML/CTF Rules, in the capacity of an AFSL holder or their authorised

representative; individual customer ID Forms have been provided for the company’s Beneficial Owners (where applicable) the tax information provided is reasonable considering the documentation provided.



Signature

Date Verification Completed

IDENTIFICATION FORM FOREIGN COMPANIES

19 May 2017 version – Refer to FSC/FPA GUIDANCE - MANAGING AML/CTF AND FATCA CUSTOMER IDENTIFICATION OBLIGATIONS for conditions of use Copyright © May 2017 Financial Services Council Limited and Financial Planning Association of Australia Limited 1/5

GUIDE TO COMPLETING THIS FORM o This form is for FOREIGN COMPANIES only. For companies incorporated in Australia use the AUSTRALIAN COMPANIES IDENTIFICATION FORM. o Complete one form for each Company.o Complete separate INDIVIDUAL ID Forms for each of the Company’s Beneficial Owners.o Tax information must be collected from an authorised representative of the Company o Complete all applicable sections of this form in BLOCK LETTERS. o

SECTION 1: FOREIGN COMPANY IDENTIFICATION PROCEDURE


Full name of foreign Company

Country of formation / incorporation / registration

Select if registered by a foreign body and provide name of body

Companies incorporated in Australia should complete the AUSTRALIAN COMPANIES IDENTIFICATION FORM, rather than this form.

1.2 Is the Company registered with ASIC? (select ONE of the following)

Yes Provide ARBN

Provide EITHER principal place of business address in Australia OR Australian agent name and address details (Tick one box)

Address (PO Box is NOT acceptable)

Street


Name of local agent in Australia

NoProvide Company identification number (if any) issued by the relevant registration body

Principal place of business in the Company’s country of formation or incorporation (PO Box is NOT acceptable)

Street


1.3 Registered Address of Company

Provide the registered address as registered with ASIC. If the Company is NOT registered with ASIC, provide the registered address in the country of formation, incorporation or registration (if any).

Street


1.4 Company Type (select only ONE of the following categories)

Private, proceed to 1.5

Public, proceed to 1.6

1.5 Directors (Required for all Private Companies as per 1.4, NOT required for Public Companies)



1

2

3

4

If there are more directors, provide details on a separate sheet and tick this box .

(Form C)


19 May 2017 version – Refer to FSC/FPA GUIDANCE - MANAGING AML/CTF AND FATCA CUSTOMER IDENTIFICATION OBLIGATIONS for conditions of use Copyright © May 2017 Financial Services Council Limited and Financial Planning Association of Australia Limited

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1.6 Listing and Regulatory Details (select any of the following categories if applicable)

Public Listed (companies that are subject to disclosure requirements that ensure transparency of Beneficial Ownership comparable to similar public listing requirements in Australia. Refers to listing on a financial market that by stock exchange rules, law or enforceable means promotes transparency of beneficial owner information.)

Name of market / disclosure regime

Country

Majority Owned Subsidiary of an Australian Public Listed Company (companies that are majority owned by an Australian Company that is listed on a financial market such as the ASX)

Australian listed Company name


Regulated in Australia (subject to the supervision of an Australian Commonwealth, State or Territory statutory regulator beyond that provided by ASIC as a Company registration body. Examples include Australian Financial Services Licensees (AFSL); Australian Credit Licensees (ACL); or Registrable Superannuation Entity (RSE) Licensees).

Regulator name

Licence details (e.g. AFSL, ACL, RSE)

If any of the above are ticked, Proceed to Section 2 1.7 Beneficial Ownership

To be completed for all companies that are not Public Listed companies, majority owned by an Australian Public Listed Company or companies regulated in Australia as per 1.6

Are there any individuals who ultimately own 25% or more of the Company’s issued share capital (through direct or indirect shareholdings)?

Yes (Complete 1.7.1) No (Complete 1.7.2)

1.7.1 Shareholder Beneficial Owners

Provide the names of the individuals who ultimately own 25% or more of the Company’s issued share capital (through direct or indirect shareholdings).



If beneficial owner name/s are provided above, proceed to section 2. 1.7.2 Other Beneficial Owners If there are no individuals who meet the requirement of 1.7.1, provide the names of the individuals 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, understanding & practices; voting rights of 25% or more; or power of veto. If no such person can be identified then the most senior managing official/s of the Company (such as the managing director or directors who are authorised to sign on the Company’s behalf). Complete separate individual customer ID Forms for each of these individuals.

Full given name(s) Surname Role (such as Managing Director)




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SECTION 2: TAX INFORMATION Collection of tax status in accordance with United States Foreign Account Tax Compliance Act (FATCA) and Common Reporting Standard (CRS).

2.1 Tax Status

Tick one of the Tax Status boxes below (if the Company is a Financial Institution, please provide all the requested information below)

A Financial Institution (A custodial or depository institution, an investment entity or a specified insurance Company for FATCA / CRS purposes)

Provide the Company’s Global Intermediary Identification Number (GIIN), if applicable

If the Company is a Financial Institution but does not have a GIIN, provide its FATCA status (select ONE of the following statuses)






US Financial Institution

Other (describe the company’s FATCA status in the box provided)

PLEASE ANSWER THE QUESTION BELOW FOR ALL FINANCIAL INSTITUTIONS

Is the Financial Institution an Investment Entity located in a Non-Participating CRS Jurisdiction and managed by another Financial Institution?

Yes No If Yes, proceed to section 2.2 (Foreign Beneficial Owners). If No, Please go to section 3 to complete the form.

CRS Participating Jurisdictions are on the OECD website at http://www.oecd.org/tax/automatic-exchange/crs-implementation-and-assistance/crs-by-jurisdiction.

A Public Listed Company, Majority Owned Subsidiary of a Public Listed Company, Governmental Entity, International Organisation or

Central Bank

If the Company type is listed above, please proceed to section 3 to complete the form.

A Charity or an Active Non-Financial Entity (NFE) (Active NFEs include entities where, during the previous reporting period, less than 50% of their gross income was passive income (e.g. dividends, interests and royalties) and less than 50% of assets held produced passive income. For other types of Active NFEs, refer to Section VIII in the Annexure of the OECD 'Standard for Automatic Exchange of Financial Account Information' at www.oecd.org.)

If the Company is a charity or an Active NFE, please proceed to section 2.3 (Country of Tax Residency).

Other (Entities that are not previously listed – Passive Non-Financial Entities)

Please proceed to section 2.2 (Foreign Beneficial Owners).

2.2 Foreign Beneficial Owners (Individuals)

Does the Company have any Beneficial Owners who are tax residents of countries other than Australia? Yes No

Tax Residency rules differ by country. Whether an individual is tax resident of a particular country is often (but not always) based on the amount of time a person spends in a country, the location of a person’s residence or place of work. For the US, tax residency can be as a result of citizenship or residency.

If Yes, please provide the details of these individuals below and complete a separate Individual Identification Form for each Beneficial Owner (unless already provided in section 1.7).

Full given name(s) Surname Role (such as Director or Senior Managing Official)

If there are more Beneficial Owners, provide details on a separate sheet and tick this box. .

Proceed to section 2.3.

http://www.oecd.org/



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Is the Company a tax resident of a country other than Australia? Yes No

If Yes, please provide the Company’s country of tax residence and tax identification number (TIN) or equivalent below. If the Company is a tax resident of more than one other country, please list all relevant countries below. If No, please proceed to section 3 to complete the form.

A TIN is the number assigned by each country for the purposes of administering tax laws. This is the equivalent of a Tax File Number in Australia or an Employer Identification Number in the US. If a TIN is not provided, please list one of the three reasons specified (A, B or C) for not providing a TIN.






Reason B The Company has not been issued with a TIN


SECTION 3: FOREIGN COMPANY VERIFICATION PROCEDURE

Identification documentation is to be provided to verify the information listed in one of the verification procedure described below (either the standard verification procedure for companies registered with ASIC, the standard verification procedure for companies not registered with ASIC or the simplified verification procedure for Public Listed companies, Majority Owned Subsidiaries of Australian Public Listed companies or companies regulated in Australia as described in section 1.6 of this form).

Standard verification procedure for Foreign Companies registered with ASIC Information to be verified: o The full name of the Company as registered by ASIC o The ARBN issued to the Company o Whether it is registered by a foreign registration body and if so, whether it is registered as a private or public Company.



Perform a search of the relevant foreign registration body.

If the ASIC or foreign registration body database is not reasonably available, an original or certified copy of the certification of registration issued by ASIC or by the relevant foreign registration body. *

Standard verification procedure for Foreign Companies NOT registered with ASIC Information to be verified: o The full name of the Company o Whether it is registered by a foreign registration body and if so whether it is registered as a private or public Company o the identification number issued to the Company


Perform a search of the relevant foreign registration body.

If the foreign registration body database is not reasonably available, an original or certified copy of the certification of registration issued by the relevant foreign registration body. *

Where the above means are unavailable, a disclosure certificate from the Company given by an individual acting as agent of the Company (where the agent has been verified). See your licensee for other disclosure certificate requirements. *



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Simplified verification procedure for a regulated Company, a listed Company or a majority owned subsidiary of an Australian listed Company (as described in section 1.6 of this form) Information to be verified: o The full name of the Company o That the Company is a regulated Company, a listed Company or a majority owned subsidiary of an Australian listed Company (whichever is applicable)


Perform a search of the relevant financial market.


Perform a search of the licence or other records of the relevant Commonwealth, State or Territory statutory regulator.

A public document issued by the Company. *

* Documents that are written in a language that is not English must be accompanied by an English translation prepared by an accredited translator.

IMPORTANT NOTE: Ensure that individual customer ID Forms have been provided for the Company’s Beneficial Owners as per 1.7 AND Attach a legible certified copy of the ID documentation used to verify the Company (and any required translation) OR Alternatively, if agreed between your licensee and the product issuer, complete the Record of Verification Procedure section below and



ID DOCUMENT DETAILS

Document 1 Document 2 (if required)



Public Document Type

Issue date / Search date

Accredited English Translation

N/A Sighted N/A Sighted


• an identity verification procedure has been completed in accordance with the AML/CTF Rules, in the capacity of an AFSL holder or their authorised representative;

• individual customer ID Forms have been provided for the Company’s Beneficial Owners (where applicable) and




Signature


IDENTIFICATION FORM AUSTRALIAN REGULATED TRUSTS

(Including Self-Managed Super Funds)

19 May 2017 version – Refer to FSC/FPA GUIDANCE - MANAGING AML/CTF AND FATCA/CRS CUSTOMER IDENTIFICATION OBLIGATIONS for conditions of use Copyright © May 2017 Financial Services Council Limited and Financial Planning Association of Australia Limited 1/3

GUIDE TO COMPLETING THIS FORM o This form is for AUSTRALIAN REGULATED TRUSTS only. Australian Regulated Trusts include self-managed super funds, registered managed investment schemes, unregistered

managed investment schemes, government superannuation funds or other Trusts subject to the regulatory oversight of an Australian regulator. o For Trusts that are not subject to the oversight an Australian regulator, complete the UNREGULATED AUSTRALIAN TRUSTS & FOREIGN TRUSTS IDENTIFICATION FORM. o Collect information about the Trust and one Trustee. The identity of the Trust must be verified (not the Trustee). o Tax information must be collected from an authorised representative of the Trust o Complete all applicable sections of this form in BLOCK LETTERS.

SECTION 1: REGULATED TRUST IDENTIFICATION PROCEDURE

Section 1.1: General Information

Full name of Trust

Country where trust established (only required if not Australia)

Full business name of trustee in respect of the trust (if any)

Section 1.2: Type of Regulated Trust

Tick Select one of the following type of Regulated Trust

Self-Managed Superannuation Fund

Provide the SMSF’s ABN

Registered managed investment scheme

Provide Australian Registered Scheme Number (ARSN)

Unregistered managed investment scheme (Where the scheme is not registered by ASIC, only has wholesale clients and does not make small scale offerings to which section 1012E of the Corporations Act 2001 applies)

Provide the unregistered managed investment scheme’s ABN

Government superannuation fund

Provide name of the legislation establishing the fund

Other regulated Trust (A trust that is subject to the regulatory oversight of a Commonwealth, State or Territory statutory regulator such as an approved deposit fund, a pooled superannuation trust or an APRA-regulated superannuation fund)

Provide name of the regulator (e.g. ASIC, APRA, ATO)

Provide the Trust’s ABN or registration/licensing details

Other types of Trusts (e.g. family, unit, charitable, estate) or Trusts regulated by a foreign regulatory body should complete the UNREGULATED AUSTRALIAN TRUSTS & FOREIGN TRUSTS IDENTIFICATION FORM, rather than this form.

SECTION 2: TRUSTEE IDENTIFICATION PROCEDURE (Please complete EITHER section 2.1 OR section 2.2)

For Australian Regulated Trusts, identification information is required for one of the Trustees. This information is only required for one Trustee, even if the Trust has a number of Trustees. Please provide identification information for either an individual Trustee (section 2.1) or a corporate Trustee (section 2.2).

Section 2.1: Individual Trustee (To be completed if the selected Trustee is an individual)

Full given name(s) Surname Date of Birth (dd/mm/yyyy)

Residential Address (PO Box is not acceptable)

Street


OR

(Form D)



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Section 2.2: Company Trustee (To be completed if the selected Trustee is an Australian Company. If the selected Trustee is a foreign company then complete the FOREIGN COMPANY IDENTIFICATION FORM in addition to this form)

2.2.1 Company Details

Full name as registered by ASIC

ACN

Registered Office Address (PO Box is not acceptable)

Street


Principal Place of Business (if any) (PO Box is not acceptable)

Street


2.2.2 Company Type (Select one of the following company types)

Public (companies whose name does NOT include the word Pty or proprietary; generally listed companies), proceed to section 3

Proprietary (companies whose name ends with Proprietary Ltd or Pty Ltd; also known as private companies), proceed to section 2.2.3

2.2.3 Directors (To be completed for proprietary companies, not required for public companies as per 2.2.2)



1

2

3

4

If there are more directors, provide details on a separate sheet and tick this box .

SECTION 3: TAX INFORMATION Collection of tax status in accordance with the United States Foreign Account Tax Compliance Act (FATCA) and Common Reporting Standard (CRS). Regulated super funds (Self-Managed Superannuation Funds, APRA regulated super funds, government super funds or pooled superannuation trusts) are not required to complete section 3 and can proceed to section 4.

3.1 Tax Status

Provide the Trust’s Global Intermediary Identification Number (GIIN), if applicable

If the Trust is a Financial Institution but does not have a GIIN, provide its FATCA status (select ONE of the following statuses)




Non Reporting IGA Financial Institution (If the Trust is a Trustee-Documented Trust, provide the Trustee’s GIIN)


Other (describe the Trust’s FATCA status in the box provided)



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SECTION 4: REGULATED TRUST VERIFICATION PROCEDURE

Regulated Trust Verification procedure: Information to be verified: o Full name of the Trust o That the Trust is a Self-Managed super fund; registered managed investment scheme, unregistered managed investment scheme, government superannuation fund or other

regulated Trust, as applicable

Tick Verification options (select one of the following options used to verify the Trust)

Perform a search of the ASIC, ATO or relevant regulator’s website (e.g. “Super Fund Lookup” at www.abn.business.gov.au).

A copy of an offer document of the managed investments scheme (e.g. a copy of a Product Disclosure Statement)

A copy or relevant extract of the legislation establishing the government superannuation fund sourced from a government website

IMPORTANT NOTE: Attach a legible certified copy of the ID documentation used to verify the Trust OR Alternatively, if agreed between your licensee and the product issuer, complete the Record of Verification Procedure section below and



ID DOCUMENT Document 1 Document 2



Document Type / Search details



• an identity verification procedure has been completed in accordance with the AML/CTF Rules, in the capacity of an AFSL holder or their authorised representative and




Signature


IDENTIFICATION FORM UNREGULATED AUSTRALIAN TRUSTS & FOREIGN TRUSTS


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GUIDE TO COMPLETING THIS FORM o This form is for all Trusts that are not subject to the oversight of an Australian statutory regulator. Trusts that are subject to the oversight of an Australian statutory regulator,

including Self-Managed Superannuation Funds, should complete the AUSTRALIAN REGULATED TRUSTS AND TRUSTEES IDENTIFICATION FORM. o Provide information about the Trust (Section 1) and complete the Trust verification procedure (Section 3). o Provide details for ALL Trustees (Section.1.4) and provide a separate Customer ID Form for ONE of the Trustees. o Provide details for the Trust’s Beneficial Owners (Section 1.5) and provide separate INDIVIDUAL ID Forms for each of these Beneficial Owners.o Tax information must be collected from an authorised representative of the Trust o Complete all applicable sections of this form in BLOCK LETTERS.

SECTION 1: TRUST IDENTIFICATION PROCEDURE


Full name of the Trust

Full business name of the Trustee in respect of the Trust (if any)

Country where Trust established

(if not established in Australia)

Full Name of Settlor/s*

* The person/s who settles the initial sum or assets to create the Trust.

1.2 Type of Unregulated Trust

Tick Select one of the following types of Trusts

Family Trust Charitable Trust Testamentary Trust

Other type provide description

Self-managed superannuation funds, registered managed investment schemes, government superannuation funds or other regulated Trust should complete the AUSTRALIAN REGULATED TRUSTS &TRUSTEES IDENTIFICATION FORM, rather than this form.

1.3 Beneficiaries Details

Provide the names (1.3.1) and/or class/es (1.3.2) of the Trust’s beneficiaries. Both the names and classes of beneficiaries must be provided (if the Trust has both named and class/es of beneficiaries).

1.3.1 Named Beneficiaries

Full Given / Entity name(s) Surname

1

2

3

4

1.3.2 Class/es of beneficiaries (e.g. unit holders, family members of named person, charitable organisations/causes)

If there are more beneficiaries provide details on a separate sheet and tick this box .

(Form E)



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1.4 Trustee Details

Provide the name & residential/business addresses of ALL of the Trustees below. Complete a separate Customer ID Form for ONE of these Trustees*.

Trustee 1 Trustee 2 Trustee 3

Full given name(s)/ Company name

Surname

Residential/ Business Address (PO Box is NOT acceptable)

Suburb State

Country Postcode


Surname


Suburb State

Country Postcode


Surname


Suburb State

Country Postcode

If there are more Trustees, provide their details on a separate sheet and tick this box .

*A Customer ID form should be completed for ONE of the Trustees based on the nature of this Trustee. For example, an INDIVIDUAL ID FORM should be completed for a Trustee who is an individual or an AUSTRALIAN COMPANY ID FORM for a Trustee that is an Australian Company.


Provide the names of the individuals that directly or indirectly control* the Trust. If this is confirmed to be the individual identified as the Trustee above, they must be listed again below to confirm that they are the Trust’s Beneficial Owners. * includes control by acting as Trustee; or by means of Trusts, agreements, arrangements, understandings and practices; or exercising control through the capacity to direct the Trustees; or the ability to appoint or remove the Trustees. Complete separate individual customer ID Forms for each of these individuals (unless an individual Customer ID Form has already been provided for this individual as a Trustee or the Beneficial Owner of a Trustee that is an entity).

Full given name(s) Surname Role (such as Trustee or Appointer)

Please Note: Beneficial Owner/s must be listed above and individual ID Forms completed for all Beneficial Owners.




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2.1 Tax Status

Tick one of the Tax Status boxes below (if the Trust is a Financial Institution, please provide all the requested information below)

Financial Institution (A custodial or depository institution, an investment entity or a specified insurance company for FATCA / CRS purposes)

Provide the Trust’s Global Intermediary Identification Number (GIIN), if applicable

If the Trust is a Financial Institution but does not have a GIIN, provide its FATCA status (select ONE of the following status)




Non Reporting IGA Financial Institution (If the Trust is a Trustee-Documented Trust, provide the Trustee’s GIIN)



Other (describe the Trust’s FATCA status in the box provided)



Yes No If Yes, proceed to section 2.2 (Foreign Controlling Persons). If No, Please go to section 3 to complete the form.


Australian Registered Charity or Deceased Estate

If the Trust is an Australian Registered Charity or Deceased Estate, please proceed to section 3 to complete the form.

A Foreign Charity or an Active Non-Financial Entity (NFE) (Active NFEs include entities where, during the previous reporting period, less than 50% of their gross income was passive income (e.g. dividends, interests and royalties) and less than 50% of assets held produced passive income. For other types of Active NFEs, refer to Section VIII in the Annexure of the OECD 'Standard for Automatic Exchange of Financial Account Information' at www.oecd.org.)

If the Trust is a Foreign (non-Australian) Charity or an Active NFE, please proceed to section 2.3 (Country of Tax Residency).

Other (Trusts that are not previously listed – Passive Non-Financial Entities))

Please proceed to section 2.2 (Foreign Controlling Persons).

2.2 Foreign Controlling Persons (Individuals)

Are any of the Trust’s Controlling Persons tax residents of countries other than Australia Yes No

If the Trustee is a company, are any of this company’s Controlling Persons tax residents of countries other than Australia Yes No

* A Controlling Person is any individual who directly or indirectly exercises control over the Trust. For a Trust, this includes all Trustees, Settlors, Protectors or Beneficiaries. For a Trustee company this includes any beneficial owners controlling more than 25% of the shares in the company or Senior Managing Officials. Tax Residency rules differ by country. Whether an individual is tax resident of a particular country is often (but not always) based on the amount of time a person spends in a country, the location of a person’s residence or place of work. For the US, tax residency can be as a result of citizenship or residency. If Yes to either of the two questions above, please provide the details of these individuals below and complete a separate Individual Identification Form for each Controlling Person (unless already provided as a Beneficial Owner).

Full given name(s) Surname Role (such as Trustee or Beneficiary, etc. refer * below)

If there are more controlling persons, provide details on a separate sheet and tick this box. .




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Is the Trust a tax resident of a country other than Australia? Yes No

If Yes, please provide the Trust’s country of tax residence and tax identification number (TIN) or equivalent below. If the Trust is a tax resident of more than one other country, please list all relevant countries below. If No, please proceed to section 3 to complete the form.

A TIN is the number assigned by each country for the purposes of administering tax laws. This is the equivalent of a Tax File Number in Australia or a Employee Identification Number in the US. If a TIN is not provided, please list one of the three reasons specified (A, B or C) for not providing a TIN.






Reason B The Trust has not been issued with a TIN


SECTION 3: UNREGULATED TRUST VERIFICATION PROCEDURE

Trust Verification procedure Information to be verified: Full name of the Trust and Settlor/s name

Tick Verification options (select one or more of the following options used to verify the Trust)

An original or certified copy of the Trust Deed or if not reasonably available an original or certified extract of the Trust Deed *. Extracts of Trust Deeds must include the name of the Trust, Trustees, Beneficiaries, Settlor/s and Appointers (where applicable).


IMPORTANT NOTE: Ensure that a customer ID Form has been provided for ONE of the Trustees as per 1.4 AND Ensure that individual customer ID Forms have been provided for the Trust’s Beneficial Owners as per 1.5 AND Either attach a legible certified copy of the documentation used to verify the Trust (and any required translation) OR Alternatively, if agreed between your licensee and the product issuer, complete the Record of Verification Procedure section below, and




Verified From Original Certified Copy Original Certified Copy

Document Issuer

Issue Date

Expiry Date

Document Number




• Customer ID Forms have been provided for one of the Trust’s Trustees;

• Individual Customer ID Forms have been provided for all of the Trust’s Beneficial Owners and




Signature


IDENTIFICATION FORM PARTNERSHIPS & PARTNERS


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GUIDE TO COMPLETING THIS FORM o This form is for PARTNERSHIPS & PARTNERS. o Provide details for the Partnership’s Beneficial Owners (Section 1.3) and provide separate INDIVIDUAL ID Forms for each of these Beneficial Owners.o Provide a separate Customer ID Form for ONE of the Partners (Section 1.4), unless an ID Form has been provided for this partner as a Beneficial Owner. o Tax information must be collected from an authorised representative of the Partnership o Complete all applicable sections of this form in BLOCK LETTERS.

SECTION 1: PARTNERSHIP IDENTIFICATION PROCEDURE


Full name of Partnership

Registered business name of Partnership (if any)

Country where Partnership established (if not established in Australia)

1.2 Type of Partnership ( whether the Partnership is regulated by a professional association and if so, provide the information requested)

Is the Partnership regulated by a professional association?

Yes (Provide details below) No

Provide name of association

Provide membership details


Are there any individuals who ultimately own 25% or more of the Partnership; or are entitled (either indirectly or directly) to exercise 25% or more of the voting rights of the Partnership, including power of veto?

Yes (Complete 1.3.1) No (Complete 1.3.2)

1.3.1 Beneficial Owners

Provide the names of the individuals who ultimately own 25% or more of the Partnership; or are entitled (either indirectly or directly) to exercise 25% or more of the voting rights, including power of veto.

Complete a separate individual customer ID form for each of these individuals.


If Beneficial Owner name/s are provided above, proceed to section 1.4.

1.3.2 Other Beneficial Owners

If there are no individuals who meet the requirement of 1.3.1, provide the names of the individuals who directly or indirectly control* the Partnership.

* includes exercising control through the capacity to determine decisions about financial or operating policies; or by means of trusts, agreements,arrangements, understanding & practices. If no such person can be identified then the most senior managing official/s of the Partnership (such as theManaging Partner or Senior Managing Official).

Complete a separate individual customer ID form for each of these individuals.

Full given name(s) Surname Role (such as Senior Managing Partner)

(Form F)



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If there are more Beneficial Owners, provide details on a separate sheet and tick this box . 1.4 Partnership Details – ALL Partnerships

Provide the name of one of the Partners AND complete a separate customer ID form for this Partner (unless this Partner has already provided a customer ID form in section 1.3).

Partner Full given name(s)/ Business name Surname

1.5 Partnership Details - Partnerships not regulated by a professional association

If the Partnership is not regulated by a professional association, provide the names and addresses of all the other Partners.

Partner 1 Full given name(s)/ Business name Surname









If there are more partners, provide details on a separate sheet and tick this box .



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SECTION 2: TAX INFORMATION Collection of tax status in accordance with the United States Foreign Account Tax Compliance Act (FATCA) and Common Reporting Standard (CRS).

2.1 Tax Status

Tick one of the Tax Status boxes below (if the Partnership is a Financial Institution, please provide all the requested information below)

Financial Institution (A custodial or depository institution, an investment entity or a specified insurance company for FATCA and CRS purposes)

Provide the Partnership’s Global Intermediary Identification Number (GIIN), if applicable

If the Partnership is a Financial Institution but does not have a GIIN, provide its FATCA status (select ONE of the following statuses)







Other (describe the Partnership’s FATCA status in the box provided)



Yes No If Yes, proceed to section 2.2 (Foreign Controlling Persons). If No, Please go to section 3 to complete the form.


An Active Non-Financial Entity (NFE) (Active NFEs include entities where, during the previous reporting period, less than 50% of their gross income was passive income (e.g. dividends, interests and royalties) and less than 50% of assets held produced passive income. For other types of Active NFEs, refer to Section VIII in the Annexure of the OECD 'Standard for Automatic Exchange of Financial Account Information' at www.oecd.org.)

If the Partnership is an Active NFE, please proceed to section 2.3 (Country of Tax Residency).

Other (Partnerships that are not previously listed – Passive Non-Financial Entities)

Please proceed to section 2.2 (Foreign Controlling Persons).

2.2 Foreign Controlling Persons

Are any of the Partnership’s Controlling Persons* tax residents of countries other than Australia Yes No

* A Controlling Person is any individual who directly or indirectly owns or controls the Partnership and includes all Partners or Senior Managing Officials.

Tax Residency rules differ by country. Whether an individual is tax resident of a particular country is often (but not always) based on the amount of time a person spends in a country, the location of a person’s residence or place of work. For the US, tax residency can be as a result of citizenship or residency. If Yes, please provide the details of these individuals below and complete a separate Individual Identification Form for each Controlling Person (unless already provided in 1.3 as Beneficial Owner or 1.4 as the identified Partner).

Full given name(s) Surname Role (Partner or Senior Managing Official)

If there are more controlling persons, provide details on a separate sheet and tick this box. .


http://www.oecd.org/



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Is the Partnership a tax resident of a country other than Australia? (A Partnership created or established under the laws of a country other than Australia)

Yes No

If the Partnership is a tax resident of a country other than Australia, please provide its tax identification number (TIN) or equivalent below. If it is a tax resident of more than one other country, please list all relevant countries below.

If No, please proceed to section 3 to complete the form.

A TIN is the number assigned by each country for the purposes of administering tax laws. This is the equivalent of a Tax File Number in Australia or a Social Security Number in the US. If a TIN is not provided, please list one of the three reasons specified (A, B or C) for not providing a TIN.






Reason B The Partnership has not been issued with a TIN

Reason C The country of tax residency does not require the TIN.to be disclosed

SECTION 3: PARTNERSHIP VERIFICATION PROCEDURE

Partnership verification procedure Information to be verified: o Complete Part I (for all Partnerships) and o Complete Part II (if the Partnership is regulated by a professional association).

PART I – ACCEPTABLE ID DOCUMENTS – to verify Partnership name

Tick Verification options (select one of the following options used to verify the Partnership)

An original, a certified copy or certified extract of the Partnership agreement. *

A certified copy or a certified extract of minutes of a Partnership meeting. *

An original current membership certificate (or equivalent) of a professional association. *

Membership details independently sourced from the relevant professional association. *

A search of the relevant ASIC, government or other regulator’s database (such as ABN lookup).

A notice issued by the Australian Taxation Office within the last 12 months e.g. Notice of Assessment. Block out the TFN before scanning, copying or storing this document.

An original or certified copy of a certificate of registration of business name issued by a government or government agency in Australia. *

PART II – ACCEPTABLE ID DOCUMENTS – to verify membership of a professional association

Tick Verification options (select one of the following options used to verify the Partnership)

An original current membership certificate (or equivalent). *

Membership details independently sourced from the relevant association. *

* Documents that are written in a language that is not English, must be accompanied by an English translation prepared by an accredited translator.

IMPORTANT NOTE: Ensure that individual customer ID Forms have been provided for EACH of the Partnership’s Beneficial Owners as per 1.3 AND Ensure that a customer ID Form has been provided for ONE of the Partners as per 1.4 AND Either attach a legible certified copy of the ID documentation used to verify the Partnership and selected partner (and any required

translation) OR Alternatively, if agreed between your licensee and the product issuer, complete the Record of Verification Procedure section below,

and DO NOT attach copies of the ID Documents



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Document Issuer/website

Issue Date

Document Number

Accredited English Translation

N/A Sighted N/A Sighted



• Individual Customer ID Forms have been provided for all of the Partnership’s Beneficial Owners;

• Customer ID Forms have been provided for one of the Partners and




Signature

Date Verification Complete

IDENTIFICATION FORM ASSOCIATIONS


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GUIDE TO COMPLETING THIS FORM o This form is for ASSOCIATIONS. Complete the following in BLOCK LETTERS: o Provide details for the Association’s Beneficial Owners (Section 1.4) and provide separate INDIVIDUAL ID Forms for each of these Beneficial Owners.o Tax information must be collected from an authorised representative of the Association o Complete all applicable sections of this form in BLOCK LETTERS.

SECTION 1: ASSOCIATION IDENTIFICATION PROCEDURE


Full name of Association

Full name of the following (or equivalent in each case):

Full Given Name(s) of officer (if applicable) Surname

Chairman

Secretary

Treasurer

1.2 Association Type (select only ONE of the following categories)

Incorporated Association

Provide any ID number issued on incorporation (e.g. registration/ incorporation number)

Unincorporated Association

1.3 All Associations (select and provide ONE of the following)

Provide the address of the principal place of administration of the Association. If there is no principal place of administration, provide the address of registered office or the address of an office holder of the Association.

Principal place of administration

Address(PO Box is NOT acceptable)

Street


If a principal place of administration is provided go to Section 1.4.

Registered office


Street


If a registered office is provided go to Section 1.4.

Name & Residential address of the public officer (or president, secretary or treasurer if there is no public officer)

Full Given Name(s) of officer (if applicable)

Surname Position


Street


Proceed to Section 1.4.

(Form G)



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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.


Full given name(s) Surname Role (such as Chairman, President, etc.)





Is the Association a tax resident of a country other than Australia?

(An Association created or established under the laws of a country other than Australia) Yes No

If Yes, please provide the Association’s country of tax residence and tax identification number (TIN) or equivalent below. If the Association is a tax resident of more than one other country, please list all relevant countries below. If No, proceed to section 3.

A TIN is the number assigned by each country for the purposes of administering tax laws. This is the equivalent of a Tax File Number in Australia or an Employee Identification Number in the US. If a TIN is not provided, please list one of the three reasons specified (A, B or C) for not providing a TIN.






Reason B The Association has not been issued with a TIN


SECTION 3: ASSOCIATION VERIFICATION PROCEDURE

The procedure to verify the identity of the Association is set out in 2.1 (for incorporated Associations) and 2.2 (for unincorporated Associations).

SECTION 3.1: INCORPORATED ASSOCIATION VERIFICATION PROCEDURE

Incorporated Association Verification procedure Information to be verified:

o Full name of the Association o ID number issued on Incorporation (if any).

Tick Verification options (select one or more of the following options used to verify the Incorporated Association)

Information provided by ASIC or the government body responsible for the incorporation of the Association.

An original, certified copy or certified extract of the Constitution or Rules of the Association. *

An original, certified copy or certified extract of the minutes of a meeting of the Association. *

OR



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SECTION 3.2: UNINCORPORATED ASSOCIATION VERIFICATION PROCEDURE

Unincorporated Association Verification procedure Information to be verified:

o Full name of the Association

Tick Verification options (use the following to verify the Unincorporated Association)

A search of a relevant government or regulator database (such as ABN lookup).

An original, certified copy or certified extract of the Constitution or Rules of the Association. *

An original, certified copy or certified extract of the minutes of a meeting of the Association. *


IMPORTANT NOTE: Ensure that individual customer ID Forms have been provided for the Association’s Beneficial Owners as per 1.4 AND Attach a legible certified copy of the ID documentation used to verify the Association and selected member (where applicable),

including any required translations OR Alternatively, if agreed between your licensee and the product issuer, complete the Record of Verification Procedure section below,

and DO NOT attach copies of the ID Documents





Document Type





• individual customer ID Forms have been provided for the Association’s Beneficial Owners and




Signature Date

Verification Completed

IDENTIFICATION FORM REGISTERED CO-OPERATIVE


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GUIDE TO COMPLETING THIS FORM o This form is for REGISTERED CO-OPERATIVES.o Provide details for the registered cooperatives Beneficial Owners (Section 1.3) and provide separate INDIVIDUAL ID Forms for each of these Beneficial Owners.o Tax information must be collected from an authorised representative of the Registered Co-operative o Complete all applicable sections of this form in BLOCK LETTERS.

SECTION 1: REGISTERED CO-OPERATIVE IDENTIFICATION PROCEDURE


Full name of Registered Co-operative

Provide ID number issued by relevant registration body (if any)

Full name of the following (or equivalent in each case):


Chairman

Secretary

Treasurer

1.2 Address Information (select and provide ONE of the following)

Principal place of operations


Street


If a principal place of operations provided go to Section 1.3.

Registered office


Street


If a registered office is provided go to Section 1.3.

Name & Residential address of the Secretary (or president or treasurer if there is no secretary)

Full Given Name(s) of officer (if applicable)

Surname Position


Street


Go to Section 1.3.


Provide the names of the individuals that directly or indirectly control the Registered Co-operative, such as the Chairman, President, Treasurer or Secretary.



Please Note: Beneficial Owner/s must be listed above and individual ID Forms completed for all Beneficial Owners. If there are more Beneficial Owners, provide details on a separate sheet and tick this box .

(Form H)



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Is the Registered Co-operative a tax resident of a country other than Australia?

(A Registered Co-operative created or established under the laws of a country other than Australia) Yes No

If Yes, please provide the Registered Co-operative’s country of tax residence and tax identification number (TIN) or equivalent below. If the Registered Co-operative is a tax resident of more than one other country, please list all relevant countries below. If No, proceed to section 3.

A TIN is the number assigned by each country for the purposes of administering tax laws. This is the equivalent of a Tax File Number in Australia or an Employee Identification Number in the US. If a TIN is not provided, please list one of the three reasons specified (A, B or C) for not providing a TIN.






Reason B The Registered Co-operative has not been issued with a TIN


SECTION 3: REGISTERED CO-OPERATIVE VERIFICATION PROCEDURE

Registered Co-operative Verification procedure Information to be verified: o Full name of the Registered Co-operative o ID number issued by relevant registration body (if any)

Tick Verification options (select one or more of the following options used to verify the Registered Co-operative)

Information provided by ASIC or the relevant registration body responsible for the registration of the Registered Co-operative. *

An original or certified copy or certified extract of the register maintained by the Registered Co-operative. *

An original, certified copy or certified extract of the minutes of a meeting of the Registered Co-operative. *

A search of the relevant ASIC, government or other regulator’s database (such as ABN lookup).

* Documents that are written in a language that is not English, must be accompanied by an English translation prepared by an accredited translator

IMPORTANT NOTE: Ensure that individual customer ID Forms have been provided for the registered cooperative’s Beneficial Owners as per 1.3 AND Attach a legible certified copy of the ID documentation used to verify the Registered Co-operative (and any required translation) OR Alternatively, if agreed between your licensee and the product issuer, complete the Record of Verification Procedure section below, and




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Document Type





• individual customer ID Forms have been provided for the registered cooperative’s Beneficial Owners and



Representative/ employee name Phone No.

Signature


IDENTIFICATION FORM GOVERNMENT BODY

19 May 2017 version – Refer to FSC/FPA GUIDANCE - MANAGING AML/CTF AND FATCA/CRS CUSTOMER IDENTIFICATION OBLIGATIONS for conditions of use Copyright © May 2017 Financial Services Council Limited and Financial Planning Association of Australia Limited 1/2

GUIDE TO COMPLETING THIS FORM

o This form is for GOVERNMENT BODIES only. GOVERNMENT BODIES include governments of a country, an agency or authority of the government of a country, the government of part of a country or an agency or authority of the government of part of a country (including a state, province, county or municipality). To be considered a GOVERNMENT BODY, the earnings of any agency or authority must be credited to the account of the government, with no portion inuring to the benefit of any private person/s.

o Provide details for the Beneficial Owners of Foreign Government Bodies (Section 1.3) and provide separate INDIVIDUAL ID Forms for each of these Beneficial Owners.

o Complete all applicable sections of this form in BLOCK LETTERS.

SECTION 1: GOVERNMENT BODY IDENTIFICATION PROCEDURE


Full name of Government Body

Principal place of operations (PO Box is NOT acceptable)

Street


1.2 Government Information (select only ONE of the following categories and provide the information requested)

Commonwealth of Australia Government Body

Australian State or Territory Government Body please specify State or Territory

Foreign (Non-Australian) Government Body please specify Country

If the Government Body is Australian, proceed to Section 2 (no need to provide Beneficial Ownership information).


For Foreign Government Bodies, provide the names of the individuals that directly or indirectly control the Government Body, such as the Chairman, President, Treasurer or Secretary of the Government Body.





(Form I)

IDENTIFICATION FORM GOVERNMENT BODIES


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SECTION 2: GOVERNMENT BODY VERIFICATION PROCEDURE

Government Body Verification procedure

Information to be verified:

o Full name of the government body

o Full address of the government body’s principal place of operations

o That the government body is a body of the Commonwealth of Australia, a State or Territory of Australia or a foreign country

Tick Verification options (select one or more of the following options used to verify the Government Body)

Search of the relevant Commonwealth, State, Territory or Foreign government website for confirmation of the body’s existence. *

Search of the relevant Commonwealth, State, Territory or Foreign Country register of government bodies. *

A copy or extract of the legislation establishing the body obtained from a reliable and independent source, such as a government website.*


IMPORTANT NOTE:

Ensure that individual customer ID Forms have been provided for Foreign Government Bodies as per 1.3 AND

Attach a legible certified copy of the ID documentation used to verify the government body (and any required translation) OR

Alternatively, if agreed between your licensee and the product issuer, complete the Record of Verification Procedure section below, and DO NOT attach copies of the ID Documents


ID DOCUMENT DETAILS

Verified From Performed search Copy of legislation sighted

URL link / Full name of legislation

Search date

Date Verified

Accredited English Translation N/A Sighted


an identity verification procedure has been completed in accordance with the AML/CTF Rules, in the capacity of an AFSL holder or their authorised representative;

individual customer ID Forms have been provided for the Beneficial Owners (for Foreign Government Bodies)



Signature
