INVESTMENT APPLICATION FORM - PSG refer to the rules regarding faxed and e-mailed application forms...

Page 1 Version 1.14: 30 Oct. 2015

Application Form ESTOR DETAILSVESTOR DETAILS

A. IMPORTANT INFORMATION PSG Collective Investments Limited administers the unit trusts. It is authorised to do so as a Manager in terms of the Collective Investment Schemes Control Act. In this form it is referred to as PSG Asset Management. If you require assistance in completing this application, please contact Client Services on 0800 600 168. • Complete all sections of this application form. • Note that the PSG Wealth funds are only available for investment through a PSG advisor where appropriate solutions have been determined via the PSG advice

process. • The cut off time for processing investment transactions is 14h30 daily, with the exception of the PSG Money Market Fund which is 11h00 daily to transact at the

ruling price on the day. • For once-off collections the application must be received by 12h00 in order to transact at the ruling price on that day. • The completed application form, proof of payment, FICA documentation and confirmation of banking details should be faxed to PSG Asset Management, on 021

799 8181 or emailed to [email protected] and mailed to Private Bag X3, Constantia, 7848. Please refer to the rules regarding faxed and e-mailed application forms as set out in the Terms and Conditions under Section O of this application form.

B. ACCOUNT DETAILS (existing Investors)

CCOUNT DETAILS (existing investors) Investor Number First Name and Surname Corporate entity name [Authorised contact person]

C. INVESTOR DETAILS (new investors)

ESTOR DTAILS (new investors) Investing Entity type

Individual Investor Trust Unlisted Company Listed Company Close Corporation

Unincorporated Entity (partnership, sole proprietor, body corp.)

Other (please specify)

Language Title First Name and Surname Corporate entity name [Authorised contact person]

Country of Citizenship (individuals) / Incorporation (Corporate)

Method of identification Identity document

Founding document/Trust deed

Passport (non-residents)

ID no./registration no./ Passport Expiry Date

Passport no. (non-residents) Country

Physical Address or principal place of business

Code

Country Postal Address (Mail relating to your investment will be sent to this address)

Code

Country

Please indicate whether you would prefer to receive correspondence either by email or post Post Email

Email

Telephone Home Work

Fax Cell

Gender Male Female

Date of birth / /

Marital Status Single ANC In-Community Divorced Widow/Widower


Are you a PEP (politically exposed person) (See Section P on page 8) Yes No

Yes No Where the application is made on behalf of a legal entity, trust or unincorporated entity; is the contact person or any stakeholder in the applicant a PEP?

D. TAX DETAILS

D. TAX DETAILS Registered Tax Payer Yes No

Income Tax Number Country of Tax Residency Other Income Tax Number Tax Country Residency Status Please indicate your residency status

Permanent resident (including citizen) you are a permanent resident of South Africa or the Common Monetary Area (i.e. Namibia, Swaziland and Lesotho).

Non-resident you have never lived in South Africa or the Common Monetary Area.

Foreign national living in South Africa you normally live in South Africa or the Common Monetary Area, but you have not received your permanent resident status.

South African national who is living outside of South Africa you normally live outside of South Africa or the Common Monetary Area, but you have not officially emigrated from South Africa.

Emigrant you have formally emigrated from South Africa or the Common Monetary Area via a local authorised foreign exchange dealer and your emigration has been placed on record with the South African Reserve Bank.

Foreign Account Taxation Compliance Act (FATCA) declaration Are you a citizen of or tax resident of the United States of America? Yes No

If yes, please complete the following

Place of birth in the USA Tax reference number and/or Tax Identification number(s) Dividend Withholding Tax

Are you a Regulated Intermediary Yes No

We are required to pay Dividend Withholding Tax (DWT) on your behalf where applicable. This tax will be deducted before we pay any dividends to you or re-invest these into your investment account. Unless we receive information from you indicating otherwise, we will deduct DWT at the default rate of 15%.

Are you exempt from Dividend Withholding Tax Yes No If you have answered “Yes”, please select the applicable option

The investor is exempt because it is

A A company or close corporation resident in South Africa for tax purposes.

B The South African government, provincial government or municipality.

C A non-profit organisation (approved by SARS in terms of Section 30(3) of the Income Tax Act).

D A trust contemplated in Section 37A of the Income Tax Act e.g. mining rehabilitation trusts.

E An institution, body or board contemplated in Section 10(1)(cA) of the Income Tax Act.

F A pension fund, pension preservation fund, provident fund, provident preservation fund, retirement annuity fund, beneficiary fund or benefit fund registered

by SARS in terms of the Pensions Funds Act, 1956.

G A person contemplated in Section 10(1)(t) of the Income Tax Act, e.g. SANRAL, CSIR.

H A shareholder in a registered micro business as defined in the Sixth Schedule to the Income Tax Act to the extent that the aggregate amount of the dividend

paid by that registered micro business to its shareholders during the year of assessment in which that dividend is paid does not exceed R200 000. If you are a non-resident for tax purposes, you may in addition qualify for a partial exemption of DWT. Please go to forms where you can read about DWT and download the relevant forms which you need to submit to us. In the absence of us receiving these properly completed forms we will deduct DWT at the default rate of 15%.

Declaration: I/We undertake to forthwith inform PSG Asset Management should there be any change in the tax status indicated in this application form.

Signature of Investor

Date

https://www.psg.co.za/asset-management/forms


E. AUTHORISED REPRESENTATIVE DETAILS (Investor represented by guardian or third party in terms of a Power of Attorney)

Country of Citizenship Title

First name Surname

Method of identification Identity document Passport (non-residents) ID no./Passport no. Passport Expiry Date

(non-residents) Country Physical Address or Principal Place of Business

Code Country Postal Address (Mail relating to your investment will be sent to this address)

Code

Country

Please indicate whether you would prefer to receive correspondence either by email or post Post Email

Email

Telephone Home Work

Fax Cell Gender Male Female

Date of birth

F. INVESTMENT DETAILS

F. INVESTMENT DETAILS • I/We apply to invest in the funds under Annexure A, in accordance with the provisions of the Trust Deed of the Fund, at the ruling price at the close of business

on the date of receipt of the investment funds by PSG Asset Management – provided the instruction is received for processing prior to 14h30 daily, with the exception of the PSG Money Market Fund which must be received by 11h00.

• Note that the PSG Wealth funds are only available for investment through a PSG adviser where appropriate solutions have been determined via the PSG advice process. Method of payment. (Please note no cash deposits.)

Cheque* Debit Order Electronic Transfer Once-off Collection (Maximum of R500,000, minimum of R2,000)** *Cheques can be made to the credit of the relevant fund as indicated in Annexure A. Please note that there is a 14 day holding period on a personal cheque. **PSG Asset Management will directly debit the sum as indicated in Annexure A from your bank account. For applications received prior to 12h00 the investment will be at the ruling price on that day, failing which the investment will be at the ruling price of the following business day. Please refer to Section I Once-Off Authorisation for further details. The banking details are as follows Bank Standard Bank Branch Thibault Square

Branch code 020909 Account Relevant account no. as per Annexure B

G. REGULAR WITHDRAWAL PAYMENTS (Only for investors who require regular withdrawals from their investment)

Please select the frequency Monthly Quarterly Half Yearly Yearly

Please specify the month you wish the withdrawal to commence (Month) 20

Redemption date is the 22nd day of each month or the 1st business day following thereafter. If the payment instruction is received after the 19th of the month the withdrawal payment will only be processed on the 22nd of the following month.

Fund Name Amount according to frequency selected

R

R

R

Please attach your proof of payment (bank deposit slip, cheque or EFT advice) to this Application Form


H. BANK ACCOUNT DETAILS

Bank Name Branch (Code)

Account number

Account Type Current Savings Transmission Full name of account holder

Please attach a cancelled cheque or original copy of your bank statement.

I. DEBIT ORDER AUTHORISATION (Monthly investments)

I/We, the undersigned, request and instruct PSG Asset Management to draw against my/our bank account the investment amounts specified in Annexure A of this application. Monthly investments will be drawn on the 1st working day of each month for investment at the ruling price on that day. If the payment instruction is received after the 22nd of the month the debit order will take effect on the 1st working day of the following month. I/We hereby indemnify PSG Asset Management against any loss or damage it may suffer or incur should the recurring debit order either be reversed or not be honored for any reason whatsoever.

1 s t day of (Month) 20

All such withdrawals from my/our account shall be treated as though they have been signed by me/us personally, and I/we request the bank to debit my/our account with these drawings. I/We agree to pay any bank charges and costs relating to this debit order authority. This authority may be cancelled by me/us giving PSG Asset Management 30 (thirty) working days’ notice in writing. Should you wish to cancel the debit order and the instruction is received after the 22nd of the month, this cancellation will only take effect from the 1st day of the second month after notice is received. Please note there is a 40 (forty) day holding period on debit order payments. PSG reserves the right to cancel debit orders to ensure the equitable treatment of investors should fund offshore capacity become restricted.

Date

Signature of authorised bank account holders(s)

J. ONCE-OFF COLLECTION AUTORISATION

. ONCE –OFF COLLECTION AUTHORISATION Bank Account details for collection

Full name of account holder

Bank Name Branch (code)

Account number

Account Type Current Savings Transmission

Funds are deducted from the investor’s bank account 1 business day after the receipt of a valid and complete application form and supporting documentation. Electronic collection by the Administrator are restricted to a maximum of R500 000 per debit per day (Minimum of R2000). Where a higher amount than this is requested, multiple debit instructions will be processed on consecutive days. Each debit instruction will be treated as a separate transaction.

Debit Instruction Consent per transaction

(Initial)

Target Fund Name* (The PSG Wealth funds are only available for investment through a

PSG adviser )

Rand Value of Debit per Transaction

(Max of R500 000

per transaction)

Income Dist.

Initial Advice Fee -

Max of 2.00%

Fun

d C

lass

Referral Fee Included in Unit Price

(Refer Annexure A)

and Sale of Units Advice

Fee

Fun

d C

lass

Sale of Units Advice Fee

Clean Classes

Rein

vest

Pay o

ut

O R Max of

1.20% in total %

Max of 1.20%

* Please refer to Annexure A for a description of the Financial Adviser Fees. Certain maximums apply to each type of fee. For amounts in excess of R2.5 million a client direct transfer will be required. I/We, the undersigned, request and instruct PSG Asset Management to draw against my/our bank account the investment amount in terms of this application. The initial investment will be at the ruling price on that day for applications received by 12h00, failing which each subsequent investment at the ruling price on the following day(s). The cut off for the PSG Money Market Fund once-off collection is 11h00 and the investment will be allocated the following business day(s).


Please ensure that a once-off debit collection is allowed against your bank account. Please note there is a 40 (forty) days holding period on once-off debit collections. I/We request the bank to debit my/our account with the above mentioned sum(s). I/We hereby indemnify PSG Asset Management against any loss or damage it may suffer or incur should the once-off debit order either be reversed or not be honored for any reason whatsoever.

Collection Date

Signature of authorised bank account holder(s)

K. PHASE-IN LUMP SUM INVESTMENTS (Phasing in is only allowed from the PSG Money Market Fund)

PHASE-IN OF LUMP SUM INVESTMENTS (Phasing in is only allowed from the PSG Money Market Lump sum investment to be phased in? Yes No

Phase-in commencing on the 5th of (Month) 20 Last phase-in on the 5th of (Month) 20

Target Fund Name* (The PSG Wealth funds are only

available for investment through a PSG adviser)

Amount (min. of R2000,

PSG Money Market R25 000)

Income Dist.


Max of 2.00%

Fun

d C

lass

Referral Fee Included in

Unit Price (Refer

Annexure A)

and Sale of Units

Advice Fee

Fun

d C

lass


Clean Classes

Rein

vest

Pay o

ut

O R Max of

1.20% in total %

Max of 1.20%

* Please refer to Annexure A for a description of the Financial Adviser Fees. Certain maximums apply to each type of fee. Phasing in is only allowed from the PSG Money Market Fund and is processed monthly. Please ensure that the lump sum is deposited into the account from which the phase-in will be effective. Phase-in’s are processed on the 5th of each month. Where this falls on a weekend or public holiday, they are processed on the first business day thereafter. Please note that a phase-in can only be processed 10 business days after processing of the original investment. This may result in the phase-in being carried over to the next available date,that is the 5th of the following month. Should the phase-in option be cancelled and the remaining balance in the PSG Money Market Fund is less than the minimum balance allowed, the Administrator reserves the right to transfer the remaining amount to the funds selected for phase-in.

L. SOURCE OF CONTRIBUTION

. SOURCE OF CONTRIBUTION

Source of amount invested (proof may be requested)

Salary Bonus Retirement Savings Inheritance Other

M. FINANCIAL SERVICE PROVIDER (FSP) AUTHORISATION

. FINANCIAL SERVICE PROVIDER (FSP) AUTHORISATION I/We have met with the Investor prior to the investment being placed with PSG Asset Management and the necessary due diligence process as required by legislation has been satisfactorily carried out. I/We, an accountable institution so defined, warrant that I/we have established and verified the true identity of the Investor in accordance with the Financial Intelligence Centre Act 38 of 2001 (FICA) and confirm that identity checks have been undertaken to confirm that the Investor’s name, address and identity as shown in this application form are true and correct. Attached please find copies of the documents evidencing the legal structure and existence of the Investor as required in Section N of the Application Form. I/We confirm that I/we subscribe and adhere to the fit and proper requirement and other statutory obligations and criteria imposed by legislation covering advice dispensed and / or intermediary services rendered to investors.

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Version 1.14: 30 Oct. 2015

I/We declare that I/we are required to sign an Intermediary Partner Agreement and I/we shall comply with the provisions set out in the Intermediary Partner Agreement entered into between myself/ourselves and PSG Asset Management. I/We warrant that I have provided the client with the minimum disclosure document and relevant information and disclosures as required by CISCA, FAIS and subordinate legislation. I confirm that the fees as stipulated in Annexure A have been disclosed to and agreed with the Investor(s).

Name of brokerage Name of financial adviser

FSP number PSG Code

Signature of financial adviser

Date


ANNEXURE A: INVESTMENT AND FINANCIAL ADVISER FEE DETAILS

Fund Name

Lump Sum Amount (min. of

R2000, PSG Money Market

R25 000)

Debit Order

Amount (min. of R250)

Income Dist.


Max. of 2.00%

Fun

d C

lass

Referral Fee

Included in Unit Price

and Sale of Units

Advice Fee Fu

nd

Class


Clean Classes

Rein

vest

Pay o

ut

O R Max of

1.20% in total %

Max

of 1.20%

P S G Co r e F u n d s

PSG Equity Fund A 0.50% E

PSG Flexible Fund A 0.25% E

PSG Balanced Fund A 0.50% E

PSG Stable Fund A 0.50% E

PSG Diversified Income Fund A 0.50% E

PSG Income Fund A 0.25% E

PSG Money Market Fund NA NA A 0.00% * NA NA NA

PSG Global Equity Feeder Fund A 0.50% E

PSG Global Flexible Feeder Fund A 0.50% B

P S G M u lt i - M a n a g e m e n t F u n d s

PSG Multi-Management Balanced FoF A 0.50% D

PSG Multi-Management Cautious FoF A 0.50% D

PSG Multi-Management Equity FoF A 0.50% D

PSG Multi-Management Foreign Flexible FoF A 0.50% D

PSG Multi-Management Income FoF A 0.50% D

P S G W e a l t h F u n d s (The PSG Wealth funds are only available for investment through a PSG adviser where appropriate solutions have been determined via the PSG advice process.) PSG Wealth Creator FoF A 1.15% D

PSG Wealth Creator FoF B 0.90% NA NA NA

PSG Wealth Enhanced Interest Fund A 0.30% D

PSG Wealth Income FoF A 0.90% D

PSG Wealth Income FoF B 0.65% NA NA NA

PSG Wealth Moderate FoF A 1.15% D

PSG Wealth Moderate FoF B 0.90% NA NA NA

PSG Wealth Preserver FoF A 1.15% D

PSG Wealth Preserver FoF B 0.90% NA NA NA

PSG Wealth Global Moderate Feeder Fund A 1.15% D

PSG Wealth Global Creator Feeder Fund A 1.15% D

D e s t in y A s s e t M a n a g e r s

Destiny Multi Asset PSG FoF A 0.50% * B *

Destiny Prudential PSG FoF A 0.50% * B *

Ca t a ly s t A s s e t M a n a g e r s

Catalyst SA Property Equity PSG Fund A 0.25% * D *

Catalyst Global Real Estate PSG Feeder Fund A 0.25% * NA NA NA

All income will be reinvested unless otherwise instructed. Please also note that income distribution cannot be paid into credit card or post office accounts. Financial Adviser Fees (Advice Fee and Referral Fee) The Financial Adviser may receive an Initial Advice Fee and an annual Advice Fee from the client, as well as an annual Referral Fee from PSG Asset Management. Fund Clean Classes have been introduced which contain no annual Referral Fee. Please specify all financial adviser fees that have not been pre-populated on Annexure A. Note that certain maximums (less than 1.20%) per portfolio apply for each type of fee (*), refer to Annexure B for details of such maximums. The total Financial Adviser fee may not exceed 1.20% p.a. per portfolio. In respect of Initial Fees and annual Advice Fees, please note that if no fees have been specified, 0% will apply. If a fee higher than the maximum has been specified, the maximum will apply. Initial Fees may only be taken in 0.25% increments, and annual Advice Fees in 0.05% increments. I/We, the investor, hereby confirm to PSG Asset Management that the FSP indicated in section L is my appointed financial adviser and authorise the payment of the fees stipulated in Annexure A to him/her. I/We understand that the Financial Adviser annual Advice Fee will be facilitated by the repurchase of units on a monthly basis from my/our investment before being paid to my/our appointed financial adviser. I/We understand that the selected financial adviser fees are negotiated between the Investor and the Financial Adviser and I/we cannot hold PSG Asset Management liable for acting on these negotiated instructions.

Signature of the Investor Signature of Financial Adviser


N . AUTHORISATION, DECLARATION AND ACKNOWLEDGEMENT • I/We, the undersigned, hereby authorise PSG Asset Management to act upon instructions by facsimile with regard to my/our investment in PSG Asset Management without liability in respect of any transfer, payment or other act done in accordance with such instructions and notwithstanding the absence of proof that the same was signed or sent by me/us and indemnify PSG Asset Management against any claim that may arise from my/our transacting by facsimile. • I/We warrant that the information contained herein is true and correct, and that, where this application is signed in a representative capacity, I/we have the necessary authority to do so and that this transaction is within my/our powers.

• I/We warrant that all funds invested with PSG Asset Management are not the proceeds of unlawful activities and warrant that I/we have not contravened any anti-money laundering legislation and regulation applicable to me/us.

• I/We understand that this whole application, read with the Trust Deed, constitutes the entire agreement between PSG Asset Management and myself/ourselves and agree to be bound by the terms and conditions contained herein.

• I/We hereby consent to PSG Asset Management making enquiries of whatsoever nature for the purpose of verifying the information disclosed and consent to PSG Asset Management obtaining any other information about me/us from any source whatsoever to enable PSG Asset Management to process this application form.

• I/We confirm that I/we have received the following disclosure information - Investment objectives - Info on Net Asset Value - Charges - Risk Factor - Income accruals

• I/we confirm that I/we have read and understand the terms and conditions as set out in this application form and attached documents and agree to be bound by it, prior to completing the application form

• I/We are aware of and consent to all costs relating to the investment.

• I/We confirm that the risk profile of the investment has been explained to me/us, and I/we understand that it is my/our obligation to familiarise myself/ourselves with and accept the risks associated with this investment.

O . F I C A REQUIREMENTS (COMPULSORY FOR ALL INVESTORS)

In terms of the Financial Intelligence Centre Act 38 of 2001, and the regulations thereto, PSG Asset Management is compelled to identify and verify the identity of its clients. We require the following original documents, or an original certified copy of the documents.

NATURAL PERSONS 1. SA Citizen/Resident

1.1 ID document. 1.2 Proof of residential address (less than 3 months old) . 1.3 A document(s) confirming Income Tax number as registered at SARS.

2. Foreign Citizens 2.1 Copy of passport 2.2 Proof of residential address (less than 3 months old). 2.3 Proof of source of funds.

LEGAL PERSONS 3. SA Companies

3.1 Certificate of Incorporation (CM1 or CoR15.2); Certificate of Change of Name of Company (CM9 or CoR14.3), where applicable; Notice of Registered Office and Postal Address (CoR21) bearing Registrar’s stamp and signed by the Company Secretary and Certificate of confirmation issued by CIPC or Register of Directors, Auditors and Officer (CoR39).

3.2 Proof of business address (less than 3 months old). 3.3 Document(s) confirming Income Tax number as registered by SARS. 3.4 Documents as set out in 1.1 & 1.2 above in respect of the manager, all authorised

representatives, and all individuals holding 25% or more of the voting rights at a general meeting.

3.5 Proof of authority to act for company i.e. Director’s resolution. 3.6 Documents as set out in 3.1 & 3.2 for legal persons holding 25% or more of the voting

rights at a general meeting.

4. Trusts 4.1 The main deed or other founding document e.g. a will. 4.2 Letters of authority from Master (SA trust) or foreign regulator (foreign trusts) to

trustees. 4.3 Document(s) confirming Income Tax number as registered by SARS. 4.4 Documents as set out in 1.1 and 1.2 respectively in respect of an individual founder of the

trust, each individual trustee, each individual beneficiary and all authorised representatives.

4.5 A death certificate or certificate of deregistration where founder died or ceased to exist. 4.6 Documents as set out in 3.1 & 3.2 in respect of any institutional beneficiaries, any

institutional trustees or institutional founder of the trust.

Further information is contained in the complete FICA Requirements document, which can be

downloaded from the Manager’s website at www.psg.co.za under Unit Trusts/Forms or is available on request from the Manager.

P . TERMS AND CONDITIONS • I/ We hereby apply to invest the mentioned amount (s), in accordance with the provisions of the Trust Deed of the Fund, on the terms and conditions of this Application Form at the price ruling on the date of receipt of the funds by PSG Asset Management subject to the application having been received before 11h00 for the PSG Money Market Fund, 12h00 for once-off collections and before 14h30 for all the other funds on the business day.

• This application form and the Deed will form the agreement between the investor and PSG Asset Management. The Agreement will be administered in terms of the Collective Investment Schemes Control Act, 45 of 2002 (“the Act”). This Agreement shall be construed and interpreted in accordance with the laws of the Republic of South Africa.

• It is the policy of the PSG Asset Management Board of Directors to comply with South African money laundering legislation to prohibit and actively prevent the use of its worldwide operations for criminal purposes. When any investment is made, additional documentation for identification and verification purposes may be requested to enable compliance with money laundering regulations.

• Participatory interests will be bought at the NAV price calculated on that day.

• Participatory interests will be sold at the NAV price and paid to the investor in accordance with the requirements of the Act and the relevant Trust Deed.

• The fully completed application form, together with proof of deposit and any additional supporting documentation as required by PSG Asset Management must be received before 14h30, or 11h00 for the PSG Money Market Fund, to be transacted at the closing price for that day.

• Requests to redeem from the PSG Money Market Fund must be received by PSG Asset Management before 11h00 to be transacted on that day.

• PSG Asset Management will not proceed with any transaction if there is any doubt as to the validity of any signatures or if PSG Asset Management deem the instruction to be incomplete in any way. An instruction will be deemed complete on receipt of cleared identifiable funds in the correct bank account and all requested information. • All payments will be electronically transferred into the bank account of the investor only. Payments will only be made to the above banking details, unless otherwise instructed in writing. PSG Asset Management does not make any third party payments.

• Only signed written instructions from the investor will be acted upon.

• In the event that this application form or any subsequent instruction is faxed to PSG Asset Management, the responsibility of ensuring that the instruction has been received and actioned by PSG Asset Management will lie with the instructor (investor). A fax confirmation in the hands of the sender will not be regarded as proof that PSG Asset Management has received a specific document.

• The Manager may borrow up to 10% of the market value of the portfolio where insufficient liquidity exists in the portfolio, or where assets cannot be realised to repurchase, or cancel participatory interests.

• A schedule of fees and charges and maximum commissions is available from PSG Asset Management. Please refer to the fund summary of this application form marked Annexure B for a list of the fees applicable to each of the portfolios.

• The annual management fee is levied monthly on the daily value of the portfolio.

• Commission and incentives may be paid and if so, would be included in the overall cost.

• Distributions are reinvested, unless otherwise instructed, and investors are allocated additional participatory interests in the portfolio.

• Participatory interests may be ceded or assigned for which a processing cost may be levied. The cession shall not bind PSG Asset Management unless it is notified thereof in writing.

• Investment statements will be issued quarterly and after a transaction has occurred.

• PSG Asset Management will not be liable for any loss incurred due to incorrect information being supplied by the investor. • Without prejudice to any other rights which PSG Asset Management may have in terms hereof or at law the Investor agrees that PSG shall be entitled to recover from the Investor any amount of money paid to the Investor, which the Investor is not entitled to for whatsoever reason, including interest thereon. • The Investor’s domicilium citandi et executandi for all notices and processes to be given in terms hereof, is the address detailed on this application form or as notified in writing to PSG Asset Management.

• Should PSG Asset Management be prevented from fulfilling any of its obligations in terms of this application as a result of an event not within the reasonable control of PSG Asset Management, those obligations shall be deemed to have been suspended to the extent that and for as long as PSG Asset Management is so prevented from fulfilling those obligations. • In the event that this application form or any subsequent instruction is faxed to PSG Asset Management, the responsibility of ensuring that the instruction has been received and actioned lies with the sender (investor or financial adviser).

• We will not accept e-mailed instructions relating to the various funds administered by PSG Collective Investments unless the instruction was sent to [email protected].

• A politically exposed person (“PEP”) is a person who is, or has in the past, been entrusted with prominent public functions in a particular country, whether performed locally or abroad. It includes Heads of State/Government, cabinet ministers, senior and/or influential officials like judges, political and military leaders, members of ruling or royal families, municipal managers etc. If a family member, close associate or beneficiary of an investor is a PEP, the investor is also considered to be a PEP.

Q. COMPLIANCE DEPARTMENT Please do not hesitate to contact us if you are not satisfied with this investment or the services from the

Management Company. A complaint must be submitted to the Compliance Officer. The contact address of

the Compliance Officer is: 1ST Floor, PSG House, Alphen Park, Constantia Main Road, Constantia, 7806 or email

[email protected].

The Compliance Officer will acknowledge the complaint in writing and will inform the investor of the

contact details of the persons involved in the resolution thereof.

COMPLAINTS

If an investor is not satisfied with the response from PSG Asset Management or if an investor has a complaint about the advice given by the Financial Adviser, he/she has the right to address his/her complaint i n writing to the Ombud for Financial Services Providers P O Box 74571, Lynnwood Ridge, 0040 Telephone +27 (0)12 470 9080 Fax +27 (0)12 348 3447 Email [email protected]

The Ombud is legally empowered to investigate and adjudicate complaints in a procedurally fair, economical

and expeditious manner.

I/we_____________________________________confirm that I/we have read and understood the minimum

disclosure documents of the chosen fund/s selected for investment, the general terms, conditions and

declarations and acknowledge that further information is available on PSG’s website at www.psg.co.za.

Signature of the Investor/s

Print Name

Date Collective Investment Schemes in Securities (Unit Trusts) are generally medium to long term investments. The value of participatory interests (units) may go down as well as up and past performance is not a guide as to future performance. Collective Investment Schemes are traded at ruling prices and can engage in borrowing and scrip lending. The price of participatory interests (units) and the amount of income distributed or accumulated may go down as well as up. The manager does not provide any guarantee either with respect to the capital or the return of a portfolio. Commission and incentives may be paid and if so, are included in the overall costs. The PSG Money Market Fund will maintain a constant price. Money Market is not a bank account. In the case of abnormal losses the capital value of the Money Market portfolio can be reduced. A fund of funds portfolio only invests in other Collective Investment Schemes, which levy their own charges, which could result in a higher fee structure for these portfolios. A feeder fund is a portfolio that, apart from assets in liquid form, consists solely of participatory interests in a single portfolio of a collective investment scheme which levies its own fees which could result in a higher fee structure. Fluctuations or movements in exchange rates make cause the value of underlying international investments to go up or down. Foreign securities in a portfolio creates material risk such as potential constraints on liquidity and the repatriation of funds, macro-economic , political, foreign exchange, tax, settlement risks and limited market information. Some of the portfolios may be capped at any time in order for them to be managed in accordance with their mandate. Different classes of participatory interests can apply to these portfolios and are subject to different fees and charges. PSG Collective Investments Limited is a member of the Association for Savings and Investment SA (ASISA).

mailto:[email protected]

http://www.psg.co.za/

Version 1.14: 30 Oct. 2015

Name of Fund

Bank

Account Details

Fund Category

Benchmark Investment Objective Risk

Profile Income

Dist.

Annual Management

Fee

Performance

Fee

Max. Initial

Financial Adviser

Fee*

Financial Adviser Referral Fee **

Max. Financial Adviser Advice

Fee*

PSG Equity Fund

073099597

South African - Equity - General

FTSE/JSE All Share Index

The fund is a general equity fund and the manager in selecting securities for the portfolio, will seek to offer investors long-term capital growth and earn a higher rate of return than that of the South African equity market as represented by the All Share Index including income, without assuming a greater risk.

High

28 Feb 31 Aug

Class A: 1.50% Class E: 0.75%

N/A 20% of performance above benchmark measured over a rolling 24 month basis A performance fee cap of 2.00% pa is applied every calendar quarter.

2.00% 2.00%



PSG Flexible Fund

073138304

South African - Multi Asset - Flexible

Inflation + 6%

Achieve superior medium- to long- term capital growth through exposure to selected sectors of the equity, bond and money markets.

Moderate to High

28 Feb 31 Aug


7% of out-performance of High Watermark 7% of out-performance of High Watermark

2.00% 2.00%



PSG Balanced Fund

270932690

South African - Multi Asset - High Equity

Inflation + 5%

Provide long-term capital growth and a reasonable level of income.

Moderate to High

28 Feb 31 Aug


N/A N/A

2.00% 2.00%



PSG Stable Fund

070660212

South African - Multi Asset - Low Equity

Inflation + 3% over rolling 3 year period after costs

Generate a performance return of Inflation + 3% over a rolling three year period after costs, while aiming to achieve capital appreciation with low volatility and a low correlation to equity markets through all market cycles.

Moderate

28 Feb 31 Aug


N/A N/A

2.00% 2.00%



PSG Diversified Income Fund

072803045

South African - Multi Asset - Income

Inflation + 1%

Preserve capital and to maximize income returns for investors.

Low to Moderate

28 Feb 31 May 31 Aug 30 Nov


N/A N/A

0.50% 0.50%



PSG Income Fund

070660190

South African - Interest Bearing - Short Term

Alexander Forbes Money market Index after costs

Maximise income and preserve capital while achieving long-term capital appreciation as interest rate cycles allow.

Low to Moderate



N/A N/A

0.50% 0.50%



Page 9

ANNEXURE B: CHARACTERISTICS, OBJECTIVES AND FEES All fees reflected are maximum fees EXCLUSIVE OF VAT * Initial Fees can only be taken in 0.25% increments. Initial fees and annual Advice Fees are paid from the client’s investment via redemption of units. ** PSG Asset Management pays this annual referral fee to the Financial Adviser i.e. the Referral Fee is included in the fund unit price and is not processed via redemption of units.

Version 1.14: 30 Oct. 2015

Name of Fund Bank Account

Details Fund Category Benchmark Investment Objective

Risk Profile

Income Dist.

Annual Management

Fee

Max. Initial Financial Adviser

Fee*

Financial Adviser Referral Fee**


Fee*

PSG Money Market Fund

073138096

South African - Interest Bearing - Money Market

South African - Interest Bearing Money Market Mean

The Fund aims to provide capital security, a steady income yield and high liquidity.

Low

Monthly

Class A: 0.50%

0.00%

Class A: 0.00%

Class A: 0.50%

PSG Global Equity Feeder Fund

070228299

Global - Equity - General

MSCI World Free GR Index (in ZAR)

The fund aims to outperform the average of the world’s equity markets, as represented by the MSCI World Free GR (in ZAR) (the “Benchmark”).

High

28 Feb


2.00% 2.00%

Class A: 0.50% Class E 0.00%

Class A: 0.70% Class E 1.20%

PSG Global Flexible Feeder Fund

070568596

Global - Multi Asset - Flexible

USD Inflation rate + 6%

Achieve superior medium- to long-term capital growth through exposure to selected sectors of the global, bond and money markets.

Moderate to High

28 Feb

Class A: 0.75% Class B: 0.25%

2.00% 2.00%



PSG Multi-Management Balanced Fund of Funds

070314411


South African - Multi Asset - High Equity Mean

The investment objective of the portfolio is to obtain long-term capital growth at moderate risk levels.

Moderate

28 Feb 31 Aug

Class A: 1.00% Class D: 0.40%

2.00% 2.00%



PSG Multi-Management Cautious Fund of Funds

070866694


South African - Multi Asset - Low Equity Mean

The fund aims to provide a balance between growth and income and to achieve long-term capital growth at moderate to conservative levels.

Low to Moderate

28 Feb 31 Aug


2.00% 2.00%



PSG Multi-Management Equity Fund of Funds

070639779


South African - Equity - General Mean

The fund aims to seek maximum returns for investors within an acceptable level of risk.

High

28 Feb 31 Aug

Class A: 1.00 % Class D: 0.40%

2.00% 2.00%



PSG Multi-Management Foreign Flexible Fund of Funds

072842016

Global - Multi -Asset - Flexible

Global - Multi - Asset – Flexible Mean

The primary objective of the portfolio is long term capital appreciation through active asset allocation management of a diversified portfolio of collective investment schemes.

Moderate to High

28 Feb 31 Aug


2.00% 2.00%



PSG Multi-Management Income Fund of Funds

073138398


Alexander Forbes Short Term Fixed Interest Index (STEFI)

The fund aims to provide relative capital stability and to maximise income returns for the investor.

Low



0.50% 2.00%



Page 10

Version 1.14: 30 Oct. 2015



Risk Profile

Income Dist.

Annual Management

Fee


Fee*



Fee*

PSG Wealth Creator Fund of Funds

070649650


South African - Equity - General Mean

The primary objective of the portfolio is to achieve capital growth over the long-term. Income is not a main objective for this portfolio.

High

28 Feb 31 Aug

Class A: 1.50% Class B: 1.25% Class D: 0.40%

2.00% 2.00% 2.00%



PSG Wealth Enhanced Interest Fund

070660239

South African - Interest Bearing - Short Term

South African - Interest Bearing - Money Market Mean

The primary objective of the portfolio is to maximise the current level of income while providing maximum stability of capital invested. The portfolio will aim to achieve performance returns in excess of money market yields and current account yields by taking marginally more risk.

Low

Monthly


1.00% 1.00%



PSG Wealth Income Fund of Funds

070649685


STEFI 12 months NCD rates

The primary objective of the portfolio is to achieve income with some long-term capital appreciation as interest rate cycles allow.

Low



2.00% 2.00% 2.00%



PSG Wealth Moderate Fund of Funds

070649618


South African - Multi Asset - High Equity Mean

The primary objective of the portfolio is to achieve medium to longer term capital growth within an acceptable level of volatility during any market cycle.

Moderate

28 Feb 31 Aug


2.00% 2.00% 2.00%



PSG Wealth Preserver Fund of Funds

070649693


Inflation + 3% over a rolling 3 year period

The objective of the portfolio is to achieve medium to longer term capital growth within an acceptable level of volatility during any market cycle.

Low to Moderate

28 Feb 31 Aug


2.00% 2.00% 2.00%



PSG Wealth Global Moderate Feeder Fund

073146021

Global - Multi Asset - Flexible

GIFS USD Flexible Allocation (ZAR)

The primary objective of the portfolio is to provide long term capital growth and to create and internationally diversified investment medium for investors.

Moderate to High

28 Feb


2.00% 2.00%



Page 11

Version 1.14: 30 Oct. 2015



Risk Profile

Income Dist.

Annual Management

Fee


Fee*



Fee*

PSG Wealth Global Creator Feeder Fund

070579601

Global - Equity - General

GIFS Global Large-Cap Blend Equity (ZAR)

The primary objective of the portfolio, via its holding in the underlying fund, is to maximize returns through active management of a diversified portfolio of equity based collective investment schemes established, recognized or regulated in any approved country, and assets in liquid form.

High

28 Feb


2.00% 2.00%



Destiny Multi Asset PSG Fund of Funds

270932674

South African - Multi Asset - Flexible

South African - Multi Asset - Flexible Mean

The objective of the portfolio is to achieve maximum capital growth on a year-to-year basis over the longer term, with the generation of income being of a secondary nature.

High

28 Feb 31 Aug


2.00% 2.00%



Destiny Prudential PSG Fund of Funds

270932682

South African - Multi Asset - Medium Equity

South African - Multi Asset - Medium Equity Mean

The objective of the portfolio is firstly to preserve capital and secondly to attempt to grow both the capital and income over the medium to long term.

Moderate



2.00% 2.00%



Catalyst SA Property Equity PSG Fund

070971137

South African - Real Estate -General

FTSE/JSE SA Listed Property Index (SAPY) J253

The fund is an actively managed fund, which has a total return objective and seeks to offer investors a return in excess of the SA domestic property equity markets. The fund has a medium to longer-term investment horizon.

Moderate To High


Class A: 1.00% + 20% of out-performance in excess of benchmark Class D: 1.25%

2.00% 2.00%



Catalyst Global Real Estate PSG Feeder Fund

071222812

Global - Real Estate - General

UBS Global Real Estate Investors Index (ZAR)

The fund has a medium- to long-term investment horizon and has a total return objective comprising both income return and capital appreciation. Investors should be prepared for a minimum investment term of at least three years.

Moderate to High

28 Feb

Class A: 0.75%

2.00%

Class A: 0.25%

Class A: 0.50%

Page 12

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