Individually Managed Account Service APPLICATION FORM

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1 Idividually Maaged Accout Service APPLICATION FORM July 2015

2 Applicatio Idividually Maaged Accout Service? How to complete the applicatio form 1. Complete the iformatio required i the Applicatio Form o pages Please read Geeral Istructios commecig o this page. 2. Idetificatio ad verificatio documets are required uder Australia s Ati-Moey Lauderig ad Couter Terrorism Fiacig (AML/CTF) regulatios. To idetify the documets you eed to provide, see Ati- Moey Lauderig ad Couter-Terrorism Fiacig Istructios o page 4. There is o eed to complete idetificatio forms if you have doe so before. 3. The Applicatio Form, your paymet as set out i Sectio D of the Applicatio Form ad as relevet certified copies of the documets required to verify your idetity should be set to: Clime Asset Maagemet Pty Limited PO Box Q1286 Quee Victoria Buildig NSW 1230 If you eed assistace i completig the form, please cotact Clime Asset Maagemet o Geeral Istructios Please use CAPITAL LETTERS ad a black ball poit pe whe completig the forms. For joit ivestors we require the usual residetial address of each ivestor. You may oly elect oe postal address for all otices ad correspodece. Your usual residetial address caot be your fiacial adviser s address or a post office box. Compay applicatios should iclude a cotact ame ad ACN, ABN, or ARBN as applicable. For compay applicatios we require the full address of the registered office, plus pricipal place of busiess. Idividual applicats should be 18 years of age or over. You ca ivest o a mior s behalf by puttig their ame i the accout desigatio box. The uitholder will ot, however, be the mior. If you have a existig accout ad would like to add to the accout, please ote your existig accout umber. Tax File Number You are ot obliged to provide your TFN, ABN or claim a exemptio. However, if you do ot do so we are required to deduct tax from distributios of icome made to you at the highest margial rate, plus Medicare Levy (if you are a Australia residet). Tax File Numbers for miors will ot be accepted. Applicatio Istructios The miimum applicatio is $750,000. The cheque must be payable i Australia dollars. Cash is ot accepted. If paymet is made by EFT, the applicatio moey should be set to the bak accout as provided i Sectio D of the Applicatio Form. If shares or other securities are beig trasferred i lieu of cash, stadard trasfer forms will be provided. 1 Idividually Maaged Accouts Service - Applicatio Form

3 Accout Operatio Istructios Please idicate how you wish your accout to be operated. I the case of joit accouts, you may request joit sigatures or allow either sigatory to sig. For a compay or trustee, please idicate your operatio istructios by tickig the appropriate box. See Sectio G of the Applicatio Form. Examples of Correct Names & Accout Desigatios TYPE OF INVESTOR CORRECT NAMES INCORRECT NAMES SIGNATURE(S) REQUIRED Idividual / Joit Ivestors Use full ame of each applicat Compay Alex Joh Barde Laura Sue Barde Alex J Barde Laura S Barde Each Applicat Use full compay title Trusts / Miors Portal Pty Ltd Portal P/L Portal Co Portal Ic. Two directors; or Director & Secretary; or if there is oly oe director, by that director Use trustee(s)/idividual(s) ame(s) Use trust/mior ame as desigatio Superauatio Fud/Compay Trustee Name: Paul Rya Pruty A/C Desigatio: <Pruty Family Trust> <Joel Pruty> Name: Paul Pruty Family Trust Each Trustee If trustee is a compay, see above Use trustee(s)/idividual(s) ame(s) Use superauatio fud ame as desigatio Name: Amy Rachel Wood A/C Desigatio: <Amy Wood Super Fud> Name: AR Wood Super Fud Each Trustee If trustee is a compay, see above Sigatures Please esure you have siged i Sectio H of the Applicatio Form. You should esure that you have read the offer documet i full before sigig the applicatio. Joit applicatios must be siged by all persos. If the applicatio is beig siged uder Power of Attorey please eclose a certified copy of the Power of Attorey 2 Idividually Maaged Accouts Service - Applicatio Form

4 ad appropriate photo idetificatio of the attorey. Lodgig the Applicatio Form Please mail the completed Applicatio Form alog with your paymet ad, as ecessary, documets that verify your idetity to: Clime Asset Maagemet Pty Limited PO Box Q1286 Quee Victoria Buildig NSW 1230 Please esure paymet is made i full. Please ote that you ca oly become a cliet o receipt of a properly completed Applicatio Form, issued together with the as ecessary idetificatio documets ad cleared fuds. If you have ay queries please call your fiacial adviser or cotact Clime o: PO Box Q1286, Quee Victoria Buildig NSW 1230 P F +61 (0) E W 3 Idividually Maaged Accouts Service - Applicatio Form

5 Ati-Moey Lauderig & Couter-Terrorism Fiacig Istructios Idetificatio Requiremets Uder Australia Ati-Moey Lauderig ad Couter Terrorism Fiacig (AML/CTF) Legislatio, certai due diligece must be coducted o ay prospective ivestor before iterests i ay fiacial product may be issued to that ivestor. The due diligece icludes verifyig a prospective ivestor s idetity. Applicatios that do ot provide the required iformatio caot be processed. AML/CTF compliace will also iclude ogoig customer due diligece which may require Clime to collect further iformatio. Idetified yourself to Clime before? A cliet eed oly idetify themselves to us oce. If you have doe this, you eed ot provide supportig documets. Requiremets for Idividuals / Sole Traders If you are a idividual ivestor or sole trader, you will eed to give us certified copies of oe documet from colum [1] OR oe documet from each of colum [2] AND [3]: Please ote that for Trusts, Parterships, Associatios ad Co-Operative Applicats, if you are required to complete the idividual sectio of the applicatio the you must also provide the documets required for a idividual applicat. Reliable ad Idepedet Documetatio Do ot sed origials; certified copies oly Colum [1] Primary Photographic Australia Driver s Licece showig your photo Valid Australia Passport # State or Territory Proof of Age Card Foreig Passport* showig your sigature ad photo# Natioal ID Card issued by a foreig govermet cotaiig a photograph ad sigature* Foreig Driver s Licece showig your sigature, photograph ad date of birth* OR Colum [2] Primary No - Photographic Birth Certificate Australia or Foreig* Commowealth Citizeship Certificate Pesio Card Health Care Card issued by Cetrelik Foreig Citizeship Certifcate or Birth Certificate* AND Colum [3] Secodary Idetificatio Commowealth, State or Territory otice showig your home ad residetial address (less tha 12 moths old) Tax Ivoice showig your home ad residetial address (less tha 12 moths old) Local utilities provider otice showig your home ad residetial address (less tha 3 moths old) # A passport that expired withi the two years prior to submittig the applicatio form will be accepted. * Documets that are writte i a laguage that is ot Eglish must be accompaied by a Eglish traslatio prepared by a accredited traslator. WHO MAY CERTIFY YOUR DOCUMENTS AS BEING A TRUE AND CORRECT COPY OF THE ORIGINAL Judge Curretly erolled Lawyer or foreig equivalet Notary Public Magistrate Police Officer or Foreig Equivalet A Registrar or Deputy Registrar of a court Justice of Peace or foreig equivalet A bak or fiacial istitutio officer they must be a officer with 2 or more cotiuous years of service with oe or more fiacial istitutios or compaies A member of the Istitute of Chartered Accoutats i Australia, CPA or ANI Chief executive officer of a court The eligible certifier must iclude the followig iformatio: Their full ame Address Telephoe Number The date of certifyig Capacity i which they are eligible to certify, ad A official stamp/seal if applicable A post office worker (they must be i charge of a Post Office or are a permaet employee with 2 or more years of cotiuous service) A fiacial adviser (a officer with, or authorised represetative of, a holder of a Australia fiacial services licece (or foreig equivalet), havig 2 or more cotiuous years of service with oe or more licesees) Australia Cosular Officer or Diplomatic Officer The certified copy must iclude the statemet, I certify this is a true copy of the origial documet. For photographic documets, the certified copy must iclude the statemet, I certify this is a true copy of the origial documet ad the photograph is a true likeess. i Idividually Maaged Accouts Service - Applicatio Form

6 Requiremets for Compaies For compaies, please provide a certified copy of: a ASIC search or foreig regulator search OR the compay s ASIC certificate of registratio or foreig regulator certificate of registratio Requiremets for Trusts ad Trustees A certified copy of the Trust Deed For the trustee: Where the trustee is/ trustees are idividuals For oe trustee oly, please provide certified copies of the same documets as for Idividuals/sole traders, as detailed o the previous page. Where the trustee is a compay Please provide a certified copy of the same documets as for Compaies, as detailed above. Additioally for the trust: If a Regulated trust this meas a self maaged super fud or aother type of trust regulated by a Australia Commowealth, State or Territory statutory regulator Self Maaged Super Fuds: Go to select the Super Fud Lookup optio, prit out the results for your super fud ad provide a certified copy. Registered maaged ivestmet schemes: Please provide a certified copy of a ASIC search of the scheme. Govermet superauatio fuds: Provide a certified copy of a extract of the establishig legislatio. If a ot a Regulated trust this will iclude family discretioary trusts, family ad other uit trusts, deceased estates ad charitable trusts (but ot icludig self-maaged super fuds). Please provide us with certified copies of oe of the followig: a ATO otice less tha 12 moths old (e.g. a assessmet otice). a letter from a solicitor or qualified accoutat that cofirms the trust ame. certified copy of a page of the trust deed showig the trust s ame. Requiremets for other etities For other etities such as Govermet bodies, parterships, associatios ad co-operatives, please cotact us. ii Idividually Maaged Accouts Service - Applicatio Form

7 Uited States tax status form for ALL Ivestors Why this form? The Foreig Accout Tax Compliace Act (FATCA) is a Uited States (US) regulatory requiremet that aims to deter tax evasio by US taxpayers. The Australia ad US Govermets (through their tax offices) have a agreemet which meas we must ask you, ad you must aswer, these questios. Iformatio we gather is reported to the ATO ad i tur to US tax authorities. For more iformatio visit the ATO Website: If you are usure of ay of the aswers please cotact a legal, accoutig or immigratio professioal. 1. If you are a super fud If you ca tick this box, you do t eed to go past this questio other tha to sig this form at the ed: uless you have a GIIN. I am a super fud. Help: If you ca tick this box, you do t eed to go past this questio other tha to sig this form at the ed. 2. If you are trustee of a testametary trust If you ca tick this box, you do't eed to go past this questio other tha to sig this form at the ed. I am a trustee of a testametary trust. 3. If you are a US idividual Whether ivestig for yourself or as a trustee, if you are a idividual that is a US citize, or a residet of the US for tax purposes, please give details. Help: Name TIN TIN: THIS IS NOT YOUR TFN It s short for US Taxpayer Idetificatio Number, oe of a umber of IDs issued by US authorities Name Name TIN TIN It could for example be a US Social Security Number, a US Idividual Taxpayer Idetificatio Number or a US Employer Idetificatio Number. US citize or residet of the US for tax purposes: Not eough room? Write their details clearly ad attach them. Thaks! For you, sig this form at the ed ad you re doe! ayoe bor i the US who has t reouced their US citizeship a US citize icludig persos a dual or multiple citizeships US lawful permaet residets e.g. gree card holders 4. If you are US compay or trust Oly cosider this questio if you have t bee able to complete questio #2 above. If you are a US compay or trust, please give details: or if your status is exempt payee, write exempt payee TIN Help: a compay created i the US, established uder the laws of the US or which is a US taxpayer a trust subject to the laws of the US ad cotrolled by oe or more persos that are citizes or residets of the US iii Idividually Maaged Accouts Service - Applicatio Form

8 Uited States tax status form for ALL Ivestors 5. If you are a Fiacial Istitutio Oly cosider this questio if you have t bee able to complete questio #2 0r #3 above. If you are: a Fiacial Istitutio Australia Regulated Trust, or a trust whose trustee is a Fiacial Istitutio, please give details GIIN If you do't have a GIIN, tell us you FACTA status: Deemed compliat Foreig Fiacial Istitutio Excepted Foreig Fiacial Istitutio Registered deemed compliat Foreig Fiacial Istitutio No-participatig Foreig Fiacial Istitutio Exempt Beeficial Ower No-Participatig Foreig Fiacial Istitutio GIIN applied for but ot yet issued No reportig IGA Foreig Fiacial Istitutio Other: please detail Help GIIN: Global Itermediary Idetificatio Number, a uique ID umber issued by US tax authorities to o-us fiacial istitutios whe they register for FATCA. Fiacial Istitutio a depository istitutio you accept deposits i the ordiary course of a bakig or similar busiess e.g. a bak a custodia istitutio a substatial portio of your busiess (20 %+of gross icome) is held i fiacial assets for the accout of others e.g. a custodia a ivestmet etity this icludes etities that trade i fiacial assets or that are ivestig, admiisterig, maagig fuds, moey, or certai fiacial assets o behalf of other persos e.g. ivestmet compaies. Note: if you are a professioal trustee, you will usually fall withi this category certai prescribed etities eg types of isurace compaies that have cash value products or auities. More iformatio ca be foud at: Corporatios/Iformatio-for-Foreig-Fiacial-Istitutios Australia Regulated Trust ASIC registered maagemet ivestmet schemes other trusts which are registered with the ATO or ASIC but excludig self-maaged superauatio fuds, APRA regulated superauatio fuds, Australia Govermet or Semi-Govermet Superauatio Fuds ad pooled super trusts (together Super Etities), uless such Super etities have a GIIN. 6. If you are a public compay I am a public compay. Help: Public compaies have the status of Active No- Fiacial Etity thaks for lettig us kow. iv Idividually Maaged Accouts Service - Applicatio Form

9 Uited States tax status form for ALL Ivestors 7. Are you still tryig to tell us somethig? Oly cosider this questio if you have t bee able to complete ay questio above. Commoly, it is proprietary (or Pty) compaies, whether ivestig themselves or as a trustee, that make it to this last questio. We eed to kow whether or ot you are a Passive No-Fiacial Etity: do t be put off! It s ot too complicated Help A Passive No-Fiacial Etity is broadly where someoe ivolved with you is caught by the US tax system. A US citize or residet of the US for tax purposes is defied above. To work this out, cosider whether ay of the people listed below are a US citize or residet of the US for tax purposes: ayoe that beeficially ows 25% or more of your issued capital? ayoe that exercises cotrol over you? by way of determiig decisios about the fiacial ad operatig policy if you are a trust, ay beeficiary or settlor? If you ticked ay box, please give details: Name Address TIN Name Address TIN Name Addrerss TIN Name Address TIN Not eough room? Write their details clearly ad attach them. OR oe of the people listed above are a US citize or residet of the US for tax purpose Ivestor 1 Ivestor 2 Sigature Sigature v Idividually Maaged Accouts Service - Applicatio Form

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11 Applicatio Clime Idividually Maaged Accout Service Attach cheque here You ca oly become a cliet of Clime o receipt of: this applicatio form; verificatio of the applicat s idetity, AND committed fuds. For istructios o completig this applicatio form, see pages 1 to 5. Please use CAPITAL LETTERS ad a black ballpoit pe. This is a applicatio for the Clime Idividually Maaged Accout Service. It is importat you read i full the offer documet ad declaratios i this applicatio form (Sectio H) before applyig. The Issuer will provide you with a paper copy of the offer documet icludig ay supplemetal offer documet ad the applicatio form, o request without charge. A perso who gives aother perso access to the applicatio form must at the same time ad by the same meas give the other perso access to the offer documet icludig ay supplemetary offer documet. SECTION A Are you a existig Clime cliet? Please tick oe box ONLY. Yes: My / Our Ivestor Number is Name Phoe Number Go to Sectio D No: This is a ew ivestmet (go to Sectio B) SECTION B - Ivestor Details What type of etity is applyig? Please tick oe box ONLY. Other Idividual, joit or sole trader complete B1 Partership complete B1 & B2 Compay complete B1 (Directors) & B2 Trust / Super Fud with Idividual/s as Trustee complete B1 (Trustees) & B3 (Trust or Super Fud) Trust / Super Fud with Corporate Trustee complete B1 (Directors), B2 (Corporatio) & B3 (Trust or Super Fud) vii Idividually Maaged Accouts Service - Applicatio Form

12 B1 INDIVIDUAL INVESTOR DETAILS If a trust, use this sectio to give us details of oe idividual trustee INVESTOR 1 (Your ame MUST match exactly to the ame o your idetificatio documets) Title Give ame(s) i full Surame Date of Birth/ / Usual Occupatio Australia Tax File Number or Tax Referece Number i coutry of residece (Idividual trustees eed ot complete) Australia Busiess Number (ABN) or Foreig Compay ID Number Residetial Address Suburb State Postcode Coutry Sole trader yes o. If yes, what is your busiess ame? Please provide certified copies of your idetificatio documets, see page 4 (please tick whe attached) INVESTOR 2 (Your ame MUST match exactly to the ame o your idetificatio documets) Title Give ame(s) i full Surame Date of Birth/ / Usual Occupatio Australia Tax File Number or Tax Referece Number i coutry of residece Australia Busiess Number (ABN) or Foreig Compay ID Number (Idividual trustees eed ot complete) Residetial Address Suburb State Postcode Coutry Sole trader yes o. If yes, what is your busiess ame? Please provide certified copies of your idetificatio documets, see page 4 (please tick whe attached) viii Idividually Maaged Accouts Service - Applicatio Form

13 B2 CORPORATION, CORPORATE TRUSTEES & PARTNERSHIP DETAILS Registered Name: Name of Cotact Perso: Registered Office Address: Pricipal Place of Busiess: Type of Compay: Public Proprietary Other please specify Coutry of formatio if ot Australia Australia Busiess Number (ABN) or Foreig Compay ID Number Australia Tax File Number or Tax Referece Number i coutry of residece (corporate trustees eed ot complete) REGULATED COMPANIES Australia listed compay? No Yes - ame of market/exchage Market/exchage Majority-owed subsidiary of a Australia listed compay? No Yes - ame that listed compay ad its exchage: Compay Exchage Regulated compay? Oe which is licesed by a Australia Commowealth, State or Territory statutory regulator. No Yes - ame the regulator ad your licece umber Regulator For a proprietary compay (1) How may directors are there? Directors Full Names (1) Licece umber (2) (3) (4) (5) (6) If there are more tha 6 directors, please provide all their ames o a separate page ad iclude it with your applicatio form Tick if you have provided ames ad details of additioal directors. ix Idividually Maaged Accouts Service - Applicatio Form

14 (2) Provide the followig details for all idividuals who through oe or more shareholdigs ow more tha 25% of the compay s issued capital. Same as Ivestor 1 (See B1 or B2 for details) Same as Ivestor 2 (See B1 or B2 for details) Additioal Idividuals Name Residetial Address Name Residetial Address Name Residetial Address B3 TRUSTS or SUPER FUND DETAILS Name of Trust or Fud Coutry of Establishmet (if ot Australia) Australia Busiess Number (ABN) or Foreig Compay ID Number Australia Tax File Number or Tax Referece Number i coutry of residece Idividual trustee ames same as Ivestor 1 (see B1 or B2 for details) same as Ivestor 2 (see B1 or B2 for details) Additioal trustees: 1. Name Date of birth Residetial address 2. Name Date of birth Residetial address 3. Name Date of birth Residetial address 4. Name Date of birth Residetial address x Idividually Maaged Accouts Service - Applicatio Form

15 If there are more idividual trustees, please provide all of their ames o a separate page ad iclude it with your applicatio form. Tick if you have provided ames of additioal trustees. REGULATED TRUSTS Super fud? or aother type of trust regulated by a Australia Commowealth, State or Territory statutory regulator. No Yes tell us: The trust s ABN The regulator if ot APRA or the ATO Ay licece umber Registered maaged ivestmet scheme? No Yes tell us: The trust s ARSN NON-REGULATED TRUSTS icludig family discretioary trusts, family ad other uit trusts, deceased estates ad charitable trusts (but ot icludig selfmaaged super fuds). Does the trust deed ame the beeficiaries? No - please tell us how the beeficiaries are described for example, family members, uit holders, u-amed charities. Yes - please list them below: 1. Beeficiary ame 2. Beeficiary ame 3. Beeficiary ame 4. Beeficiary ame 5. Beeficiary ame 6. Beeficiary ame If there are more tha 6 beeficiaries, please provide full details for each o a separate page ad iclude it with your applicatio form. Tick if you have provided ames ad details of additioal beeficiaries. xi Idividually Maaged Accouts Service - Applicatio Form

16 SECTION C - Accout Cotact Details Joit ivestors with differet residetial addresses must elect oe postal address i this sectio. We will ot accept your fiacial adviser s address. Accout Desigatio (optioal) Mai Cotact Address Suburb State Postcode Coutry Address Home Phoe Work Phoe Fax Mobile SECTION D - Ivestmet Details I/we apply to ivest $ i Clime Discrete Share Portfolio Growth Australia Oly I/we apply to ivest I/we apply to ivest $ $ i Clime Discrete Share Portfolio Growth Australia plus Iteratioal Fud (Usig the Clime Iteratioal Fud) i Clime Discrete Share Portfolio Icome. I/we apply to ivest $ i Clime Discrete Share Portfolio Iteratioal Please tick the box to advise how your paymet will be made: Cheque Please make cheque payable to: Clime Asset Maagemet Pty Limited - Clime DSP Applicatios Trust Accout Direct Deposit (EFT) Bak: Natioal Australia Bak (NAB) BSB: Accout Number: Accout Name: Clime Asset Maagemet Pty Limited - Clime DSP Applicatios Trust Accout Referece: [Applicat(s) Name] For EFT paymets, proof of paymet should be faxed to: Fud BPO o Please Note: For both cheque ad EFT paymets, fuds must be trasferred from a bak accout i the ame of the registered uitholder(s). No third party paymets will be permitted. Trasfer of Securities Please cotact us for relevat forms xii Idividually Maaged Accouts Service - Applicatio Form

17 SECTION E - Operatig Authority Whe givig istructios to us about your ivestmet please idicate who has authority to operate your accout: INDIVIDUAL/JOINT ACCOUNTS (if o box is ticked we will assume all to sig) ay oe to sig both to sig COMPANY, TRUST AND OTHER ACCOUNTS (if o box is ticked, all future writte istructios must be siged by two directors/ trustees, director ad secretary, or the sole director) ay oe to sig ay two to sig all to sig other SECTION F - Privacy Clime may wish to cotact you about future ivestmet opportuities that may be of iterest. Please tick the box if you do NOT wish to be cotacted for this purpose. I/we do ot wish to receive iformatio from Clime regardig future ivestmet opportuities. SECTION G - Providig Idetificatio - New Ivestors Oly I/we cofirm I/we have attached certified copies of the required proof of idetificatio with this applicatio form. SECTION H - Bak Accout Details All ivestors must complete this sectio with a Australia Bakig Istitutio, for distributios ad redemptios. Bak Name/Istitutio Brach Name ad Address BSB Accout Number Accout Name SECTION I - Nomiated or fax umber All ivestors must complete this sectio if you would like to istruct paymets, trasfers or chage of details via /fax. Address Fax Number xiii Idividually Maaged Accouts Service - Applicatio Form

18 SECTION J - Declaratios & Sigatures PLEASE READ THE INDIVIDUALLY MANAGED ACCOUNT SERVICE GUIDE IN FULL BEFORE SIGNING THIS APPLICATION FORM. By completig the applicatio form you: Declare that you have read ad uderstood this Idividually Maaged Accout Service Guide. Agree to the collectio, use ad disclosure of your persoal iformatio provided i the applicatio form. Declare that you have received this Guide persoally, or a pritout of it, accompaied by or attached to the applicatio form before sigig the form. Declare that all iformatio provided i the applicatio ad/or ay other iformatio provided i support of the applicatio is true ad correct Declare that sole sigatories sigig o behalf of a compay are sigig as sole director or as a sole director/secretary of the compay. Ackowledge that a ivestmet i the Discrete Share Portfolio is subject to risks icludig possible delays i repaymet ad possible loss of capital ivested Agree to be boud by the provisios of the service as ameded from time to time. Agree to be boud by the terms of the Guide as ameded from time to time Agree to give further iformatio or persoal details to the Admiistrator Clime if it reasoably believes that it is required to meet its obligatios uder ati-moey lauderig, couter-terrorism or taxatio legislatio. Represet ad coveat that the fuds you are ivestig are ot the proceeds of crime, moey lauderig, or coected with the fiacig of terrorism. Agree that Clime may i its absolute discretio determie ot to accept fuds from you if such actio is deemed to be ecessary or desirable i the light of its obligatios uder the AML/CTF Act or ay related legislatio. Declare if you have received the Guide from the iteret or other electroic meas, that it was either received persoally or that a pritout accompaied the applicatio form before makig a applicatio. Ackowledge that either Clime, the sub-custodia or ay member of their respective groups or ay of their directors or associates or ay other etity guaratees the performace of the Discrete Share Portfolio or the repaymet of capital ivested i the Discrete Share Portfolio, or icome from the Discrete Share Portfolio Ackowledge that this Guide does ot costitute a offer i ay jurisdictio i which, or to ay perso of whom it would be ulawful to make the offer. Declare that if ivestig as a trustee o behalf of a superauatio fud or trust you are actig i accordace with your desigated powers ad authority uder the trust deed. I the case of a superauatio fud, you also cofirm that the fud is a complyig superauatio fud uder the Superauatio Idustry (Supervisio) Act. Ackowledge that all iformatio relatig to this applicatio for ivestmet or ay subsequet iformatio relatig to this ivestmet may be disclosed to ay service provider to the service ad to your adviser. You uderstad this will ot iclude disclosure of your TFN, ABN or ay iformatio i relatio to it to your adviser. If you use the facsimile or facility you: (a) Release, discharge ad agree to idemify Clime ad its agets, icludig the registrar ad their respective officers from ad agaist all losses, liabilities, actios, proceedigs, accouts, claims ad demad arisig from istructios received uder the facility Declare that if the applicatio is siged uder power of attorey, you have o kowledge of the revocatio of that power of attorey. Declare that you have the power to make a ivestmet i accordace with the applicatio. (b) Agree that a paymet made i accordace with the coditios of the facility shall be i complete satisfactio of all obligatios to you for a paymet, ot withstadig it was requested, made or received without your kowledge or authority. xiv Idividually Maaged Accouts Service - Applicatio Form

19 SECTION J - Declaratios & Sigatures Sigature of Ivestor 1 Name of Ivestor 1 Date Tick Role (Compaies oly) Sole Director Director Secretary Sigature of Ivestor 2 Name of Ivestor 2 Date Tick Role (Compaies oly) Sole Director Director Secretary Fee Rate Maagemet Fee Performace Fee POST APPLICATION, ID DOCUMENTS (& CHEQUE) TO CLIME ASSET MANAGEMENT PTY LIMITED PO BOX Q1286, QUEEN VICTORIA BUILDING NSW 1230 Adviser Use Oly Adviser Name (i full) Adviser Postal Address Suburb State Postcode Adviser Phoe (BH) Adviser xv Idividually Maaged Accouts Service - Applicatio Form

20 Clime Asset Maagemet Pty Ltd ABN AFSL Number Level 7, 1 Market Street Sydey NSW 2000 Australia PO Box Q1286 Quee Victoria Buildig NSW 1230 Australia July 2015

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