Gold Bullion Securities Limited

Transcription

1 Gold Bullion Securities Limited (Incorporated in Jersey, Registered No ) Form for Exchange of Gold Bullion Securities for Gold Coins INSTRUCTIONS Prior to completing this form, investors should read the detailed instructions, the Terms and Conditions for the Exchange for Coins and the Investor FAQs, which can be found at Investors should ensure that each section of this form is completed and that the form is signed by the registered holder of the Gold Bullion Securities to be exchanged. The completed form should be ed to and An investor will also need to complete the CDD/AML process. For more information on the CDD/AML process please go to and select the document entitled CDD/AML requirements for redemption. PLEASE NOTE THAT AN EXCHANGE FOR GOLD COINS CANNOT BEGIN UNTIL THE ADMINISTRATOR HAS RECEIVED AND PROCESSED THE RELEVANT CDD/AML INFORMATION AS SPECIFIED IN THE CDD/AML FORM. LEGAL NOTICES This form constitutes a Redemption Form for the purposes of the Conditions of the Gold Bullion Securities and completion and submission of this form represents a request from Redemption of Gold Bullion Securities pursuant to the Gold Delivery Method as further describer in the Prospectus. By submitting this form requesting the exchange of Gold Bullion Securities for Gold Coins, the Registered Security holder and the beneficial owner of the GBS agree to be bound by the Terms and Conditions for the Exchange for Coins in addition to the Conditions for the Gold Bullion Securities. For the avoidance of doubt, delivery by the Company of the Confirmation of a Valid Redemption Notice shall constitute acceptance by the Company on behalf of the Royal Mint to deliver Coins to the Delivery Location on the anticipated Delivery Date in exchange for Bullion and shall create a valid and binding contract between the Security Holder and The Royal Mint in relation to the exchange and delivery of Coins. Neither the Company nor any of its affiliates shall be liable for any failure by the Royal Mint to perform its obligations under that contract. This Redemption Notice is given by a registered holder of Gold Bullion Securities. Each Gold Bullion Securities is a secured undated non-interest bearing note with a face value of US$ issued by the Company, which on redemption entitles a Security Holder to payment of an amount equal to the Per Security Entitlement to Gold on the applicable Redemption Date provided that if such GBS is to be redeemed using the Gold Sale Method, the Company shall redeem such Gold Bullion Securities by payment in cash of an amount equal to the value of the Per Security Entitlement to Gold. The Per Security Entitlement to Gold will be calculated as 99.55% of one-tenth of one fine troy ounce of gold as at 1 July 2005 reduced daily by the Gold Sales Charge Rate of 0.4% per annum, and the value of the Per Security Entitlement to Gold shall be calculated as an amount equal to the gross proceeds of sale actually realised by the Company from selling gold equal to the Per Security Entitlement to Gold on the Redemption Date in accordance with the terms of the Gold Sale Method. Details about the GBS are contained in the Prospectus issued by the Company, as it may be amended from time to time. Terms defined in the Prospectus have the same meaning when used in this Redemption Form. Copies of the Prospectus are available for inspection and can be obtained from the Company or the Administrator at R&H Fund Services (Jersey) Limited, Ordnance House, 31 Pier Road, St Helier, Jersey, JE4 8PW, Channel Islands. A Security Holder may, at any time, by lodging a Redemption Notice with the Administrator, require the redemption of all or any of its Gold Bullion Securities in cash or in gold. In the case of redemptions in gold, a Security Holder may request (i) delivery of the relevant gold by the Company into an unallocated account with a bullion dealer in London who is a member of the London Bullion Market Association (LBMA) to which such gold is to be transferred; or (ii) delivery by the Company of the relevant gold into the unallocated account of The Royal Mint Limited ( The Royal Mint ) and for ETFS Management Company (Jersey) Limited to arrange on its behalf for the exchange of that gold for a whole number of 10 Gold Britannias or 25 gold Sovereigns (each referred to as Coins ) issued by The Royal Mint of the same weight (or as close as possible) as the Per Security Entitlement to Gold of the Gold Bullion Securities redeemed pursuant to the Redemption Notice less the applicable premium, with any balance to be paid in cash (in US Dollars or Sterling) obtained from the sale by the Royal Mint of any remaining gold that is not used to exchange for Coins. If Gold Bullion Securities are redeemed by the Gold Sale Method the relevant Security Holder may elect payment to be in US dollars, Sterling or Euros. If no such election is made in respect of a redemption of Gold Bullion Securities by the Gold Sale Method, such Gold Bullion Securities will be redeemed in US dollars. For further information or to request redemption of Gold Bullion Securities by (i) delivery of gold into an unallocated account other than that of the Royal Mint; or (ii) for cash pursuant to the Gold Sale Method, please contact info@etfsecurities.com. Any exchange of bullion for Coins in respect of any redemption shall be in accordance with the terms and conditions available at and shall be subject to deduction of the applicable premium and fees.

2 A. CREST PARTICIPANT CREST ACCOUNT NO. CREST ACCOUNT NO. Please provide your CREST ID in the boxes below. Please provide your CREST ACCOUNT NUMBER in the boxes below. X X B. PLEASE ENTER THE REGISTERED ACCOUNT/NAME OF THE HOLDING C. PLEASE ENTER THE NAME OF THE BENEFICIAL OWNER OF THE HOLDING D. REDEMPTION I request redemption of the following number of Gold Bullion Securities (subject to transfer of equivalent number of Gold Bullion Securities to Escrow (TTE) in accordance with CREST regulations.),,, E. EXCHANGE OF GOLD BULLION SECURITIES FOR GOLD COINS I hereby request that gold equivalent to the Per Security Entitlement to Gold of the Gold Bullion Securities the subject of this Redemption Notice be delivered to: R O Y A L M I N T Name of Financial Institution S C O T I A B A N K Branch and Country Unallocated Bullion Account No L O N D O N R O Y M C O I hereby request that The Royal Mint Limited arrange for delivery (ex-works) to me of the number and type of Coins specified below and acknowledge that any such delivery shall be in accordance with the ETF Securities terms and conditions and will include fees: Select type and number of coins: Britannias (In multiple s of 10 only) Sovereigns (In multiple s of 25 only) F. CURRENCY - Indicate the currency (one only) in which you would like to receive any residual cash from the exchange of Gold Bullion Securities for Coins) US$ Electronic Funds Transfer Sterling Electronic Funds Transfer

3 G. BANK ACCOUNT (For receipt of residual cash from exchange of Coins) Name in which your account is held BSB/Branch/Sort Code Number/SWIFT Account Number Name of Financial Institution Branch Suburb/Town Country H. CONTACT DETAILS Phone number (Where you can be contacted during business hours. Include area code (and country code, if outside UK)) address Contact Name (PRINT) I. SIGNATURE OF SECURITYHOLDERS This must be signed The Security Holder acknowledges that it has read and understood the Prospectus relating to the redemption of Gold Bullion Securities and agrees that it will be bound by the provisions of the Prospectus, the Trust Instrument, the Security Deed, the Custodian Agreements and the Service Agreement. Individual or Security holder 1 Security holder 2 Director/Company Secretary/Authorised Signatory Director/Company Secretary/Authorised Signatory

4 NOTE: This Redemption Notice is not validly completed unless signed by the Security Holder(s). In the case of joint holdings, all Security Holders must sign. COMPANY SEAL If signed under power of attorney and the power of attorney has not previously been noted by the Administrator, the original, or a copy certified by a person authorised to witness statutory declarations, must be produced for noting by R&H Fund Services (Jersey) Limited (the Administrator ) at the address below. Certified copies will be retained by the Administrator. A company must execute in accordance with the company s Articles of Association. For companies with a sole director and sole secretary, this person should sign in the first signature box. The Company Seal must be affixed if required by the Company s Articles of Association. DATE: / /

5 YOUR GUIDE TO COMPLETING THIS FORM Please read the detailed instructions, the Terms and Conditions and the FAQs relating to redemption, which can be found at etfsecurities.com. Please complete all relevant white sections of the form, in BLOCK LETTERS, using black or blue ink. These instructions are cross-referenced to each section of the form: A. Insert your CREST participant ID and Account Number here if you are a CREST participant. If you have a certified holding please attach the Note Certificate to this form and send it to the Administrator, at the address below. B. Write the details of the registered Security Holder here so that they can be matched with the Security Holder details on record. The details must match the details current with CREST and for the Administrator. C. Write the details of the beneficial owner of the Gold Bullion Securities here. D. Insert the number of Gold Bullion Securities you wish to redeem. By signing this form, the Security Holder consents to a Transfer to Escrow equivalent to the number of securities to be redeemed. This transfer prevents trading of these Notes on the London Stock Exchange and is applied in accordance with CREST regulations. HOW TO LODGE YOUR REDEMPTION NOTICE Your completed Redemption Notice should be sent via to etfsjersey@rhfsl.com and physicalredemption@etfsecurities.com. Alternatively, you can post or fax the form to: R&H Fund Services (Jersey) Limited Ordnance House 31 Pier Road St Helier Jersey, JE4 8PW Channel Islands Facsimile: +44 (0) With a copy to: ETFS Management Company (Jersey) Limited Ordnance House 31 Pier Road St Helier Jersey, JE4 8PW Channel Islands Facsimile: +44 (0) E. Please complete the type and number of Gold Coins requested. Please remember that Britannias can only be requested in multiples of 10 and Sovereigns can only be requested in multiples of 25. F. Select the currency in which you would like to receive any residual cash from the exchange for Coins. G. Enter the relevant bank details into which any residual cash from the exchange for Coins should be deposited. H. Please Enter your telephone number, contact name and address in case we need to contact you in relation to the form. I. Please sign as appropriate. The form must be signed by the registered holder of the Gold Bullion Securities. ETF Securities (UK) Limited 3 Lombard Street London EC3V 9AA United Kingdom T +44 (0) E info@etfsecurities.com W etfsecurities.com