Financial adviser: appointment/fee form

6734481340 No. 8.0 December 2012 Financial adviser: appointment/fee form 1. Important information 1. Please read the relevant and latest Terms and Conditions or Conditions of Membership as they may have changed since your original investment. This is available from the Client Service Centre at 0860 000 654 or at www.allangray.co.za 2. Please fax the required documents to the Client Service Centre at 0860 000 655 or +27 (0)21 415 2492 or email instructions@allangray.co.za Document checklist If a representative is acting on behalf of the investor, we need the following if not previously provided: Proof of authority (e.g. power of attorney) Copy of South frican bar-coded ID or valid passport (if foreign national) Proof of residential address less than three months old (e.g. utility bill, telephone account) 2. Investor details Natural person/legal entity Full name and surname/entity name ID number (passport number if foreign national)/registration number Person acting on behalf of the investor Please insert name of legal guardians or persons with a power of attorney to act on behalf of this investor. Full name and surname Relationship 3. ppointment or fee change ppoint a financial adviser and/or Change financial adviser fees Would you like this change applied across all your accounts? Yes No If no, please specify below which accounts you would like the change to apply to 4. Financial adviser details Full name and surname Practice name FSB license number llan ray adviser code Financial adviser FIS declaration 1. I have made the disclosures required, in terms of the Financial dvisory and Intermediary Services ct 37 of 2002, to the investor. 2. I have explained all fees that relate to this investment account to the investor. I understand and accept that the investor may write to the dministrator to cancel my fees. Financial adviser FIC declaration (Not applicable to Endowment and Offshore Investments) 1. I have identified all applicable parties to this transaction and verified their details under the requirements of Section 21 of the Financial Intelligence Centre ct, No. 38 of 2001 ('The ct'). I keep these parties' records as is required in terms of Section 22 of The ct. Yes No 2. I understand that I am the primary accountable institution under The ct. 3. I understand that if I have selected 'No', the dministrator will be responsible for the primary 'Know Your Client' requirements of The ct and that the application will be delayed until the dministrator receives these documents. Signature of financial adviser Date d d / m m / c c y y Page 1 of 2

4464481348 Negotiable financial adviser fees I confirm that the financial adviser above is my appointed financial adviser. I agree to pay the following negotiated fees on all future transactions unless otherwise specified: Please specify the percentage (excluding VT). Initial nnual.. % % Maximum 3.0% (excluding VT) deducted prior to the investment being made. If it is agreed that no fee is payable, please insert 0%. Where the annual fees are more than 0.5%, fees are capped at 1.5%. llan ray Retirement nnuity Funds: Initial fees are not paid on transfers from another Retirement nnuity Fund in terms of Section 14. llan ray Living nnuity: Maximum 1.5% (excluding VT) deducted prior to the investment being made. If it is agreed that no fee is payable, please insert 0%. Initial fees are not paid on transfers from another insurer in terms of Directive 135. Maximum 1.0% (excluding VT) of the investment portfolio. Where the fee is more than 1.5%, the maximum annual fee is 0.5%. If no annual fee is payable, please insert 0%. Discretionary mandate declaration This section is only applicable if the FSP (Financial Service Provider) holds a 'Category II' license with the FSB (Financial Services Board) and is therefore an approved discretionary FSP. I confirm that I have entered into a mandate with the approved discretionary FSP. Yes No I agree and understand that in terms of the mandate the FSP may give llan ray investment instructions directly and I authorise llan ray to accept all instructions submitted by the FSP on my behalf. 5. Investor declaration 1. I confirm that all information provided in this form is correct. 2. I confirm that llan ray may accept instructions from my financial adviser or any authorised third party only if appointed and authorised by me in writing. 3. I confirm that my appointed financial adviser will have access to my investment details via the secure section of www.allangray.co.za 4. I have read, understood and agree to the latest Terms and Conditions or Conditions of Membership. Signature of investor Date d d / m m / c c y y 6. llan ray legal entities llan ray Unit Trust Management (RF) Proprietary Limited is authorised as a Manager in terms of the Collective Investment Schemes Control ct. llan ray Investment Services Proprietary Limited, an approved Fund administrator and authorised administrative financial services provider, is the dministrator. In this form 'llan ray' refers to llan ray Unit Trust Management (RF) Proprietary Limited or llan ray Investment Services Proprietary Limited. Page 2 of 2 llan ray Proprietary Limited is an authorised financial services provider.

Investor declaration / record of advice: Risk profiler: I have completed the 5 questions on the Investonline.co.za risk profiler questionnaire by myself and understand what my personal client risk profile tolerance level for unit trust investment risk is; and understand that this is the recommended risk profile for me to select an Investonline.co.za pre-determined risk-profiled unit trust portfolio. Clients investment objective: I have a medium to long-term capital growth objective with an investment time horizon of 24-36 months and longer. Financial situation: I have little debt, want to create wealth in the medium to long term and am prepared to accept a certain level of risk and volatility according to my risk profile. Client s product experience: I have been on Investonline.co.za s website and have read the various tutorials on unit trusts, the relevant unit trust fund fact sheets of the Investonline.co.za recommended portfolio and have familiarised myself with the mechanics of how unit trust investments operate and am now comfortable to invest my funds into a dedicated portfolio. Products considered: I have done the Investonline.co.za risk profiler and have considered all of the recommended unit trust portfolios listed and have selected the portfolio best suited to my risk profile, financial needs and my long-term investment objectives and goals and have carefully read the unit trust fund fact sheets on each of the funds in my recommended portfolio. Investonline.co.za s motivation for recommendation: I understand that the Investonline.co.za team have significant experience with compiling unit trust portfolios and that they have recommended a diversified range of funds in their risk profiled portfolios and have labelled each portfolio with the respective risk rating from 1 (low) to 5 (high). Important information highlighted to the client: The important information regarding investment risk, reasons for diversification, liquidity, period of investment, tax status of unit trusts and all the fees involved regarding unit trusts have been highlighted to me the client, clearly via the website. uarantees / risk profile / terms & conditions: I understand that my funds will NOT be guaranteed under any circumstances and that I have read the definition of the risk profile that I qualify for via the Investonline risk profiler and have read each one of the unit trust fund fact sheets that I have invested into and have signed them off. Financial needs analysis: I understand the importance of a full financial needs analysis, however, due to insufficient time; I have postponed this event to a later date, by arrangement. Own unit trust portfolio: I understand that if I elect to choose my own portfolio of unit trust funds and NOT one of the Investonline pre-determined risk profiled portfolios then I do so entirely at my own risk. This client declaration signed at on this day (month) of (year) Client signature: Client name: [Pg 1 of 3] Fax (086 586 03 15 / 16 / 17) or email (invest@investonline.co.za) along with your application documentation.

CLIENT SERVICE REEMENT Between (Full Name & I.D. number of client) nd INVESTONLINE.CO.Z the online website division of Torchway Investments (Pty) Ltd. FSB authorized financial services provider - FSP 40592. In accordance with the Financial dvisors and Intermediary Services ct and the eneral Code of Conduct for Financial Services Intermediaries it is our duty as an authorized financial services provider to inform you, as a valued client of our business, of some of your principal rights in terms of the aforementioned legislation: 1.1 s a client of the financial services industry you have a right to a full analysis of your financial objectives before entering into any financial services related transaction. 1.2 s an authorized financial services provider we are compelled to perform this analysis with the necessary due skill, care and diligence and to then in consultation with you prioritize your needs and provide you with objective advice to address these needs. 1.3 t Torchway Investments (Pty) Ltd. T/ Investonline.co.za FSP 40592 - we embrace these requirements as being in the interest of our valued clients and the financial service industry as a whole. s a client you do however have the right to specify which needs you require to be focused on. 2.1 We respect this right, but should you decide to consult with us only regarding a certain need, we require that you take full cognizance and responsibility of the following 2.1.1 when providing focused advice there may well be needs in your personal financial planning which require more urgent attention than the need being addressed at your request; 2.1.2 and that therefore there may well be limitations on the appropriateness of the advice being provided. 2.2 It is your explicit responsibility to ensure that the advice provided is appropriate given your current financial situation. t Torchway Investments (Pty) Ltd T/ Investonline.co.za we provide financial advice and intermediary services regarding the following aspects of financial planning: RISK PROFILED DIVERSIFIED UNIT TRUST PORTFOLIOS 3. By selecting any option other than a full financial needs analysis you hereby accept the responsibilities and risks associated with focused advice as set out in point 2 above as well as the following: 3.1 You acknowledge that you have been made aware of the services provided by Investonline.co.za and have declined advice regarding the other planning services offered by Investonline.co.za. 3.2 You acknowledge that due to you exercising your rights as a client of the financial services industry that you might well have needs that require urgent addressing, but have chosen to not have them addressed at this stage due to insufficient time to complete a full financial needs analysis 3.3 That you have voluntarily exercised your right and have not been unduly influenced by Investonline.co.za - to do so and are aware of your right to a full needs analysis and that Investonline.co.za has encouraged you to have such an analysis performed at a later date by arrangement. 3.4 In all instances you as a client have been informed and have acknowledged that any analysis of your personal financial situation can only be performed if you as client provide all relevant information to Investonline.co.za. 3.5 In all instances you have been informed and are aware that the accuracy of any analysis is critically dependent on the information provided by you to Investonline.co.za - in particular reference to the completion & accuracy of the Risk Profiler tool. 3.6 You have been informed of Investonline.co.za s status as an accountable institution in terms of the Financial Intelligence Centre ct and its responsibilities in term of this act. 3.7 You hereby certify that any funds that Investonline.co.za is required to deal with on your behalf is not obtained from an illegal source and that you are not involved in any money laundering activities. This client declaration signed at on this day (month) of (year) Client signature: Client name: [Pg 2 of 3] Fax (086 586 03 15 / 16 / 17) or email (invest@investonline.co.za) along with your application documentation.

CLIENT DECLRTIONS It is of utmost importance that you read this section carefully and understand it fully. ll 10 client declarations must be marked by the client to indicate understanding & acceptance. I confirm that contact stage disclosure information, setting out Investonline.co.za s full particulars, their experience and services offered, has been provided to me via the Investonline.co.za Website. I confirm that I required the Financial dvisor (Investonline.co.za) to render the financial services set out in the Client Service Level greement, a copy of which has been provided to me. Where I elected not to take up the financial advisor s recommendation of a full financial needs analysis, I was advised and understand that I should take particular care to consider whether and ensure that the product (s) purchased or selected by me is/are appropriate to my needs, objectives and circumstances. CLIENT REES If I did not provide the financial advisor with any information requested, or there was insufficient time to conduct an analysis, I confirm that: a. I clearly understand that there may be limitations on the appropriateness of the advice provided, and b. I will take particular care to consider on my own whether the advice is appropriate considering my own financial objectives and current financial position. I understand that the accuracy of a needs analysis is dependent on the information provided to or obtained by the financial advisor. The advice furnished and product recommendations made by the financial advisor are based largely on the information I provided to the financial advisor via the Investonline.co.za website risk profiler. I thus understand that material non-disclosures and misrepresentations could result in inappropriate product(s) being recommended and purchased by me. In accordance with the Financial dvisors and Intermediary Services ct and the eneral Code of Conduct for Financial Services Intermediaries, it is our duty as an authorized financial services provider to inform you, as a valued client of our business, of some of your principal rights in terms of the aforementioned legislation: CLIENT REES I confirm that I was provided with copies of all unit trust fund fact-sheets & marketing brochures on the Investonline.co.za website for the product(s) selected. ll material terms and conditions of the product(s) selected were explained to me prior to any decision made. I have been informed of and understand all costs, charges, penalties, liquidity limitations and tax implications where applicable. I understand the risks associated with the product(s) and /or underlying fund(s) selected. I understand that there is NO URNTEE with unit trusts. I confirm that all documents signed by me were fully completed prior to my signing them. I have also read and signed off the relevant unit trust fund fact sheets that I have invested my money in and accessed these fund fact sheets under the Investonline.co.za "unit trusts available" tab. I understand it is my responsibility to each of the unit trust fund fact sheets and fax/email these to Investonline.co.za as part of their FIS ct compliance requirements documentation. Notwithstanding the information provided by Investonlione.co.za, I acknowledge that I have an obligation to familiarize myself with the terms and conditions of the product(s) that I have purchased which are available on the Investonline.co.za website - under terms and conditions. It is the duty of the client to inform Investonline.co.za of any changes to their factual circumstances as and when they occur. This client declaration signed at on this day (month) of (year) Client signature: Client name: [Pg 3 of 3] Fax (086 586 03 15 / 16 / 17) or email (invest@investonline.co.za) along with your application documentation.

UNIT TRUSTS MDE ESY.co.za CONRTULTIONS YOU RE NOW N INVESTONLINE.CO.Z CLIENT FX / EMIL the following documents to Investonline.co.za to start your Investment: 1. Signed copy of llan ray application form (4 pages) 2. Signed copy of Investonline Record of dvice (3 pages) 3. Clear copy of your Identity Document (I.D.) (1 page) 4. Clear copy of Utility bill reflecting your physical address (1 page) 5. Proof of your bank details for llan ray to do the debit (1 page) (i.e. copy of cancelled cheque or bank statment) Email above documents to: invest@investonline.co.za Fax above documents to: 086 586 0315 086 586 0316 086 586 0317 llan ray Bank Details for Lump sum deposits Cheque deposits and electronic/internet transfers should be made to the bank account below, also see the correct reference number to use for the dministrator to identify your money. If you have selected to pay via electronic transfer, certain banks list 'llan ray Platform' as a pre-approved beneficiary. ccount name: Bank: Branch: Branch code: ccount type: ccount number: Reference number: Swift code: llan ray Investment Services Proprietary Limited First National Bank lobal Transactional Services Cape Town 20-41-09 Current 620 830 933 11 South frican residents - Your 13 digit South frican ID number / Foreign nationals - Your passport number FIRNZJJ