UNIT TRUST ADDITIONAL INVESTMENT FORM FOR THE GRINDROD INSTITUTIONAL PROPERTY INCOME FUND Grindrod Collective Investments (RF) (Pty) Ltd administers this unit trust and is authorised to do so under the Collective Investment Schemes Control Act. It shall be referred to as Grindrod in this form. IMPORTANT INFORMATION Complete the relevant sections of this form in BLOCK LETTERS. Ensure that all information is accurate. This form should not be used for Tax-Free Savings Plan Investments. No instruction will be processed unless all the requirements have been met. The daily cut-off for receipt of instructions is 14h00. Please contact Grindrod on 0800 117 842 or via e-mail at investments@grindrodam.co.za should you require assistance in completing this form. Please send the completed form and supporting documentation to fax 031 571 0761 or email investments@grindrodam.co.za. DOCUMENT CHECKLIST Completed unit trust application form. Proof of deposit/transfer into the relevant bank. Copy of green bar-coded Identity Document. (A passport / driver s license containing the above information will only be accepted with a written reason for the unavailability of the ID document.) Document(s) less than 3 months old containing residential address, e.g. utility bill, account of land-line telephone, bank statement, municipal rates, tax invoice, lease agreement, mortgage statement, insurance policy (excluding short term insurance policy), correspondence from body corporate / share-block association, payslip, television licence, and motor vehicle licence. Foreign Citizens: Copy of valid passport containing a photo, full names, date of birth and identification number. If a representative is acting on behalf of the client, proof of authority and the verification documents must be provided for the representative. 1. INVESTOR DETAILS EXISTING INVESTOR NUMBER SURNAME / COMPANY / TRUST / PARTNERSHIP / CLOSE CORPORATION FIRST NAME(S) TITLE ID / PASSPORT / COMPANY / TRUST / PARTNERSHIP / CLOSE CORPORATION REGISTRATION NUMBER FULL NAME OF PERSON ACTING ON BEHALF OF INVESTOR (Legal guardian(s) or person(s) with power of attorney or mandate to act on behalf of an investor) RELATIONSHIP POSTAL ADDRESS POSTAL CODE TELEPHONE NUMBER (HOME) (WORK) CELLULAR NUMBER FAX NUMBER E-MAIL ADDRESS 1.1 PAYMENT DETAILS SOURCE OF FUNDS EXISTING GRINDROD ACCOUNT BONUS SAVINGS INHERITANCE SALARY TRANSFER FROM OTHER FINANCIAL SERVICE PROVIDER (SPECIFY) GIPIF_ADD_2015_02 METHOD OF PAYMENT CHEQUE DEPOSIT ELECTRONIC / INTERNET TRANSFER ELECTRONIC COLLECTION BY GRINDROD All cheques must be endorsed as non-transferable and deposited directly into the Grindrod bank account. Electronic / Internet transfers may take up to two days to appear in the Grindrod bank account. Electronic collection is restricted to a maximum of R500 000. Grindrod will debit your account within two business days of receiving the application form and all relevant documents. Please complete the Bank Debit Authority section above.
Page 2 of 5 1.2 BANK DEBIT AUTHORITY I authorise Grindrod to draw direct debits against the back account below. PLEASE USE THE SAME BANKING DETAILS AS PER SECTION 1.2. BANK ACCOUNT HOLDER DETAILS NAME OF ACCOUNT HOLDER NAME OF BANK ACCOUNT NUMBER BRANCH NAME BRANCH CODE TYPE OF ACCOUNT: CURRENT TRANSMISSION SAVINGS ELECTRONIC COLLECTION BY GRINDROD (There is a clearance period of 30 days and no redemptions will be processed in this period LUMP SUM AMOUNT R SIGNATURE OF BANK ACCOUNT HOLDER DATE Proof of banking details (cancelled cheque or statement not more than 3 months old) must be supplied. GRINDROD BANK ACCOUNT DETAILS Cheque deposit and electronic / internet transfers should be deposited / transferred to the bank account below. Please use the investor name as a reference to avoid any delays in the allocation and investment of funds. ACCOUNT NAME: Grindrod Collective Investments / Socgen BANK: First National Bank BRANCH: Global Transactional Services Durban BRANCH CODE: 22 36 26 ACCOUNT NUMBER: 6232 6318 963 2. UNIT TRUST PORTFOLIO SELECTION I/We select the following investment plan(s): FUND NAME MINIMUM INVESTMENT LUMP SUM LUMP SUM AMOUNT (R) REINVEST DISTRIBUTION ( ) PAYOUT DISTRIBUTION ( ) Grindrod Institutional Property Income Fund R1 000 000 Distributions will be paid to the bank account specified in Investor Bank Account Details above. 3. FINANCIAL ADVISOR DETAILS I have not appointed a financial advisor. I appoint as my financial advisor(s) as the authorised representative of financial services provider ( FSP ). FSP approval no. TELEPHONE NUMBER CELLULAR NUMBER E-MAIL ADDRESS FAX NUMBER NAME OF ALTERNATE CONTACT PERSON AT FSP TELEPHONE NUMBER CELLULAR NUMBER E-MAIL ADDRESS FAX NUMBER 3.1 NEGOTIABLE FINANCIAL ADVISOR S I agree to pay the following negotiated fees on this and all future transactions until otherwise specified. Please specify the percentage (excluding VAT). INITIAL ADVICE. % Maximum 3.0% (excluding VAT) deducted prior to the investment being made ON-GOING ADVICE. % Maximum 1.0% (excluding VAT) of the investment portfolio. If no annual fee is payable, please insert 0%. On-going advice fee is paid by a unit redemption and paid monthly in arrears.
Page 3 of 5 3.2 DECLARATION BY FINANCIAL ADVISOR FINANCIAL ADVISOR FAIS DECLARATION 1. I have made the disclosure required, in terms of the Financial Advisory and Intermediary Service Act 37 of 2002, to the investor. 2. I have explained all fees that relate to this investment to the investor. I understand and accept that the investor may write to Grindrod to cancel my fees. FINANCIAL ADVISOR FICA DECLARATION I agree to act as primary accountable institution in terms of Section 21 of the Financial Intelligence Centre Act, No.38 of 2001 (FICA): YES NO IF YES, I: confirm that I will keep a record of the verification documents as required in terms of section 22 of FICA and will make available copies of these documents and details of the verification procedures followed on request to any party entitled thereto in terms of legislation. IF NO, I UNDERSTAND: that Grindrod will be responsible for the primary Know Your Client requirements of FICA and that the application will be delayed if all required supporting documentation as listed in Annexure B is not submitted with this form. SIGNATURE OF FINANCIAL ADVISOR DATE 3.3 DISCRETIONARY MANDATE DECLARATION I CONFIRM THAT I HAVE ENTERED INTO A MANDATE WITH THE ABOVE APPROVED CATEGORY 2 LICENSED DISCRETIONARY FSP. YES NO I agree and understand that in terms of the mandate the FSP may give investment instructions directly to Grindrod and I authorise Grindrod to accept all instructions submitted by the FSP on my behalf. SIGNATURE OF INVESTOR DATE 4. INVESTOR DECLARATION 1. I confirm that all information provided in this form and all other documents signed by me in connection with this application, whether in my handwriting or not, are correct. 2. I am responsible for the accuracy and completeness of all answers, statements or other information provided by me or on my behalf. 3. I have not received advice from Grindrod in respect of this application. 4. I indemnify and hold Grindrod harmless against any and all claims, losses and / or damages which I may incur or suffer as a result of my independent decision to invest in this particular investment product. 5. I confirm that Grindrod may accept instructions from my financial advisor or any authorised third party only if appointed and authorised by me in writing. 6. I confirm that Grindrod may accept signed instructions by facsimile or via other electronic means. 7. I confirm that my appointed financial advisor will have access to my investment details via the secure section of www.grindrodassetmanagement.co.za. 8. I have read and understood the Portfolio Summary Overview and Fees attached. 9. I have read, understood and agree to the attached Terms and Conditions. 10. I understand and accept that if I am liable for tax in the United States of America, then Grindrod will report information of my income to the South African Revenue Services in order for Grindrod to comply with FATCA (The Foreign Account Tax Compliance Act). AUTHORISED SIGNATURE DATE
Page 4 of 5 5. PORTFOLIO SUMMARY OVERVIEW AND S *All fees reflected are maximum fees exclusive of VAT NAME OF FUND FUND CATEGORY BENCHMARK INVESTMENT OBJECTIVE MAX. INITIAL ADVISOR ANNUAL MANAGEMENT INITIAL MANCO RISK PROFILE INCOME DIST. Grindrod Institutional Property Income Fund ASISA South African - Real Estate - General ASISA Category Average The fund will invest primarily in various listed real estate securities and its aim is to secure an optimal return comprising of income whilst capital appreciation is secondary objective. 3.00% 0.75% and no performance fee 0.00% Aggressive 31 Mar 30 Jun 30 Sep 31 Dec
Page 5 of 5 TERMS AND CONDITIONS 1. Grindrod Collective Investments (RF) (Pty) Ltd ( Grindrod ) have outsourced the administration of the scheme to Maitland Fund Services (Pty) Ltd ( The Administrator ). 2. Grindrod have appointed Societe Generale (Johannesburg Branch) ( Socgen ) as the Trustee of the Scheme. Socgen and First National Bank ( FNB ) have jointly been appointed as the Bankers of the Scheme. 3. Grindrod is an ordinary member of Association for Savings and Investment SA ( ASISA ). 4. Grindrod does not provide advice. The investor confirms that no advice was given by Grindrod in respect of this application. The investor understands that Grindrod will not give advice in future. 5. Grindrod shall, wherever possible, avoid situations causing a conflict of interest. Where it is not possible to avoid such conflict, Grindrod shall advise you of such conflict in writing at the earliest reasonable opportunity and shall mitigate the conflict of interest in accordance with its conflict of interest Management Policy. You may send a blank email with a subject conflict of interest to the compliance officer, should you need a copy of this policy. 6. Fully completed investor instructions including the required supporting documentation must be faxed to 031 571 0761 or emailed to investments@grindrodam.co.za before 14h00 to obtain same day value. Grindrod will not be responsible for any delays in processing an instruction where information has been omitted or is incomplete. Grindrod may at its discretion accept or reject an instruction. 7. Grindrod will not proceed with any transaction if there is any doubt as to the validity of any signatures or if Grindrod 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. 8. It is the instructor s responsibility to ensure an instruction has been received and processed by Grindrod. The instructor may confirm receipt of an instruction by contacting our Communication Centre on 0800 117 842. A fax confirmation or printed copy of sent e-mail will not constitute proof that Grindrod has received any form of communication or instruction from the sender. 9. The instructor authorises Grindrod to accept signed instructions by fax and hereby waives any claim that he/she may have against Grindrod and indemnifies Grindrod against any loss incurred as a result of Grindrod receiving or acting upon such fax. 10. A separate unit trust redemption form needs to be used for all withdrawal requests. These are available on our website at: www.grindrodassetmanagement.co.za 11. In terms of the Financial Intelligence Centre of Act of 2001 certain verification documents are required in order to enter into a business relationship. A list of these requirements is available from Grindrod. 12. The Foreign Account Tax Compliance Act (FATCA) is a new United States ( US ) tax regulation aimed at combating tax evasion of US persons. The objective of FATCA requires non-us financial institutions ( foreign financial institutions/ffi s ) to identify and report all their US account holders as well as entities under US control and to provide the American Internal Revenue Service ( IRS ) with information on their assets and income. 13. FATCA requires reporting of client information directly to the IRS or via an inter-governmental agreement ( IGA ). The South African Government has entered into an IGA with the US and as such all FFI s will be required to obtain information on US citizens in accordance with IGA from 1 July 2014 and report such information to South African Revenue Service. 14. To the extent that the total expenses may exceed the income earned in the form of dividends and interest, the affected portfolios will not make a distribution. 15. Initial Fees Administration fees: There is no initial administration fee. Investment management fees: There is no initial investment management fee. Financial advisor initial fee: If you and your Financial Advisor agreed to an initial fee (as indicated on the application form), Grindrod will deduct the agreed amount from the investment amount before the investment is made. 16. Annual Fees Investment management fee: Annual investment management fees are levied on the funds. These fees vary per fund and are included in the daily NAV of the fund. The fees are available on the fund fact sheets and the Portfolio Summary Overview and Fees. Financial Advisor Fee: If you and your financial advisor agreed to an annual financial advisor fee (as indicated in the application form) Grindrod will deduct the fees by selling units from the investment and paying the proceeds to the financial advisor monthly. 17. Other fees Other fees charged include brokerage and uncertified securities tax payable on the acquisition and disposal of the underlying assets in the portfolio, auditor s fees, bank charges and trustees and custodian fees. 18. Unit prices may fluctuate relative to the market value of the underlying securities comprising the funds portfolios and increase or decrease accordingly. Where a portfolio comprises international investments, values may fluctuate as a result of movements in the exchange rate. 19. Unit prices are calculated on a net asset value (NAV) basis. Net asset value is the net value of all assets in the portfolio including any income accrual and less any permissible deductions from the portfolio. The funds are valued and priced at 15h00 each business day. Forward pricing is used. 20. Participatory interests will be bought at the NAV price calculated daily. 21. Participatory interests will be sold at the NAV price and paid to the investor in accordance with the requirements of the Collective Investments Schemes Control Act and the relevant Trust Deed. 22. Collective Investment Schemes in Securities (CIS) are generally medium to long term investments. The value of participatory interests may go down as well as up and past performance is not necessarily a guide to the future. CIS are traded at ruling prices and can engage in borrowing and scrip lending. 23. Grindrod Global Income Growth Fund of Funds is a portfolio that invests in other portfolios of collective investments schemes, which levy their own charges, and could result in a higher fee structure for these portfolios. 24. Difference classes of units (participatory interests) apply and therefore different fees and charges apply. 25. Grindrod 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. 26. Ring-fencing is a separation and delayed sale of units in a portfolio. Large sales of units in a portfolio above certain thresholds may cause ring-fencing. This ensures that the sale of a large number of units will not force Grindrod to sell the underlying investments at a price in a market which could have a negative impact on investors. Grindrod may delay the payment of proceeds of sale of units. 27. A schedule of fees and charges and maximum commissions is available on request from the company / scheme. Commission and incentives may be paid and if so, would be included in the overall costs. 28. Grindrod may in its sole discretion choose to close a fund at any given time in order to manage it in accordance with its mandate. 29. The investor warrants that the investment amount as per page 4 of this application from is obtained from legitimate sources, and that the investor has complied with and will continue to comply with all relevant legislation, including but not limited to money laundering and income tax legislation. 30. Grindrod reserves the right to request additional evidence to identify the source of this investment amount. 31. For general queries on your investments please contact Client Service Centre on 0800 117 842. 32. Complaints should be directed to the Compliance Officer at the address below. Grindrod s complaints policy is available on request. The Manager has a written internal complaints resolution procedure that is followed to address complaints you may have about your investment. Access to the procedures is at all times available at the office of the Manager nearest to you. If you are not satisfied with this investment or the services from the Manager, you can write to the Compliance Officer at the address below. Remember to include all supporting documents. The Compliance Officer will acknowledge the complaint in writing and will inform you of the contact details of the person who should be able to resolve it. If you are not satisfied with the response, or if you have a complaint about the advice given by a financial advisor in respect of this investment, you can seek legal redress in another forum or write to The Ombud for Financial Service Providers. 33. The contact details of the Compliance Officer are as follows: EMAIL ADDRESS: compliance@grindrodam.co.za FAX NUMBER: 011 388 2341 POSTAL ADDRESS: P O Box 3211, Durban, 4000