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					Change of Personal Details Form
                                                                                                                                              Form 7
    1      Member’s old details
   Title                 Family Name                                                                                   Vision Super Membership Number



   Given Name/s                                                                                                        Date of Birth



   Home Address



                                                  State                        Postcode


    2      Provide your new details
   New address


                                                                                 State                      Postcode

   Contact Phone Number                        Mobile Number



   Email Address



   Family Name                                                                                   Given Name(s)




   Important: For your change of name to be registered on our records you must:
   •    Attach a certified copy of your Marriage Certificate, or other legal name change documents


    3      Please change my beneficiaries to

   Family Name                                            Given Name(s)                             Nature of dependency (ie. Spouse )   % share
                                                                                                                                                   %
                                                                                                                                                   %

                                                                                                                                                   %
                                                                                                                                                   %

                                                                                          Please ensure total equals 100%    TOTAL


    4      Sign the declaration

                                                                                          Signature
 I declare that the details given above are true and correct in every
 particular, and I authorise Vision Super to update its records accordingly.
 I understand Vision Super may retain a copy of any documentation
 accompanying this Form for its records
                                                                                          Date
 This information is required for the sole purpose of managing and payment
 of superannuation benefits and entitlements and will be protected in
 accordance with the provisions of the Privacy Act 1988 and Vision Super
 privacy policies


                       IMPORTANT: PLEASE DO NOT SEND ORIGINAL DOCUMENTS TO VISION SUPER


   *BAD*
Please forward this completed form to Vision Super, PO Box 18041, Collins Street East, Melbourne VIC 8003        September 08
Phone (03) 9911 3222           Regional 1300 300 820           Fax (03) 9911 3299         Website www.visionsuper.com.au
Vision Super Pty Ltd ABN 50 082 924 561         AFSL 225054 is the Trustee of the Local Authorities Superannuation Fund          RSE L0000239
Change of Personal Details
Information Sheet
 Changing your name or date of birth

If you are changing your name or date of birth please attach a certified copy of one of the following as applicable:
    • Marriage Certificate                                                        •     Birth Certificate
    • Deed poll                                                                   •     Passport
    • Divorce Certificate                                                         •     Drivers Licence


Please note: All documents need to display a clear link between past and present names.
 How to certify a copy of a document

Step 1 – Make a copy of the original document

Step 2 – Take a copy and the original document to a person who is legally allowed to certify documents.
These people include:
         •       A permanent employee of Australia Post with two or more years of continuous service
         •       An agent of Australia Post who is in charge of an officer supplying postal services to the public
         •       A finance company officer with two or more years of continuous service with one or more finance companies (for
                 the purposes of the Statutory Declaration Regulations 1993)
         •       An officer with 2 or more continuous service with one or more financial institutions (for the purposes of the
                 Statutory Declaration Regulations 1993)
         •       An officer with, or authorised representative of, a holder of an Australian Financial Services Licence (AFSL),
                 having two or more years continuous service with one or more licensees
         •       A notary public officer (for the purposes of the Statutory Declaration regulations 1993)
         •       A police officer
         •       A registrar or deputy registrar of the court
         •       A Justice of the Peace
         •       A person enrolled on the roll of a State or Territory Supreme Court of Australia, as a legal practitioner
         •       An Australian consular officer or an Australian diplomatic officer (within the meaning of the Consular Fees Act
                 1955)
         •       A judge of a court
         •       A magistrate
         •       A Chief Executive Officer of a Commonwealth Court
         •       A member of the Institute of Chartered Accountants in Australia, CPA Australia or the National Institute of
                 Accountants with two or more years of continuous membership
         •       A Medical Practitioner who is currently registered or licensed to practice, or
         •       A Pharmacist who is currently registered or licensed to practise.
Step 3 – Ask the person who’s certifying the document to do the following:
         •       Write on the copy ‘ I certify this to be a true copy of the original document as sighted by me’
         •       Sign and print his or her name
         •       Provide contact details, qualification, professional registration/accreditation number (if applicable) and the date



 NOTE – Preferred Beneficiaries
Death benefits from the Vision Super Defined Benefit plan, Additional                 The Trustee will determine in what proportions (if any) your benefits is
Benefits Contracts and Deferred Benefit plan are paid to Member’s                     paid.
legal personal representative in all cases, whether or not Preferred
Beneficiaries have been nominated.                                                        •       Your spouse

Death benefits from Vision Super Saver, Vision Personal Plan, Vision                      •       Your child(ren)
Partner Plan, Vision Allocated Pension, Vision Term Pension and                           •       Any other person who, at all time of your death, was wholly
Vision Growth Pension will be paid to, or applied the benefit of:                                 or partially dependant on you, or has a right to financial
    •        Your dependants, and/or                                                              support from you

    •        Your legal personal representatives


Please forward this completed form to Vision Super, PO Box 18041, Collins Street East, Melbourne VIC 8003        September 08
Phone (03) 9911 3222           Regional 1300 300 820           Fax (03) 9911 3299         Website www.visionsuper.com.au
Vision Super Pty Ltd ABN 50 082 924 561            AFSL 225054 is the Trustee of the Local Authorities Superannuation Fund             RSE L0000239

				
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