PSG INTERNATIONAL PORTFOLIO FUND PSG GLOBAL PORTFOLIO FUND PSG by gyvwpsjkko

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									                                                                                                      CONVERSION FORM




                                  PSG INTERNATIONAL PORTFOLIO FUND

                                         PSG GLOBAL PORTFOLIO FUND

                                    PSG GUARANTEED PORTFOLIO FUND



This application form should only be completed once you have read the current prospectus. If you would like to receive a copy of the current
prospectus, please contact us on + 27 21 799 8000.
If you are in any doubt about the information contained within this application form or prospectus you should consult your investment advisor or
independent financial advisor.
This application form is current as at the date of publication but is subject to change without notice.




                                                    REPRESENTATIVE OFFICE

                                         PSG COLLECTIVE INVESTMENTS LIMITED

                                         Private Bag X3, Constantia, 7848, South Africa
                                     Telephone + 27 21 7998000 Facsimile + 27 21 7998181
                                                  Email: guernsey@psgis.co.za
                                                   Website: www.psgfm.co.za


                         Please forward all instructions and documents to above mentioned address.


                                                           ADMINISTRATOR

                                           PSG ACTIVE FUND SERVICES LIMITED

                                             3rd Floor, NatWest House, Le Truchot,
                                              St Peter Port, Guernsey, GY1 1WD
                                    Telephone + 44 1481 711378 Facsimile + 44 1481 712144
                                                   Email: admin@psgactive.gg
                                                      Website: www.psg.gg



PSG Fund Management (CI) Limited was registered in Guernsey on the 1st October 1996 and is a wholly owned
subsidiary of PSG Investment Services (CI) Limited. PSG Investment Services (CI) Limited is a wholly owned
subsidiary of PSG Fund Management (Pty) Limited a company incorporated in the Republic of South Africa and
ultimately owned by PSG Group Limited which is listed on the JSE Securities Exchange. PSG is licensed by the GFSC
to conduct controlled investment business under the protection of investors (Bailiwick of Guernsey) law 1987, as
amended, and complies with the rules and regulations of the Securities and Futures Authority (“SFA”), where
applicable, and the rules promulgated by the GFSC, including the Collective Investment Schemes (Class B) rules,
1990. Investors in these funds are not eligible for the payment of any compensation under the Collective Investment
Scheme (Compensation of Investors) Rules 1988 made under the protection of Investors (Bailiwick of Guernsey) Law,
1987.
                                                             CONVERSION FORM

1.         REGISTRATION DETAILS


I am / we are existing unitholder(s) of the PSG International Portfolio Fund. My / our account details are:
Registered name:
Registered address:


Daytime tel. no.:
Home tel no.:
Fax no.:
E-mail address:
Unitholder number:
Account designation:
Please note:
If the names given above differ to those shown on the Fund’s Register, the Registrars will require the sight of acceptable documentation before
settlement in respect of a conversion can be made. If the address given is not that shown on the Fund’s Register, the Registrars will require written
confirmation signed by all the holders of such change of address before settlement in respect of a conversion can be made.

2.      SWITCH INSTRUCTION

FUND CLASS CURRENTLY HELD:

Being the person(s) named on the Fund’s Register, I / we hereby acknowledge that I / we wish to switch as follows the following
amount of units to which we are entitled

Please insert the number of units being switched including fractions if any. If the number of units is not entered, this form will be
deemed to relate to the entire holding registered in the name(s) above.

We accordingly instruct the Manager to utilise the proceeds of the units in the following Class Fund*: -


        PSG Global Dynamic USD Portfolio                                  PSG Global Hedge Portfolio

        PSG Global Dynamic GBP Portfolio                                  PSG European Hedge Portfolio

        PSG Global Dynamic Euro Portfolio                                 PSG Alphen Global Flexible Fund (Dollar)

        PSG Sterling Cash Management Portfolio                            PSG Alphen Global Flexible Fund (Sterling)

        PSG 100% Guaranteed Fund                                          PSG Advance Wealth Global Fund of Funds

*Please tick the relevant box. If more than one box is ticked then this form is invalid.


3.         CLIENT DECLARATION AND SIGNATURE

I / We understand and accept that I / we will receive contract notes in respect of: -

1.   The deemed sale of the existing units held.
2.   The purchase of units in the new class fund detailed above.

I / We understand and accept that the purchase of units in the new class fund detailed will be a full and proper discharge by the
Manager of the proceeds arising upon the deemed sale of the units I / we requested to be converted in section 2 above.

Signed this                                day of                                     20

           Name                                                                      Signature
1.

2.

3.

4.


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