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PSG Tanzanite


 (Previously the PSG Tanzanite Flexible Fund)
 DIRECT INVESTMENT FORM                                                                                                                                    PSG Tanzanite
 •      Please complete all sections of this application form.
 •      The cut off time for processing investment transactions is 14h30 daily.
 •      The completed application form, proof of payment, FICA documentation and confirmation of banking details should                               CONSISTENT • CONSERVATIVE • CONTRARIAN
        be faxed to PSG Collective Investments Limited, 021 799 8181 AND posted to Private Bag X3, Constantia, 7848

                                                                           PSG Flexible Fund – Characteristics and Objectives
 Fund Category             Benchmark                       Investment Objective                   Initial Charge        Service Charge            Risk Profile          Minimum Investment       Income Accrual

 Domestic                  Inflation + 6%     The portfolio aims to achieve superior medium to         0%          1.14% (incl. VAT) plus            Moderate           Lump Sum: R2,000         28 February
 Asset Allocation                             long term capital growth through exposure to                         7.98% (incl. VAT) of                 to              Debit Order: R300        31 August
 Flexible                                     selected sectors of the equity market, and/or the                    out-performance of                 High
                                              gilt market and/or the money market.                                 High Watermark

A.       ACCOUNT DETAILS                                                                                      C.       INVESTMENT DETAILS
                                                                                                              I/We apply to invest in the PSG Flexible Fund, in accordance with the provisions
        New investor
                                                                                                              of the Trust Deed of the Fund, at the ruling price at the close of business on the
        Existing investor                                                                                     date of receipt of the investment funds by PSG Collective Investments Limited –
                                                                                                              provided the instruction is received for processing prior to 14h30 daily.
                 Enter your investor number
                                                                                                              Lump Sum Investment (Min R2,000)
Title                                                                                                              R                                            .
Surname/Corporate/Entity name
                                                                                                              Method of Payment
                                                                                                                       Cheque                        Direct Debit**                         Electronic Transfer
First name(s)/Authorised contact person                                                                       **PSG Collective Investments Limited will directly debit the lump sum from your bank account
                                                                                                              as indicated in D. For applications received prior to 12h00 the investment will be at the ruling
                                                                                                              price on that day, failing which the investment will be at the ruling price of the following
                                                                                                              business day.
(Only for new investors or to amend previous information)                                                     Direct deposits / cheques can be made to the credit of PSG Flexible Fund.
                                                                                                              Please note that there is a 14 day holding period on a personal cheque. The
Investing Entity type:                                                                                        banking details are as follows:
        Individual investor
                                                                                                              Bank: Standard Bank                                              Please attach your proof of
        Trust                                Unlisted Company                                                 Branch: Thibault Square                                          payment (bank deposit slip,
                                                                                                              Branch code: 020909                                              cheque or EFT advice) to
        Listed Company                       Close Corporation
                                                                                                              Account: 073 138 304                                             this Application Form.
        Unincorporated Entity (partnership, sole proprietor, body corp.)
                                                                                                              Monthly Debit Order Investment (Min R300 per month)
        Other (please specify) __________________________________________
                                                                                                                   R                                            .
Physical Address or principal place of business:
                                                                                                              Monthly investments will be drawn on or about the 1st working day of each
                                                                                                              month for investment at the ruling price on that day.
                                                                                                              The monthly debit order commencement date is (7 days or more from today):

                                                                                                                                                                                                                    SEPT 2010
                                                                           Code   ________________            1st day of                                                            (Month) 20
Postal Address (Mail relating to your investment will be sent to this address)                                To counter the effects of erosion by inflation, the investor may elect to increase
                                                                                                              his/her monthly investment by:

                                                                                                                               10%          15%                         % to the nearest Rand
                                                                           Code   ________________            Increase to take place on:

Email ___________________________________________________________                                                              investment anniversary date or
                                                                                                                               on the first day of                                                    (Month)
Telephone:        (Home)
                  (Work)                                                                                      D.    BANK ACCOUNT DETAILS
                                                                                                              (Only for new investors or to amend previous information)
                  (Cell)                                                                                      Bank Name
                                                                                                              Branch (Code)

Gender                          Male          Female                                                          Account number

Date of birth               C     C      Y     Y     /    M        M   /     D    D                           Account Type

Marital Status                  Single        ANC           In-Community              Divorced                Full name of account holder

Registered Tax Payer                          Yes             No
                                                                                                              * Please attach a cancelled cheque or copy of your bank statement.
Income Tax Number
                                                                                                              Once off and/or Monthly Debit Order Authorisation
Tax Office
                                                                                                              I/We, the undersigned, request and instruct PSG Collective Investments Limited
                                                                                                              to draw against my/our bank account the investment amounts in terms of this
Method of identification                     Identity document                                                application. All such withdrawals from my/our account shall be treated as though
                                                                                                              they have been signed by me/us personally, and I/we request the bank to debit
                                             Founding document/Trust deed
                                                                                                              my/our account with these drawings. I/We agree to pay any bank charges and
                                             Passport (non-residents)                                         costs relating to this debit order authority. This authority may be cancelled by
                                                                                                              me/us giving PSG Collective Investments Limited 30 (thirty) working days notice
ID no./registration no./passport no. (non-residents)
                                                                                                              in writing. Please note there is a 30 (thirty) day holding period on debit order
                                                                                                              Signature of authorised bank account holder(s):
        SA Resident               Non-resident
Country of Residence if not SA resident ________________________________                                                                                                                                Sign Here

                                                                                                              Date:        2      0     Y     Y       /   M         M      /    D     D
E.    REGULAR WITHDRAWAL PAYMENTS                                                                     4.       Trusts
(Only for investors who require regular withdrawals from their investment)                                 4.1   The main deed or other founding document e.g. a will.
                                                                                                           4.2   Letters of authority from Master (SA trust) or foreign regulator (foreign trusts) to
Please select the frequency:                                                                                     trustees.
                                                                                                           4.3   Documents as set out in 1.1 and 1.2 respectively in respect of an individual founder
       Monthly                                         Half yearly                                               of the trust, each individual trustee, each individual beneficiary, all authorised
       Quarterly                                       Yearly                                              4.4   A death certificate or certificate of deregistration where founder died or ceased to
Please specify the date you wish the withdrawal to commence                                                4.5   Documents as set out in 3.1 & 3.2 in respect of any institutional beneficiaries, any
                                                                                                                 institutional trustees or institutional founder of the trust.
26th day of                                                              (Month) 20
                                                                                                      Further information is contained in the complete PSG Collective Investments Application Form,
Payment date is the 26 day of each month or the 1st business day following                            which is available on request from the Manager or via download from the Manager’s website
                                                               th                                     at
thereafter. If the payment instruction is received after the 19 of the month the
withdrawal payment will only be processed on the 26th of the following month.
                                                                                                      Terms and Conditions
F.         INCOME DISTRIBUTION                                                                        • This application form and the Deed will form the agreement between the investor and PSG
                                                                                                      Collective Investments Ltd (“PSG”). The Agreement will be administered in terms of the
       Reinvest or                    Pay income into bank account (section D)
                                                                                                      Collective Investment Schemes Control Act, 45 of 2002 (“the Act”). This Agreement shall be
All income will be reinvested, unless otherwise instructed. Please also note that                     construed and interpreted in accordance with the laws of the Republic of South Africa.
income distribution payments cannot be paid into credit cards or post office                          • It is the policy of the PSG Board of Directors to comply with South African money laundering
                                                                                                      legislation to prohibit and actively prevent the use of its worldwide operations for criminal
accounts.                                                                                             purposes. When any investment is made, additional documentation for identification and
                                                                                                      verification purposes may be requested to enable compliance with money laundering
G.         INITIAL FEES: The fund manager will charge no initial fees                                 regulations.
                                                                                                      • Participatory interests (Units) are priced using the forward pricing method, and prices are
                                                                                          Sign Here   calculated on a net asset value (NAV) basis. The NAV price is the price at which you can buy
Investor’s signature ______________________________________                                           or sell units. NAV can be defined as the total market value of all assets in the Fund, including
                                                                                                      any income accruals, less any permissible deductions in terms of the Act, divided by the
Date:         2       0       Y        Y       /       M   M     /       D   D                        number of units in issue. Permissible deductions may include brokerage, MST, auditor’s fees,
                                                                                                      bank charges, trustee fees, RSC levies and service charges of the manager. The Portfolios
H.         SOURCE OF CONTRIBUTION                                                                     are priced daily at 15h00.
                                                                                                      • Participatory interests will be bought at the NAV price calculated on that day.
Source of amount invested (proof may be requested)                                                    • Participatory interests will be sold at the NAV price and paid to the investor in accordance
                                                                                                      with the requirements of the Act and the relevant Trust Deed.
       Salary                         Bonus                          Retirement       Savings         • The fully completed application form, together with proof of deposit and any additional
                                                                                                      supporting documentation as required by PSG must be received before 14h30 to be
                                                                                                      transacted at the closing price for that day.
       Other _______________________________________________                                          • PSG will not proceed with any transaction if there is any doubt as to the validity of any
                                                                                                      signatures or if PSG 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
I.         AUTHORISATION, DECLARATION AND ACKNOWLEDGEMENT                                             requested information.
• I/We, the undersigned, hereby authorise PSG Collective Investments Limited (“PSG”) to act           • All payments will be electronically transferred into the bank account of the investor only.
upon instructions by facsimile with regard to my/our investment in PSG without liability in           Payments will only be made to the above banking details, unless otherwise instructed in
respect of any transfer, payment or other act done in accordance with such instructions and           writing. PSG Collective Investments does not make any third party payments.
notwithstanding the absence of proof that the same was signed or sent by me/us and                    • Only signed written instructions from the investor will be acted upon.
indemnify PSG against any claim that may arise from my/our transacting by facsimile.                  • In the event that this application form or any subsequent instruction is faxed to PSG, the
• I/We warrant that the information contained herein is true and correct, and that, where this        responsibility of ensuring that the instruction has been received and actioned by PSG will lie
application is signed in a representative capacity, I/we have the necessary authority to do so        with the instructor (investor). A fax confirmation in the hands of the sender will not be regarded
and that this transaction is within my/our powers.                                                    as proof that PSG has received a specific document.
• I/We warrant that all funds invested with PSG are not the proceeds of unlawful activities and       • The Manager may borrow up to 10% of the market value of the portfolio where insufficient
warrant that I/we have not contravened any anti-money laundering legislation and regulation           liquidity exists in the portfolio, or where assets cannot be realised to repurchase, or cancel
applicable to me/us.                                                                                  participatory interests.
• I/We understand that this whole application, read with the Trust Deed, constitutes the entire       • A schedule of fees and charges and maximum commissions is available from PSG.
agreement between PSG and myself/ourselves and agree to be bound by the terms and                     • The annual management fee is levied monthly on the daily value of the portfolio.
conditions contained herein.                                                                          • Commission and incentives may be paid and if so, would be included in the overall cost.
• I/We hereby consent to PSG making enquiries of whatsoever nature for the purpose of                 • Distributions are reinvested, unless otherwise instructed, and investors are allocated
verifying the information disclosed and consent to PSG obtaining any other information about          additional participatory interests in the portfolio.
me/us from any source whatsoever to enable PSG to process this application form.                      • Participatory interests may be ceded or assigned for which a processing cost may be levied.
• I/We confirm that I/we have received the following disclosure information:                          The cession shall not bind PSG unless it is notified thereof in writing.
               Investment objectives                                                                  • Investment statements will be issued quarterly and after a transaction has occurred.
               Info on Net Asset Value                                                                • PSG will not be liable for any loss incurred due to incorrect information being supplied by the
               Charges                                                                                investor.
               Risk Factor                                                                            • Without prejudice to any other rights which PSG may have in terms hereof or at law the
               Income accruals                                                                        Investor agrees that PSG shall be entitled to recover from the Investor any amount of money
• I/we confirm that I/we have read and understand the terms and conditions as set out in this         paid to the Investor, which the Investor is not entitled to for whatsoever reason, including
application form and attached documents and agree to be bound by it, prior to completing the          interest thereon.
application form                                                                                      • The Investor’s domicilium citandi et executandi for all notices and processes to be given in
• I/We are aware of and consent to all costs relating to the investment.                              terms hereof, is the address detailed on this application form or as notified in writing to PSG.
• I/We confirm that the risk profile of the investment has been explained to me/us, and I/we          • Should PSG be prevented from fulfilling any of its obligations in terms of this application as a
understand that it is my/our obligation to familiarise myself/ourselves with and accept the risks     result of an event not within the reasonable control of PSG, those obligations shall be deemed
associated with this investment.                                                                      to have been suspended to the extent that and for as long as PSG is so prevented from
                                                                                                      fulfilling those obligations.
                                                                                          Sign Here
Signature of investor: ____________________________________                                           Disclaimer: Collective Investment Schemes in Securities (Unit Trusts) are generally medium
                                                                                                      to long term investments. The value of participatory interests (units) may go down as well as
                                                                                                      up and past performance is not a guide as to future performance. Collective Investment
Print Name: _____________________________________________                                             Schemes are traded at ruling prices and can engage in borrowing and scrip lending. The price
                                                                                                      of participatory interests (units) and the amount of income distributed or accumulated may go
Date:             2       0       Y        Y       /   M     M       /   D    D                       down as well as up. Commission and incentives may be paid and if so, are included in the
                                                                                                      overall costs. Fluctuations or movements in exchange rates may cause the value of underlying
J.  FICA REQUIREMENTS                                                                                 international investments to go up or down. The portfolio may be capped at any time in order
                                                                                                      for it to be managed in accordance with its mandate. Different classes of participatory interests
(Compulsory for all new investors)
                                                                                                      can apply to these portfolios and are subject to different fees and charges. PSG Collective
In terms of the Financial Intelligence Centre Act 38 of 2001, and the regulations thereto, PSG        Investments Limited is a member of the Association for Savings and Investment SA (ASISA).
Collective Investments Limited is compelled to identify and verify the identity of its clients:

1.     SA Citizen/Resident
   1.1   ID document.
   1.2   Proof of residential address (less than 3 months old).
   1.3   A document(s) confirming Income Tax number as registered at SARS.
2.         Foreign Citizens
             Copy of passport
             Proof of residential address (less than 3 months old).
                                                                                                                    PSG Collective Investments Ltd
     2.3     Proof of source of funds.
                                                                                                                    Administration, CIS Compliance and Licensing provided by:
LEGAL PERSONS                                                                                                        PSG Collective Investments Ltd Management Company
3.     SA Companies
   3.1   Certificate of Incorporation (CM1); Certificate of Change of Name of Company
                                                                                                                      Postal Address:         Physical Address:                Phone:
         (CM9), where applicable; Notice of Registered Office & Postal Address (CM22)
                                                                                                                      Private Bag X3              Alphen Park             021 799 8000
         bearing Registrar’s stamp & signed by the Company Secretary & Certificate of
                                                                                                                      Constantia             1st Floor, PSG House         0800 600 168
         confirmation issued by Cipro of Register of Directors, Auditors and Officer (CM29).
                                                                                                                      7848                   Constantia Main Road                 Fax:
   3.2   Proof of business address (less than 3 months old).
                                                                                                                                                Constantia 7806           021 799 8181
   3.3   Documents as set out in 1.1 & 1.2 above in respect of the manager, all authorised
         representatives, and all individuals holding 25% or more of the voting rights at a
         general meeting.
   3.4   Proof of authority to act for company i.e. Director’s resolution.
   3.5   Documents as set out in 3.1 & 3.2 for legal persons holding 25% or more of the
         voting rights at a general meeting.

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