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PSG FLEXIBLE FUND (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. B. INVESTOR’S DETAILS (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) (Fax) (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 payments. 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 representatives. Quarterly Yearly 4.4 A death certificate or certificate of deregistration where founder died or ceased to exist. 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, th 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 www.psgfm.co.za. 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 Inheritance 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: NATURAL PERSONS 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 2.1 2.2 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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