Bendigo Wealth Managed Funds Notification Of Tfn And Abn Form (Page 2 of 3) in pdf

Step 3 Investor(s) declaration and signature(s)

General

I/We acknowledge the change to details requested to my investment account is subject to the terms and conditions set out in the current Product

Disclosure Statement available at

I/We acknowledge and agree to the maximum extent permitted by law to release discharge and indemnify the responsible entity from and against all

actions, proceedings, accounts, costs, expenses, charges, liabilities, claims and demands arising directly or indirectly as a result of the instructions given

in this form.

I/We declare that all details in this Form are true and correct.

Please sign this form where indicated below. This form must be signed as per the current signing instructions we have on record. If no amendments have

been made, the current signatories for the account are the individuals who signed the initial investment application form.

If signed under a Power of Attorney, a certified copy of the Power of Attorney must be provided (unless already provided to Sandhurst).

Electronic instructions

In respect of electronic instructions (email or fax) relating to a change in details, I/we agree and acknowledge that Sandhurst:

• will not accept electronic instructions unless it is accompanied by the scanned or faxed signature(s) and/or company seal of the investor(s) or

authorised signatory;

• are not responsible for any loss or delay that results from a transmission not being received by Sandhurst;

• will only process electronic instructions received in full and signed by authorised signatories;

• will not accept a receipt confirmation from the sender’s facsimile machine or computer as evidence of receipt of the instructions;

• will not compensate you for any losses relating to electronic instructions, unless required by law; and

• do not take responsibility for any fraudulent or incorrectly completed electronic instructions.

In the event of fraud I/we agree to release Sandhurst from, and indemnify Sandhurst against, all losses and liabilities whatsoever arising from Sandhurst,

to the extent permitted by law, acting in accordance with any instructions received electronically bearing my/our investor number and a signature

purportedly mine/ours or that of an authorised signatory.

Privacy

I/We have read and understood Bendigo and Adelaide Bank Group’s Privacy Policy which is available at and agree that

Sandhurst and the Bendigo and Adelaide Bank Group may collect, use, disclose and store my/our personal information in accordance with its Privacy

Policy.

Investor 1/Company signatory name and title

Director

Company Secretary

Sole Director/Company Secretary

Title

Surname

Given name(s)

Signature of Investor 1/Company signatory name

Date

Investor 2/Company signatory name and title

Director

Company Secretary

Title

Surname

Given name(s)

Signature of Investor 2/Company signatory name

Date

Company seal (if company or trust)

Note for corporate investors: This form must be signed either: (a) under seal or (b) by two directors or a director and company secretary,

or (c) by the sole director/company secretary (where applicable). The investor(s) confirms that they are officers of the company and that they

have the authority to bind the company to the investment. If they are the sole signatories signing on behalf of a company, the investor

confirms that they are signing as sole director/secretary of the company.

If not signing under seal, please state your title (e.g. Director, Company Secretary or Sole Director and Company Secretary).

If your application is signed under a Power of Attorney, (in which case, the attorney declares that he/she has not received notice of

revocation of that power), please enclose a certified copy of the Power of Attorney (and authorised signatories) with your Form.

If investing as trustee on behalf of a Superannuation fund or trust, the investor confirms that they have the power and authority under the

relevant trust deed to invest on behalf of the Superannuation fund or trust.

Bendigo Wealth Managed Funds Notification Of Tfn And Abn Form Page 2

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