Make an investment choice (FSS009)

Investment choice (superannuation)
Use this form if you want
to choose or change
(switch) the investment
option for your account
balance, your future
contributions, or both.
For more information
about your investment
options, see the Member
Booklet Supplement:
Investments.
Please use a dark pen
and CAPITAL letters, or
type directly into this
form online, print it and
send it to us. Use (✗) to
mark boxes. Forms are
located on our website at
firststatesuper.com.au/
forms
If you have any questions,
call us on 1300 650 873.
See the Member
Booklet Supplement:
Investments for
more information
about our
investment options.
NOTE: If you invest
all or some of your
account in the
Growth option,
you can opt in
to MySuper Life
Cycle before age
60 and you will
be automatically
switched into the
Balanced Growth
option at age 60.
If you don't opt in,
you will remain in
the Growth option
until you advise us
otherwise.
1. Your personal details
Member number
Account number
Title
F
S
Date of birth
S U
Last name
Given name(s)
Address
Suburb State Postcode
Daytime contact number
Mobile number
M
F
2. Investment choice
MYSUPER LIFE CYCLE STRATEGY
If you choose the MySuper Life Cycle strategy, you will be invested in the Growth option up to and
including age 59 then automatically switched to the Balanced Growth option at age 60.
CHOICE STRATEGY
Choose from the options below. Your choices must add up to 100%.
PRE-MIXED
Account balance and
future contributions
Account balance
only
Future contributions
only
High Growth
%
%
%
Growth (see Note in margin)
%
%
%
Diversified SRI
%
%
%
Balanced Growth
%
%
%
Conservative Growth
%
%
%
Australian Equities
%
%
%
Australian Equities SRI
%
%
%
International Equities
%
%
%
Property
%
%
%
Australian Fixed Interest
%
%
%
International Fixed Interest
%
%
%
Cash
%
%
%
Total
1 0 0 %
1 0 0 %
1 0 0 %
SINGLE ASSET CLASS*
* IMPORTANT!
If you choose to
invest in a single
asset class option
only and not diversify
your investment
by investing in a
pre-mixed option
or across a variety
of single asset
class options, your
overall risk may be
increased.
FSS Trustee Corporation (Trustee) ABN 11 118 202 672 AFSL 293340 First State Superannuation Scheme (Fund) ABN 53 226 460 365
page 1 of 2
FSS009 08/16 V1 MBS INV 08/16
3. Your contribution
IMPORTANT!
Although it may
take a few days
for your switch to
be confirmed and
visible on your
online account, your
investment switch for
your account balance
is effective from the
day of your request if
we receive it before
5pm AEST/AEDT on a
business day.
Otherwise the switch
will take effect from
the next business day.
A change to the
investment options
for your future
contributions will
take effect the day
after your switch is
completed. If you
do not switch your
account balance it
will take effect on the
next calendar day
provided we receive
your request before
5pm AEST/AEDT
on a business day.
Otherwise, the change
will take effect the
day after.
Please sign and
date form here.
Please ✗ the box below if you have included a contribution with this form. Please note a contribution
sent with this form will be invested in accordance with your future contributions nomination in Section 2
Investment choice.
Yes, I have included a contribution with this form.
4. Privacy
The personal information you provide on this form is collected by and held for First State Super by the fund
administrator, Pillar Administration, in accordance with the Australian Privacy Principles of the Privacy Act
1988 (Cth), for the purpose of administering your account and providing you with services associated with
your fund membership.
For further information about how your personal information is handled, please call us on 1300 650 873
or visit firststatesuper.com.au/privacy to view the privacy policy (a hard copy of the policy may also be
provided on request). The policy contains information about how you may access and seek correction of
your personal information, how you may complain about a breach of your privacy and other important
information about how your personal information is collected, used and disclosed.
5. Declaration
•
I have read and understand the current
version of the Member Booklet Supplement:
Investments;
•
I understand that the repayment of capital or
the performance of any investment option is
not guaranteed;
•
I understand that my nomination of investment
option for my account balance and/or future
contributions and transfers will override and
change any previous choice I have made;
•
I understand that if I was previously invested
in the MySuper Life Cycle strategy, then by
choosing one of the investment options
under the Choice strategy, (with the possible
exception of the Growth option, see NOTE in
margin at Section 2) my account balance will
not be switched automatically to Balanced
Growth option when I turn 60.
Signature
•
I understand that a valid request to switch my
account balance can only be cancelled online
before 5pm on the day the request is received,
if it is a business day. If it is not a business day,
I can cancel my switch before 5pm on the next
business day. I will need to login to my online
account to do this.
•
I understand that a valid switch request cannot
be altered and that I will have to submit a new
switch request should I wish to make changes to
my investment choice;
•
I understand that, unless this is the first
investment switch to my current account balance
for this financial year, a fee of $25 will be
deducted from my account;
•
I understand that I will receive a confirmation
letter which confirms the changes made to my
account. If these changes are not consistent with
my instructions I acknowledge that I must contact
First State Super immediately.
•
I have read and understood the First State Super
privacy policy.
Date (DD-MM-YYYY)
Send the form to
this address.
6. Where to send your completed form
Return the completed form to First State Super PO Box 1229 WOLLONGONG NSW 2500. If you have any
questions, please call us on 1300 650 873.
Save form
Print form
Clear form
FSS Trustee Corporation (Trustee) ABN 11 118 202 672 AFSL 293340 First State Superannuation Scheme (Fund) ABN 53 226 460 365
page 2 of 2
FSS009 08/16 V1 MBS INV 08/16