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. 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