APPLICATION FORM: SANLAM INTERNATIONAL INVESTMENTS IMPORTANT: Sanlam Collective Investments Limited (SCI) has been appointed as Distributor of the funds. Sanlam Asset Management (Ireland)(SAMI) has been appointed as Manager of the funds. The manager is a UCITS III Management Company regulated by the Financial Regulator in Ireland.

1. GENERAL INSTRUCTIONS This application form, which serves as your mandate with Sanlam Collective Investments Limited (“SCI”), must be submitted together with all documents required in the document checklist (section 10). In addition, there are certain requirements in terms of Prevention of Organised Crime Act (No 121 of 1998) and the Financial Intelligence Centre Act (No 38 of 2001) (“FICA”) which need to be complied with, before this application may be processed. These requirements will be explained by your financial advisor. For direct deposits, please fax this completed application form, a copy of the deposit slip, all documentation listed above to (021) 947-4885. See Point 4, “Method of Payment” for banking details. The responsibility of ensuring that a faxed application form has been received and actioned, will lie with the sender (investor or financial advisor). You also need to send us the originals by post.

New investor

Yes

No

(for existing investors only)

Investor Code

2. PERSONAL PARTICULARS

Title:

Mr

Mrs

Miss

Other

Surname: ____________________________________________________ Full names: __________________________________________ Residential address (compulsory): _____________________________________________________________________________________ ________________________________________________________________________________ Postal code: _______________________ Postal address (compulsory): _________________________________________________________________________________________ ________________________________________________________________________________ Postal code: _______________________ Identity number:

or company registration number or trust registration number in the case of a unitholder being a trust or a company. If the investor does not have an identity number, then a passport or other form of identity must be provided as alternative identification.

(compulsory) Tax number:

(compulsory) Normally resident:

SA

Ireland

Tax category for tax purposes: Date of birth:

Other:

Individual

D D M M C C Y Y

Other: Language: E

A

Occupation: ______________________________

Tel no: ( _______ ) _____________________________________ (h) ( _________ ) __________________________________________ (w) Cell no: _________________________________________________ Fax no: ( _________ )_____________________________________ E-mail address: _____________________________________________________________________________________________________ (IMPORTANT: Unless otherwise instructed, SCI and the Manager will send statements and other documentation via e-mail)

Sanlam Collective Investments Limited (Reg. No. 1967/002865/06) 2 Strand Road, Bellville 7530 • PO Box 30, Sanlamhof 7532 • Tel (021) 947 -4820/3346 • Fax (021) 947-4885 Web: www.sanlamcollectiveinvestments.com • E-mail: [email protected] SCI001 09/2009

3. INVESTMENT OPTIONS Fund name

Amount

Payment Currency (£, E, $)

Please note: • Any sales charge due will be deducted from the amount shown. • Shareholders are responsible for the payment of any currency conversion costs. Source of funds:

IMPORTANT NOTE Replacement of any financial product is generally always to the disadvantage of the investor, because it involves duplication of initial costs charged to the financial product. Is this application to replace the whole or any part of your existing financial product provision (reduction of payments on existing product provision is included) with any financial product provider (whether replacement is to occur immediately or to replace a financial product discontinued within the past four months or within the next four months)? YES

NO

If “Yes”, the Sanlam advisor must discuss the relevant replacement disclosures and product comparison contained in the Record of Advice or Record of Product Guidance or form AEB2065 with you. The form must be completed in full and attached to this application form.

Please note that in the case of a replacement there will not be a transaction on the existing plan to cancel it, reduce its payments or to make it paid-up automatically. If the applicant’s intention with the replacement is to perform any such transaction on the existing financial product, the applicant (with the assistance of the intermediary, where appropriate) must make the necessary arrangements to effect such transaction on the replaced financial product.

4. METHOD OF PAYMENT Payment for shares applied should be made by electronic transfer to the following: Pay to

JPMorgan Chase Bank, N.A. New York (CHASUS33) under direct SWIFT advice to JPMorgan Chase Bank, N.A., CHASGB2L

For the acount of

JPMorgan Chase Bank, N.A. (CHASGB2L), account 0010962009.

For further credit to

Account name SANLAM COLLECTIVE INV NOMINEE account number 34600001

USD IBAN number:

GB62CHAS60924234600001

5. INCOME PAYMENT INSTRUCTIONS The funds you are investing in will normally not distribute dividends. However, if they do distribute, such income will be reinvested to your benefit in accordance with the Prospectus.

6. BANKING DETAILS (for payment of withdrawals) • • •

The account must be in the name of the registered investor – no third party payments The onus is on the investor to keep SCI informed of any changes in bank details. The accuracy of this information will expedite payment.

Name of account holder: ____________________________________________________________________________________________ Bank: ________________________________________________ Branch: ____________________________________________________ Account number: __________________________________________________________ 6-Digit branch code: Type of account: Cheque

Savings

(supply type)

Other

(no credit card accounts) IBAN* Corresponding bank* *Only applicable to Non-SA Bank accounts

BANK ACCOUNT VERIFICATION For bank account verification purposes please supply one of the following: Copy of cancelled cheque Copy of cashed cheque (not older than 3 months) Copy of bank statement (not older than 3 months) Confirmation by bank (bank must complete section below) The bank herewith confirms that the above bank details were verified and that it is correct.

Signature of bank official

Full name and surname of bank official Bank stamp

Date:

Telephone number

D D M M C C Y Y

7a. INTERMEDIARY DETAILS Name: _________________________________________________________________________________ Code: Tel no: ( _______ ) _____________________________________ (h) ( _________ ) __________________________________________ (w) Cell no: _____________________________________________________ E-mail address:_________________________________________ Address: _____________________________________________________________________________________________________ ________________________________________________________________________________ Postal code: _______________________ Commission instructions: I hereby confirm that the intermediary, whose details appear above, is my appointed financial advisor and I agree to payment of fees as follows: Pay full commission applicable Special instructions: ________________________________________________________________________________________________ __________________________________________________________________________________________________________________

7b. DECLARATION BY INTERMEDIARY SANLAM ADVISORS:

BROKERS:

ADVICE If a Sanlam advisor has provided advice, it is the advisor's responsibility to complete the advice documentation for this transaction and forward it together with this application form to Sanlam Collective Investments.

FSP LICENSE I declare that I am a licensed financial service provider/representative of a financial service provider and authorised as such to sell participatory interests in Collective Investments Schemes. FSP License Number:

DECLARATION ON REPLACEMENT I hereby declare that I have explained the meaning and implications of “IMPORTANT NOTE” in Point 3, “Investment options” to the proposer and that I am fully aware of the possible detrimental consequences of the replacement of a financial product.

FICA DECLARATION I confirm that I have identified the investor mentioned in this application, as well as the person acting on behalf of the investor (if applicable) and have verified their identities according to the requirements as set out in the Financial Intelligence Centre Act, 38 of 2001 ("the Act"), and any legislation, regulations or guidelines related thereto.

FICA DECLARATION I confirm that the investor, or the person acting on behalf of the investor, recorded in this application confirmed his/her identity and address with an original acceptable document, copies of which are attached.

I further confirm that I will keep record of the verification documents as required in terms of the said Act and will make available copies of these documents and details of the verification procedures followed, to any party entitled thereto on request.

Signature of advisor

Date

Signature of broker

Date

8. TERMS AND CONDITIONS 8.1 Mandatory disclosure: Collective investments are generally medium to long term investments. The value of units may fluctuate and past performance is not necessarily a guide to the future. Collective investments are traded at ruling prices and can engage in scrip lending. Collective investment prices are calculated on a net asset value basis, which is the total value of all assets in the portfolio including any income accrual and less any permissible deductions from the portfolio. A schedule of fees and charges and maximum commissions is available from the Distributor. Commission and incentives may be paid and if so, would be included in the overall costs. The fund manager may borrow up to 10% of the portfolio to bridge insufficient liquidity. Forward pricing is used. 8.2 The instruction will only be processed by SCI once the payment reflects in the bank account and all relevant documentation and proof of deposit have been received. Any interest earned on money deposited for investment in a fund after the specified cut-off time, will accrue to SCI. No interest is payable to the investor if the transaction cannot be finalised as a result of outstanding requirements or incorrect deposits. 8.3 Shares are purchased in the selected investment on the day the fund receives the payment from SCI. 8.4 SCI shall not be responsible or liable, for any reason whatsoever, for any loss or expense incurred by any party, as a result of SCI not receiving an instruction, or receiving an incomplete or incorrect instruction and acting on, or omitting to act upon such instruction. 8.5 SCI shall at all times assume instructions received to be correct and shall not be responsible for any interpretation it places on such instruction, should such instruction be ambiguous. 8.6 The price per share fluctuates according to the value of the underlying assets in the relevant portfolio. 8.7 Only the person in whose name the investment is registered, irrespective of who the payer is, is the legal owner of the investment. If a minor, only the legal guardian may deal with the investment. 8.8 Monies from the repurchase of shares can not be paid into third parties’ bank accounts or into credit card accounts. 8.9 The onus is on the investor to keep SCI informed of any changes in bank details or current identification information provided (e.g. address change, surname change, contact particulars, etc.) 8.10 SCI keeps relevant documentation for a period of five years after the account is closed.

9. DECLARATION BY INVESTOR 9.1 I warrant that I have the power and authority and am legally competent to enter into and conclude this transaction, with the necessary assistance where such assistance is a legal requirement. 9.2 I am aware that this product offers no cooling-off rights. 9.3 I understand that this application is subject to the Prospectus and Supplements for Sanlam Global Funds PLC and/or Sanlam Universal Funds PLC and that this application, read with the Prospectus, constitutes the entire agreement between SCI, the Manager, the Funds and myself. 9.4 In terms of the Prevention of Organised Crime Act (No 121 of 1998), I confirm that, in respect of this investment, the funds originate from a legitimate source. I further agree to answer any questions with regard to the source of the funds used for payment and to provide additional information as and when required by Sanlam. 9.5 I have complied to all exchange control legislation as applicable. 9.6 I am aware of and consent to all costs relating to the investment. I know that the cost of buying shares includes an initial charge and that there are no guarantees on my capital. I acknowledge that there are further allowable deductions from the fund (e.g. an annual service fee) that impact on the value of my investment. I understand that an investment in any of the funds is not insured by any governmental or regulatory agency and is not on obligation of the Manager or any of its delegates or any commercial bank. 9.7 I confirm that the risk profile of the investment has been explained to me and I understand that it is my obligation to familiarise myself with and accept the risks associated with this investment. 9.8 I accept full responsibility for informing SCI of any changes in current identification information provided (e.g. address change, surname change, contact particulars, etc.). 9.9 I confirm that SCI may receive and act upon faxed instructions, which SCI believes in good faith to be given by me. I agree to hold SCI harmless and to indemnify SCI for any loss or damage that SCI may suffer as a result of acting on such faxed instructions. 9.10 I consent to the retention and processing of my data by SCI for the purposes of maintaining a register of investors, providing subscription and redemption of shares and to the transfer of such data where the transfer is necessary for the maintenance of records, administration or provision of services. I understand that the transfer of my data may be to a country which does not have equivalent data protection to that of South Africa or the European Economic Areas (EEA). I note that I have the right to request a copy of any personal data held about me and I have the right to have any inaccuracies in the data corrected. 9.11 I understand that the Funds are domiciled in Ireland. I am applying for the shares in the Funds on my own behalf, I am entitled to the shares and • I am not currently resident or ordinarily resident in Ireland and • should I become resident in Ireland, I will inform you in writing* *Non-resident declarations are subject to inspection by the Irish Revenue Commissioners and it is a criminal offence to make a false declaration 9.12 I have read and understood the contents of this application form and agree to be bound by the terms and conditions contained herein. I confirm that I have received the following information from my advisor or from SCI before completing this application form and that I am familiar with the content of the relevant fund fact sheet (indicate with ✓): Investment objectives

Information on NAV

Signature of investor

Assisted by (if applicable)

Charges

Risk Factors

Income Accruals

Date

Relationship of co-signed

10. DOCUMENT CHECKLIST •

Originally signed Sanlam International Investments Application Form;

•

Two original/duly certified copies of confirmation of residential address in the investor’s name (utility bills, bank statement or household insurance document);

•

Certified copy of green bar coded ID/Passport;

•

Original Bank Verification Form to confirm personal bank details;

•

FAIS Documention (only applicable if the client works through a Sanlam Adviser); and

•

Confirmation of payment of funds

All these documents can be faxed and then posted to SCI at: Via Fax

Via Post

By Hand

Sanlam Collective Investments +27 (21) 947-4885 Attention: Christolene Williams

Sanlam Collective Investments PO Box 30 Sanlamhof 7532 South Africa Attention: Christolene Williams

Sanlam Collective Investments Sanlam Head Office 2 Strand Road, Bellville Attention: Christolene Williams

Should you need any further information, please do not hesitate to contact SCI directly: •

Christolene Williams

+27 (21) 947-4820

Sanlam Collective Investments Limited (Reg. No. 1967/002865/06) 2 Strand Road, Bellville 7530 • PO Box 30, Sanlamhof 7532 • Tel (021) 947-4820 • Fax (021) 947-4885 Web: www.sanlamcollectiveinvestments.com • E-mail: [email protected]