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ADDITIONAL CONTRIBUTION FORM - …

ADDITIONAL CONTRIBUTION FORMPROFESSIONAL PROVIDENT SOCIETY INVESTMENTS PROPRIETARY LIMITED ( PPS INVESTMENTS )CLIENT SERVICE CENTRE CONTACT DETAILS TEL: 0860 468 777 (0860 INV PPS) FAX: 021 680 3680 EMAIL: WEBSITE: Please complete the form in BLOCK LETTERS Please indicate all choices selected with an [X] Please initial any amendments made to this transaction form Please note, Investment Option(s) refer to the relevant underlying unit trusts within your portfolio Financial Intelligence Centre Act ( FICA ) requirements are available on the PPS Investments website The daily cut-off for receipt of instruction is 14:00 General Terms, Conditions and Declarations are available on the PPS Investments websiteCONTACT PERSON FOR OUTSTANDING REQUIREMENTSAPERSONAL DETAILSBT itle Surname or name of entityFirst name(s) or initial, sur

PAGE 3 OF 6 ADDITIONAL CONTRIBUTION FORM G TRANSFER OF EXISTING INVESTMENT OPTION(S) Transferor’s details - The transferor is the person in whose name the existing Investment Option(s) are registered. Note: Transfers on PPS / OPN Tax Free Investment Account is currently not allowed.

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