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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 DET

D CONTRIBUTION DETAILS PAGE 2 OF 6 ADDITIONAL CONTRIBUTION FORM Please note: Only one product may be selected Lump sum investment PPS / OPN Endowment Plan (minimum R 5,000) PPS / OPN Personal Pension (minimum R 5,000)

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