DEBIT ORDER AMENDMENT FORM

DEBIT ORDER AMENDMENT 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 DETAILS OF INVESTORBT itle Surname or name of entityFirst name(s) or initial, surname and designation of contact person of entityIdentity or passport number / Registration number of entity PAGE 1 OF 3 DEBIT ORDER AMENDMENT FORMF ebruary 2017 Please note, this is a fillable form .

D DEBIT ORDER AMENDMENTS PAGE 2 OF 3 DEBIT ORDER AMENDMENT FORM D1. Debit order amendment Please increase or decrease my debit order as follows:

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