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Repurchase Form (Withdrawal) - STANLIB

E-mail 0867 277 501 or 011 448 6666 Repurchase form ( withdrawal )Collective Investments (Unit Trusts)CLIENT DETAILSENTITY / INVESTMENT ACCOUNTNUMBERNAME/SSURNAME / NAME OF LEGAL ENTITYIDENTITY / PASSPORT/REGISTRATIONNUMBERTAX NUMBERCELLPHONENUMBER-EMAIL ADDRESSCONTACT DETAILS FOR THIS TRANSACTION:PLEASE CONTACT: CLIENT OR FINANCIAL ADVISERREDEMPTION DETAILSThe minimum redemption amount for all STANLIB Funds is R2, Refer to the Terms and Conditions regarding the minimum remaining FROMP ortfolio NameAccount NumberAmount% of UnitsCancelDebit OrderR% R% R% R% R% TOTAL IN WORDSBANKING DETAILS FOR PAYMENTSP ayments to third party bank accounts are not allowed. Payments can only be paid into an account in the name of the CODEACCOUNT NUMBERACCOUNT TYPE CHEQUE SAVINGS TRANSMISSIONACCOUNT HOLDER'S ID NUMBERACCOUNT HOLDER'S NAME STAUTRED0302016/12HX1635 Please note this form expires on 2017/06/30.

E-mail instructions@stanlib.com Facsimile 0867 277 501 or 011 448 6666 Repurchase Form (Withdrawal) Collective Investments (Unit Trusts) CLIENT DETAILS

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