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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.

< - - P a g e B r e a k - - > TERMS AND CONDITIONS 1. The terms and conditions signed and agreed to in the investment application form will remain in force and apply to this transaction.

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