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Rollover Request Form - OnePath

Rollover Request form OneCare Super April 2019. OnePath Custodians Pty Limited ( OnePath Custodians). ABN 12 008 508 496 AFSL 238346 RSE L0000673. OnePath Life Limited ( OnePath Life). ABN 33 009 657 176 AFSL 238341. Customer Services Retirement Portfolio Service (Fund) Phone 133 667. ABN 61 808 189 263 RSE R1000986 SFN 4571 159 75 Email 347 Kent Street, Sydney NSW 2000 Website Instructions Please forward this form to your existing financial institution to transfer funds from a non- OnePath superannuation or Rollover fund to the Retirement Portfolio Service. You may be requested by your existing fund to forward details or sign additional documents.

1 of 2 Rollover Request Form OneCare Super April 2019 OnePath Custodians Pty Limited (OnePath Custodians) ABN 12 008 508 496 AFSL 238346 RSE L0000673 OnePath Life Limited (OnePath Life)

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