Standard Choice Form I request that all my future …

1 Visit Level 15, 324 Queen Street Brisbane QLD 4000 Mail GPO Box 1416 Brisbane QLD 4001 Phone 132 467 Fax 1800 603 234 Email 12/14 ISS5I request that all my future employer contributions be made to:FUND NAME FUND ABNI ntrust Super 65 704 511 371 FUND USI FUND PHONE 132 467 MEMBER NAMEPAYROLL / EMPLOYEE NUMBER [If Applicable]MEMBER NUMBER [If Applicable]This form is for your employer s records DO NOT send this form back to Intrust Super. Some employees may not be able to choose their own super fund. Please speak to your employer for more information. Be sure to check the insurance arrangements with your other fund before redirecting your employer super payments. SIGNATUREDATE [DD/MM/YYYY] To whom it may concern,Letter of Compliance Intrust SuperIntrust Super RSE Registration NumberR1004397 Intrust Super RSE Licence NumberL0001298 Intrust Super Australian Business Number [ABN] 65 704 511 371 Superannuation Product Identification Number [SPIN] / Unique Superannuation Identifier [USI]HPP0100 AUAs the Trustee of Intrust Super, this statement confirms Intrust Super: is a resident regulated superannuation fund within the meaning of the Superannuation Industry [Supervision] Act 1993; has not received a Notice of non-compliance from the Australian Prudential Regulation Authority [APRA]; has not received a notice from APRA directing Intrust Super not to accept any contributions by an employer.

2 Complies with the minimum insurance cover requirements for Choice of Superannuation funds as set out in the Superannuation Guarantee [Administration] Regulations Choice of superannuation fund legislation; and is able to accept Super Guarantee contributions from employers, and is able to accept contribution payments in the following ways: through an online interactive website that allows for the payment of mandatory contributions, adding or removing employees and monitoring payments made by BPAY direct debit from a nominated bank account Electronic Funds Transfer [EFT]The Trustee of Intrust Super is IS INDUSTRY FUND Pty Ltd | MySuper Unique Identifier: 65704511371601 | ABN: 45 010 814 623 | AFSL No: 238051 | RSE Licence No: L0001298 | Intrust Super ABN: 65 704 511 371 | SPIN: HPP0100AU | RSE Registration No: R1004397 Standard Choice form