Change of Details Form

Instructions

Please complete this form to make changes to your personal details. Changes to account details may only be requested by the account owner or its authorised individuals (company director, attorney, etc).

Please note that requested changes will take up to 2 Business Days from the date we receive a correctly completed form.

A. Investor Details

Investor Full Name *Please provide the full name of the entity in which you hold your investment with us. If you hold your investment in your personal name, please provide your full name.

Investor Number (if known)

Do you have access to the original registered email? *

YesNo

Current Registered Email Address *

Please provide the registered mobile phone number *

Send code

Update Mailing List

How would you like us to update your mailing list? *

Add a new email to mailing listReplace a current email with a new emailRemove a current email from mailing list

Please confirm email address(es) to be added to all future correspondence *Please separate each email with ';'

Please confirm current email address to be replaced *

Please confirm updated / new email address *

Please confirm email address(es) you would like to remove *Please separate each email with ';'

Address Details

Which address would you like to update/replace? *

Postal AddressLegal Residential AddressBusiness Address

Has your tax residency changed? *

YesNo

Please complete CRS Self-Certification below

New Legal Residential Address (PO Box is not acceptable)

New Business Address (PO Box is not acceptable)

Unit no

Street Name *

Suburb/town *

State *

Postcode *

Country

New Postal Address (if different from Residential or Business Address)

Unit No

Street No

Street Name

Suburb/town

State

Postcode

Country

Contact Details for Correspondence Only

Please Note:

A contact person is a person who is entitled to receive information or make enquiries only. A contact person has no authority to make any changes to the account

Additional Contact PersonReplace all previous Contact Persons with this new Contact PersonRemove specific Contact Person(s)

Contact Name *

Phone *

Mobile

Email *This email address may be included in ALL correspondence

Contact Name *

Phone *

Mobile

Email *This email address may be included in ALL correspondence

1. Name of Contact to be Removed *

2. Name of Contact to be Removed

Account Authority (including Correspondence)

Additional Authorised PersonRemove Authorised Person

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An authorised person is allowed to make inquiries on your account, make investments and redemptions and update contact details. However, this person cannot request a change in bank account details nor add/remove other authorised parties.

Please note that Signing Authority will apply (e.g. if one to sign, this authorised representative may provide instructions without additional signatories)

Authorised Person 1 - Name *

Authorised Person 1 - Mobile *

Authorised Person 1 - Email *

Authorised Person 1 - Residential Address *

Authorised Person 1 - Signature *

Clear

Authorised Person 2 - Name *

Authorised Person 2 - Mobile *

Authorised Person 2 - Email *

Authorised Person 2 - Residential Address *

Authorised Person 2 - Signature *

Clear

Name of Authorised Person to be Removed *

Identification Documents

1. Provide ONE of the following documents for each authorised person:

Australian State / Territory driver’s licence containing a photograph of the person; or
Australian passport (a passport that has expired within the preceding 2 years is acceptable);

OR

2. Provide TWO of following documents for each authorised person:

Foreign passport or similar travel document containing a photograph and the signature of the person*; and
Foreign driver’s licence that contains a photograph of the person in whose name the document is issued* or
National ID card issued by a foreign government containing a photograph and a signature of the person in whose name the card was issued*

* Documents that are written in a language other than English must be accompanied with an English translation prepared by an Accredited Translator.

If you are unable to provide one of the above documents, please contact us at investors@silcgroup.com.au

Please attach documents for Authorised Person 1

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Please attach documents for Authorised Person 2

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Power of Attorney

I/we have appointed / would like to appoint a new a Power of Attorney (POA) to act on my/our behalfI/we would like to remove my/our appointed Power of Attorney:

If you have an existing appointed attorney, please provide an original certified copy of the POA.

Copy of Power of Attorney *

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Name of Attorney to be Removed *

Tax Residency Status

Please complete this section if you have changed tax residency status. Please note that further information may be requested to comply with relevant law and regulations.

I have become a tax residence of AUSTRALIAI am no longer a tax resident of AUSTRALIA

Investor 1 / Authorised Person 1

Effective Date *

Name *

Australian Tax File Number (TFN)

TFN Exemption (if applicable)

Country of Tax Residence (other than Australia)

Tax Identification Number (TIN)

TIN Exemption (if applicable)

Reason A: Country of residence does not issue TINs to tax residentsReason B: Individual has not been issued with a TIN, please provide explanationReason C: Country of residence does not require the TIN to be disclosed

If Reason B, please provide explanation

Other TIN Exemption (if applicable)

1. Did you obtain residence rights under a Citizenship by Investment (CBI) or Residence by Investment (RBI) scheme? *

YesNo

2. Do you hold residence rights in any other jurisdiction(s)? *

YesNo

3. Have you spent more than 90 days in any other jurisdiction(s) during the previous year? *

YesNo

4. Have you filed income tax returns in any other jurisdiction(s) during the previous year? *

YesNo

Investor 2 / Authorised Person 2

Effective Date

Name

Australian Tax File Number (TFN)

TFN Exemption (if applicable)

Country of Tax Residence (other than Australia)

Tax Identification Number (TIN)

TIN Exemption (if applicable)

Reason A: Country of residence does not issue TINs to tax residentsReason B: Individual has not been issued with a TIN, please provide explanationReason C: Country of residence does not require the TIN to be disclosed

If Reason B, please provide explanation

Other TIN Exemption (if applicable)

1. Did you obtain residence rights under a Citizenship by Investment (CBI) or Residence by Investment (RBI) scheme?

YesNo

2. Do you hold residence rights in any other jurisdiction(s)?

YesNo

3. Have you spent more than 90 days in any other jurisdiction(s) during the previous year?

YesNo

4. Have you filed income tax returns in any other jurisdiction(s) during the previous year?

YesNo

Bank Account Details

Please provide details of the account into which you would like distributions and redemptions to be paid.

The nominated bank account must be in the same name of the investor (or where joint investors, in the name of at least one of the investors)
Please submit a copy of bank statement clearly showing account name and number with this form. The request will not be actioned without this.

By providing your nominated bank account, you authorise the Trustee to use these details for all future transaction requests that you make relating to the Funds listed above including credits in relation to any withdrawal proceeds until written notice is provided otherwise. Please check these details carefully as it is your responsibility to ensure all payee account details are correct. Incorrect details may result in loss of funds and we do not accept liability for loss of funds due to incorrect or incomplete bank account details provided by you.

All distributions will be paid in Australian dollars (unless otherwise specified in the IM or SIM, as applicable). If an international (non-Australian) bank account is provided, it must be located at a jurisdiction where the investor is tax resident and any applicable bank fees will be deducted from the payment.

Account type *

Australian bank accountForeign currency bank account

Bank Account Name *Please note the nominated bank account must be in the name of the investor

Name of Financial Institution *

BSB / SWIFT *

Account Number *

Bank branch address *

Please upload a copy of your bank statement showing bank account name and account number *

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Income Distributions

For the following Fund(s) you are invested in: *If multiple, please name each Fund on a separate row

I/We elect to have my/our distributions: *

Paid into a nominated bank account (Please refer to Section F. Bank Account Details if you are updating your nominated bank account)Reinvested (if available)

Signing Authorities

Please note only account owners (individuals/joint account) / 2 company directors / 1 company director & 1 company secretary / power of attorney may make request changes to signing authority

Authorised signatories will include account owner, company directors, nominated authorised person and attorneys

Update Signing Authority to the Following: *

Only one required to signTwo signatories must signAll signatories must sign (joint accounts only)

Trustee

Previous Trustee name *

New Trustee name (as registered by ASIC) *

ACN *

ABN

Full address of registered office (PO Box is not accepted)

Unit/street/floor number *

Street name *

Suburb/town *

State *

Postcode *

Country *

Address of principal place of business is the same as the registered office

Full address of principal place of business (PO Box is not accepted)

Unit/street/floor number *

Street name *

Suburb/town *

State *

Postcode *

Country *

Regulatory/Listing Details

Is the company regulated or listed? *

Company is not regulated or listedRegulated company - A company whose activities are subject to the oversight of a Commonwealth, State or Territory statutory regulator. In this context “Regulated” means subject to supervision beyond that provided by ASIC as a company registration body. For example, Australian Financial Services Licensee (AFSL), Australian Credit Licensee (ACL) or Registrable Superannuation Entity (RSE) LicenseeAustralian listed companyMajority-owned subsidiary of an Australian listed company

Company Type

What is the type of company? *

Public (companies whose name does NOT include the words “Pty Ltd” or “Proprietary Ltd”; generally listed companies)Proprietary (companies whose name ends with “Proprietary Ltd” or “Pty Ltd”; also known as private companies)

Directors

How many directors are there? *

1234

Director 1

Given Name *

Surname *

Director 2

Given Name *

Surname *

Director 3

Given Name *

Surname *

Director 4

Given Name *

Surname *

If there are more directors, please provide details on separate sheet and upload

Identification Documents

Please provide a copy of the following Identification document:

Full ASIC company extract (if corporate trustee)
certified copy of new trustee or formal documentation detailing change of trustee

For each Beneficial Owner:

1. Provide ONE of the following documents for each individual investor:

Australian State / Territory driver’s licence containing a photograph of the person;
Australian passport (a passport that has expired within the preceding 2 years is acceptable); or
Card issued under an Australian State or Territory for the purpose of proving a person’s age containing a photograph of the person

OR

2. Provide TWO of following documents for each individual investor:

Foreign passport or similar travel document containing a photograph and the signature of the person*; and
Foreign driver’s licence that contains a photograph of the person in whose name the document is issued* or
National ID card issued by a foreign government containing a photograph and a signature of the person in whose name the card was issued*

*Documents that are written in a language other than English must be accompanied with an English translation prepared by an Accredited Translator.

If you are unable to provide one of the above documents, please contact us at investors@silcgroup.com

Please attach documents

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Notes

For definitions of Politically Exposed Person, Controlling Person and Beneficial Owner: https://www.silcgroup.com.au/definitions/

Other

Please provide details of change(s) required

Declarations

Please upload any additional document you'd like to provide us here

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Please read the declarations below before signing this Change of Details Form.

By signing the below, I/we confirm that I/we am/are duly authorised to execute this instruction.

I/We further acknowledge and agree that:

the Trustee or Fund Administrator may require additional verification of the requested change and may not action the request until such time the verification is completed;
subject to any verifications, changes requested within this form may take at least 2 Business Days from the date this form is received by the Trustee/Fund Administrator to process; and
neither the Trustee nor the Fund Administrator is responsible for any incorrect information provided by me/us within this form or delays caused by incomplete information.

Where the parties sign this Application Form by electronic means, the parties agree that they have each consented to the agreed method of execution and may not subsequently challenge the validity of this Application Form on the grounds of consent or effectiveness of the chosen method of execution *

Please note that signatures will be checked against current signing authority (i.e. only one required to sign / all signatories must sign)

Authorised Signatory 1

Signature *

Clear

Date *

Signatory Full Name *

Capacity *

Investor (individual / joint)DirectorTrusteeUnder Power of Attorney

Authorised Signatory 2

Signature

Clear

Date

Signatory Full Name

Capacity

Investor (joint)Director/Company SecretaryTrusteeUnder Power of Attorney

SILC Approval prior Acceptance

Action: *

Form Complete - continue to processingForm Incomplete - please add note below. Form will be sent back to investor

Name of Reviewer: *

Notes:

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