Management Fee Rebate Form

Fund Details

Fund Name *

Unit Class (if applicable)

Investmet Manager Name *

Investor Details

Investor Number (if known)

Investor 1 Name

Investor 2 Name

Fee Type 1 *

Fee Rebate Amount 1 *

Fee Type 2

Fee Rebate Amount 2

By completing and signing this form I/we agree and acknowledge that:

the rebate of our fee as set out above which will be deducted from any fee payable to the InvestmentManager from the Fund (if any)

Signature 1 *

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Signature 2

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Authorised Signatory Name 1 *

Authorised Signatory Name 2

Date *

Date

By completing and signing this form I/we agree and understand that:

the rebate is not guaranteed by any party and will only be paid in the event there are sufficient fees payableto the Investment Manager. If there are insufficient Investment Manager fees to pay all rebates, therebates may be applied on a pro-rata basis.

Signature 1 *

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Signature 2

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Investor 1/Director 1/Power of Attorney *

Investor 2/Director 2

Date *

Date

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