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SuperWrap Personal Super PlanDirect Debit Request

Page 1 of 3 BTF30942_1018vx

November 2018

Use this form to:• authorise amounts to be direct debited from a bank account and

credited to your balance in your Cash Account.

Note: This form is generally to be used in conjunction with the SuperWrap Personal Super Plan Application Form where the bank account signatory or signatories differ from the signatory of the SuperWrap account eg a third party bank account.

Complete this form by typing directly into the relevant sections, then print off before signing, alternatively complete by using black pen – print in clear CAPITAL LETTERS. Use crosses [✘] in boxes where applicable.

1. ADVISER DETAILS

Adviser number

FAdviser name

2. INVESTOR DETAILS

Investor number (if known)

MGiven name(s)

Surname

3. REQUEST FOR DIRECT DEBIT

Complete this request if you wish to authorise and request BT Portfolio Services Ltd (086970) (‘the Administrator’) to arrange for certain contributions to your SuperWrap account to be made by direct debit

If using a Regular Member Contribution Plan, you should only complete this section to nominate an account that is different to the one specified on the Application Form.For ‘one-off’ member contributions, if the nominated bank account is not in the name of a third party, the Administrator will also link the account for withdrawal purposes unless notified otherwise.Spouse contributions must originate from the account of the contributing spouse or a joint account to which the contributing spouse is a party.What purposes will the nominated bank account be used for?Select all options that apply

Regular: Member Contribution Plan

Spouse Contribution Plan

Employer Contribution Plan

‘One-off’: Member contribution

Spouse contribution

Employer contribution

Name of financial institution

Branch name

BSB number Account number

Account holder’s name

4. ONE-OFF CONTRIBUTIONS

Complete this section if you wish to make a one-off contribution into your Personal Super Plan.All one-off member contributions can also be completed online via the Wrap Desktop by your adviser.

By completing this section and signing this form, you authorise and direct the Administrator and/or the Trustee to deduct and pay the Adviser contribution fees listed in this section from your SuperWrap account to your adviser’s dealer group (or where the following paragraph applies, your adviser) on your behalf for financial advice and related services that your adviser and their dealer group provide you in relation to your SuperWrap account.In some cases your adviser and their dealer group may have an arrangement in place with us whereby 100% of certain advice related fees are intended to be paid to your adviser rather than your adviser’s dealer group. If prior to you signing this form, your adviser requests you to agree to pay Adviser contribution fees to them (rather than their dealer group), then by signing this form you agree that your authorisation and direction to pay the Adviser contribution fees in the previous paragraph is an authorisation and direction to pay those fees to your adviser.Typically, the Adviser Contribution fee should be up to 5% of the investment amount. You may negotiate a higher amount with your adviser; however the Trustee has the right to reject this amount.

Please select the contribution type: Member

One-Off Contribution amount Adviser contribution fee

$ , , l %l

Spouse

One-Off Contribution amount Adviser contribution fee

$ , , l %l

Employer1

One-Off Contribution amount Adviser contribution fee

$ , , l %l

1. The ATO is progressively rolling out new requirements forhow employers can make contributions to super funds, which means that the payment method described in this form may not be suitable for your employer. It is the responsibility of your employer to ensure that they use a payment method that meets the ATO’s requirements. You or your employer can visit the ato.gov.au for more information on how employers can make contributions and the data and payment standards.

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BTF30942_0915exPage 1 of 3

SuperWrap Personal Super PlanDirect Debit Request

1 October 2015

Use this form to:• authorise amounts to be direct debited from a bank account and

credited to your balance in your Cash Account.

Note: This form is generally to be used in conjunction with theSuperWrap Personal Super Plan Application Form where the bank account signatory or signatories differ from the signatory of theSuperWrap account eg a third party bank account.

Complete this form by typing directly into the relevant sections, thenprint off before signing, alternatively complete by using black pen – print in clear CAPITAL LETTERS. Use crosses [✘] in boxes where applicable.

1. ADVISER DETAILS

Adviser name

Adviser number

F

2. INVESTOR DETAILS

Investor number (if known)M

Given name(s)

Surname

3. REQUEST FOR DIRECT DEBIT

Complete this request if you wish to authorise and request BT Portfolio Services Ltd (086970) (‘the Administrator’) to arrange for certain contributions to your SuperWrap account to be made by direct debit

If using a Regular Member Contribution Plan, you should onlycomplete this section to nominate an account that is different to the one specified on the Application Form.For ‘one-off’ member contributions, if the nominated bank account is not in the name of a third party, the Administrator will also link the account for withdrawal purposes unless notified otherwise.Spouse contributions must originate from the account of thecontributing spouse or a joint account to which the contributingspouse is a party.What purposes will the nominated bank account be used for?Select all options that apply

Regular:Member Contribution Plan

Spouse Contribution Plan

Employer Contribution Plan

‘One-off’:Member contribution

Spouse contribution

Employer contribution

Name of financial institution

Branch name

BSB number Account number

Account holder’s name

4. ONE-OFF CONTRIBUTIONS

Complete this section if you wish to make a one-off contribution into your Personal Super Plan.All one-off member contributions can also be completed online via the Wrap Desktop by your adviser.

By completing this section and signing this form, you authorise and direct the Administrator and/or the Trustee to deduct and paythe Adviser contribution fees listed in this section from yourSuperWrap account to your adviser’s dealer group (or where the following paragraph applies, your adviser) on your behalf forfinancial advice and related services that your adviser and their dealer group provide you in relation to your SuperWrap account.In some cases your adviser and their dealer group may have an arrangement in place with us whereby 100% of certain advice related fees are intended to be paid to your adviser rather than your adviser’s dealer group. If prior to you signing this form, your adviser requests you to agree to pay Adviser contribution fees to them (rather than their dealer group), then by signing this form you agree that your authorisation and direction to pay the Advisercontribution fees in the previous paragraph is an authorisation and direction to pay those fees to your adviser.Typically, the Adviser Contribution fee should be up to 5% of the investment amount.You may negotiate a higher amount with youradviser; however the Trustee has the right to reject this amount.

Please select the contribution type: Member

One-Off Contribution amount Adviser contribution fee

$ , , l %l

Spouse

One-Off Contribution amount Adviser contribution fee

$ , , l %l

Employer1

One-Off Contribution amount Adviser contribution fee

$ , , l %l

1. The ATO is progressively rolling out new requirements forhow employers can make contributions to super funds, which meansthat the payment method described in this form may not be suitable for your employer. It is the responsibility of your employer to ensure that they use a payment method that meets the ATO’s requirements.You or your employer can visit the ato.gov.au for more information on how employers can make contributions and the data andpayment standards.

11-30-005-02

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5. AUTHORISATION

By signing below I/we agree to the Direct Debit Service Agreement terms and conditions on the following page of this Direct Debit Request. I/We warrant that the signatures appearing here are the same as the signing authorities lodged with the financial institution concerned. I/We understand that by signing below, I/we consent to the investor(s) (if other than the nominated bank account holder) increasing amounts or making additional investments without further approval from me/us. An account signatory must sign for the account to be debited. For company signatories, 2 directors or a director and a company secretary must sign, unless the company has a sole director and sole secretary. Incorporated association signatories must indicate their position in ‘Other’ field.

1 Signature A, Director or Company Officer

Date (dd/mm/yy)

/ /Signatory’s full name (please print)

Company signatories must indicate their company title.

Director Sole director Other (specify below)

Send this form and other completed forms to:SuperWrap, GPO Box 2337, Adelaide SA 5001

2 Signature B, Director or Company Officer

Date (dd/mm/yy)

/ /Signatory’s full name (please print)

Company signatories must indicate their company title.

Director Sole director Other (specify below)

BT Funds Management Limited ABN 63 002 916 458 is the trustee and issuer of SuperWrap, which is part of Retirement Wrap ABN 39 827 542 991.

6. DIRECT DEBIT SERVICE AGREEMENT

This agreement sets out the terms on which you have authorised BT Portfolio Services Ltd ABN 73 095 055 208 (‘the Administrator’) to arrange for amounts that become payable into your SuperWrap account, to be made by deduction from your account at your financial institution. It explains what your obligations are when undertaking a direct debit arrangement with the Administrator, and also details what the Administrator’s obligations are to you as your direct debit provider. Please keep this agreement for future reference. It forms part of the terms and conditions of your Direct Debit Request authorisation and should be read in conjunction with your direct debit request authorisation. You should refer to the Direct Debit Request and this agreement for the terms of the arrangement between the Administrator and you.

Debit arrangements• for initial applications made by completing a Direct Debit Request, the Administrator will debit the amount(s) nominated from your account within two (2) days of receiving

a valid application.• for subsequent investments when the Administrator receives a valid instruction either by phone, letter or over the internet, the Administrator will debit your account within

two (2) days of receiving the instructions (provided the Administrator has previously received a valid Direct Debit Request).• a valid instruction will be an instruction given by you or from a person nominated by you to provide such instructions.• for contributions made under the regular contribution plan, the Administrator will debit your account on or around the 20th of each month. Further details of the drawing

arrangements are contained in the Direct Debit Request.• where the due date for a payment falls on a non-business day, the Administrator may direct your financial institution to draw the amount on the next business day. If you

are uncertain as to when the debit has been or will be processed from your nominated account you should enquire directly with your financial institution where thenominated account is based.

Our commitment to you• the Administrator will only arrange for funds to be debited from your nominated account as authorised in the Direct Debit Request.• the Administrator will debit your nominated account only for the amounts specified by you in the Direct Debit Request. • the Administrator will only change the amount of the payments under the Direct Debit Request on receipt of a valid instruction.• the Administrator will only vary the terms of this Direct Debit Service Agreement or the details of a Direct Debit Request after giving you 30 days notice in writing.• the Administrator reserves the right to cancel your drawing arrangements if three or more drawings are returned unpaid by your nominated financial institution. Standard

government fees, duties and bank charges (including dishonour fees and conversion costs) may apply to investments. These are paid by the investor. If your direct debit is returned unpaid, the Administrator may charge you a dishonour fee of $35. You should advise the Administrator of an alternative payment method.

• the Administrator will keep all your records and information pertaining to your nominated account at the financial institution private and confidential. The Administratorwill make reasonable efforts to keep any such information it has about you secure and to ensure that any of its employees or agents who have access to informationabout you do not make any unauthorised use, modification, reproduction or disclosure of that information. However, where you have made a claim relating to a debit you claim has been made incorrectly, or wrongfully, Westpac Banking Corporation (as the Administrator’s sponsor in the Bulk Electronic Clearing System) may require theAdministrator to provide information pertaining to your nominated account to it in connection with your claim to the extent necessary to resolve your claim. The Administrator may also need to disclose information it has about you for the purposes of this agreement or to the extent specifically required by law.

• if you wish to notify the Administrator in writing about anything relating to this agreement you should write to SuperWrap, GPO Box 2337, Adelaide, SA, 5001. TheAdministrator will notify you by sending a notice in the ordinary post to the address you have given in the Direct Debit Request. Any notice will be deemed to have beenreceived on the third business day after posting.

Your rights• you may cancel, vary, defer or suspend the Direct Debit Request or stop or suspend an individual debit from taking place by notifying the Administrator directly in writing

to SuperWrap, GPO Box 2337, Adelaide, SA, 5001 or by telephoning the Administrator during business hours on 1300 657 010, via your adviser, or by arranging it through your own financial institution, which is required to act promptly on your instructions. Your financial institution may vary your debit payments only to the extent of advising the Administrator of your new account details.

• you may change, cancel or suspend the regular contribution plan via your adviser. Instructions must be received by the 15th of a month to be effective for that month.

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• if you have any questions or concerns about your Direct Debit Request, such as where you consider that a drawing has been initiated incorrectly, you should take thematter up directly with the Administrator by phoning 1300 657 010, Monday to Friday from 8.00am to 6.30pm (Sydney time) and you should confirm that notice in writingwith the Administrator as soon as possible so that the Administrator can resolve your query more quickly. The Administrator will try and resolve your concern over thephone when you call. Alternatively you can take the matter up directly with your financial institution.

• If your concern is not resolved, you may write to our Complaints Officer, BT Portfolio Services Ltd, GPO Box 2675, Sydney NSW 2001. The administrator will let you knowthat the Administrator has received your complaint, and the Complaints Officer will try to resolve the situation within 45 days.

• If the Complaints Officer concludes as a result of its investigations that your nominated account has been incorrectly debited the Administrator will arrange for yourfinancial institution to adjust your account (including interest and charges) accordingly. The Administrator will also notify you in writing of the amount by which youraccount has been adjusted.

• If the Complaints Officer concludes as a result of its investigations that your nominated account has not been incorrectly debited the Administrator will provide you withreasons and any evidence for this finding in writing.

• If you are still not satisfied, and your complaint relates to the conduct of the Trustee or the Administrator acting for the Trustee, you can contact the Australian FinancialComplaints Authority, an externally managed complaints resolution scheme, on 1800 931 678.

Your responsibilitiesIt is your responsibility to:• check with your financial institution that it allows direct debiting on your nominated account as direct debiting is not available on all accounts offered by financial institutions• ensure that your account details which you have provided to the Administrator are correct by checking them against a recent account statement• check with your financial institution before completing the Direct Debit Request if you have any queries about how to complete the Direct Debit Request• ensure that sufficient cleared funds are available in your nominated account to permit payments under the Direct Debit Request. If there are insufficient cleared funds

in your nominated account to meet a payment:(a) you may be charged a fee and/or interest by your financial institution(b) you may also incur a dishonour fee of $35 imposed by the Administrator and(c) you should advise the Administrator of an alternative payment method or arrange for sufficient cleared funds to be in your nominated account by an agreed time so

that the Administrator can process the payment• check your account statement to verify that the amounts debited from your account are correct• ensure that the authorisation given to draw on your nominated account is identical to the account signing instruction held by your financial institution where the nominated

account is based• advise the Administrator if your nominated account is transferred or closed or your nominated account details change• arrange with the Administrator a suitable alternate payment method if the drawing arrangements are cancelled either by you or your financial institution• ensure that all Direct Debit Requests and valid instructions are authorised by all signatories on your account and to compensate other account signatories if the Administrator

acts on a Direct Debit Request or valid instruction that is not so authorised.• You (and any person claiming through you) release and indemnify the Administrator against all losses and liabilities arising in connection with all actions, claims, proceedings,

costs and demands, arising directly or indirectly in connection with the Administrator acting on the information or instructions provided under the Direct Debit ServiceAgreement (unless the liabilities are a direct result of the gross negligence, wilful default or breach of duty of the Administrator).