ALEXANDER FORBES FINANCIAL SERVICES (PTY) LTD

Registration number 1969/018487/07 | FAIS licence number: 1177

A licensed financial services provider

Institutional Funds Administration

Alexander Forbes, 115 West Street, Sandton, 2196

PO Box 652071, Benmore, 2010
Telephone: 0860 100 333 | Fax: +27 (0)11 324 3461
Website: www.alexanderforbes.co.za

Withdrawal claim - member

Includes seamless transfer to Alexander Forbes Preservation Fund

The purpose of this form is for you to instruct Alexander Forbes to withdraw your retirement savings because you have resigned,
or have been retrenched or dismissed from employment. This instruction is important. If you do not understand the possible
consequences of this instruction, please ask your financial adviser to explain.

In this form:
■■ ‘You’ refers to the person named on this form as the member.
■■ ‘We’ and ‘us’ refer to the company in Alexander Forbes that is shown at the top of this form, who is also the administrator of your fund.
■■ ‘Fund’ refers to the fund that you are a member of.

About withdrawing your retirement savings

You must make sure that you understand the consequences of the option you choose. Please contact us or your financial adviser to go through the
options in detail with you.
If you are unsure of your options, you may want to consider transferring to the Alexander Forbes Preservation Fund until you have made a decision.
If you feel that you need financial advice, or want to discuss your choices, please phone the Individual Advice Centre on 0860 100 983.

Key points to understand about this form

In the form, you will give details about:
■■ the member of the fund (you)
■■ your withdrawal
■■ the benefit and how we should pay it out.
Please read this document carefully, and contact us or your financial adviser if you have any questions. You should sign the form only if you agree to
all the terms and conditions in it. The form is part of your contract with us. You must make sure that all the information is correct and that you have
completed all parts of the form that you need to. We have the right to treat the information given in the form as accurate and complete. If you make
changes to what you have already filled in, you must sign next to each change.
If possible, the employer will ensure that you sign this form. If this is not possible, the employer will sign on your behalf.

Follow these steps

1. Fill in this form. Complete all the sections that apply to you.
■■ To transfer to the Alexander Forbes Preservation Fund: Complete the section titled ‘About the benefit’ and Part A, Part B and Part E.
Please read and understand the terms and conditions in Part E.
■■ To transfer to another approved preservation fund: Complete the section titled ‘About the benefit’ and Part C only. Attach the application form
for the new fund and a certified copy of your identity document or passport.
■■ To transfer to a retirement annuity fund: Complete the section titled ‘About the benefit’ and Part C only. Attach the application form for the new
fund and a certified copy of your identity document or passport.
■■ To transfer to new employer’s fund: Complete the section titled ‘About the benefit’ and Part C only. Attach the application form for the
newfund and a certified copy of your identity document or passport.
■■ To take cash: Complete the section titled ‘About the benefit’ and Part D only. Attach a certified copy of your identity document or passport.
2. Sign and date each part of this form that applies to you.
3. Ask your employer to complete the Employer’s declaration.
4. Attach the documents listed above.
5. Keep the first and second pages to refer to for any queries.
6. Send the form to us or deliver it to the address shown at the top of the form. Note that we do not accept emailed, scanned or faxed copies of the
forms or required documents.

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Contents
Part A: Your agreement to transfer your benefit to the Alexander Forbes Preservation Fund................................................................................. 6
Part B: Your agreement to appoint a financial adviser............................................................................................................................................. 7
Part C: Transfer to another preservation fund, retirement annuity fund, or your new employer’s retirement fund................................................... 8
Part D: Take your benefit in cash............................................................................................................................................................................. 9
Part E: About the Alexander Forbes Preservation Fund........................................................................................................................................ 10
Part F: About Alexander Forbes Life Ltd (general disclosure)............................................................................................................................... 12

Protecting your information

For us to provide the service to you, you must give us the personal information we ask for in this form. We will process your personal information for
valid and lawful reasons only.
It is the company in Alexander Forbes shown at the top of this form that is collecting and processing this information.
Why we need your personal information
We collect your personal information in this form so that we can:
■■ Pay your benefit from the fund or under the policy
■■ Share it with:
●● A third party (who we contract with to provide services to you) so that we can provide services and products to you.

Other parties that may get your personal information from us

We have the right to share your personal information with the following parties:
■■ regulators or government entities so that they can perform their duties to us
■■ our auditors so that they can perform their duties to us
■■ any person or organisation that has a legal right to access your information.
Keeping your personal information safe and confidential
We will take care to keep your personal information safe and obey any legal requirements about protecting your personal information (for example
the Protection of Personal Information Act when it becomes effective).
We will keep your personal information confidential and will not share it except in the circumstances explained in this document.We will keep your
personal information for as long as:
■■ we need it to achieve the purposes set out above
■■ any law or contract requires us to keep the information
■■ the fund or insurer needs it for lawful purposes linked to its functions.
Once we are no longer authorised to keep your information, we have the right to take any one or more of the following actions:
■■ destroy the information
■■ delete the information
■■ de-identify the information.
We do not have to let you know when we take any of these actions.

Alexander Forbes is not responsible for any loss you or anyone else may suffer if important information is left out in this document.

How to contact us
■■ If you want to ask us if we have your personal information, you can contact us at the telephone number shown at the top of the form.
■■ If your personal information is incorrect, we will change it if you make us aware of this.
■■ If you want a record of the personal information we have for you, we might charge you a fee for this. Please contact us to find out what the fee is.

Complaints
■■ We would like to hear from you if you have a complaint.
■■ You can do so in person at any of our offices, by email at contactus@aforbes.co.za, by phone on 0860 000 279 or +27 (0)11 669 7026 if you’re
outside South Africa, or by following our complaints process on the website at http://www.alexanderforbes.co.za/ContactUs/Complaints.aspx.
■■ Please contact us if you have any questions or if you need more information.

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 ALEXANDER FORBES FINANCIAL SERVICES (PTY) LTD
Registration number 1969/018487/07 | FAIS licence number: 1177
A licensed financial services provider

Institutional Funds Administration

Alexander Forbes, 115 West Street, Sandton, 2196

PO Box 652071, Benmore, 2010
Telephone: 0860 100 333 | Fax: +27 (0)11 324 3461
Website: www.alexanderforbes.co.za

Withdrawal claim - member

Includes seamless transfer to Alexander Forbes Preservation Fund

This section asks for information that will be used to calculate the amount of the benefit that is to be paid out. It also asks you to confirm
important information, such as that you have made an informed decision, and that you have given correct and complete information.

About you (the member)

Please complete all the information in this section. If there are any changes to your personal particulars, contact details or banking
details, please write to let us know.

Personal and contact details

Surname

First names

Maiden name

Title: Dr Mr Mrs Ms Prof. Other (specify)

ID or passport number Country of issue Date of birth

Residential address (this is the address where you live most of the time)
Unit number Complex

Street number Street or farm name

Suburb City or town

Country Code

Postal address

Code

Contact details
Cell Home Work

Email

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Employment, financial and tax details
Employee number Date of employment Date of withdrawal

Annual taxable salary at date of withdrawal R .

Income tax number Revenue office

Country of residence for tax purposes

Should the country of your residence for tax purposes not be South Africa, please obtain a Withholding Tax on Interest (WTI) Declaration form from
your employer. Complete this form and hand it to your employer to forward to Alexander Forbes. If the completed form is not received within 30 days
of submitting the claim, the full rate of withholding tax on late payment interest will become payable.

Reason for leaving your employment

Resignation Dismissal Qualifying Retrenchment* Non-Qualifying Retrenchment

* Note: In order to select “Qualifying Retrenchment”, the following criteria must be considered in terms of paragraph 2(1)(a)(ii) of the Second
Schedule of the Income Tax Act which is summarised as follows:
That your termination or loss of employment is due to:
■ Your employer having ceased to or intending to cease to carry on the trade in respect of which you were employed; or
■ You having become redundant in consequence of your employer having effected a general reduction in personnel or in a particular class
of personnel.
Provided that this sub item does not apply to any amount received by or accrued to you by way of a lump sum benefit where your employer is a
company and that you at any time held more than five percent of the issued share capital or interest in that company.

Divorce or maintenance court order

Is there a divorce or maintenance court order that could affect the payment of fund benefits?
Yes No

If yes, please provide a certified copy of the court order.

Amounts owed to the Employer

Fill in this section only if there is an amount to be deducted from the benefit and paid to the employer in terms of section 37D of the
Pension Funds Act.

Please fill in the amount of debt that must be deducted from the benefit and paid to the employer. R .

There are two situations when a fund may deduct amounts from a member’s benefit to pay an employer:
1. Debt for housing loan. This is when one of the following has occurred:
■ The fund or the employer gave a housing loan to the member and the member owes money on the loan.
■ The fund or employer provided a guarantee (for example a suretyship) for a housing loan for the member and the guarantee is enforced.
2. Debt arising from theft, dishonesty, fraud or misconduct. This is if the employer has experienced loss because of the member’s theft,
dishonesty, fraud or misconduct, and one of the following has occurred:
■ The member admitted responsibility (liability) in writing.
■ There is a court judgment against the member.
If there is debt arising from theft, dishonesty, fraud or misconduct, you must attach one of the following documents:
■ a copy of the court order
■ a copy of the member’s admission of liability.
This is according to section 37D of the Pension Funds Act. Please speak to your financial adviser or to us if you need more information.

Your declaration
By signing this page, you confirm that:
1. You have left or are leaving the service of the employer.
2. You understand the options available to you about the payment of your benefits, including that tax may be deducted from your benefit in terms of
the Income Tax Act. You confirm that you are making an informed decision.
3. All information on this form is correct and complete. This includes all banking information. You understand that if there is any loss because you or
the employer has given incorrect or incomplete information in this form, neither Alexander Forbes nor the fund is responsible for the losses.
4. You made the decision about the payment of your benefit voluntarily.
5. When we receive this completed form (which includes all tax information required by SARS), we will process your benefit according to the fund’s
rules. After we have processed the benefit in terms of the fund’s rules, you will have no further claim against the fund.
Your full name

Your signature ______________________________________ Date

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Employer’s declaration
This section needs to be completed by the employer. In this declaration, ‘you’ refers to the employer.
By signing this section of the form, you confirm that:
1. The member has left or is leaving your employment.
2. You have deducted the contribution that was required until the date that the member left your employment, and you have paid the contribution to
the fund.
3. The member’s details given to Alexander Forbes on this form are the same as the details that the member gave to you.
4. Alexander Forbes will accept the claim form as accurate unless you tell us about any changes within one business day of submitting the form.
Note: Business days are Mondays to Fridays, excluding Saturdays, Sundays and official South African public holidays.
5. All information on this form is correct and complete. You agree that if anyone suffers any loss because you have given incorrect or incomplete
information in this form, neither Alexander Forbes nor the fund is responsible for the loss.
6. You have given the member a copy of the ‘Options available to members on leaving’ document.
7. You have signed the form using a manual stamp and your signature.

Employer’s stamp

Authorised signature ______________________________________

Full name (print)

Job title

Contact number Date

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Part A: Your agreement to transfer your benefit to the Alexander Forbes Preservation Fund

This part of the form is your agreement to transfer part or all of your retirement benefit to the Alexander Forbes Preservation Fund.

You acknowledge that all of the statements below are true. You understand that if you disagree with any of the statements, or if this form is not
completed correctly and in full, the transfer of your investment to the Alexander Forbes Preservation Fund will not take place. This form is part of
your contract for taking part in the Alexander Forbes Preservation Fund.
You have completed the whole form and attached any related documents
You have completed all sections of the form that apply to you. You have attached a certified copy of your identity document or passport. You must
give us the copy that has been stamped by the Commissioner of Oaths.
You agree to Part E and the rules and policies of the Alexander Forbes Preservation Fund
You have read, understood and agreed to all terms and conditions of Part E of this document. You agree that the most up-to-date version of the
rules and policies of the Alexander Forbes Preservation Fund apply to your relationship with us. Please contact us if you would like a copy of these
rules and policies. They are available at the offices of Alexander Forbes Financial Services.
You understand you have the right to receive compulsory financial planning advice
You understand that you have the right to receive professional financial planning advice to make sure that this product is appropriate for your
investment needs. You understand that it is your responsibility to get advice before signing this form.
You understand which deductions are considered to be first withdrawals
If part of the benefit is paid in terms of a divorce or maintenance order or a housing loan (as set out in section 37D of the Pension Funds Act), then
the deduction will not be considered to be a first withdrawal.
For any other section 37D deductions (for example because of dishonesty or fraud), the deduction will be considered to be a first withdrawal. This is
important because you are only allowed one withdrawal in certain circumstances.
You understand you should not transfer less than R25 000
You understand that if you are transferring less than R25 000, it might not be tax-effective and cost-effective for you to transfer your benefit to the
Alexander Forbes Preservation Fund.
You understand the risk levels of your investment strategy
The Alexander Forbes Preservation Fund aims to keep consistent with your current investment strategy. This does not necessarily mean that we
will invest your benefit in exactly the same portfolios as your investment in the occupational retirement fund. However, we will invest your benefit in
portfolios that have similar levels of risk.

Your declaration
By signing this page, you confirm that you have read and understood Part A, and you agree with the terms.

Your full name

Your signature ______________________________________ Date

Employee number

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Part B: Your agreement to appoint a Financial Adviser (Advice is Compulsory)

This part of the form is where you appoint Alexander Forbes Financial Planning Consultants (FPC) as your financial adviser for
investments in the Alexander Forbes Preservation Fund.

Ongoing advice mandate entered into with Alexander Forbes Financial Planning Consultants (Pty) Ltd Number 31753 (herein referred to
as FPC).
1. I hereby appoint FPC, a subsidiary Company of Alexander Forbes Retail Holdings (Pty) Ltd, which is a subsidiary of Alexander Forbes Financial
Services Holdings (Pty) Ltd, as my financial advisers to provide me with ongoing investment advice in respect of my investments in the
Alexander Forbes Preservation Fund.
2. I acknowledge that FPC does not act as agent of the Alexander Forbes Preservation Fund or of Alexander Forbes Life. They have been
appointed by me and act on my behalf as my agent.
3. I confirm that the appointment of FPC relates only to the provision of ongoing advice regarding my investment choice within the
Alexander Forbes Preservation Fund. FPC is not remunerated to give me advice as to the suitability of investing in the Alexander Forbes
Preservation Section as opposed to any other retirement fund.
4. FPC will endeavor to provide advice based on current available information and it will request me, from time to time, to provide updated
information to enable ongoing advice.
5. The advice initially provided will be limited to the accessible information that is provided by the fund administrator.
6. This appointment shall continue until I retire or transfer out of the Alexander Forbes Preservation Fund. I acknowledge that in the event that I
wish to terminate this mandate, I will be required to transfer my monies in the AFRF (Preservation Section) to an alternate preservation fund.
7. FPC shall obtain from me such detailed information as is necessary to enable FPC to effectively and properly ascertain my investment
requirements.
8. FPC shall compile an investment strategy for me, taking into account my particular investment requirements.
9. FPC shall inform me of such legislative, tax and investment considerations, as FPC might reasonably believe I ought to be aware of, in order to
make an informed decision in respect of my investment in the Alexander Forbes Preservation Fund.
10. FPC shall act strictly in accordance with my instructions and shall implement my instructions efficiently and with due diligence.
11. I authorise the Alexander Forbes Preservation Fund to remunerate FPC for the provision of their ongoing advice by a fee equal to
0.75% per annum (VAT exclusive); and further require FPC to provide to me a full disclosure of all remuneration or commission received.
When your assets within the Alexander Forbes Preservation Fund exceed R3 million or your total assets under advisement with FPC exceed
R3 million, your advice fee may qualify for a discount (based on certain criteria) and we wish to make you aware that you are able to discuss this
with your FPC Adviser.
12. The advice fee referred to above is an annual fee levied monthly. Due to timing of the investment, this fee may be taken prior to the initial advice
being provided.
13. I will be responsible for advising FPC of any change to my contact details so that I will receive my ongoing advice.
14. FPC shall document all decisions taken by me and the reasons thereof.
15. The terms of the FPC mandate are confined to the terms contained herein, or such further terms as may be agreed between myself and FPC,
and that FPC shall provide me with advice only with regard to my investment portfolio within the Alexander Forbes Preservation Fund.
16. FPC shall make contact with me within 6 weeks of the investment being made in the Alexander Forbes Preservation Fund, if not I will contact
the Individual Advice Centre on 0860 100 983.

Your declaration
By signing this page, you confirm that you have read and understood Part B, and you agree with the terms.

Your full name

Your signature ______________________________________ Date

Employee number

7 of 12 13925-F-2017-11-16
Part C: Transfer to another preservation fund, retirement annuity fund, or your new employer’s retirement fund
By completing and signing this section, you choose to transfer your withdrawal benefit to a retirement annuity fund, a preservation
fund other than the Alexander Forbes Preservation Fund, or your new employer’s fund.

Payment instructions
If you do not give complete and correct information, there will be a delay in making this payment. If we need to settle any amounts you
owe, the transfer will take longer than usual.

Remember to attach the completed application form for the new fund.
Fund details
Name of fund or insurer

Policy or deposit reference

Financial Services Board (FSB) registration number SARS approval number

1 2 / 8 / 1 8 / 2 0 / 4 /

Bank details of receiving fund

Account holder’s name

Name of bank

Account number

Branch code
Type of account: Current Savings Transmission

Financial adviser’s details

Full name

Cell Work

Email

Your declaration
You acknowledge that all of the statements below are true. You understand that if you disagree with any of the statements, or if this form is not
completed correctly and in full, the transfer of your investment will not take place.
By signing this page, you confirm that:
1. You have read and understood the ‘Options on withdrawal’ brochure. You can get a copy from the Alexander Forbes office or your employer.
2. You have received professional financial planning advice to ensure that the product meets your needs.
3. If part of the benefit is paid in terms of a divorce or maintenance order or a housing loan (as set out in section 37D of the Pension Funds Act),
then the deduction will not be considered to be a first withdrawal. For any other section 37D deductions (for example because of dishonesty
or fraud), the deduction will be considered to be a first withdrawal. This is important because you are only allowed one withdrawal in some
circumstances.
4. If you want to transfer to a retirement annuity or a preservation fund other than the Alexander Forbes Preservation Fund, you have attached a
completed application form for the relevant fund.
5. You have attached a copy of your identity document or passport. You must give us the copy that the Commissioner of Oaths has stamped.
Your full name

Your signature ______________________________________ Date

Employee number

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Part D: Take your benefit in cash
By completing and signing this section, you choose to take your withdrawal benefit as cash (in full or in part).

Payment instructions
If you are going to be paid all or a portion of the benefit, please make sure that your bank details are completed correctly. If you do not
complete this section in full, the transfer will be delayed.

Tax will be deducted from the amount before payment.

Please tick the option you choose:
You want to take the full benefit in cash.
 ou want to take part of the benefit in cash, and transfer the rest to the Alexander Forbes Preservation Fund or to a retirement annuity fund or
Y
your new employer’s fund.
If you take part of it in cash, please give the amount you will take in cash: R .

Your bank details

Please make sure the bank account details are for your own account (if you choose for any portion to be paid in cash to your bank
account) and matches the details exactly as per your bank statement.

Account holder’s full name

Name of bank

Account number

Branch code
Type of account: Current Savings Transmission

Your declaration
You acknowledge that all of the statements below are true. You understand that if you disagree with any of the statements, or if this form is not
completed correctly and in full, the transfer of the withdrawal benefit to cash will not take place.
By signing this page, you agree that:
1. You have read and understood the ‘Options on withdrawal’ brochure. You can get a copy from the Alexander Forbes office or your employer.
2. You understand that choosing a cash withdrawal benefit means that you will have less money available for your retirement years. You have
received appropriate financial advice about this choice.
3. You know that professional financial planning advice is available to help you with your decision.
4. You understand that tax will be deducted from:
■■ your cash withdrawal benefit
■■ any employer request for a section 37D deduction from your withdrawal benefit
■■ amounts paid relating to a divorce or maintenance order against your fund credit.
5. You have attached a certified copy of your identity document or passport. You must give us the copy that the Commissioner of Oaths has stamped.
Your full name

Your signature ______________________________________ Date

Employee number

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Part E: About the Alexander Forbes Preservation Fund

This section gives important information about the preservation fund you are transferring to (the Alexander Forbes Preservation Fund).
Please read and sign that you understand and agree to each point.

Registration details
The Alexander Forbes Preservation Fund registration details are:
■■ Alexander Forbes Preservation Fund (Pension Section) registration number 12/8/37722
■■ Alexander Forbes Preservation Fund (Provident Section) registration number 12/8/37718
Financial advice and fund rules
We appoint Alexander Forbes Financial Planning Consultants (FPC) on your behalf to act as your financial adviser. FPC has a contract with us to
give advice about the financial products that we administer (set out in Part B). You can contact our Advice Centre on 0860 100 444.
If there is a difference between the information in this document and the rules of the fund, the rules apply.
Fees
There are three types of fees:
1. Investment fees
2. Yearly administration fees
3. Compulsory service fees
Investment fees
There is a yearly investment fee of the positive balance you have in the Alexander Forbes Preservation Fund (the fund credit). The investment fee is
deducted each month from the investment returns that you earn on the investment portfolio. This fee may vary from 0.6% to 1.7% dependent on the
investment portfolio that you may select.
Certain specialised investment portfolios may have higher investment fees. (We will communicate the higher fees to you if you invest in them.
Alternatively, details are in the Alexander Forbes Preservation Fund brochure.)
Yearly administration fees
We deduct a yearly administration fee from the positive balance you have in the Alexander Forbes Preservation Fund (the fund credit). We calculate
the fee as a percentage of your fund credit. You pay a portion of it each month in equal monthly instalments:
a. First R1 million – 0.3375% each year, including VAT
b. Next R1.5 million – 0.1875% each year, including VAT
c. Next R5 million – 0.15% each year, including VAT
d. Amounts above R7.5 million – 0.0938% each year, including VAT
The minimum fee is R15 each month.

Compulsory service fees

There is an ongoing advice fee of 0.75% of fund credit each year (plus VAT). This yearly fee is deducted monthly. This fee may qualify for a discount
if your fund credit in the Alexander Forbes Preservation Fund or with Alexander Forbes Financial Planning Consultants (FPC) exceed R3 million.
Free switches
You can switch between any of the investment portfolios at any time at no cost.
Changes to fees
These fees may change from time to time. We will tell members about any changes three months before the changes take effect.

Retirement benefits
You may apply to receive your retirement benefit from the Alexander Forbes Preservation Fund at any time after the age of 55.
If you retire from the Alexander Forbes Preservation Fund Pension Section, you may take up to one-third of your benefit as a cash lump sum.
You must use the rest of your benefit to buy a pension. You will be taxed on the cash lump sum.
If you retire from the Alexander Forbes Preservation Fund Provident Section, you may take all or a portion of your benefit as a cash lump sum.
You can use the rest of your benefit to buy a pension. You will be taxed on the cash lump sum.
If you become disabled, the Alexander Forbes Preservation Fund trustees have the right, but are not obliged, to grant you an ill-health early
retirement benefit. The benefit is the value of your fund credit.

Death benefits
If you die, the Alexander Forbes Preservation Fund trustees will distribute your death benefit (equal to your fund credit less any deductions),
according to section 37C of the Pension Funds Act.

Withdrawal benefits
Full withdrawals
You can withdraw a once-off cash amount from the preservation fund at any time. You will be taxed on the once-off withdrawal benefit.
When you have been paid your full fund credit, there will have been full and final settlement of all amounts owing to you. The fund, trustees, principal
officer, and Alexander Forbes will have no further responsibility to pay you, or your dependants or nominees.
Note: Dependants are anyone you are legally responsible for supporting financially or anyone you may not be legally responsible to support
financially but who is in fact financially dependent on you. This includes your spouse and all biological and adopted children.

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A spouse is the person you are:
■ married to under the laws of South Africa, according to the laws of your religion or in a customary union
■ living with in a long-term relationship.
Nominees are people or organisations that you nominate to share your retirement fund life cover benefit – these could be legal or factual
dependants, but don’t have to be.
After you take a partial withdrawal
You can also choose to withdraw part of the benefit. After you take a partial cash withdrawal, the rest of your fund credit must remain invested in the
Alexander Forbes Preservation Fund until retirement (unless you transfer to another preservation fund – refer to the information ‘Transfers out of the
Alexander Forbes Preservation Fund’ below).
If you take a partial cash withdrawal, it may affect the tax-free portion you are able to take when you retire.

Transfers out of the Alexander Forbes Preservation Fund

You can transfer your benefit in the Alexander Forbes Preservation Fund to a new employer fund or another preservation fund at any time before
you retire.
Any once-off withdrawal from the Alexander Forbes Preservation Fund will be treated as if it is a withdrawal from the new preservation fund. This
means you will not be allowed to withdraw from the new preservation fund before retirement.

No responsibility for events beyond our control (force majeure)

We are not legally responsible for any loss that you or any other person suffers resulting directly from circumstances beyond your or our control.
Examples of these circumstances are natural disasters, poor weather, power outages, war, strikes and government intervention. This is referred to
as force majeure.
We have taken reasonable measures to protect ourselves against these events and we have put in place technologies and processes that are
designed to allow us to recover as quickly as possible if there is a disaster.

Compliance department details

For further information, please contact us:
Email aflife.compliance@aforbes.co.za
Switchboard telephone number +27 (0)11 269 0000
Alexander Forbes Financial Services (Pty) Limited-Registration number: 1969/018487/07

Alexander Forbes Life Limited-Registration number: 1997/022561/06

Your declaration
By signing this page, you confirm that you have read and agree to the information listed in Part E.

Your full name

Your signature ______________________________________ Date

Employee number

11 of 12 13925-F-2017-11-16
Part F: About Alexander Forbes Life Ltd (general disclosure)
This section gives important information about the administrator of the Alexander Forbes Preservation Fund, Alexander Forbes Life Ltd.
Please read and sign that you have understood and agreed to each point.

In this section:
■■ ‘We’ and ‘us’ refer to Alexander Forbes Life Ltd.
■■ ‘You’ refers to the clients of Alexander Forbes Life Ltd.
Alexander Forbes Life Ltd is a licensed financial services provider in terms of the Financial Advisory and Intermediaries Services Act (FAIS).
Alexander Forbes Life Ltd is committed to providing financial services with honesty, fairness, due care and diligence and to meet the requirements of
FAIS. As part of this commitment, we give the following general disclosures.

About financial advice

Alexander Forbes Life Ltd warrants that any Alexander Forbes Life Ltd representative (as defined in FAIS) who provides financial services to clients
on any financial product complies with the fit and proper requirements in terms of FAIS. (To warrant means to promise that a statement is true.)
Alexander Forbes Life Ltd informs its clients of all instances where financial advice will be given by a registered representative under supervision of
another registered representative.

Declaration about licence and insurance

Alexander Forbes Life Ltd is licensed for Category I (providing financial services). If you ask us, we or your representative will give you a copy of
the FSP licence certificate and the conditions of the licence. The duties and obligations of Alexander Forbes Life Ltd are given in your service level
agreement or mandate or in any other document that both parties have agreed to.
Alexander Forbes Life Ltd has professional indemnity and fidelity insurance to all companies within the group. You can ask for a copy of the
insurance certificates.

Declaration about representatives and advice

The representative is the person who gives you advice or who provides you with intermediary services, or both. The representative’s disclosure sets
out the sub-categories (financial services areas) that your representative can provide advice on or intermediary services for.
Alexander Forbes Life Ltd accepts responsibility for the actions of our representatives (as defined in FAIS) in providing financial services as long as:
■■ They act lawfully
■■ They are employed
■■ They act according to the roles and duties of their employment.
When giving advice about financial products, Alexander Forbes Life Ltd is required to analyse its clients’ needs. The financial advice given by
Alexander Forbes Life Ltd is based on the information that you give. Alexander Forbes Life Ltd will not be held responsible (liable) for any financial
advice that was based on incorrect, inaccurate or incomplete information from you.

Record of communications
Alexander Forbes Life Ltd keeps records of verbal and written communication with its clients, including any financial advice given to clients. These
records are available to our clients.

Preventing fraud and other illegal activities

Alexander Forbes Life Ltd complies with relevant anti-money laundering laws, for example the Financial Intelligence Centre Act (FICA). Alexander
Forbes Life Ltd will report unusual or suspicious financial activities, as set out in FICA.
In some situations, we might not be able to process transactions or carry out other instructions until we have been able to confirm your identity
according to the requirements of FICA. Alexander Forbes Life Ltd cannot be held responsible for not transacting when the reason that we did not
transact was that we had not received the documents and confirmations required by FICA.

Policies towards conflicts of interest

Interest of clients before the interest of Alexander Forbes Life Ltd
A conflict of interest might arise if decisions by Alexander Forbes Life Ltd could be influenced by factors other than its clients’ interests. If there is a
potential conflict of interest in any financial advice offered to its clients, Alexander Forbes Life Ltd places the interest of its clients before our own.

Relationship with product suppliers

Alexander Forbes Life Ltd does not earn more than 30% of its total remuneration (fees) from any one product supplier.
Alexander Forbes Life Ltd does not directly or indirectly hold more than 10% of the relevant product supplier’s shares, or have any equivalent
substantial financial interest in the product supplier.
We are giving this information to help us to be transparent as possible.

Gifts and entertainment

Alexander Forbes Life Ltd has rules relating to gifts and entertainment. These rules aim to prevent any situation that could create an impression of
conflict with a client’s interest or compromise the company’s independence from suppliers.

Business within the group

In providing financial services to its clients, certain business may flow to other companies within the wider Alexander Forbes Group. Alexander Forbes
Life Ltd benefits because business is kept within the group.

We own the copyright in this document

You may not copy, store, retrieve or reproduce this document without our express written permission.

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