Statement of Introduction and Sponsorship

Statement of Introduction and Sponsorship©

The attached application form is sponsored by Discount Investment Originators of Australasia (DIOA), a trading entity of Japhener Pty Ltd, holder of AFSL 230 176 issued by the Australian Securities and Investments Commission.

The application is submitted on the basis that the following commission arrangements apply.

**Notes**
**(a)**      For transmission, less DIOA handling fees of $55 plus 10% of commissions , to the investor. Commissions that are subject to "clawback" on lapse of an insurance are not to be paid until lapse period expired. Please pay Japhener Pty Ltd Trust Account.
**(b)**     Please pay Japhener Pty Ltd.
**(c)**     Includes GST.
Ongoing (trailer) commissions	Initial (upfront) commissions
Ongoing (trailer) commissions	Rebatable	Not rebatable	Not paid
Rebatable	Initial Fully rebated (investments) or 25% of normal commission (insurances) paid to DIOA (b) - balance rebated. Ongoing 0.11% (c) per annum (investments) or 25% of normal commission (insurances) paid to DIOA (b) - balance rebated.	Initial Paid to DIOA Trust Account (a). Ongoing 0.11% (c) per annum (investments) or 25% of normal commission (insurances) paid to DIOA (b) - balance rebated.	Ongoing 0.11% per annum (investments) or 25% of normal commission (insurances) paid to DIOA (b) - balance rebated.
Not rebatable	Initial Fully rebated (investments) or 75% rebated (insurances) balance paid to DIOA (b). Ongoing Paid to DIOA(b) .	Initial Paid to DIOA Trust Account (a). Ongoing Paid to DIOA (b) .	Ongoing Paid to DIOA (b) .
Not paid	Initial The lesser of $110 (c) or 0.275% (c) (investments) or 25% of standard commission (insurances) paid to DIOA (b) - balance rebated.	Initial Paid to DIOA Trust Account (a).	Not applicable

I/We are Australian residents.
I/We acknowledge that I/we have received no advice from DIOA in selecting this investment and to the extent permissible by law absolve DIOA from any liability for the consequences of this investment.
I/We also acknowledge that I/we understand DIOA will receive ongoing commission on this investment.

Signature(s)

Optional Assignment of Ongoing Commissions

I/we direct that DIOA be paid all ongoing commissions applicable to investments managed by your organisation and registered in my/our name(s) or the following name(s).

Names

Addresses

Reference Numbers if known

Signature(s)

Japhener Pty Ltd
ACN 009 169 573 ABN 38 009 169 573 Australian Financial Services Licence 230 176
Level 10, 251 Adelaide Terrace Western Australia 6000
PO Box Y3584 Perth WA 6832
Telephone +61 8 9225 5899 Facsimile +61 8 9225 5877
dioa@DiscountInvestment.com.au