| COVERING STATEMENT The following statement can be attached to prospectus application forms to ensure you get the advantages of a DIOA "Information. No advice. Minimum commission." application. You are welcome to save and print it as often as you want and distribute it as widely as you wish. Please note that the statement allows you to instruct that all ongoing commissions on
any investment held in your name(s) or any name(s) you nominate are paid to DIOA. There is no obligation to do this but DIOA would appreciate the
assistance this would provide to it. If you wish to help DIOA in this way, you need
to sign the statement in two places. Despite any stamp on the attached application form, this application is sponsored by Discount Investments Originators of Australasia, a trading entity of Japhener Pty Ltd (See below for address), holder of AFSL 230 176 issued by the Australian Securities and Investment Commission. It is submitted on an "Information No
Advice. Minimum commission" basis.
Where a choice of commission arrangements applies, no arrangement that imposes extra termination fees on the investor should be used and the arrangement that provides the largest fee for DIOA after minimising the cost to the investor applies. I/We acknowledge that I/we have received no advice from DIOA in selecting 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 To show my/our support for the DIOA concept, I/we direct that DIOA be paid all ongoing
commissions applicable to investments managed by your organisation and registered in
my/our name(s) and registered in the following name(s).
Signature(s)
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