Hejaz Islamic Super Application

Before signing this Member Application Form, please ensure that you have read the latest Hejaz Islamic Super Product Disclosure Statement (PDS) and the current Additional Information Booklet (AIB), available from  http://www.hejazfs.com.au/super-pension-documents or on request by phoning  1300 043 529 .

Residential Address

Postal Address

Hejaz Islamic Super & Pension, A Divison of AMG Super

Fund ABN: 300 993 205 83   PO Box: 96 Flinders Lane VIC 8009    Telephone: 1300 043 529    Email: super@hejazfs.com.au

Hejaz Islamic Super & Pension, a division of AMG Super (ABN 30 099 320 583) is issued by Equity Trustees Superannuation Limited ABN 50 055 641 757, AFSL 229757, RSE Licence L0001458

Upon successful creation of your Hejaz Islamic Super account, you will be able to login to your online superannuation portal, which will allow you to nominate your beneficiaries.

We offer Hayat Protection™ to protect you and your family if something unexpected happens, like an injury, illness or death.

If you decide to transfer your superannuation without transferring your insurance coverage, you risk losing out on any insurance benefits that you were previously entitled to through your previous fund.

Hejaz Islamic Super & Pension, A Divison of AMG Super

Fund ABN: 300 993 205 83   PO Box: 96 Flinders Lane VIC 8009    Telephone: 1300 043 529    Email: super@hejazfs.com.au

Hejaz Islamic Super & Pension, a division of AMG Super (ABN 30 099 320 583) is issued by Equity Trustees Superannuation Limited ABN 50 055 641 757, AFSL 229757, RSE Licence L0001458

The target market determination (TMD) for the Fund can be found at www.hejazfs.com.au and includes a description of who the product is appropriate for, based upon the characteristics of the product, and the likely investment objectives, financial situation and needs of the consumer that each product had been designed to meet.

Investment options available through the Fund will also have their own TMD. Consumers must refer to the TMD and relevant disclosure documents when deciding if these products are suitable for them.

Unless you specify another investment choice, your Hejaz Islamic Superannuation Application will be an application to invest in the Hejaz Islamic Balanced Option. You can specify your investment choices below*. Information about the investment options available in the Fund are set out in the PDS and AIB, along with  www.hejazfs.com.au/investments/investment-products/

Hejaz Islamic Conservative

Hejaz Islamic Balanced

Hejaz Islamic Growth

*to proceed, the total allocation must add up to 100%.

Hejaz Islamic Super & Pension, A Divison of AMG Super

Fund ABN: 300 993 205 83   PO Box: 96 Flinders Lane VIC 8009    Telephone: 1300 043 529    Email: super@hejazfs.com.au

Hejaz Islamic Super & Pension, a division of AMG Super (ABN 30 099 320 583) is issued by Equity Trustees Superannuation Limited ABN 50 055 641 757, AFSL 229757, RSE Licence L0001458

I make the following declarations and acknowledgements:

General

• I understand that I am bound by the provisions of the Trust Deed for the Fund dated 12 May 2000 as amended from time to time.

• I have been provided with a copy and have read and understood the relevant PDS and have obtained, read and understood the current AIB including any terms and conditions, any investments in the Fund (including the Fund’s investment options) and insurance cover.

• I acknowledge that I have read and understood the information about contributions contained in the AIB and that I have satisfied myself that any contributions made by myself are consistent with the contribution rules prescribed by superannuation legislation.

• By completing this application, you request and consent to the transfer of superannuation as described in this application and authorise the superannuation provider of each fund to give effect to this transfer.
  

• The information I have provided in this form is true and correct.

Personal information

• I acknowledge that I have read and understood the Privacy Policy described in the AIB.

• I acknowledge that I have read and understood the information about the quotation of tax file numbers contained in the PDS and AIB.

Investment

• I understand that my account balance can rise and fall and that neither the Trustee, nor any of its directors, Hejaz Asset Management, nor any of its directors, nor any of the fund managers or financial product issuers utilised by the Fund or accessible to you via the Fund guarantee the performance of the Fund or its investment options.

• I acknowledge that the Trustee will invest my account in accordance with the selections made by myself in this form and (where applicable) in any Hejaz Investment Options (as varied by me from time to time) but that the Trustee reserves the right not to do so where necessary or appropriate without liability to the Trustee.

• I hereby direct the Trustee to invest my account balance as indicated above, based on the declarations and acknowledgements made in this form.

• Where I have selected (or selected) an illiquid investment, I acknowledge and accept that a period of longer than 30 days may be required to facilitate redemption or switching requests due to the illiquid nature of the investment.
  

Declaration to proceed

Declaration

Hejaz Islamic Super & Pension, A Divison of AMG Super

Fund ABN: 300 993 205 83   PO Box: 96 Flinders Lane VIC 8009    Telephone: 1300 043 529    Email: super@hejazfs.com.au

Hejaz Islamic Super & Pension, a division of AMG Super (ABN 30 099 320 583) is issued by Equity Trustees Superannuation Limited ABN 50 055 641 757, AFSL 229757, RSE Licence L0001458