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ORDER FOR A SUPERANNUATION FUND


APPLICANT DETAILS
Order From:
Contact Person: *
Address:*
Suburb/State/Postcode:*      
Country:
Postal Address:*
Suburb/State/Postcode:*      
Country:
Phone: *
Fax:
Email: *
Address for Delivery of Documents
(If different from above)


INDIVIDUAL TRUSTEES DETAILS
Name of Fund: *
Fund Commencement Date:
Full name and address
of Individual Trustee 1:
Full name and address
of Individual Trustee 2:
Fund must have at least 2 Individual Trustees, even if a Sole-Member
Fund. (Sole-Member must also act as one of the Trustees)
OR CORPORATE TRUSTEE DETAILS
Co Name:
A.C.N:
As Trustee for:
Registered Office Address:
Names of all Director(s):
If Fund is to have a Corporate Trustee, ALL Directors of Trustee
Company MUST be Members of this Superannuation Fund.

MEMBER DETAILS:
#1
Full name:
Date of Birth
Address:
Suburb/State/Postcode:      
Eligible Service Date:
#2
Full name:
Date of Birth
Address:
Suburb/State/Postcode:      
Eligible Service Date:
#3
Full name:
Date of Birth
Address:
Suburb/State/Postcode:      
Eligible Service Date:
#4
Full name:
Date of Birth
Address:
Suburb/State/Postcode:      
Eligible Service Date:

Any additional information or instructions?

I * have read over the information supplied and confirm that it is correct. I understand that typing/spelling errors or incorrect information given is my responsibility and additional costs will be incurred to correct errors in order forms.
Date : *

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