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4. Your agreement

By completing this application form, you confirm that you have received and read the Lifetime Income Fund Product Disclosure Statement and that you agree to be bound by the Lifetime Retirement Income Fund’s terms and conditions. These are set out in the Product Disclosure Statement, online register entry, application form, and governing document.

I confirm that I have read and accepted the above declarations and authorisations and have received, read and understood the Lifetime Retirement Income Fund Product Disclosure Statement.

I also confirm that Lifetime Asset Management Limited, or any employee thereof, has not provided me with personalised financial advice other than general information about the Lifetime Retirement Income Fund.

I understand the purpose of the Lifetime Retirement Income fund is to provide an income in retirement.

I authorise Lifetime Asset Management to electronically verify my identity and address.

Date

Partner's agreement

By signing this application form, you confirm that you have received and read the Lifetime Income Retirement Fund Product Disclosure Statement and that you agree to be bound by the Lifetime Retirement Income Fund’s terms and conditions. These are set out in the Product Disclosure Statement, online register entry, application form, and governing document.

I confirm that I have read and accepted the above declarations and authorisations and have received, read and understood the Lifetime Retirement Income Fund Product Disclosure Statement.

I understand the purpose of the Lifetime Retirement Income Fund is to provide an income in retirement.

I authorise Lifetime Asset Management to electronically verify my identity and address.

Date

1. Your information

2. Partner's information

3. Retirement Income Choices

4. Your agreement

Partner's agreement