1. Investor Details

Contact Details
2. Application Amount

Investment funding: Deposit Funds electronically into Fund's application account
3. Authorisation
I/we instruct Specialist Investment Management Pty Ltd (SIML) to effect this request in accordance with the completed instructions set out above. I/we acknowledge that any personal information I/we provide to SIML will be collected and handled in accordance with the SIML privacy policy, a copy of which can be found at or posted/emailed to us if we contact SIML on +612 9251 0026 or By submitting this form or any other paperwork relating to my/our investment I/we consent to my/our personal information being collected and handled by the unit registry in accordance with that policy.

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