KJC Bullion SELL Registration Form - SMSF/Company/Trust

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1 KJC Bullion SELL Registration Form - SMSF/Company/Trust Entity Details (As registered with ASIC) Entity Name: Company/Trading Name: ACN: ABN: Unit No: Street No: Street Name: Phone: Entity Postal Address (If different to above) Unit No/PO Box: Street No: Street Name: Director 1 Family Name: DOB: / / Position Held in Entity: By signing this application form I accept and fully understand the KJC Bullion terms and conditions as outlined on Director 2 Family Name: DOB: / / Position Held in Entity: By signing this application form I accept and fully understand the KJC Group terms and conditions as outlined on

2 Directors Authority to Act Each director can act on behalf of the entity separately. Director (1) Signature: Director (2) Signature: Both directors must act in conjunction on behalf of the entity. Director (1) Signature: Director (2) Signature: Supporting Documentation All directors have supplied a completed copy of KJC Bullion BUY Registration Form - Personal as well as supporting identification as outlined in KJC identification requirements (See KJC Identification help form for more information) I have supplied a current ASIC company extract. Available from the ASIC website (See KJC Identification help form for more information & sample) or I would like KJC to conduct an ASIC company extract report (A fee of $35 will be payable to KJC) Authorised Agent Authorised agents are permitted to collect orders on behalf of a director. By not specifying an authorised agent a signed letter will need to be supplied for each order collected by a non-director. Family Name: DOB: / / Unit No: Street No: Street Name: Supporting Documentation Authorised agents have supplied a completed copy of KJC Bullion BUY Registration Form - Personal as well as supporting identification as outlined in KJC identification requirements (See KJC Identification help form for more information) I agree, the above listed agent is authorised to collect on behalf of the entity until written notice is provided otherwise. Directors Name: Directors Signature: Admin Use:

3 QTY Product Purity Unit/$ Total/$ Grand Total Payment Details Account Name: BSB: Account Number: Bank Admin Use: I confirm the above detailed products are accurate and correct. I confirm the above supplied bank account is correct and the name of my Entity. I have or will supply KJC with a sales letter or tax invoice with the products accurately described before KJC release payment.

4 KJC Bullion - Registration Help Form Submitting your identification check to KJC cannot be any easier. If you are an Australian resident simply scan and to KJC colour copies of a combination of the below identification as listed below in our easy three step process. (International clients will have to supply original noterised copies by mail) Easy 3 Step Process 1. Gather required identification. 2. Take photos or scan all identification (Front and back images of cards are required and all images must be in colour). 3. Submit your identification to KJC via to bullion@kjc.com.au or by post to: KJC GPO BOX 825, Sydney NSW 2001 Australia. Primary Identification You must supply a minimum of one piece of primary identification. The options for primary identification include. Drivers license Passport Secondary Identification You must supply a minimum of one piece of secondary identification. The options for secondary identification include. Medicare card Supporting Identification You must supply a minimum of one piece of supporting identification only if you have not supplied a drivers license. The options for supporting identification include. Water, gas of electricity bill Council rates Bank statement Vehicle title or registration Phone bill

5 KJC Bullion - Entity Help Form If you are registering a company, SMSF or trust KJC require a current company extract report. This report is available from ASIC directly at or KJC can run this report for you at a charge of $35. See below for a sample report.

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