2-IN-ONE SAVINGS PLAN Disinvestment Form t&c's

STATUTORY INFORMATION

Unit trusts are generally medium- to long-term investments. Past performance is no indication of future performance. Shorter term fluctuations can occur as your investment moves in line with the markets. Unit trusts can engage in borrowing and scrip lending. The fund’s Total Expense Ratio (TER) reflects the percentage of the average Net Asset Value of the portfolio that was incurred as charges, levies and fees related to the management of the portfolio. A higher TER does not necessarily imply a poor return, nor does a low TER imply a good return. The current TER cannot be regarded as an indication of future TERs. A schedule of fees, charges and maximum commissions is available from Old Mutual Unit Trust Managers Ltd (OMUT). The Old Mutual Money Market Fund unit price aims to be static but investment capital is not guaranteed. The total return is primarily made up of interest (declared daily at 13h00), but may also include any gain/loss on any particular instrument. In most cases this will merely have the effect of increasing or decreasing the daily yield, but in an extreme case it can have the effect of reducing the capital value of the fund. Different classes of units apply to these portfolios and are subject to different fees and charges. Old Mutual Unit Trust Managers Ltd is a member of the Association for Savings and Investment South Africa (ASISA).

SIGNATURE AND DECLARATION

• I instruct Old Mutual Investment Administrators (Propriety) Limited (OMIA) to withdraw the above amount from the Short Term Pocket of my 2-IN-ONE SAVINGS PLAN.

• I authorise OMIA to pay the withdrawal amount to Old Mutual Life Assurance Company (South Africa) Limited (Old Mutual).

• I understand that Old Mutual will pay the withdrawal amount into my bank account.

• I understand that the first two withdrawals per calendar year will be free of charge, after which a transaction charge will apply. The Short Term Pocket will be reduced by the withdrawal amount and any transaction charges.

• I further understand that the withdrawal will be processed and paid into my bank account within a maximum of 7 working days of signing this form, provided all required documents are received.

• I absolve Old Mutual from any risk or liability resulting from the proceeds being deposited into an incorrect bank account in the event that I supplied the incorrect bank details.

• I confirm that all information in this document is correct.

• I have read, understood and agree to this declaration.

NOTE

If you pay your premiums by debit order and a premium was deducted from your account in the last 9 days, we are waiting for the premium to clear at the bank. The value that is paid into your bank account will be the value quoted less the premium that hasn’t cleared yet. If the debit order clears, we will apply the premium to your policy.