By signing this form, I/we declare all details in this form are true and correct and I/we indemnify AIL and/or CFSIL against any liabilities whatsoever arising in connection with:
• processing this adviser nomination
• providing the adviser nominated in section 4 with details of my investments for each AIL and/or CFSIL account(s) identified in section 1.
Avanteos Investments Limited ABN 20 096 259 979, AFSL 245531 (AIL) is the issuer of FirstChoice range of super and pension products. Colonial First State Investments Limited ABN 98 002 348 352 AFSL 232468 (CFSIL) is the issuer of FirstChoice investment products.