Form cover
Page 1 of 1

Consent form for Premier Circle Member Nomination

List of property/properties owned by the principal owner/AIF that will be attributed to the nominated Premier Circle member

Nominated Premier Circle Member Name

Terms & Conditions and Privacy Policy By clicking the “Yes, I agree” checkbox below and submitting my answers in this form, I confirm that I have received, read and understood the foregoing Privacy Notice. I, as the principal owner, consent to attributing my property/properties to the nominated Premier Circle member, subject to applicable policies and validation procedures.
Untitled checkboxes field

Principal Owner Name

Signature