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Dealing instruction form

For customers

International investment solutions

This form can be used for our Wealth Management Portfolio (WMP), Private Client Portfolio, Money Market Portfolio and Wealth Planning

Account products.

If you’ve a WMP where you don’t have a portfolio cash account and are investing solely in our Aegon international internal funds, please

complete the

Internal Funds Switch Instruction form.

You only need to use this form for buying or selling assets.

Please complete all relevant sections of this form by typing in the fields. Once complete, please print and sign using a pen.

Alternatively, please print and complete in BLOCK CAPITALS using ballpoint pen.

If you notice a mistake after you’ve printed the form, draw a line through it. All changes must be initialled by ALL policyholders. If this form has been signed by the investment adviser/manager, then they must initial

the change.

Please scan a copy of the signed instruction and send by email to [email protected]. Or alternatively please fax to 00353 1 673 8863. Our e-trading service allows investment advisers to instruct trades on their clients’ portfolios online. For more information on how to register for this service, please go to aegon.ie/login-register-ireland. Alternatively call our Client Relations team on lo-call 0845 6000 173 or 00353 1 673 8840 for details.

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Page 2 of 6 Contact name Company name Name(s) of policyholder(s) Application/policy number Phone number Fax number

Email address (mandatory field*)

We’ll only use your phone number, fax number or email address to contact you about your policy. *We need your email address so we can send you an email confirmation of what we entered onto our system in relation to your trades.

1. Policyholder and contact details

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2. Instruction to buy/sell assets

We’ll buy and sell assets based solely on their Sedol/ISIN number rather than their name. We won’t place a trade on a fund unless a

Sedol or ISIN is provided by you.

Buy/

Sell Sedol/ISIN number* Full asset name Asset currency Please complete columns below

only one

of the Settlementcurrency Special commentse.g. if funding purchases directly from the proceeds of sales or from the existing cash account balance. Monetary

amount in asset currency

Number

of units Percentageto sell

Notes:

*Please give a recognised Sedol/ISIN number for all purchase/sale requests for funds. Providing this will mean we won’t need to contact you for clarification, and will help us act on your instructions more efficiently.

1. For bonds invested in external funds, we recommend that you leave 5% of the policy value in the cash account to cover charges and withdrawals. If there aren’t enough funds available, this cash account could become overdrawn and you’ll have to pay overdraft charges.

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Page 4 of 6

3. The settlement currency is the currency of the cash account to which the sale proceeds will be credited.

The settlement currency should be the denomination currency of the bond, unless proceeds of the sale are to be used immediately to purchase assets denominated in a different currency. However, if no settlement currency is selected, the sale proceeds will return in the currency of the asset sold. We’ll convert any cash balances not in the denomination of the bond back into bond currency on a regular basis. 4. Where purchases are instructed using the proceeds of sales, we‘ll

make these when we receive 100% of the sale settlement proceeds, and not before. If you need to separate a purchase from the unsettled sales, please instruct us to ‘unlink’ the purchase.

5. We’ll only place a purchase once there’s sufficient available cash in the cash account.

6. For exchange traded funds, please provide the number of whole shares you wish to trade. If a monetary figure or percentage is given, we won’t be able to place the trade until you confirm the number of shares to be traded.

7. Where income units have been requested, we’ll credit dividends to the cash account.

8. Where we’re buying Aegon international internal funds:

• and we receive the request before noon on a business day, we’ll use the valuation at the next business day. We’ll only process a request where we have enough money in the cash account; and

we receive the request after noon on a business day, we’ll apply the instructions using the second valuation after we receive this form. 9. Please use the ‘Special comments’ column in the table to advise when

you want assets to be sold from your deposit accounts, e.g. with penalty, on maturity or with notice.

10. We don’t accept requests to sell proportionately across all funds, you must specify the Sedol/ISIN code along with the amount to be disinvested.

11. We don’t issue confirmation of trade settlement, contract notes are available online.

12. We don’t allow switch instructions on external funds or bank deposits. Instructions such as this need to be instructed as a ‘linked deal’. A linked deal is where we sell one asset and invest in another asset of your choice once the full sale proceeds are returned to us. Please note that telegraphic transfer charges may be incurred for deposits and different trade dates can apply for external funds.

13. If instructing a FX trade, an indicative rate is used until trade is placed in the market. Online services will show exact amount once trade is settled. 14. All deposits will end on their maturity date and return to the bond cash

account. If you wish to rollover, you need to instruct us to do this at least seven days, and no later than 48 hours before the maturity date.

15. You can’t place a sale on an external fund where you’ve an unsettled cash sale on that asset.

16. If you’ve chosen a non-Undertakings for Collective Investments in Transferable Securities (UCITS) fund and UCITS restrictions apply we won’t invest anything until we contact you to clarify which UCITS fund you want to invest in.

17. Where you’ve to sell assets to fund your withdrawal, please note external assets have different dealing dates and settlement periods. The withdrawal payment will be dependent on when we receive contract notes and cash settlements from the external fund administrators.

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You should always seek advice from your financial adviser when you’re selecting an asset for your bond. We don’t promote or market any asset and will process your instruction as an execution-only transaction on the basis that you’ve received your own advice on the merits of the transaction and that it’s suitable and in line with your attitude to risk. The risks you should consider, prior to completing this form, include but aren’t limited to:

the complexity of the investment strategy and the extent to which the underlying assets of the fund may be speculative or illiquid;

the permissibility criteria set out in the policy conditions and the extent to which these are satisfied;

whether an external fund is a non-mainstream pooled investment such as a professional investor scheme, a UCIS**, close substitute of a UCIS, or other type of fund regulated outside the UK and any associated financial and governance risks; and

the level of protection available to investors in circumstances where the fund is purchased through your policy (in the name of our custodian) with classification by the fund manager generally as professional rather than retail client.

Before sending an instruction to purchase an asset, it’s your

responsibility to make sure you’re aware of any charges that will apply, including initial charges, redemption charges (early or otherwise), ongoing and performance-related charges.

What you get back can’t be guaranteed and depends on the performance of the assets and funds that you and your financial adviser and/or

investment adviser/manager choose. It’s possible that an underlying asset could reduce significantly in value or, in some circumstances, have no value (for example, due to the insolvency of a bank or other organisation). If this happens, the value of your bond will reduce. We don’t assess the suitability, or the reliability of your investments for you.

**A UCIS is a collective investment scheme in relation to which the operator hasn’t applied for or obtained FCA authorised or recognised scheme status. They’re not generally subject to FCA or similar overseas rules on the operation of collective investment schemes. There are restrictions that apply to the promotion of UCIS type funds since these funds are only suitable for certain types of investors.

3. Risk warning

You should take some time to read the declaration before signing this form. You should only send us this instruction if you understand the contents of the declaration and the responsibilities of each party. In this declaration, “I/We” means the policyholder or investment adviser/manager and “you” means Aegon Ireland plc.

I/We authorise you to complete this dealing instruction and acknowledge that you’ll not be responsible for any delay, or consequence of any delay, in completing the transaction where a third party caused that delay.

I/We acknowledge and agree that:

you’ll execute this instruction as an execution-only transaction on my/ our specific instructions;

you’ve not given me/us advice on the merits of the transaction and that this instruction has been submitted by me/us on the basis of: – investment advice I/we have received from my/our financial adviser

or investment adviser in relation to my/our policy; or

a discretionary investment mandate that has been established by the policyholder in relation to the policy;

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Aegon is a brand name of Aegon Ireland plc. Aegon Ireland plc, registered office: 2nd Floor, IFSC House, Custom House Quay, Dublin 1, D01 R2P9, Ireland. Registered in Ireland (No. 346275). Authorised by the Central Bank of Ireland and subject to limited regulation by the Financial Conduct Authority. Details about the extent of our regulation by the Financial Conduct Authority are available from us on request. An Aegon company. www.aegon.ie © 2015 Aegon Ireland plc

C 289314 DUB 00015807 12/15

We’re proud to be the Lead Partner of British Tennis.

by processing this instruction you’re not endorsing, marketing or promoting any asset selected and I/we accept full responsibility for all instructions placed;

you accept this instruction in good faith and, once submitted to you and acknowledged, you can’t make any changes to this instruction; and

my/our investment adviser who is acting on an advisory or discretionary basis is solely responsible for determining whether a particular asset is suitable for the policy and whether the policyholder has the necessary experience and knowledge to understand the risks involved in relation to that asset.

4. Declaration and authorisation – continued

Date (dd/mm/yyyy) Signature of policyholder(s)

7

7

Print name Signature of policyholder(s)

7

7

Print name Signature of policyholder(s)

7

7

Print name Signature of policyholder(s)

7

7

Print name

Or where an investment adviser has been appointed:

Investment adviser/manager company name Signature of investment adviser/manager

7

7

References

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