MCP Group

Order for Superannuation Trust Fund

Name of Proposed Fund *

Address of Fund

(Address for service of notices, by the ISC on the Fund. Must be a street address)

Address of Fund *

Mailing Address *

Date of Commencement *

Trustee(s)

(Advise Address(s), Phone and Fax Numbers. If a Corporation, advise ACN, name of all Directors, Chairman and Registered Office)

Are the Governing Rules of the Fund to provide that the Sole or Primary purpose of the Fund is the Provisions of old age Pensions? *
Yes No

Is the Fund to be an excluded Fund (1 - 4 Members)? *

Yes No

Primary Employer

Name *

Address

Members

(Advise Name, Address and dates of Birth)

Ordered By *

Your Email Address *

Name/Address of Firm *

Phone

Fax

Date

* denotes required field