Self Managed Super Fund Variation Form

Step 1 of 5

- Client Information
- Ordering Firm*
- Name
  First Last
- Email*
- Phone
- Fax

- Current Trustee Information
- Current Trustee 1
- Name
  First Last
- Company
- A.C.N. (if relevant)
- Chairman
- Address
  Street Address Address Line 2 Suburb State Postcode Country
- Add another Trustee?
  Yes
- Hidden
  Trustee 2
- Current Trustee 2
- Name
  First Last
- Company
- A.C.N. (if relevant)
- Chairman
- Address
  Street Address Address Line 2 Suburb State Postcode Country
- Add another Trustee?
  Yes
- Hidden
  Trustee 3
- Current Trustee 3
- Name
  First Last
- Company
- A.C.N. (if relevant)
- Chairman
- Address
  Street Address Address Line 2 Suburb State Postcode Country
- Add another Trustee?
  Yes
- Hidden
  Trustee 4
- Trustee 4
- Name
  First Last
- Company
- A.C.N. (if relevant)
- Chairman
- Address
  Street Address Address Line 2 Suburb State Postcode Country

- New Trustee Information
- New Trustee 1
- Name
  First Last
- Company
- A.C.N. (if relevant)
- Chairman
- Address
  Street Address Address Line 2 Suburb State Postcode Country
- Hidden
  New Trustee 2
- New Trustee 2
- Name
  First Last
- Company
- A.C.N. (if relevant)
- Chairman
- Address
  Street Address Address Line 2 Suburb State Postcode Country
- Hidden
  New Trustee 3
- New Trustee 3
- Name
  First Last
- Company
- A.C.N. (if relevant)
- Chairman
- Address
  Street Address Address Line 2 Suburb State Postcode Country

- Member Information
- Member 1
- Name
  First Last
- Address
  Street Address Address Line 2 Suburb State Postcode Country
- Member 2
- Name
  First Last
- Address
  Street Address Address Line 2 Suburb State Postcode Country
- Member 3
- Name
  First Last
- Address
  Street Address Address Line 2 Suburb State Postcode Country
- Member 4
- Name
  First Last
- Address
  Street Address Address Line 2 Suburb State Postcode Country
- Hidden
  Section Break
- Please provide details of any special instructions
- Security Code