STANDARD CHOICE FORM

Section 1: Employer Details

Employee Name: [Full Name of Employee]

We are required by law to offer you a choice of superannuation fund. We must make contributions to a complying superannuation fund for you. You have the right to choose the fund we pay your superannuation guarantee contributions into.

Employer Name: [Your Business Name] Employer ABN: [Your Australian Business Number] Employer Contact: [Name of Contact Person] Phone: [Your Phone Number]

Section 2: My Superannuation Fund Choice

I wish to choose the following superannuation fund for my employer to pay superannuation contributions into.

(Tick one box only)

[ ] I want my super paid to the fund listed below. [ ] I do not want to choose a fund. Please pay my super into my employer's default fund.

Fund Details (If you chose the first box)

Name of Fund: [e.g., AustralianSuper] Product Name: [e.g., Member Direct] Unique Superannuation Identifier (USI): [Insert 9 digit USI code] Fund ABN: [Insert Fund ABN] Account Number: [Your Member Number]

Fund Address: [Street Address] [Suburb] [State] [Postcode]

Section 3: My Tax File Number (TFN)

I authorise my employer to provide my TFN to my chosen superannuation fund provider.

My TFN is: [Insert Tax File Number]

(Note: You are not required to provide your TFN, but if you do not, your fund may deduct extra tax from your contributions.)

Section 4: Employee Declaration

I declare that the information provided in this form is true and correct. I understand that my employer relies on this information to make superannuation guarantee contributions.

Employee Name: [Print Full Name] Employee Signature: ______________________ Date: [DD/MM/YYYY]