Aware Super Pty Ltd (Trustee) ABN 11 118 202 672 AFSL 293340 Aware Super (Fund) ABN 53 226 460 365
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FSS010 09/20
Contributions by payroll deduction
Use this form to
make pre-tax salary
sacrice (concessional)
contributions or after-tax
contributions by payroll
deduction. Complete this
form and give it to your
payroll manager.
Please use a dark pen and
CAPITAL letters. Insert (✗)
when you have to choose
an option. You can also
ll in this form online,
print it and give it to your
payroll manager. The
form is on our website at
aware.com.au/forms.
If you have any questions,
please call us on
1300 650 873.
1. Your personal details
Member number Account number Date of birth
F
S S U
Title Last name
Given name(s)
Address
Suburb State Postcode
Daytime contact number Mobile number
Payroll number (employer use only)
2. Contribution type and amount
Before starting salary sacrice contributions, you should seek nancial advice from a licensed or authorised
nancial adviser to ensure that salary sacricing is appropriate for your individual circumstances. Any valid
before-tax or after-tax contributions received from your employer on your behalf will be invested according
to your current investment choice(s).
Please deduct the following amount from my pay (whole dollars only):
Before-tax or salary sacrice contributions
$
, per pay period OR % of my gross salary
After-tax contributions
$
, per pay period OR % of my net salary
3. Privacy
The personal information provided on this form is collected by and held for Aware Super by the fund
administrator, Mercer Administration, in accordance with the Australian Privacy Principles of the Privacy
Act 1988 (Cth), for the purpose of administering accounts and providing services associated with fund
membership. For further information about how personal information is handled, please call us on
1300 650 873 or visit aware.com.au/privacy to view the privacy policy (a hard copy of the policy
may also be provided on request). The policy contains information about access to and correction of
personal information, how a complaint can be made about a privacy breach and other important information
about how personal information is collected, used and disclosed.
4. Member signature
I have read and understood the Aware Super privacy policy.
Signature Date signed (DD-MM-YYYY)
If you wish to make
salary sacrice
contributions, please
check with your
employer that this
facility is available.
5. Where to send your completed form
Return the completed form to your payroll manager. If you have any questions, please call us on
1300 650 873.
Please sign and
date form here.