Your current expression of interest indicates you could deliver the following tonnes per annum for seven years.Your current expression of interest indicates you could deliver the following tonnes per annum for seven years.In a typical average season, how many hectares do you crop?*In a typical average season, how many hectares do you crop?In a typical average season, what would your production be (tonnes)?*In a typical average season, what would your production be (tonnes)?T-Ports has growers on a "reserves" list for EOI tonnage, any unreachable/reviewed tonnage amount will be pooled and offered to those on the reserves list. This ensures we offer more growers a chance to have more sustainable targets for production across our catchment zone and more growers can partake as shareholders in our supply chain. Please note, T-Ports retains discretion in redistributing any available EOI tonnage capacity to other growers wishing to participate.Taking into consideration your three and five year average production and future planning, would you like to change your EOI tonnage to more accurately reflect actual production?*Taking into consideration your three and five year average production and future planning, would you like to change your EOI tonnage to more accurately reflect actual production? Yes No What would you prefer your EOI tonnage to be reduced to?*What would you prefer your EOI tonnage to be reduced to?Your detailsThis is the company name you have supplied to T-Ports. If this is incorrect or this field is blank, please update below.*This is the company name you have supplied to T-Ports. If this is incorrect or this field is blank, please update below. NGR*When registering your details, you supplied the below NGR number. If this is incorrect or this field is blank, please update below. Separate tags with commas Please list any additional NGR numbers you may use when delivering to T-Ports. (one per box)Please list any additional NGR numbers you may use when delivering to T-Ports. (one per box) Separate tags with commas NGR3 Separate tags with commas Separate tags with commas This is the trading name you have supplied to T-Ports. If this is incorrect or this field is blank, please update below.*This is the trading name you have supplied to T-Ports. If this is incorrect or this field is blank, please update below. Please list any additional trading names you are aligned with and use for delivering to T-Ports. (one name per box)Please list any additional trading names you are aligned with and use for delivering to T-Ports. (one name per box) Forward contracting*Forward contracting tonnes through the T-Ports supply chain is key to ongoing success. In an average production year and with a stable global market, what percentage of your crop would you normally forward contract before 15 October each year?Please enter a number from 0 to 100.Additional informationThe information captured below will be used to assist in populating the Application Form for shares in the ICAM Duxton Port Infrastructure Retail Fund, as well as the appropriate Identification Form. These forms will be created from the information provided below and sent to you for confirmation and signing.Investor Type* Individual investor or joint investors Sole trader Super Fund Trust Australian company Foreign company 3A. Individual investor / joint investors / sole trader*Investor 1 Mr.Mrs.MissMs.Dr.Prof. Prefix First Middle Last Date of birthInvestor 1 DD slash MM slash YYYY Business name of sole trader (if applicable)Investor 1 3A. Individual investor / joint investors / sole traderInvestor 2 (if applicable) Mr.Mrs.MissMs.Dr.Prof. Prefix First Middle Last Date of birthInvestor 2 (if applicable) DD slash MM slash YYYY 3B. Super fund / Trust / Australian company / foreign companyName of entity Contact details*This is the address where all correspondence will be sent. 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Yes No 5a. Individual investor or entityTax File Number ABN (if applicable)ABN (if applicable) 5b. Investor 2 (joint investors)Tax File Number (investor 2) 5c. Non-residentsIf you are an overseas investor, please indicate your country of residence for tax purposes. Please also supply your TIN number.Please also supply your TIN number. If you do not have a TIN, please select a reason.If you do not have a TIN, please select a reason. Reason A. The country of tax residency does not issue TINs to tax residents Reason B. The individual has not been issued with a TIN Reason C. The country of tax residency does not require the TIN to be disclosed. N/A Nominated bank account (must be an Australian financial institution)*Unless requested otherwise, this will also be the bank account we credit any withdrawal proceeds and/or distributions if you requested these to be paid to you and not reinvested. By providing your nominated account details in this section you authorise Vasco to use these details for all future transaction requests that you make until notice is provided otherwise. For additional investments, a nomination in this section overrides any previous nominations. Branch*Branch Account name*Account name Branch number (BSB)*Branch number (BSB) Account number*Account number Additional feedbackIf you have any additional comments of feedback, or have any questions, please add them here and one of our team will be in contact with you.
