The following declaration is made by employers whose business structure is that of company, incorporated association or statutory body. As a duly authorized representative of the Employer (the Applicant) I declare that the Applicant:

• is a company, incorporated association or statutory body;
• acknowledges that Vision Super Pty Ltd (ACN 082 924 561) of Level 15, 360 Collins Street, Melbourne Victoria is the sole Trustee of the Local Authorities Superannuation Fund (‘the Fund'), and that the Fund is governed by a Trust Deed ('the Trust Deed');
• acknowledges that the Fund is a Regulated Superannuation Fund as defined in the Superannuation Industry (Supervision) Act 1993, and is a complying superannuation fund for the purposes of the Superannuation Guarantee (Administration) Act 1992;
• wishes to become an ‘Employer' (as defined in the Trust Deed) effective on and from the date of this Application;
• agrees to make superannuation contributions to the Fund in respect of such of its employees as it may from time to time determine;
• acknowledges that after giving the Trustee written notice, the Applicant may cease making contributions to the Fund;
• covenants that it will comply with all of the provisions of the Trust Deed including policies, rules and determinations made by the Trustee in accordance with the Trust Deed;
• has received or downloaded, and has read, a copy of the Vision Super Saver Product Disclosure Statement Vision Super Saver Product Disclosure Statement
• agrees to remit contributions as required under law.