NEED ASSISTANCE?
shareholder.anz.com
anzshareregistry@computershare.com.au
Computershare Investor Services Pty Limited
GPO Box 2975 Melbourne
Victoria 3001 Australia

Registeredname(s)1800 113 399 (within Australia)
0800 174 007 (within New Zealand)+61 3 9415 4010 (outside Australia)

Registeredaddress
Holder Identification Number (HIN)or Securityholder Reference Number (SRN)

CLASS OF SHARES: ORDINARY FULLY PAID SHARESDividend Charity Donation
Use a black pen.
Print in CAPITAL lettersinside the grey areas.

AA B C

1

Where a choice is required,mark the box with an ‘X’2 3X

Dividend Charity Donation Election
ALLMark this box with an ‘X’ if you wish to donate all of your cash dividend entitlement to your nominated charity

PARTShow the Australian dollar amount of your cash
dividend entitlement that you wish to donate

OR. 0 0$B

Dividend Charity Donation Selection - Please enter a charity code
Charity CodeC(Refer to the reverse of the form for the valid charity code list)

CH806

TERMINATION - Mark this box with an ‘X’ if you wish to cancel your participation in the Dividend Charity Donation Program

Sign here - this section must be signed before we can process this form

I/We authorise you to act in accordance with my/our instructions set out above. I/we understand that each of my/our future cash dividend entitlements will be directed tothe nominated charity as per my/our instructions above. This authority will remain in effect until such time as it is terminated or varied by me/us in writing, or thearrangement between ANZ and the nominated charity ceases. Should the arrangement cease, I/we understand that I/we will be contacted in order to provide newinstructions in relation to the payment of dividends. If I/we do not provide new instructions at that time, none of my/our cash dividend entitlements will be paid to charity.
I/we understand that I/we can terminate or vary my/our participation at any time by notifying Computershare in writing.

Securityholder 2

Director

Director/Company Secretary

Please Note: If you are signing this form on behalf of the securityholder as their attorney
under a Power of Attorney, you confirm that you have not been advised that the Power ofAttorney has been revoked. A certified copy of the Power of Attorney must be lodged withthis form to allow processing.

ANZ
ANZ Group Holdings Limited ABN 16 659 510 791

06CHSecurityholder 3

Date - Day

Sole Director and Sole Company SecretaryYearMonth296965_34_V3

Individual or Securityholder 1

How to complete this form
A

Dividend Charity Donation Election
If you wish to donate all of your cash dividend entitlement to your selected charity, please cross the box marked ALL.
If you wish to donate part of your cash dividend entitlement to your selected charity, please cross the box marked PART and insert the appropriate
dollar amount in figures in the shaded box. This amount or your total cash dividend entitlement, whichever is less, will be donated.
If you no longer wish to participate in the Dividend Charity Donation Program, please cross the box marked TERMINATION.
This instruction only applies to the specific holding identified by the SRN/HIN, class of shares and the name appearing on the front of this form.
llllllSignature(s)To authorise the payment of part or all of your cash dividend entitlements directly to your selected charity you must sign this form as follows in thespaces provided:Joint Holding:where the holding is in more than one name, all of the securityholders must sign.
Power of Attorney:
to sign under Power of Attorney, you must have already lodged this document with the share registry. If you have notpreviously lodged this document for notation, please attach a certified photocopy of the Power of Attorney to this form
when you return it.
Companies:
where the company has a Sole Director who is also the Sole Company Secretary, this form must be signed by thatperson. If the company (pursuant to section 204A of the Corporations Act 2001) does not have a Company Secretary, aSole Director can also sign alone. Otherwise this form must be signed by a Director jointly with either another Director ora Company Secretary. Please indicate the office held by signing in the appropriate place.

Please return the completed form in theenvelope provided or to the address opposite:

Computershare Investor Services Pty Limited
GPO Box 2975
Melbourne Victoria 3001
Australia

ANZC

CHARITY CODE
LIFE10
MGMD50
NBCF10
NHFA10
RECH10
RECA10
RFDS10
RSPC10STAR10
BENS10
CANC10
SMTF10
VSAU10CH806

Dividend Charity Donation Selection - Please enter one of the below charity codes
CHARITY
CHARITY CODECHARITY
14. Lifeline Australia
1. Dementia & Alzheimer’s Australia Ltd
ALZH1015. Little Heroes Foundation
2. Amnesty International Australia
AMIN103. Australian and New Zealand Intensive Care Foundation INCF10
16. National Breast Cancer Foundation
17. National Heart Foundation of Australia
4. Berry Street Victoria
BSTV3018. The Reach Foundation
5. Beyond BlueBBDR106. Brotherhood of St Laurence
BHST1019. Reconciliation Australia
7. Canteen
CANT1020. Royal Flying Doctor Service of Australia
8. Diabetes Australia Research TrustDART1021. RSPCA Australia22. Starlight Children’s Foundation Australia
9. Foodbank Australia
FDBK1023. The Benevolent Society
10. Greening Australia
GRNA1011. Habitat for Humanity Australia Overseas Aid Fund
HAHA1024. Cancer Council Australia
12. Howard Florey Institute
HFIM1025. The Smith Family
13. Yourtown
KIDS1026. World Vision Australia Overseas Aid Fund
Details regarding the activities of each charity can be found at shareholder.anz.com or obtained from Computershare.

296965_34_V3B

IMPORTANT TO NOTE WHEN COMPLETING THIS FORM
The Dividend Charity Donation Program is available only in respect of cash dividend entitlements paid in Australian dollars, and participation islimited to Australian resident taxpayers. Employee share classes are not eligible to participate.
Your Dividend Charity Donation election will be subject to any existing or future election you may have in place regarding participation in theDividend Reinvestment Plan or the Bonus Option Plan, and will continue to apply in respect of each of your future cash dividend entitlements
unless and until you terminate or vary your participation or the arrangement between ANZ and your selected charity ceases.
For Australian income tax purposes, the decision to donate part or all of your cash dividend entitlement will still require you to declare theamount donated as assessable dividend income. However, all participating charities are verified on the business.gov.au website as having“Deductible Gift Recipient” status, and donations of A$2 or more to such charities are allowable tax deductions.
ANZ will provide you with written confirmation detailing the amount donated and your selected charity for retention with your tax records.
Your name/personal details will not be provided to your selected charity, and your selected charity will not provide you with a receipt
for your donation.
For further information, please contact Computershare or refer to shareholder.anz.com/dividends.