New Generation Group AVC Your application to transfer in
New Generation Group AVC Your application to transfer in Your application to join Important: Only complete this form when you have read the Key Features Document and Illustration. Please use BLOCK CAPITALS and tick the appropriate boxes. We can send you a copy of the completed application and/or a copy of the full terms and conditions of the scheme if you ask us to. The completed application form is required by Friends Life and Pensions Limited (Friends Life). This form should be completed for members who are transferring benefits from a previous AVC or FSAVC arrangement into our New Generation Group AVC. This form cannot be used to invest pension credits arising from a divorce/dissolution of a civil partnership into the scheme and cannot be used for the transfer of any unsecured pension. There are separate forms for these purposes. Your details (to be completed by the applicant) Your title Mr Mrs Miss Ms Other Your surname Your forename(s) Your permanent home address Postcode Your date of birth Your nationality Your daytime telephone number Your evening telephone number Your email address Your National Insurance number We cannot accept your application without this number. You can normally find your National Insurance number on your payslip or tax code notice; it should be in the format AB123456C (the final character should be A, B, C or D). Temporary numbers in the format TN999999M or 99Y999999 are not acceptable. Do you have an existing New Generation Yes No account? Birthday you wish to retire at (selected retirement date) You may choose any birthday between 55 and 75. Under legislation, you no longer have to buy an annuity by your 75th birthday. If you wish to retire after your 75th birthday, please enter 75 in the box above. We will contact you before your 75th birthday to discuss your options. If you do not enter your choice in the boxes above, your plan will have a selected retirement date of your 65th birthday. Please indicate if you are already subject to the reduced money purchase annual allowance. Yes No If yes, please provide a copy of the statement you received from the provider of the arrangement(s) you accessed or provide the date you flexibly accessed these savings. The provider of the arrangement(s) you have flexibly accessed is required to provide a statement to you within 31 days of the date flexi access occurred. Flexibly accessed generally means that you have taken money purchase benefits other than by purchasing an annuity from an insurance company. 2
Investment choice Only complete this section if the trustees have not chosen the investments for you. (If in doubt, please contact the scheme trustees.) Lifetime investment programmes Your scheme may offer lifetime investment programmes, details of which can be found in our investment funds brochure. If these are available on your scheme and you would like to select one, please state which one to apply. Insert name of the lifetime investment programme or None If you have chosen a lifetime investment programme, the Investment funds and Lifestyle investment programmes sections do not apply and must not be completed. Please go to the Investment programme retirement date section. Investment funds (do not complete if you have chosen a lifetime investment programme) You may choose to invest in up to ten funds from the funds available, including any lifestyle investment programme funds (see our investment funds brochure for details). Investment fund name of contribution Please use whole percentages only and make sure that the total is 100. Total 100 Lifestyle investment programmes (do not complete if you have chosen a lifetime investment programme) Your scheme may offer lifestyle investment programmes, details of which can be found in our investment funds brochure. If these are available to your plan and you would like to select one, please state which one to apply. Insert name of the lifestyle investment programme or None Investment programme retirement date Your scheme may allow you to choose when your investment programme finishes; this may be different to your selected retirement date (SRD). You can do this now or at any time in the future. If you do not specify an investment programme retirement date (IPRD), any chosen investment programme will end on your SRD. The IPRD should coincide with your chosen birthday. Your chosen IPRD (birthday) Important: When your investment programme starts, your pension funds will automatically be proportionately switched in line with your instruction. 3
Your declaration Important: It is a serious offence to make false statements. If you do so, you may be prosecuted. The penalties are severe. I request the trustees/administrator of the transferring scheme to pay the transfer value detailed below to Friends Life. This is to provide me with additional benefits in the receiving scheme named on page 3 instead of those under the transferring scheme. I authorise the trustees/administrator of the transferring scheme to provide Friends Life and/or the trustees of the receiving scheme with all the information they need to accept the transfer value. I have received financial advice about the transfer from the following professional adviser: Company/firm name Address I apply for benefits under the rules of the receiving scheme. I request the trustees of the receiving scheme to accept the transfer value from the transferring scheme. Postcode I understand that the trustees of the receiving scheme may refuse to accept the transfer if I have not taken professional advice. I accept that my benefits will be set up under either a Friends Life Limited policy or a Friends Life and Pensions Limited policy, as held by the trustees of my employer s scheme. I have read over the replies to all the questions in this application. To the best of my knowledge and belief, all information given is correct and complete. I confirm That where the transfer payment includes funds arising from Section 9 (2B) Rights and/or a Guaranteed Minimum Pension (i.e. contracted-out benefits under a defined benefit scheme), I acknowledge that; I have received a statement from the receiving scheme showing the benefits to be provided in respect of the transfer payment and I accept that; the benefits to be provided may be in a different form and a different amount to those which would have been payable by the existing scheme; and there is no statutory requirement on the receiving scheme to provide for survivor s benefits out of the transfer payment. Data protection and fraud & money laundering Data protection I agree that Friends Life and Pensions Limited, a member of the Friends Life group, will use my information supplied by me. I understand that Friends Life may pass my information to other companies in the Friends Life group for administration, research or statistical purposes. I also agree that Friends Life may pass my information to my financial adviser, re assurers, such other third parties as may be necessary to assist in the provision and administration of my policy, including those located outside of the European Economic Area and where we are legally required to provide information (e.g. requests from government agencies). By signing this form, I consent to this use of my personal data as set out above. I understand that Friends Life would like to keep me informed about other products and services provided by companies within the Friends Life group and other carefully selected organisations. I do not wish you to contact me by: Post Phone Email You may change your mind at any time by writing to Friends Life and Pensions Limited, NPE Dept, PO Box 1810, Bristol BS99 5SN. Otherwise, we will assume that you are happy to be contacted in this way for the time being. Financial Crime (e.g. verifying your identity to prevent fraud & money laundering) To verify your identity and prevent financial crime we may use and share your information with any company within Friends Life, with companies who work for us and with appropriate organisations. We may also search, send your details to, and use information from third party verification service providers and financial crime and credit reference agencies (Third Parties). This involves checking your details against databases these Third Parties use. Friends Life and these Third Parties may keep a record of the search, the results of the search, any suspicions of financial crime and the details may be used to assist other companies for verification and identification purposes. The search is not a credit check and your credit rating should be unaffected. By signing our application form you are giving consent to these activities which will make it easier for you to do business with us and help prevent financial crime. For more information please write to: Group Anti Money Laundering Manager, Financial Crime & Security (BM6L2), Friends Life Centre, Brierly Furlong, Stoke Gifford, Bristol, BS34 8SW. Your signature Your name (please print) Date Friends Life agrees to administer the scheme in accordance with the scheme rules. 4
Transferring scheme details Please state the following: Total amount of the transfer value Name of transferring scheme Transferring scheme number Administrator s name Administrator s address Postcode Administrator s telephone number Are the transferring benefits subject to an attachment order or an order relating to the distribution of lump sum benefits following divorce/dissolution of a civil partnership? If Yes, please attach a copy of the order and supply any further details in the space provided alongside. Yes No Receiving scheme (to be completed by the trustees of the receiving scheme) Please state the following: Name of employer Name of scheme Scheme number We confirm that we accept the transfer value into the receiving scheme. We confirm that no part of the transfer value relates to contracted-out benefits. (Two separate signatures required) Signature Name (please print) Date Signature Name (please print) Date For and on behalf of the trustees of the receiving scheme. 5
How to contact us If you have any questions, you can phone us or write to us. Call us on 0345 602 9221 at the following times: Monday to Friday between 8.30am and 5.30pm. We may record calls to improve our service. Calls may be charged and these charges will vary; please speak to your network provider. Write to us at Friends Life, PO Box 1550, Milford, Salisbury, Wiltshire SP1 2TW For further information on any of our products and services, visit our website www.friendslife.co.uk. Friends Life office Financial adviser Please tick as appropriate Advised sale Advice given after 31/12/2012 Please note that commission cannot be taken if advice was given after 31/12/2012. Non-advised sale By ticking this box, Friends Life will assume no advice was given. Adviser name Address Your postcode Telephone Email address Adviser s reference number Friends Life and Pensions Limited An incorporated company limited by shares and registered in England and Wales, number 475201. Registered office: Pixham End, Dorking, Surrey RH4 1QA. Authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential Regulation Authority. Telephone 0345 602 9189 calls may be recorded. www.friendslife.com Friends Life is a registered trade mark of the Friends Life group. MPEN4/C 08.15 (44090)