THE SCT INTERNATIONAL PENSION SCHEME



AUC Retirement Savings Plan

Retirement, Leaving Service & Death Benefits Form

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|The Trustees hereby instruct AAIB to act on this Form by disinvesting the member’s account and by making the appropriate payment to the member or |

|Company as instructed overleaf. |

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|Section A |This Section should be completed by AUC | |

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|Personal Details | | | | | |

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|Member’s Full Name | | |

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|Employee Number | | |

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|Retirement / Leaving Details | | | | |

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|Date of Retirement / Leaving the Plan | | |

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|Date of last contribution | | |

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|Reason for leaving (tick as appropriate): | |

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| |Left Employment | | |Retirement | | | |

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| |Death | | |Other (give details) | | | |

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|Section B |This Section should be completed by AUC on the death of a member | |

|Certified copies of the following certificates are attached : (tick as appropriate) |

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|Certified copy of Marriage certificate | | | | | |

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|Please note that all payments on death will be made electronically to the Company or trustees for onward transmission to the beneficiary. |

|Retirement, Leaving Service & Death Benefits Form |

|Continued |

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|Section C | |

|Signed for and on behalf of the Trustees of the Plan | |

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| | | |Date | | |

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| | |Date | | |

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|Please ensure the correct numbers of authorised signatures are shown. |

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|Section D Payment Details |

|Pay to : |

|Bank Account, Member’s or | | |

|Beneficiary’s Full Name | | |

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|Bank account number | | |

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|Routing number | | |

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|Bank account name | | |

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|Bank Address | | |

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|Confirmation of your | | |

|Address | | |

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|This form should be completed by AUC and then be sent to: |

|AAIB, 33 Tahrir st, Dokki, Giza, Egypt (National Research Centre Branch) |

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