Contributions Form The GMG Lifestyle Plan

If you are unsure at any stage, please contact the Pensions Department on 020 3353 2000

1.

Please fill in YOUR DETAILS (CAPITAL LETTERS)

SURNAME.. INITIALS DATE OF BIRTH TEL. NO......... HOME ADDRESS .. .

2.

Please set an EFFECTIVE DATE for the change in your contributions

EFFECTIVE DATE

FIRST DAY OF

(MONTH)

(YEAR)

3.

To CHANGE Your Current Rate Of Ordinary Contributions

5%* 2.5%* 0%*
* % of Pensionable Earnings

Please tick one of the boxes The Company will pay between 8% and 12% The Company will pay between 4% and 6% The Company will pay 2.5%

Note that your life cover and Income Protection cover will be lower if you choose to be a non-contributor. If you move from paying 0% to paying 2.5% or 5%, the increase in life cover and Income Protection cover would be subject to medical underwriting.

WARNING: A limit of 50,000, per tax year, total pension contributions (employee plus company) are eligible for tax relief. It is your personal responsibility to monitor future contributions and consider changes as and when you deem appropriate.

4.

To START, STOP or CHANGE Additional Voluntary Contributions (AVCs) or Extra Contributions (ECs)

AVCs as % of pensionable earnings

(MAXIMUM 10%)

OR

Fixed Amount AVCs per month To STOP paying AVCs please tick here

Variable AVCs on any non-pensionable earnings

(MAXIMUM 15%)

If you choose maximum AVCs, you could also consider paying Extra Contributions (ECs). ECs as % of pensionable earnings
(MAXIMUM 85%)

OR

Fixed Amount ECs per month To STOP paying ECs please tick here

5.

Please SIGN, DATE AND RETURN your Contributions Form

I request and authorise the Company to start or stop deductions from my pay (via PaySmart where appropriate) as detailed above. SIGNED.. DATED.

Please return completed form by post to GMG Pensions Department at Centurion House, 129 Deansgate, Manchester M3 3WR or by email to pensions@gmgplc.co.uk or by fax to. 020 3353 3125 no later than the end of the month prior to the Effective Date. It will be acknowledged upon receipt.

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The security of your personal information: All the information you provide will be held by the Trustees or by the scheme administrators who act on their behalf to arrange and administer your entitlements (and entitlements in respect of you) from the scheme. The information is kept secure and is only disclosed to third parties to the extent needed to enable the Trustees and their advisers to run the Scheme and comply with any legal or other requirements imposed on the Trustees. It may be necessary from time to time to disclose your personal data to people and organisations outside the European Economic Area and which are not covered by equivalent data protection legislation; in these circumstances the Trustees will take whatever steps they feel are necessary to ensure that your data remains secure.