Skandia Investment Solutions

Transcription

1 Financial adviser details Name of individual Name of firm Address and postcode of firm FSA number *APIPC0700F* Skandia Investment Solutions Application for ISA or Collective Investment Account individual and joint This application can be used for: New investment Additional investment Transfers (ISA only) Re-registration If you choose more than one product, all options and investment choices will apply to both products. To apply different options for each product, please use a separate application form for each. This application should not be used for corporate, trust or pension scheme applicants. Please choose the product(s) you wish to apply for: ISA CIA Please use BLOCK CAPITALS only and blue or black ink. The Skandia Investment Solutions platform gives you access to the ISA and Collective Investment Account provided by Skandia MultiFUNDS Limited, the Collective Retirement Account and Collective Investment Bond provided by Skandia MultiFUNDS Assurance Limited. Page 1 of 16

2 1 Personal details Part 1 Applicant s details Please quote your existing client reference number, if known Title Mr Mrs Miss Other please specify Surname Full forename(s) Date of birth dd mm yyyy Permanent UK residential address National Insurance number for ISA investments this is essential ( ) Please tick here if you do not have a National Insurance number Country of residence some residential restrictions apply. Please refer to section 12 Crown employees ( ) Please tick here if you are a Crown employee, or the spouse/civil partner* of a Crown employee (see Declaration point 1b in section 12). *as defined by the Civil Partnership Act 2004 Contact telephone number in case of query Correspondence address if different from residential address Previous address if you have changed address in the last three months Part 2 Joint applicant details (CIA only) Please quote your existing client reference number, if known Title Mr Mrs Miss Surname Other please specify Full forename(s) Date of birth dd mm yyyy National Insurance number ( ) Please tick here if you do not have a National Insurance number Permanent UK residential address for a joint CIA we will use the correspondence address of the first applicant for all correspondence Country of residence some residential restrictions apply. Please refer to section 12 continued Page 2 of 16

3 1 Personal details Crown employees (continued) ( ) Please tick here if you are a Crown employee, or the spouse/civil partner* of a Crown employee (see Declaration point 1b in section 12). *as defined by the Civil Partnership Act 2004 Contact telephone number in case of query Correspondence address if different from residential address Previous address if you have changed address in the last three months 2 Investment details ISA Please enter the tax year for your investment tax year ending 0 5 / 0 4 / 2 0 ISA to be topped up if applicable ISA lump sum investment please tick payment method and complete section 7 ISA regular investment per month ISA transfer (estimated value) Cheque Funded from CIA account Electronic transfer Please tick here ( ) if this investment is to be paid by a third party and complete section 10. please complete the direct debit instruction in section 8 Please tick here ( ) if this investment is to be paid by a third party and complete section 10. Please use this section for NEW direct debit instructions only. For changes to existing instructions, please complete the Change to Account form. please complete the transfer authority at the end of this form Minimum investment amounts ISA lump sum 2,500 ISA regular 99 a month ISA transfer 2,500 ISA re-registration 2,500 Maximum investment amounts ISA lump sum and regular Stocks and shares: 11,280 plus charges each tax year. ISA transfer/re-registration No maximum limit. ISA re-registration (estimated value) please complete the re-registration authority at the end of this form and/or CIA CIA to be topped up if applicable CIA lump sum investment please tick payment method and complete section 7 CIA regular investment please complete the direct debit instruction in section 8 Please tick here ( ) if this investment is to be paid by a third party and complete section 10. Please use this section for NEW direct debit instructions only. For changes to existing instructions, please complete the Change to Account form. CIA re-registration (estimated value) Cheque Electronic transfer Please tick here ( ) if this investment is to be paid by a third party and complete section 10. please complete the re-registration authority at the end of this form Minimum investment amounts CIA lump sum 2,500 CIA regular 99 a month CIA re-registration 2,500 Page 3 of 16

4 3 Phased investment (lump sum or transfer only) not available in conjunction with portfolio rebalancing If you wish to phase your investment out of your cash deposit holdings and into your selected fund choice shown below, tick one of the following phasing periods: you cannot phase into cash 4 Fund choice 3 months 6 months 12 months The phased investment will happen on the 1st of each month. Please choose the month and year you would like your phasing to begin. mm yyyy / 2 0 Please note if you have chosen to phase this investment: Your investment will be placed into a cash deposit before the phasing begins. Your phasing instruction will apply to all cash deposit holdings within your account. Before you apply your financial adviser must give you a Key Investor Information Document (KIID) in respect of each of your chosen funds (if the fund manager has made one available). The KIID shows information about the fund. It is produced by the fund manager and made available by Skandia. Where a KIID is available you can obtain it from your financial adviser. Alternatively, visit our website where you can find out more. Please indicate the percentage that you would like to be invested in each of your selected Funds. Do NOT include any funds you are re-registering. If you wish to place any of your investment into Cash Deposit, please enter CASH as the fund name. You should not select Cash Deposit if you have chosen to phase your investment. Full name of Fund/Structured product these will apply for all products selected Unit/Share type ie Inc/Acc Investment percentage TOTAL % An Investment Choice continuation sheet is available on request. If no Unit/Share type (ie Inc/Acc) is stated, the accumulation units (where available) will automatically be applied. Where accumulation units have been selected and they are not available, income units will be automatically applied or vice versa. Any changes to the Unit/Share type stated above, due to error or omission by your financial adviser, will not be corrected retrospectively. If a fund instruction is illegible or otherwise invalid your investment will be placed into cash deposit until we receive valid instructions from you. For more information on income and accumulation Units/Shares, refer to the Funds List. 5 Portfolio rebalancing not available for re-registration or in conjunction with phased investment If you wish to rebalance your portfolio back to the fund choice and proportions shown above, tick one of the following frequencies: Page 4 of 16 3 months 6 months 12 months Portfolio rebalancing will happen on the 15th of the month. Please choose the month and year you would like your rebalancing to begin mm yyyy / 2 0 If you are making an additional investment and your fund choice has changed, please tick here ( ) if you would like rebalancing to remain switched on. We will send you a form for you to confirm your rebalancing instruction.

5 6 Automatic income or withdrawal instruction Type please choose one option only 1. Distribution of income generated by the funds please tick OR 2. Fixed withdrawal each payment of minimum payment 25 In addition I wish to increase the fixed withdrawal amount annually: by 5%; or by the percentage increase in the Retail Prices Index. OR 3. Withdrawals equivalent to % whole % of account value each year. Minimum payment 25 Frequency please tick Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Start date Monthly Quarterly Half-yearly Annually The start date for these frequencies will be the next available following your application. OR The start dates for these months will be the next available following your application, or the date you state here: Bank details for withdrawals All automatic income and withdrawal payments will be made by direct credit and we CANNOT make withdrawal payments to third parties. Please note: some banks or building societies cannot accept direct credits. Name of bank/building society this must be a UK bank/building society account Branch address Sort code - - Account number Building society reference number if applicable Account name Please use this section for NEW income/automatic withdrawal instructions only. The options you select here will apply to all products selected for this application. For changes to existing instructions, please complete the Change to Account form. 7 Payment details for lump sums Please select payment method Cheque please enclose a cheque payable to Skandia MultiFUNDS Limited Cheque number Electronic bank transfer in favour of Skandia MultiFUNDS Limited to: Natwest. Sort code Account number In the reference field on your bank transfer please enter your postcode and surname to help us process your application. Funded from the sale of CIA CIA number please attach a completed Bed & ISA form Page 5 of 16

6 8 Bank details for monthly Direct Debit payments Monthly Direct Debit investment options Please tick ( ) the date you would like your monthly Direct Debit investments to be collected from your bank. If you tick neither date, we will collect your Direct Debits on the 10th of each month. Monthly Direct Debit investments will CONTINUE INDEFINITELY unless we hear otherwise from you. Direct Debit collections will show on your bank statement as Skandia MultiFUNDS Limited. We will apply the reference number in relation to the Direct Debit Instruction; please leave this blank. 10th 20th Instruction to your bank/building society to pay by Direct Debit Please fill in the whole form using a ball point pen and send it to: Skandia MultiFUNDS Limited Skandia House, Portland Terrace, Southampton SO14 7AY Name and full postal address of bank/building society Service user number Reference To: The Manager Address Name(s) of accountholder(s) bank/building society Instruction to your bank/building society Please pay Skandia MultiFUNDS Limited Direct Debits from the account detailed in this Instruction subject to the safeguards assured by the Direct Debit Guarantee. I understand that this Instruction may remain with Skandia MultiFUNDS Limited and, if so, details will be passed electronically to my bank/building society. Signature(s) Date Bank/building society account number Branch sort code - - Banks/building societies may not accept Direct Debit Instructions for some types of account. This guarantee should be detached and retained by the payer. THE DIRECT DEBIT GUARANTEE This Guarantee is offered by all banks and building societies that accept Instructions to pay Direct Debits. If there are any changes to the amount, date or frequency of your Direct Debit, Skandia MultiFUNDS Limited will notify you five working days in advance of your account being debited or as otherwise agreed. If you request Skandia MultiFUNDS Limited to collect a payment, confirmation of the amount and the date will be given to you at the time of the request. If an error is made in the payment of your Direct Debit, by Skandia MultiFUNDS Limited or your bank or building society, you are entitled to a full and immediate refund of the amount paid from your bank or building society. If you receive a refund you are not entitled to, you must pay it back when Skandia MultiFUNDS Limited asks you to. You can cancel a Direct Debit at any time by simply contacting your bank or building society. Written confirmation may be required. Please also notify us. Page 6 of 20

7 9 Designated account (CIA only) If you wish us to apply a designation to a CIA, please indicate below choose one option only ( ) Please tick here to apply an irrevocable designation OR ( ) here to apply a revocable designation Please enter the designation here: If you have entered a designation above, have not ticked one of the options and do not enclose a CIA Designated Account form, we will assume the designation is IRREVOCABLE and send you the form for completion. Irrevocable Designation You must complete and enclose a CIA Designated Account form before we can apply the designation, available for download from You should note: 1. An irrevocable designation creates a bare or absolute trust in favour of the designated person(s). If in doubt, please consult your financial adviser. 2. The designation is irrevocable and cannot be changed after the CIA has been set up. 3. The designation may change which person is assessed for income tax or capital gains tax. Revocable Designation This designation will be treated merely as a label to help you identify your CIA and will have no legal effect. It can be changed or removed with your written authorisation. 10 Third-party payer details Any third party (other than a transferring ISA manager) paying for your investment, including those paying by direct debit, must complete this section. Surname/Company name Full forename(s) Full postal address Date of birth dd mm yyyy Company registration number UK companies only I acknowledge that, in providing the investment(s) for this account: I am making an outright gift and will have no entitlement to the account directly or indirectly. I am 18 years of age or over. I acknowledge that, where this is a company, the payment provided for this investment has been accounted for appropriately. I have read the personal data statement in the Terms and Conditions and consent to my personal data being used in accordance with that statement. Authorised signatory If there is more than one third-party payer please photocopy and complete this section for each one and attach to this application. Page 7 of 16

8 11 Power of attorney Where there is more than one attorney, please attach the same information for each one on a separate sheet of paper. Where an attorney is signing the Declaration in section 12 on behalf of the applicant we will need: the attorney s details below the original power of attorney, or a copy certified as a true copy of the original in ink on each page by a solicitor, notary public or the donor (ie the person giving the power), ie the attorney s identity verified. Surname Full forename(s) Full postal address if correspondence for this account is to be sent to this address, please enter it in section 1 Date of birth dd mm yyyy For ISA applications, please indicate the nature of the applicant s incapacity: Physical Mental I have read the Personal Data Statement in the Terms and Conditions and consent to my personal data being used in accordance with that statement. Attorney s signature You must sign both here and in section 12 writing the words as attorney after your signature 12 Declaration, includes commission options and signature(s) Please read this section carefully before signing and dating the declaration. The total amount you subscribe in a tax year to a stocks and shares ISA must not exceed the maximum ISA allowance, which is currently 11,280 plus charges (you may only subscribe to one stocks and shares ISA in any one tax year). 1. Where I am applying for an ISA a) I apply to subscribe for a stocks and shares ISA for the tax year indicated on this form and each subsequent year until further notice. I understand that any direct debit instructions in this application will CONTINUE INTO SUBSEQUENT TAX YEARS unless I inform Skandia MultiFUNDS Limited to the contrary. b) I declare that: all subscriptions made, and to be made, belong to me; I am 18 years of age or over; except where I am transferring a current tax year ISA, I have not subscribed and will not subscribe to another stocks and shares ISA in the same tax year that I subscribe to this stocks and shares ISA, and I have not subscribed and will not subscribe more than the overall subscription limit in total to a cash ISA and a stocks and shares ISA in the same tax year. I am resident and ordinarily resident in the United Kingdom for tax purposes or, if not so resident, either perform duties which, by virtue of Section 28 of Income Tax (Earnings & Pensions) Act 2003 (Crown employees serving overseas), are treated as being performed in the United Kingdom, or I am married to, or in a civil partnership with, a person who performs such duties. I will inform Skandia MultiFUNDS Limited if I cease to be so resident and ordinarily resident to perform such duties or be married to, or in a civil partnership with, a person who performs such duties. 2. Where I am applying for a CIA a) I declare that: I am 18 years of age or over; I am resident and ordinarily resident in the United Kingdom, Isle of Man, Guernsey or Jersey and will inform Skandia MultiFUNDS Limited if this changes in the future. (This does not apply to top-ups); b) I understand that Skandia MultiFUNDS Limited will administer the CIA in accordance with UK tax legislation; and c) I confirm that if withdrawals are to be paid to a beneficiary, the beneficiary is aged 18 or over. Page 8 of I authorise Skandia MultiFUNDS Limited a) to hold my cash subscription, ISA and/or CIA investments, interest distributions, dividends and any other rights or proceeds in respect of those investments and any other cash; and b) to make any claims to relief from tax in respect of ISA investments on my behalf; and c) to sell units or shares in investments within my account to meet any charges, in accordance with the Terms and Conditions; and d) to give effect to my instructions in accordance with the Terms and Conditions. 4. I understand that I will not receive contract notes relating to transactions involving the purchase or sale of investments which are carried out on a periodic basis in the manner agreed to in this application. Details of these transactions will be shown in the half-yearly statement which will be sent to me. In particular, such transactions include: regular investments payable by direct debit; phased investments; portfolio rebalances; automatic withdrawals; dividend reinvestments; and sales of units to meet Skandia MultiFUNDS Limited charges. 5. I agree to the current Terms and Conditions and have kept a copy, together with a copy of the Key Features Document. 6. I confirm I have received all relevant Key Investor Information Documents in respect of my chosen funds. 7. I consent to my personal data being used in accordance with the Personal Data Statement in the Terms and Conditions. 8. I declare that this application has been completed correctly and to the best of my knowledge and belief.

9 Commission options to be completed by your financial adviser: Please note that Skandia does not pay remuneration to financial advisers for investments made in their own name, or that of their employees, directors, officers, close relatives or individuals we believe should fall within the FSA definition of such individuals. Please refer to our Terms of Business for further information. Trail commission option please tick one option only; if neither option is ticked fund-based trail will apply. Fund-based trail up to 0.5% depending on the funds selected OR Nominated trail of % ISA minimum 0.5% maximum 1.5% CIA minimum 0% maximum 1.5% You must enter nominated trail in multiples of 0.10% or 0.25%. This will be treated as an additional charge on your client s account, and will be taken on a monthly basis by us selling units/shares from the investment. Any fund-based trail commission due to be paid to you will contribute towards the nominated trail commission payment, so fewer units/shares will need to be sold. Nominated trail will apply to the amount being invested on this application form only. If you would like nominated trail on additional investments, please remember to complete this section each time. Initial commission If the rebate box is left blank, you will receive the maximum commission amount under your agreed terms with us. 4.5 Rebate from The standard initial commission rate is % % initial commission You must enter the rebate in multiples of 0.10% or 0.25%. Initial commission is not available for re-registration. Please enter the % amount of commission you wish to rebate Switch commission If your client agrees to pay you an amount each time funds are switched within the investment, please enter the percentage amount here. You may select between 0-3%, using multiples of 0.10% or 0.25%. % This will be treated as an additional charge on your client's account and will apply to all switch instructions received; it will also apply to switches where you have not given advice, unless your client states otherwise in writing. The instructions given above will apply to all investments selected in section 2. If you wish to apply different commission options to different investments or products, please use a new form for each one. Alternatively, you can submit an online application where multiple commission options can be applied. For more information visit our website I confirm I have read and agree to points 1-8 of the Declaration in section 12 on page 8. Where my financial adviser has completed the nominated trail commission box and/or the switch commission box above, I understand and accept that these will be treated as additional charges on my account. Switch charges will apply to all switch instructions; they will even apply to switches where I have not received advice, unless I state otherwise on the appropriate form or in writing. Applicant s signature all applicants must sign Applicant s signature *APIPC0700X* Page 9 of 16

10 13 Money laundering regulations 2007: applicant introduction certificate to be completed by your financial adviser I/We certify that in accordance with the provisions of the UK Money Laundering Regulations 2007 and the Guidance Notes for the Financial Sector (as amended from time to time), I/we have verified the identity, address and source of funds of the applicant(s), and confirm having inspected the originals of the following documents. Evidence of name(s) Type of document(s) Applicant 1 Applicant 2 Reference(s)/Account number(s) Applicant 1 Applicant 2 Date/Issue of document dd mm yyyy Date/Issue of document dd mm yyyy Applicant 1 Applicant 2 Evidence of address(es) Type of document(s) Applicant 1 Applicant 2 Date/Issue of document dd mm yyyy Applicant 1 Applicant 2 Reference(s)/Account number(s) Applicant 1 Applicant 2 Date/Issue of document dd mm yyyy Identified the source of funds, including third-party payer, if different to the applicant(s) Detail(s) The applicant name(s) and address(es) as shown on this Application Form correspond to my/our records, and the applicant is applying on his/her own behalf and not as a nominee, trustee, or in a fiduciary capacity for any other person. Note: Skandia MultiFUNDS Limited can accept as an alternative to the requirements above, an appropriate introduction certificate in accordance with the JMLSG Guidance Notes (as amended from time to time). Financial adviser name Financial adviser s signature Calls may be monitored and recorded for training purposes and to avoid misunderstandings. Skandia provides you with access to its investment platform, known as Skandia Investment Solutions. Within this platform you can open an ISA and Collective Investment Account provided by Skandia MultiFUNDS Limited and a Collective Retirement Account and Collective Investment Bond provided by Skandia MultiFUNDS Assurance Limited. Skandia MultiFUNDS Limited and Skandia MultiFUNDS Assurance Limited are registered in England & Wales under numbers and respectively. Registered Office at Skandia House, Portland Terrace, Southampton SO14 7EJ, United Kingdom. Both companies are authorised and regulated by the Financial Services Authority. FSA register numbers and respectively. VAT number When printed by Skandia this item is produced on a mixed grade material, which uses a combination of recycled wood or paper fibre from controlled sources and virgin fibre sourced from well managed, sustainable forests. PDF5370/ /January 2012 Page 10 of 16

11 Skandia Investment Solutions Re-registration authority form for Individual Savings Accounts (ISAs) ALL SECTIONS OF THIS AUTHORITY MUST BE COMPLETED; IF ANY INFORMATION IS MISSING WE WILL HAVE TO REJECT THIS APPLICATION. Please note: Re-registration involves transferring your existing ISA, without selling the investments. A separate authority form must be completed for each ISA Manager. The form should be completed using BLOCK CAPITALS and blue or black ink. Please quote your existing Skandia client reference number if known 1 Application number if applicable 1. Registered holder s details Registered holder s name Permanent UK residential address Current ISA Manager s details Manager s name Manager s address Reference number as registered with the current ISA Manager continued *APRER0600F* Page 11 of 16

12 Fund details Please check with the current ISA Manager and our Funds List to ensure that the funds are eligible for re-registration. Full names of all funds to be re-registered Share class Income or Accumulation (Inc or Acc) All units/shares in the fund(s) above will be re-registered. Current tax year If you are re-registering funds purchased with an ISA subscription for the current tax year then all of the funds bought with those subscriptions must be re-registered. Funds purchased with previous years ISA subscriptions can be re-registered in whole or in part, if permitted by the current ISA manager. The following must also be completed: Please state the total subscription you have made to this stocks and shares ISA in the current tax year with the current ISA Manager. stocks and shares ISA subscription I hereby authorise the ISA Manager (detailed in this form) to provide Skandia MultiFUNDS Limited with any information that it may require, and to re-register the funds as detailed to Skandia MultiFUNDS (Nominees) Limited Designation: SIS with immediate effect. I confirm that the re-registration of the funds listed will not change the beneficial ownership from the current holder. I confirm that this transaction is exempt from Stamp Duty Reserve Tax (SDRT) by virtue of Paragraph 6 of Schedule 19 of the Finance Act The funds above are to be re-registered in specie (ie without selling the investments) to Skandia MultiFUNDS (Nominees) Limited Designation: SIS, Skandia House, Portland Terrace, Southampton SO14 7EJ. 1. Registered holder s signature *APRER0600X* Calls may be monitored and recorded for training purposes and to avoid misunderstandings. Skandia provides you with access to its investment platform, known as Skandia Investment Solutions. Within this platform you can open an ISA and Collective Investment Account provided by Skandia MultiFUNDS Limited and a Collective Retirement Account and Collective Investment Bond provided by Skandia MultiFUNDS Assurance Limited. Skandia MultiFUNDS Limited and Skandia MultiFUNDS Assurance Limited are registered in England & Wales under numbers and respectively. Registered Office at Skandia House, Portland Terrace, Southampton SO14 7EJ, United Kingdom. Both companies are authorised and regulated by the Financial Services Authority. FSA register numbers and respectively. VAT number When printed by Skandia this item is produced on a mixed grade material, which uses a combination of recycled wood or paper fibre from controlled sources and virgin fibre sourced from well managed, sustainable forests. PDF5370/ /January 2012 Page 12 of 16

13 Skandia Investment Solutions Re-registration authority form for the Collective Investment Account (CIA) ALL SECTIONS OF THIS AUTHORITY MUST BE COMPLETED; IF ANY INFORMATION IS MISSING WE WILL HAVE TO REJECT THIS APPLICATION. Please note: Re-registration involves transferring your existing investments, without selling them. A separate authority form must be completed for each Fund Manager or product provider. The form should be completed using BLOCK CAPITALS and blue or black ink. You can only re-register units/shares that are held in your name(s) (or held on your behalf by a Nominee). Do not use this form for trust or corporate investments, for which we have a separate form. Please quote your existing client reference number if known 1 Application number if applicable 1. Registered holder s details Registered holder s name Permanent UK residential address 2. Additional registered holder s name if applicable Current Fund Manager s or product provider s details Manager s or product provider s name Manager s or product provider s address Reference number as registered with the current Fund Manager or product provider. continued *APRER0600F* Page 13 of 16

14 Fund details Please check with the current Fund Manager or product provider and our Funds List to ensure that the funds are eligible for re-registration. Full names of all funds to be re-registered Share class Income or Accumulation (Inc or Acc) All units/shares in the fund(s) above will be re-registered. I/We hereby authorise the Fund Manager or product provider (detailed in this form) to provide Skandia MultiFUNDS Limited with any information that it may require, and to re-register the funds as detailed to Skandia MultiFUNDS (Nominees) Limited Designation: SIS with immediate effect. I/We confirm that the re-registration of the funds listed will not change the beneficial ownership from (or among) the current holder(s). I/We confirm that this transaction is exempt from Stamp Duty Reserve Tax (SDRT) by virtue of Paragraph 6 of Schedule 19 of the Finance Act The funds above are to be re-registered in specie (ie without selling the investments) to Skandia MultiFUNDS (Nominees) Limited Designation: SIS, Skandia House, Portland Terrace, Southampton SO14 7EJ. 1. Registered holder s signature 2. Additional registered holder s signature if applicable *APRER0600X* Calls may be monitored and recorded for training purposes and to avoid misunderstandings. Skandia provides you with access to its investment platform, known as Skandia Investment Solutions. Within this platform you can open an ISA and Collective Investment Account provided by Skandia MultiFUNDS Limited and a Collective Retirement Account and Collective Investment Bond provided by Skandia MultiFUNDS Assurance Limited. Skandia MultiFUNDS Limited and Skandia MultiFUNDS Assurance Limited are registered in England & Wales under numbers and respectively. Registered Office at Skandia House, Portland Terrace, Southampton SO14 7EJ, United Kingdom. Both companies are authorised and regulated by the Financial Services Authority. FSA register numbers and respectively. VAT number When printed by Skandia this item is produced on a mixed grade material, which uses a combination of recycled wood or paper fibre from controlled sources and virgin fibre sourced from well managed, sustainable forests. PDF5370/ /January 2012 Page 14 of 16

15 Skandia Investment Solutions Transfer authority form ISA only A separate form will be required for each transfer. Please ensure all applicable sections of the form are completed as missing information will result in delay in processing or return of this application. Investor details Title Mr Mrs Miss Other please specify Surname Full forename(s) Date of birth dd mm yyyy Permanent UK residential address National Insurance number for ISA investments this is essential ( ) Please tick here if you do not have a National Insurance number I hereby authorise the Manager detailed below to provide Skandia MultiFUNDS Limited with any information that it may require to transfer funds with immediate effect. Please indicate whether the entire ISA is to be transferred or show specific tax years, if applicable. Entire ISA OR ISA tax year(s) Estimated ISA value Please indicate the type of ISA to be transferred Stocks and shares ISA OR Cash ISA ISA Manager details ISA Manager name ISA Manager address Reference number as registered with the ISA Manager If you have subscribed to this ISA in the current tax year, you must transfer the ISA for the entire tax year and state below how much you have subscribed. Total subscribed in the current tax year to the ISA being transferred. The investment(s) above is/are to be sold and the cash proceeds transferred in pounds sterling to: Skandia MultiFUNDS Limited, Skandia House, Portland Terrace, Southampton SO14 7EJ. Investor signature *APTRF0600F* Page 15 of 16

16 Calls may be monitored and recorded for training purposes and to avoid misunderstandings. Skandia provides you with access to its investment platform, known as Skandia Investment Solutions. Within this platform you can open an ISA and Collective Investment Account provided by Skandia MultiFUNDS Limited and a Collective Retirement Account and Collective Investment Bond provided by Skandia MultiFUNDS Assurance Limited. Skandia MultiFUNDS Limited and Skandia MultiFUNDS Assurance Limited are registered in England & Wales under numbers and respectively. Registered Office at Skandia House, Portland Terrace, Southampton SO14 7EJ, United Kingdom. Both companies are authorised and regulated by the Financial Services Authority. FSA register numbers and respectively. VAT number When printed by Skandia this item is produced on a mixed grade material, which uses a combination of recycled wood or paper fibre from controlled sources and virgin fibre sourced from well managed, sustainable forests. PDF5370/ /January 2012 Page 16 of 16