Group Flexible Retirement Plan (GFRP) to Group Self Invested Personal Pension (GSIPP)

Group Flexible Retirement Plan (GFRP) to Group Self Invested Personal Pension (GSIPP) Upgrade form Using this form When we refer to Standard Life we mean Standard Life Assurance Limited You should use this form to upgrade from a Group Flexible Retirement Plan (GFRP) into a Group Self Invested Personal Pension Plan (GSIPP) Complete Part 2 if you wish to change the investment of your existing funds Complete Part 3 if you wish to change the investment of your ongoing regular payments If you are receiving advice from an adviser you should remember that the adviser is acting on your behalf not only by giving you advice, but also regarding the completion of the form Part 1 Planholder s details Title (Mr/Mrs/Miss/Ms/ Other eg Dr/Rev) Surname First name(s) (in full) National Insurance Number (Group) Flexible Retirement Plan Number Group Number (If known) D J Date of birth (DD/MM/YYYY) 0918 If you invest in assets other than Standard Life Investment Policy (SLIP) funds a record will be set up for you in the SIPP bank account For details of charges, please see Charges Sheet (GSIP20) Please refer to the booklet How regular investments under a GSIPP work (NEP13) Please note that we cannot process your application without a valid National Insurance Number You can find your National Insurance Number on your payslip Part 2 Investment instructions for existing funds Under a GFRP your whole plan is invested in our insured pension funds (Under a GSIPP we call these funds Standard Life Investment Policy (SLIP) funds to distinguish them from all other types of funds in which a GSIPP can invest) Complete this section if you wish to switch some of your investment out of your existing SLIP funds into other types of investment Please confirm the percentage to be left invested in SLIP funds (give us details in Part 2d) Please confirm the percentage to be switched into the SIPP Bank Account (this amount should be enough to cover any fees or charges) Please confirm the percentage to be reinvested in mutual funds or other investments (give us details in Parts 2a to 2c) Total 1 0 0 0 0 A European Union directive requires fund managers to produce a Key Investor Information Document (KIID) for most funds This document sets out key information about the fund including the objectives and risks of the fund, what it invests in and its charges It is important that you read the KIID before selecting the fund If you want to change the investment of your ongoing regular payments please complete Part 3 Although instructions are expressed as a percentage, these will be converted to flat amounts for all mutual funds or other investments These flat amounts will continue to be invested even if you increase your regular payments The additional payment will remain in the SIPP Bank Account until you give us fresh investment instructions September 2018 Page 01 of 08

Part 2a SIPPZone mutual funds For income funds do you wish the income to be paid into the SIPP Bank Account? Yes No If No is selected, the income will be used to purchase additional units in the fund Citicode SIPPZone mutual funds (fund names) invested (as a ) Please refer to wwwstandardlifecouk for information on the investments available to you Please note that the citicode(s)/fund code(s) and the FULL fund name(s) must be included in order for us to process your application If we do not have this information we may have to return your application Sub Total 2A Part 2b Mutual funds from Fidelity FundsNetwork Mutual funds from Fidelity FundsNetwork (fund names) Proportion to be invested (as a ) Income funds (see margin note) Please note that the FULL fund name(s) must be included in order for us to process your application If we do not have this information we may have to return your application INCOME FUNDS For income funds cross the box in the last column of this table if you wish the income to be paid into the SIPP Bank Account Sub Total 2B Part 2c Other Investments Please use this section to list the provider, fund name, type of shares (accumulation or income), commission and amount Other Investments (provider, fund name and type of shares) invested (as a ) Your Financial Adviser must obtain an application form from the other provider for Standard Life to sign There may be a requirement to check acceptability of assets before investment can be made Please ensure that the total of all the percentages in 2A, 2B and 2C matches the percentage you have requested us to reinvest in mutual funds or other investments at the start of Part 2 Sub Total 2C Page 02 of 08 September 2018

Part 2d Standard Life Investment Policy Funds Fund code Fund Name (in full) invested (as a ) Please refer to wwwstandardlifecouk for information on the investments available to you Please ensure the total figure matches the percentage you have requested to be invested in SLIP funds at the start of Part 2 Sub Total 2D Part 3 Investment instructions for ongoing regular payments This section should be used if you wish to change the investment of your ongoing regular payments You can invest in: Section A SIPPZone Mutual Funds Section B Mutual Funds from Fidelity FundsNetwork Section C Other Investments Section D Standard Life Investment Policy Funds The investments described in A, B and C will be made via the SIPP bank account Percentage of regular payments to be directed into the SIPP bank account (Section A, B and C plus any money to be left in the SIPP bank account) Percentage to be invested in SLIP funds (Section D) Total 1 0 0 0 0 A European Union directive requires fund managers to produce a Key Investor Information Document (KIID) for most funds This document sets out key information about the fund including the objectives and risks of the fund, what it invests in and its charges It is important that you read the KIID before selecting the fund If you want to change the investment of your existing funds please complete Part 2 Although instructions are expressed as a percentage, these will be converted to flat amounts for all mutual funds or other investments These flat amounts will continue to be invested even if you increase your regular payments The additional payment will remain in the SIPP Bank Account until you give us fresh investment instructions For details of charges, please see Charges Sheet (GSIP20) For details of investments, please refer to the booklet How regular investments under a GSIPP work (NEP13) September 2018 Page 03 of 08

Part 3a SIPPZone mutual funds For income funds do you wish the income to be paid into the SIPP Bank Account? Yes No Which day of the month (1st-28th) would you like your SIPPZone mutual funds to be invested? If No is selected, the income will be used to purchase additional units in the fund citicode SIPPZone mutual funds (fund names) invested (as a ) Sub Total 3A Please refer to wwwstandardlifecouk for information on the investments available to you Please note that the citicode(s)/fund code(s) and the FULL name(s) must be included in order for us to process your application If we do not have this information we may have to return your application For details of charges, please see Charges Sheet (GSIP20) Please refer to the booklet How regular investments under a GSIPP work (NEP13) Part 3b Mutual Funds from Fidelity FundsNetwork Mutual funds from Fidelity FundsNetwork (fund names) Proportion to be invested (as a ) Income funds (see margin note) For income funds cross the box in the last column of this table if you wish the income to be paid into the SIPP Bank Account Sub Total 3B Part 3c Other Investments Please use this section to list the provider, fund name, type of shares (accumulation or income), commission and amount Other Investments (provider, fund name and type of shares) invested (as a ) Your Financial Adviser must obtain an application form from the other provider for Standard Life to sign There may be a requirement to check acceptability of assets before investment can be made Please ensure that the total of all the percentages in 3A, 3B and 3C plus any money to be left in the SIPP bank account, matches the percentage you directed us to pay into the SIPP bank account at the start of Part 3 Sub Total 3C Page 04 of 08 September 2018

Part 3d Standard Life Investment Policy Funds Fund code Fund Name (in full) invested Sub Total 3D For details of the individual charges and expenses for each fund, please contact your adviser Please ensure the total figure matches the percentage you have requested to be invested in SLIP funds at the start of Part 3 For details of charges, please see Charges Sheet (GSIP20) Part 4 Execution Only Stockbroker 1 Do you wish to appoint the specially arranged Execution Only Stockbroker available through Standard Life? If yes, please go to question 2 If no, please go to Part 5 2 Do you want the Stockbroker to take deal instructions direct from Me you, or your adviser? If you selected me, would you like your adviser to receive copy Yes correspondence and be able to view account details online? Please provide a contact telephone number for the Stockbrokers records Telephone number Yes No Adviser If you/your adviser would like to use internet share dealing, please provide an email address @ No An Execution Only Stockbroker carries out trades on your, or if you prefer, your adviser s instructions For details of the charges that apply to this service, please see our charges guide (GSIP20) Please provide the relevant e-mail address Part 5 Discretionary Investment Manager 1 We work with a range of Discretionary Investment Managers (DIM) Yes No Do you wish to appoint one? If Yes, please check with your adviser that the DIM that you want to use is available, and complete question 2 If No, please go to Part 6 2 DIM Name How much do you wish us to send? September 2018 Page 05 of 08

Part 6 Authorising your adviser to give investment instructions on your behalf If you want your adviser to be able to give investment instructions to Standard Life on your behalf, sign and date this section I authorise Standard Life to provide information to, and accept instructions from the adviser intimated in Part 10 to buy or sell investments under my plan This authorisation will apply until Standard Life receives a written instruction from me changing or withdrawing my authorisation Signature Date (DD/MM/YYYY) If this section does not fit your requirements, please give us signed written instructions, and attach them to this form Signature Part 7 Adviser remuneration If you are not paying your adviser, please go to Part 9, or Part 8 if you are doing this on an Execution Only Basis You should only complete this Part if you will have enough money available to pay your adviser out of your Plan You can only pay an adviser fee if the group scheme was established before 31 December 2012 and payment of such a fee is covered in an agreement made between your employer and the adviser before that date You can only complete this Part if you will have enough money available to pay your financial adviser out of your plan We ll pay the adviser by cancelling units in your SLIP funds and by taking money from the SIPP bank account in proportion to the value of your investments in SLIP funds and other assets Adviser fee You can only pay an adviser fee if the group was established before 31 December 2012 and payment of such fee is covered in an agreement made between your employer and the adviser before that date and the group scheme is not a qualifying workplace pension scheme 1 Please state the fees you authorise us to deduct from your plan, as payment to your adviser for their advice One-off fee Regular fee 2 If you have chosen to pay a Regular fee, in how many instalments do you want the yearly fee to be paid? Monthly Quarterly Yearly Other If other please specify 3 If you have chosen to pay a Regular fee, how long do you want to pay this fee for? For the lifetime of the plan Other (please specify term) Years Months 4 If you have chosen to pay a Regular fee when would you like the first fee to be paid from your plan? (DD/MM/YYYY) Adviser Charging You can only pay for personalised advice via an adviser charge if the group scheme was established on or after 15 October 2012 (unless the scheme was set up after this date and is currently on a commission paying basis ie not a Qualifying Workplace Pension Scheme (QWPS)) or if the scheme was set up before this date and we have agreed to make adviser charging available Under this can you add If you are paying for individual advice and you have agreed to pay adviser charges from your Group Self Invested Pension plan, both you and your adviser will need to complete the Confirmation of adviser charges form (GFRP15) Page 06 of 08 September 2018

Part 8 Execution Only Declaration where no advice was given Please tick each of the following boxes to confirm that you agree with the corresponding statements We cannot process this application form unless you confirm that you agree with all of the following statements I am aware that Standard Life recommends that all customers should seek financial advice before switching to a SIPP I have chosen not to seek financial advice and confirm that Standard Life have not provided me with any financial advice regarding this product By not seeking advice, I am taking full responsibility for the suitability of this product for my needs, and will not hold Standard Life responsible for the suitability, or for any losses I may suffer as a result of my decision There is no guarantee that what I get back will be greater than what I would have received if I had remained in a Group Flexible Retirement Plan I have read the Key Features document (GSIP17) explaining the main features, benefits and risks of the GSIPP I have read How regular investments under a GSIPP work (NEP13), and the Charges Sheet (GSIP20), and understand the charges that apply to the GSIPP I agree to be bound by the SIPP Terms and Conditions (SLSIP62) I understand that I can access the Key Investor Information Documents (KIIDs) for my chosen funds (where available) from the standardlifecouk website or by calling Standard Life I confirm that the information I have given is true and correct to the best of my knowledge and belief Signature Date (DD/MM/YYYY) Signature Part 9 Declaration I have read the Key Features document (GSIP17) explaining the main features, benefits and risks of the GSIPP I have read How regular investments under a GSIPP work (NEP13), and the Charges Sheet (GSIP20), and understand the charges that apply to the GSIPP I agree to be bound by the SIPP Terms and Conditions (SLSIP62) I understand that I can access the Key Investor Information Documents (KIIDs) for my chosen funds (where available) from the standardlifecouk website or by calling Standard Life Planholder s Signature Date (DD/MM/YYYY) Signature September 2018 Page 07 of 08

Part 10 Financial adviser s details Intermediary Reference Number Name of contact (maximum 25 characters) Location Basis of sale Whole of Market Other If Other, please specify: Was advice given? Advice No Advice (eg Execution only) Money laundering FCA or Authorisation number Money laundering form completed and attached Standard Life Assurance Limited and Standard Life Trustee Company Limited are owned by the Phoenix Group and use the Standard Life brand under licence from the Standard Life Aberdeen Group You can find more information about Standard Life Aberdeen plc s strategic partnership with Phoenix at wwwstandardlifecom/partnership Standard Life Assurance Limited is the provider and scheme administrator of the Standard Life Self Invested Personal Pension Scheme, and Standard Life Trustee Company Limited is the trustee Standard Life Assurance Limited is registered in Scotland (SC286833) at Standard Life House, 30 Lothian Road, Edinburgh EH1 2DH Standard Life Trustee Company Limited is registered in Scotland (SC076046) at Standard Life House, 30 Lothian Road, Edinburgh, EH1 2DH Standard Life Assurance Limited is authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential Regulation Authority wwwstandardlifecouk 0918 2018 Standard Life Aberdeen, reproduced under licence All rights reserved September 2018 Page 08 of 08