PDF《SCHEME MEMBER'S REQUEST FOR FUND》

SCHEME MEMBER'

S REQUEST FOR FUND TRANSFER FORM (for self-employed person, personal account holder or employee ceasing employment) 计划成员资金转移申请表(适用於自雇人士、个人帐户持有人或终止受雇的雇员)Sections 145, 146, 147,

148 and

149 of the Mandatory Provident Fund Schemes (General) Regulation (Cap 485A) 《强制性公积金计划(一般)规例》(第485A章)第

145、

146、

147、148及149条*UNITMPFADMIN* Section I C Scheme Member'

s Details 第一部份 C 计划成员资料 1.

Name 姓名 (as shown on your Hong Kong Identity (HKID) Card Note

1 与您的香港身份证上的姓名相同 注1 ) : Surname in English 英文姓氏 Given Name in English 英文名字 Name in Chinese 中文姓名 3. Contact Details 联络资料 : Daytime Phone Number 日间电话号码 Mobile Phone Number 手提电话号码 Email Address 电邮地址 (if any 如有) The above address applies to all of your products / services in Hong Kong and Macau provided by all companies within the Manulife group of companies and also companies which provide trustee / custodian services to Manulife. 您所提供的住址,适用於您持有,并由宏利集团旗下公司,以及为本公司提供信托/托管服务的公司,於香港及澳门所提供的产品/服务上. To apply the above address to this member account only, please this box. 如以上住址只适用於此成员帐户,请在方格内填上「」号. H.K. 香港 KLN. 九龙 N.T. 新界 Others 其他 4. Residential Address 住址 (There is no need to complete below unless you need to update your record 如非更新记录,可无须填写) : (Note: All correspondences will be sent to the following address 备注:所有通讯文件将寄往以下住址) Room / Flat 室Floor 楼Block 座Name of Building 大厦名称 Name of Estate 屋苑名称 Street No. / Street Name 街道号码 / 街道名称 District 区域 2. Identi cation 身份证明 : HKID Card Number 香港身份证号码 Passport Number 护照号码 (Only for scheme member without HKID Card 本栏仅供没有香港身份证的计划成员填写) ISO

9001 Certified to Manulife Employee Benefits Section II C Transfer Information 第二部份 C 转移资料 7. Details of self-employed status (applicable for self-employed person only) 自雇人士身份详情(只适用於自雇人士): Please indicate your reason of transfer and as appropriate 请於适当方格内填上 号,表明申请转移的原因: (a) Cessation of self-employment, with effect from 终止自雇,生效日期是 : (b) I will remain in self-employment and my bene ts will be transferred to another scheme stated in section III(8). Last contributions to the original scheme should be paid up to 本人将会维持自雇,并把本人的权益转移至第三部份第(8)项所述的另一个计划. : 本人向原计划供款的最后日期 是(C) dd 日/mm 月/yyyy 年(T) dd 日/mm 月/yyyy 年If no date has been speci ed, your contribution will be paid up to the day when Manulife received the noti cation of the transfer election from the new trustee. 若没有注明日期,您的供款将计算至宏利接获新受托人的转移计划通知之当日. 5. MPF account information in the original scheme 原计划的强积金帐户资料 : Name of original trustee Note

2 : 原受托人名称 注2 Name of original scheme Note

2 : 原计划名称 注2 Type of MPF account (please select ONE of the following accounts and as appropriate) : 强积金帐户类别(请选择以下其中一个帐户并於适当方格内填上 号): Personal account 个人帐户 OR 或Contribution account 供款帐户 Scheme member'