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Kingfisher Pension Scheme

Change Contribution Form

Your request will be processed in the payroll month after you have submitted your application.

This form should only be completed if you have already joined the Scheme.

Personal information

Contributions

Please change my contributions as I have indicated below from the next available payroll cycle.

Member Contributions

You must contribute a minimum Member Contribution of 3% of your Basic Pay each month into the Kingfisher Pension Scheme which will be matched by the Company.

The following table shows the Company and Member Contribution rates:

Employee %

Employer %

8%

7%

6%

5%

14%*

10%

6%

5%

Please select from the dropdown menu below to confirm what you would like to do with your contribution rate:

*You can contribute more than 8%; however the Company will not contribute more than 14%. If you wish to make an Employee contribution in excess of 8%, please select 'Over 8%' and input this percentage in the box that appears.

Additional Voluntary Contribution

(This will be on top of your chosen contribution rate each month)

You can pay an Additional Voluntary Contribution AVC) as a fixed monetary monthly amount. Please complete the box below if you wish to pay AVCs in addition to your chosen contribution rate.

If you have not completed the member contribution percentage we will assume your current contribution rate will apply.

Please note a single lump sum AVC paid via SMART Pensions can only be made after the money has been earned. The single lump sum AVC will therefore be deducted from your Salary from the date of this form and paid into your retirement savings the following month.

Declaration

Data Protection (you must sign the section below)

Your personal data is kept secure and only used for purposes relating to the Kingfisher Pension Scheme. Information may be disclosed for those purposes to the Company, the Trustee’s advisers, the administrators of the Scheme or insurance companies. Mobile phone numbers and email addresses may be used should we need to contact you in relation to your membership or for future communications regarding the Scheme. If you do not wish for us to contact you by email or telephone please do not complete those sections.

Online signature

Complete an 'online signature' by entering your full name and today's date in the boxes below before submitting this form.