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PO Box 1246

Sutherland House
Russell Way
Crawley RH10 0HZ
www.equiniti.com
Tele: 0345 121 2514
Overseas: +44 1903 768625
Fax: 01293 604010

Pension Reference:

Application for payment of pension in MWK currency by direct deposit to: Malawi

Part 1 - Personal Details – Please complete in full


Forename: Family name:

Address:

Contact Telephone Number:

Part 2 – Overseas Bank Details – Please complete in full


Full Name of Bank or Financial Institution:

Full Address of Bank or Financial Institution:

Full name of the beneficiary account holder (as quoted on the account) - up to 35 alphabetic characters
including spaces:

Bank Identification Code (Swift BIC) (full 11 character BIC required - if 8 characters last 3 = XXX )

Account number

Account Type
(0 = Cheque/Current, 1 = Savings)

Part 3 – Please sign below:

Signed: Date:

10/2015 V1 024 Malawi

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