REDEMPTION REQUEST FORM

1 MY PERSONAL DETAILS

Amundi ESR account number* : …………………………… Last name* :…………………………………….

Company name / code : ……………………………………... First name* ……………………………………….
Email : …………………………………………………………. Mobile phone +………………………………….…

*The application will be considered incomplete if this data is not provided

2 MY REDEMPTION REQUEST

I require the redemption of my assets:

 Available and/or,
 Unavailable, using the following early redemption motive : |__|__|
Motive date: |__|__| |__|__| |__|__|__|__|
D D M M Y Y Y Y
Investment Total OR partial redemption (number of units to
vehicle Investment fund redemption redeem or amount in €)

4997 ESOP LEVERAGE P 2017

 XXXXXXXXXXX

5096 ESOP LEVERAGE P 2018

 XXXXXXXXXXX

5930 ESOP LEVERAGE P 2019

 XXXXXXXXXXX

4679 FONDS ACTIONNARIAT CAPGEMINI - C


3 MANDATORY DOCUMENTS TO ATTACH TO THIS FORM
 I imperatively enclose a copy of my personal ID (valid Passport, ID card or driving license)
 I imperatively upload a bank document, in my name, showing the SWIFT/ BIC code of the bank and my IBAN number (EU) or my
account number on www.amundi-ee.com/account

4 COMPANY VALIDATION (HR Correspondent) (only for early redemptions)

Date : …………… Company stamp :
Correspondent‘s name : …………………….

Correspondent‘s signature :

5 MY VALIDATION (mandatory)
Date …………. My signature * :

PLEASE SEND COMPLETE FILE TO YOUR HUMAN RESSOURCES DEPARTMENT

Any incomplete application will lead to an additional processing delay

Siège social : 90 boulevard Pasteur- 75015 Paris – France

Adresse postale : 26956 Valence Cedex 9 – France
Amundi ESR est une Société Anonyme au capital de 24 000 000 € - 433 221 074 RCS Paris.
Entreprise d’Investissement régie par le Code Monétaire et Financier agréée par l’ACPR n° 14 758 R - Immatriculée à l’ORIAS n° 16006295