Telefónica UK Pension Plan

Expression of wish form

You should complete this form on joining the Plan, if you have a life event or at least every 10 years.

Your details

Full name: DIPESH K LIMBACHIA

EIN (if known): 703140287

National Insurance number: JW 03 75 77 B Date of birth: 06/09/1990

In the event of my death, I wish the discretion under the Plan Rules to be exercised so that the Trustees will
apply any lump sum death benefit arising under the Plan for the benefit of the following in the proportion(s)
shown.

You may name below any individual(s) you wish to be considered for this benefit. This will normally be (but is
not restricted to) a family member or a dependant.

Full Name Address Relationship to member Proportion of Benefit (if

more than one person)

1 CRANBORNE WALK FATHER

FURNACE GREEN
CRAWLEY
KISHOR I LIMBACHIA WEST SUSSEX
RH10 6LP

Total 100%

I understand this is only an expression of wish and is not binding on the Trustees. This form cancels any
previously submitted expression of my wishes. I also understand that my personal details can be used by the
Trustees as explained in the Data Protection information on the Telefónica Pension’s website.

Signed: D K LIMBACHIA Dated: 01/12/2017

If you only have Defined Contribution (DC) savings within the Telefónica UK Pension Plan (Section 1 member)
please return the form through either:

 Post: to ‘Standard Life, Corporate Pensions, Standard Life House, 30 Lothian Road, Edinburgh EH1
2DH’
 Or you can update your expression of wish form online through www.standardlife.co.uk. Please note
Standard Life cannot accept a soft copy of your expression of wish via email.

If you have any form of Defined Benefit (DB) savings i.e. you’re an ex-final salary member of the Telefónica
UK Pension Plan (Section 1A, 2 or 3 member) or if you have never joined the Telefónica UK Pension Plan
please return this form to our Pensions administrators LCP through either:

 Post: LCP, St Pauls House, St Paul's Hill, Winchester SO22 5AB

 Or Email: TelefonicaAdmin@lcp.uk.com

Remember you can update or change your expression of wish at any point.