Beneficiary Enrollment Form

B/E Aerospace B.V. - Philippine Branch Employees' Retirement Plan ("Plan")

Please forward the completed form to your HR Department. Please use BLOCK CAPITALS throughout fill-up of form.
Please note the total of your proportions must be equal to 100%. If you have more beneficiaries please attach additional paper.

EMPLOYEE NAME EMPLOYEE NO.

Subject to the rules of the Plan, I designate the following Beneficiary(ies) to receive the corresponding proportions
of the benefit plan in case of my death or inability by reason of physical or mental incapacity. I have a total of _____
beneficiaries.

(1) (2)
NAME NAME

ADDRESS ADDRESS

RELATIONSHIP RELATIONSHIP

PROPORTION PROPORTION
(3) (4)
NAME NAME

ADDRESS ADDRESS

RELATIONSHIP RELATIONSHIP

PROPORTION PROPORTION
(5) (6)
NAME NAME

ADDRESS ADDRESS

RELATIONSHIP RELATIONSHIP

PROPORTION PROPORTION

EMPLOYEE SIGNATURE OVER PRINTED NAME DATE SIGNED