Fund Porting Form

Note: Please provide and crosscheck the correct information below

1. MEMBER DETAILS
2. PREVIOUS EMPLOYMENT DETAILS
3. CURRENT EMPLOYMENT DETAILS
4. CONTRIBUTOR'S DECLARATION
I,
do hereby declare to elect that all my accrued benefits be transferred to Standard Pensions Trust and that all information provided is complete and accurate.
FOR OFFICE USE ONLY

No. 42 Nii Nortey Nanchii Street

Dzorwulu Accra, Ghana

P. O. Box 8952 Accra-Ghana

+233 (0) 302 780 720 | +233 (0) 302 780 765 | +233 (0) 302 780 793 | +233 (0) 302 780 452

www.standardpensions.com

Corporate Trustee. Pension Fund Administrator