FIDELITY RETIREMENT MASTER TRUST 富达退休集成信托.pdfVIP

HTHK/FORM/MPF/FIL/Fund Transfer Form MPF(S)-P(M) (0405) FIDELITY RETIREMENT MASTER TRUST 富達退休 SCHEME MEMBER’S REQUEST FOR FUND TRANSFER F 計劃成員資金轉移申請表 註1 N o t e s : (1 ) Please read the explanatory notes carefully before completing this Form. 填報本申請表前 (2 ) Definition of terms is provided at Explanatory Note 2. 用詞定義載於填報須知註2。 (3) Please use blue or black ballpoint pen and complete this Form in block letters; any amendm counter-signed. Please do not use correction fluid. 請以藍色或黑色原子筆及正楷填寫此表格。如有任何資料刪改請必須加簽, (4 ) * means delete whichever is inappropriate *請刪去不適用者。 (5 ) Please insert N.A. if not applicable. 請在不適用處填上「不適用」。 (6 ) The information and data provided in this Form can be used by the approved trustees concer Fund Schemes Authority in activities relating to the processing of the transfer and may be d purposes. 本申請表所載資料及數據可供有關的核准受託人及強制性公積金計劃管理局作處理轉 人士披露。 (7 ) Should you have any questions when completing this Form, please feel free to contact the F 1666. 如閣下於填表時有任何疑問，請致電富達退休投資熱線2500-1666。 (8) Please see procedures to be followed in Explanatory Note 7 after completion of this Form. 填妥本表格後，請參閱填報須知第(7)項以了解遞表安排。 SECTION I - DETAILS OF THE SCHEME MEMBER 第I部 - 計劃成員資料 (1) Name of the scheme member : 計劃成員姓名： (Must be identical to the name printed on your HKID Card / Passport 成員姓名須與身分證/護照相同) (2) HK Identity (HKID) Card / Passport* no. Note 3 of the Scheme Member 計劃成員香港身分證/護照*號碼 註 3： (Must be identical to the one on the Membership Enrollment Form 須與計劃成員登記表格的身分證/護照號碼相同 ) (3) Correspondence address 通訊地址 Flat/Room室 Floor樓/層 Block座 Name of building Street no. 街/道號碼 Name of street街/道 Hong Kong香港 /Kowloon九 Name of district 區 (4) Contact Phone Number 聯絡電話號碼 ： (5) Mobile/Pager no. 手提電話/傳呼機號碼： (6) Facsimile no. 傳真號碼： (7) E-mail address 電郵地址： (P l ea s e p r ovi d e ONE ema i l add r es s on ly 請只填寫一個電郵地址 ) HSBC Institutional Trust Services (Asia) Limite 滙豐機構信託服務(亞洲)有限公司FORM MPF(S) – P(M)1 集成信託 ORM Note 1 ，請先細讀填報須知。 ents should be clearly marked and 請避免用塗改液刪改資料。 ned a