保证基金转出风险声名确认tg表格-Page1of3.PDF

格 表 G T M R O F FIDELITY RETIREMENT MASTER TRUST 富達退休集成信託 TRANSFER OUT OF A GUARANTEED FUND - RISK STATEMENT ACKNOWLEDGEMENT 保証基金轉出風險聲明確認 ? This form is ONLY applicable for the following circumstances, if you are transferring your accrued benefits: — OUT of a guaranteed fund you are currently investing; and — into the Fidelity Retirement Master Trust. ? Please complete ALL required information and sign. Please complete this form in block letters and P the appropriate box. Please do not use correction fluid and all amendments should be signed. ? Please send the completed form to the Trustee: Member Services, Fund Services Hong Kong, HSBC Institutional Trust Services (Asia) Limited, P.O. Box 73448, Kowloon Central Post Office, Hong Kong. ? Should you have any questions, please call the Fidelity Investor Hotline. ? 此表格只在下列情況下適用，如您的累算權益 : — 是從現時投資於強積金保證基金的部份轉出；及 — 移至富達退休集成信託。 ? 請填妥本表格內的所需資料並簽署。 請以正楷填寫本表格並在適當的空格填上 P 號。請勿使用塗改液，任何刪改必須加簽。 ? 請將填妥表格寄往香港九龍中央郵政局郵政信箱73448號，滙豐機構信託服務（亞洲）有限公司，退休金行政部予您的受託人處理。 ? 如有任何疑問，請致電富達投資熱線。 PART I - DETAILS OF THE SCHEME MEMBER 第一部 - 計劃成員資料 Salutation 稱謂 q Mr. 先生 q Mrs. 太太 q Ms. 女士 q Miss 小姐 q Dr. 博士/醫生 q Prof. 教授 Members English Name 成員英文姓名 (Must be identical to the one shown on your HKID Card/Passport 須與您的香港身份證/護照上的姓名相同) Surname 姓 Given Name 名 Members Chinese Name 成員中文姓名 q HKID Card No. 香港身份證號碼/q Passport No. 護照號碼 (Passport No. only for member without HKID Card 護照號碼僅供沒有香港身份證的成員填寫) Name of Original Scheme 原