▪ Complete all the information on this form to ensure that there is no delay in processing the transfer from your

Government Employees Pension Fund (GEPF).

▪ For more information please refer to the GEPF Transfer Summary for direct clients and financial advisers on

our website.

Please remember to send the following supporting document to:

Email: instructions@allangray.co.za or Fax: 0860 000 655 or +27 (0)21 415 2492

Completed 'Allan Gray Retirement Annuity Fund application' or 'Pension or Provident Preservation Fund

application' form

1. Please provide us with your GEPF details

Full name and surname

ID number (passport number if foreign national)

Pension Number

Persal Number

Name of the government department you previously worked at

2. Please provide us with the Human Resources administrator details at your previous employer

Full name and surname

Telephone number

Email

3. Divorce Orders

Has any Divorce Order been made against your interest in the GEPF which has not been paid to the interested party?

Yes No

If yes, please attach a certified copy of the Divorce Order and Settlement Agreement, or amended Agreement.

4. Z1525 form

Would you like us to complete the Z1525 form for you? Yes No

If yes, who should we post the completed form to? Me Financial adviser

If no, please send us a copy of the completed and signed Z1525 form and submit the original to your previous employer.

GOVERNMENT EMPLOYEES PENSION FUND TRANSFER DETAILS

No. 1.0 July 2018

Allan Gray Proprietary Limited is an authorised financial services provider.

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