SHELL PENSIONERS ASSOCIATION APPLICATION

PLEASE FILL IN EACH SECTION TO COMPLETE THIS FORM AND SUBMIT IT TO US.

NEW MEMBERS: PAY £10 ONLINE INTO OUR HSBC ACCOUNT:
SORT CODE: 40-02-44 ACCOUNT NUMBER: 32574764
REFERENCE: YOUR SURNAME AND PENSION NUMBER

For members living abroad who may need to use our IBAN number it is GB09HBUK40024432574764

Title *

Other title *

First name *

Middle name

Surname *

Day of birth *

Month of birth *

Year of birth *

Email address *

Address *

Address line 2

Address line 3

County

Town *

Post code *

Country *

Your pension number:

Country code

Mobile/Telephone number

Are you joining as a new member or are you taking over your late partner's membership? *

Please tick which fund(s) you belong to *

SCPF
SOCPF
UK Shell Pension Plan (For those who started work from March 1 2013 only)
Transferred pension elsewhere

SPA News is issued 3 times a year. We ask all members to read this via our website. Please click the 'via the website' option below and if you are not able to read our magazine online, contact us at si-shell-pensioners-association@shell.com *

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SHELL PENSIONERS ASSOCIATION APPLICATION

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