Change of Address Form You can update your address and any other details by logging into www.btpensionsportal.com.

Alternatively, please complete the form, print it, sign it and either

- Scan it and email the scan to member@btps.co.uk - Post it to BT Pension Scheme, Sunderland, SR43 4AD

Title:

(please tick one)

Mr Mrs Miss Ms

Other [please state] …………………………………………………..

First Names:

Maiden/Former Name(s):

Family/Surname Name[s]:

Previous Address:

Postcode:

Current Address:

Postcode:

Telephone number:

Home:

Mobile:

Work:

Email Address:

Date of Birth:

(DD/MM/YYYY)

……………../……………../…………

Sex: Male Female

National Insurance Number:

Pension Reference Number:

Declaration (mandatory)

The information, which I have supplied in this form, is correct, and I am the person to whom it relates.

Signed: …………………………………………………………………………………………

Name [block capitals] ……………………………………………………………………………

Date: …………………………………………….

Your signature must match the one held on our records. Applications will be rejected where signatures do not

match.