Land rover pension scheme



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LAND ROVER PENSION SCHEME

APPLICATION TO CHANGE TIER FORM

Please complete the details below, using BLOCK CAPITALS and return to the HR Direct:





PART A

Monthly Paid




Weekly Paid









TITLE










SURNAME










FIRST NAME(S)










NI NO










DATE OF BIRTH










PAYROLL NUMBER









I hereby apply to change Tier and authorise the deduction of the new rate of contributions.


This change will take effect from 6 April ………………… (Please insert year of change).



I wish to change to the:

(Please tick one)

UPPER TIER 




LOWER TIER 


PART B: Employee Signature
Signed ……………………………………………… Date …………………………………………



PART C: FOR COMPANY USE ONLY

Actioned by PPA …………………………………………….. Date ………………………..

Actioned by Pay Office ………………………………………. Date ………………………..



Reviewed: April 2016

Updated: April 2016


Please return to: Lifecycle and Transaction Team, HR Direct, Jaguar Land Rover, Mail Drop: W/2/9, Abbey Road, Whitley, CV3 4LF

LR – August 2011



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