FORM MPF(S)-P(M)

(for transfer-in only )

FIDELITY RETIREMENT MASTER TRUST

SCHEME MEMBERS REQUEST FOR FUND TRANSFER FORM Note 1

1
Notes:
n
Please read the Explanatory Notes carefully before completing this form.
n Definition of terms is provided at Explanatory Note 2.
n Please complete this form in block letters. Please do not use correction fluid and all amendments should be signed.
n If you would like to update your personal data to the Trustee, you may complete the Change of Particulars for Members Form which can be downloaded at Fidelitys
website www.fidelity.com.hk.
n The information and data provided in this form can be used by the approved trustees concerned and the Mandatory Provident Fund Schemes Authority in activities
relating to the processing of the transfer and may be disclosed to other parties for such purposes.
n All compulsory fields are marked ( ). The processing of instructions may be delayed if compulsory fields are incomplete or incorrect.
n Please send the completed form together with a photocopy of your HKID card or Passport to Member Services, Fund Services Hong Kong, HSBC Institutional
Trust Services (Asia) Limited, P.O. Box 60499, Tsat Tsz Mui Post Office, Hong Kong.
n Should you have any questions when completing this form, please feel free to contact the Fidelity Retirement Hotline at 2500-1666.

www.fidelity.com.hk

( )
60499 ()
2500-1666

n
n
n
n
n
n
n
n

SECTION A - DETAILS OF THE SCHEME MEMBER

Name of Scheme Member (Must be identical to the name printed on your HKID Card / Passport / )
Surname

Given Names

Hong Kong ID Card / Passport No. / * Note

(Must be identical to the one on the Membership Enrolment Form / )

Mobile / Pager No. / *

Contact Tel. No.

Fax No.

Please circle as appropriate.

Please provide one email address only.

SECTION B - FUND TRANSFER INFORMATION

Details of the account from which accrued benefits derived from mandatory contributions are to be transferred

Name of the Trustee

Name of the Scheme
Scheme members account number

(This field must be completed for us to process your transfer. Please refer to your Member Benefit Statement or Membership Certificate for the scheme member's account number. If you have multiple
accounts with Fidelity Retirement Master Trust, please fill in a separate form for each account.
)

For Internal Use Only

HSBC Institutional Trust Services (Asia) Limited
()

HTHK/FORM/MPF/FIL/Form MPF(S)-P(M)_IN (201205)

Personal Email Address

Sales Code :

Visit our Fidelity Retirement Services Website www.fidelity.com.hk

1

SECTION C - FUND TRANSFER OPTIONS

Please 3 the appropriate box 3

* Please circle as appropriate.

(1) Fund transfer options for Mandatory Contributions Note 4 4

I elect to have the accrued benefits derived from mandatory contributions in my account stated in Section B above transferred as follows:

o (a) Retained in the current scheme as a preserved account

OR

o (b) To my account with my new employer

Name of new employer

New employers participation numberNote5 5

Name of the trustee

HSBC Institutional Trust Services (Asia) Limited

Name of the scheme

Fidelity Retirement Master Trust

Scheme members account number Note6 6

OR

o (c) To my existing / a new* account in a master trust scheme / industry scheme*

/* /*
HSBC Institutional Trust Services (Asia) Limited

Name of the trustee

Name of the scheme

Scheme members account number Note6 6

Fidelity Retirement Master Trust

(2) Are there any Voluntary Contributions?

o Yes (please complete item (3))

(3)

o No (please skip to item (4))

(You can check whether you have voluntary contributions in your account from your Member Benefit Statement, your employer or the Fidelity Retirement Hotline on 2500 1666.
2500 1666)

(4)

(3) Fund Transfer Options for Voluntary Contributions

I elect to have the accrued benefits derived from voluntary contributions:

Note: If no instruction is received for Voluntary Contributions, the Trustee will retain your accrued benefit derived from Voluntary
Contribution in Fidelity Retirement Master Trust as preserved account after 3 months of termination of employment.

o (a) Handled in the same way as those derived from mandatory contributions

OR

o (b) Withdrawn in accordance with the governing rules of the scheme:

o (i) By transferring ALL of my accrued benefits derived from voluntary contributions in units to a Special Voluntary Contribution
Account (SVC) in Fidelity. (To set up a SVC account, please contact the Fidelity Retirement Hotline on 2500 1666 to obtain the
Special Voluntary Contribution Account Membership Application Form, and send it together with this form.)

2500 1666
OR

o (ii) By paying me ALL of my accrued benefits derived from voluntary contributions:

o by cheque

(bank charges may be incurred for foreign currency cheque )

o Please mail to the address below

 OR

o (iii) By depositing directly in the bank account under my name (this may be subject to bank charges due to money transfer)

Name of Bank
Account Number

If the bank indicated is an overseas bank, please provide the country (detailed address) of your overseas bank and the
name of the correspondent bank in Hong Kong:

()

(Please complete this part in English )

Overseas Bank Detail Address

Name of Correspondent Bank in Hong Kong

SWIFT Code/ABA No. (if applicable) /

(4) o I hereby attach a photocopy of my HKID card for verification of the identity card number so that I do not need to present my
HKID card in person for verification.

SECTION D - AUTHORIZATION (Only applicable to fund transfer to Fidelity Retirement Master Trust)

o I authorize the Transferee Trustee and the Transferor Trustee to obtain, release and/or exchange the necessary information in respect of my MPF
account(s), to make any necessary amendment(s) to the Scheme Members Request for Fund Transfer Form submitted for fund transfer to Fidelity
Retirement Master Trust and to pass the copy of my identification document to the transferor/transferee trustee if, in the sole discretion of the relevant
trustee that it is so required for identification purposes, solely for the purpose of processing the transfer. I understand that if any amendments made
pursuant to this authorization by the relevant trustee are not accepted by the other trustee, it may be necessary for me to effect such amendments myself
before the transfer request can be processed.

SECTION E - DECLARATION
I declare that to the best of my knowledge and belief, the information given in this Form / and its attachment* is correct and complete.
/*

Signature of the scheme member

(Must be identical to the Trustees record )

Date

* Please circle as appropriate.

Warning : Section 43E of the Ordinance makes it an offense punishable with a maximum of 1 years imprisonment for the first occasion and 2 years imprisonment on each subsequent occasion for a
person who makes a false or misleading statement in a material respect.
43E

Explanatory Notes on
Scheme Members Request For Fund Transfer Form (Form MPF(S) - P(M))
MPF(S) - P(M)
(1) This form should be used when a scheme member wishes to transfer his/her accrued benefits:

(a) from an MPF registered scheme to another MPF registered scheme; or


(b) from an account in an MPF registered scheme to another account in the same scheme.

For ease of processing, a scheme member is required to fill in a separate form MPF(S) - P(M) for each account from which funds are to be transferred.

MPF(S) - P(M)

For each account, a scheme member should transfer the entirety of his/her accrued benefits therein in a lump sum.

(2) Definition of terms
Contribution account - an account into which mandatory contributions and/or voluntary contributions are paid in respect of a current employment or
current self-employment.
- /

Preserved account - an account in which accrued benefits in respect of any former employment or former self-employment of a scheme member are
held.
-

Former employee - an employee who has just ceased his/her employment.

-

Former self-employed person - a person who has just ceased self-employment.
-

A transferor trustee - the trustee of a scheme from which the accrued benefits of a member are to be transferred in accordance with the members
election, whether to another registered scheme or to another account within the same scheme.
-

A transferee trustee - the trustee of a scheme to which the accrued benefits of a member are to be transferred in accordance with the members election.
-
(3) Scheme members should give their passport numbers ONLY when they do NOT possess HKID cards.

(4) Different types of account holders have different transfer options. An applicant may check the list below to see the transfer options available to him/her :

I. CONTRIBUTION ACCOUNTS

A. Transfer options for a contribution account holder who is a FORMER EMPLOYEE

(1) For a contribution account in an employer sponsored scheme, the former employee may elect to transfer to:

(a) an account in a master trust scheme nominated by himself/herself; or /
(b) an existing account of the former employee in an industry scheme; or /
(c)
(if the former employee is subsequently employed by a new employer,) the contribution account of the scheme in which the
new employer is participating in relation to him/her. However, once the accrued benefits are transferred into the contribution
account, the benefits cannot be transferred again until cessation of employment with the new employer.


(/
/

(2) For a contribution account in a master trust scheme, the former employee may elect to transfer to:

(a) another account in the same scheme (i.e. retained in the current scheme); or
(b) an account in another master trust scheme nominated by himself/herself; or /
(c) an existing account of the former employee in an industry scheme; or /
(d) (if the former employee is subsequently employed by a new employer,) the contribution account of the scheme in which the
new employer is participating in relation to him/her. However, once the accrued benefits are transferred into the contribution
account, the benefits cannot be transferred again until cessation of employment with the new employer.


(/
/

(3) For a contribution account in an industry scheme, the former employee may elect to transfer to:

(a) an account in a master trust scheme nominated by himself/herself; or /
(b) an existing account of the former employee in an industry scheme; or /
(c)
(if the former employee is subsequently employed by a new employer,) the contribution account of the scheme in which the
new employer is participating in relation to him/her. However, once the accrued benefits are transferred into the contribution
account, the benefits cannot be transferred again until cessation of employment with the new employer.

(/
/

If the former employee wishes to retain his/her accrued benefits in the industry scheme, he/she does not need to fill in this form for transfer.

 B. Transfer options for a contribution account holder who is a SELF-EMPLOYED PERSON OR FORMER SELF-EMPLOYED PERSON


(1) For a contribution account in a master trust scheme, the self-employed person or former self-employed person may elect to transfer to:

(a) an account in another master trust scheme nominated by himself/herself; or /
(b) an existing account of the person in an industry scheme; or /
(c) an account in an industry scheme to which the person is eligible to belong; or /
(d)
(if the person is a former self-employed person and is subsequently employed by a new employer,) the contribution account
of the scheme in which the new employer is participating in relation to the person. However, once the accrued benefits are
transferred into the contribution account, the benefits cannot be transferred again until cessation of employment with the new
employer.


(/
/

(2) For a contribution account in an industry scheme, the self-employed person or former self-employed person may elect to transfer to:

(a) an account in a master trust scheme nominated by himself/herself; or /
(b) an existing account of the person in another industry scheme; or /
(c) an account in another industry scheme to which the person is eligible to belong; or /
(d)
(if the person is a former self-employed person and is subsequently employed by a new employer,) the contribution account
of the scheme in which the new employer is participating in relation to the person. However, once the accrued benefits are
transferred into the contribution account, the benefits cannot be transferred again until cessation of employment with the new
employer.


(/
/

II. PRESERVED ACCOUNTS

Any member of the Fidelity Retirement Master Trust may elect to have the accrued benefits held in a preserved account of the member in the scheme
transferred to another scheme to which the member is eligible to belong by giving this form to the transferee trustee concerned.
/

(5) The participation number is the number printed on the participation certificate issued by the MPFA to the participating employer.

(6) Leave it blank if a member has newly joined the scheme and is not aware of the account number for his/her new account.

(7) Upon completion of this form, a scheme member may give this form to
(a)
Transferor trustee (i.e. trustee of your old scheme) : For election to have the benefits retained in the current master trust scheme or transferred to
another account within the current master trust scheme.

(b)
New employer : For election to have the benefits transferred to the contribution account in which the new employer is participating. The new employer
should then give written notice of the election to the transferee trustee concerned.

(c)
Transferee trustee (i.e. trustee of your new scheme) : For election to have the benefits transferred to another master trust scheme or industry scheme
elected by the scheme member.

PERSONAL DATA (PRIVACY) ORDINANCE NOTICE

Pursuant to the Personal Data (Privacy) Ordinance, the following information is provided to you in connection with your dealings with and provision of data or information to FIL Investment
Management (Hong Kong) Limited (the Manager) and HSBC Institutional Trust Services (Asia) Limited (the Trustee) relating to retirement products, including but not limited to mandatory
provident fund schemes or occupational retirement schemes (Retirement Products) offered by the Manager and/or of which the Trustee or its afliates acts as trustee or administrator from time to
time. Please be aware that this notice replaces any notice or statement of similar nature in respect of the Retirement Products that may have been provided to you previously.

(a) From time to time, it is necessary for clients and various other individuals (data subjects) to supply the Manager and/or the Trustee with data in connection with various matters such as account
opening or continuations, or provision of services to clients and other individuals.

(b) Although it is not generally obligatory for a data subject to provide personal data, failure to supply such data may result in the Manager and/or Trustee being unable to open an account or
continue services to clients.

(c) It is also the case that data are collected from data subjects in the ordinary course of the continuation of the Manager and/or the Trustees relationship with them.

(d) The purpose for which data relating to a data subject may be used will vary depending on the nature of the data subjects relationship with the Manager and/or the Trustee. These purposes may
comprise any or all of the following:

(i) the processing of an application for an account;

(ii) the daily operation of the services provided to clients;

(iii) with respect to MPF data, researching, designing, launching, promoting and marketing MPF-related products and services to mandatory provident fund scheme members ;

(iv) with respect to non-MPF data, researching, designing, launching, promoting and marketing nancial, investment and insurance services or related products to non- mandatory provident
fund scheme members;

(v) providing newsletter with contents relevant to MPF including market information and investment education materials;

(vi) conducting surveys for MPF-related purposes;

(vii) for the purposes of any party (or a party related to such party) having at any time obligations under the relevant Retirement Product in relation to a member participating in such Retirement
Product (e.g. calculating an employers long service or severance payment accrued liability);

(viii) meeting disclosure requirements under any laws or regulatory requirements applicable to the Manager and/or the Trustee or any of their afliates in Hong Kong or elsewhere;

(ix) any purpose related to the administration of the relevant Retirement Products or the data subjects participation therein; and

(x) any other purpose directly related to the above.

(e) Data collected may be maintained for such period as may be required by law or as otherwise prudent in relation to administration of the relevant Retirement Products and may be retained after
the data subject ceases to be a client or have a benecial interest in the relevant Retirement Products.

(f) Data held by the Manager and/or the Trustee relating to a data subject will be kept condential but the Manager and/or the Trustee may provide such information to the following parties whether
inside or outside Hong Kong for the purposes set out in paragraph (d):
(d)
(i) the ultimate holding company of the Manager and/or the Trustee and/or their subsidiaries and/or afliates;

(ii) the service providers of the Manager and/or the Trustee, including the administrator, the custodian, the registrar and the auditor of each relevant Retirement Product;

(iii) persons appointed to design, research, launch or promote MPF-related products or services of the Manager and/or the Trustee for data relating to mandatory provident fund scheme
members;

(iv) persons appointed to design, research, launch or promote the products or services of the Manager and/or the Trustee for data relating to non-mandatory provident fund scheme members;

(v) the employees, ofcers, directors and agents of the Manager, the Trustee or any of the parties in (i) to (iii) above;
(i)(iii)
(vi) the employer (or former employer) of any member participating in a relevant Retirement Product where permitted or required by law;

(vii) any third party employed to provide administrative, computer, printing, letter-shopping or other services or facilities to any person to whom data is provided or may be transferred as
aforesaid; and

(viii) any party (including, but not limited to, any regulatory authority) entitled thereto by law or regulation (whether statutory or not).

(g) Under the Personal Data (Privacy) Ordinance, any individual has the right:

(i) to check whether the Manager and/or the Trustee holds data about him/her and of access to such data;

(ii) to require the Manager and/or the Trustee to correct any data relating to him/her which are inaccurate;

(iii) to ascertain the Manager and/or the Trustees policies and practices in relation to data and to be informed of the kind of personal data held by the Manager or the Trustee;

(iv) to object to the use of his/her personal data for marketing purposes; and neither the Manager nor the Trustee will use his/her personal data for these purposes if he/she communicates his/
her objection to the Manager or the Trustee (as the case may be).

(h) In accordance with the terms of the Personal Data (Privacy) Ordinance, the Manager and/or the Trustee has the right to charge a reasonable fee for the processing of any data access request.

(i) You should [indicate in the appropriate form or] write to the following person(s) if you wish to object to use of your personal data for marketing purposes or if you would like to make a request
for access to data or correction of data or for information regarding policies and practices and kinds of data held are to be addressed as follows:

The Manager
OR
The Trustee
The Data Protection Ofcer
The Data Protection Ofcer
FIL Investment Management (Hong Kong) Limited
HSBC Institutional Trust Services (Asia) Limited
Level 21 Two Pacic Place
P.O. Box 60499
88 Queensway
Tsat Tsz Mui Post Ofce
Admiralty, Hong Kong
Hong Kong

88
21
(j)

60499

Nothing in this Notice shall limit the rights of data subjects under the Personal Data (Privacy) Ordinance.