AAF J&E Hall Daikin Applied Retirement Savings Plan

Application Form
Full Name of employee - “The Employee” Date of Birth: National
(please PRINT) Insurance No:

Home Address:

Post Code:

Name of Employer - “The Employer” J & E Hall Limited

AAF J&E Hall Daikin Applied Retirement Savings Plan

Please note that this is the Employer’s Standard Agreement upon which it intends to rely. For your own benefit and protection, you
should read the terms overleaf carefully prior to signing this form. If you do not understand any point, please ask for further
information.

I WISH TO JOIN THE PLAN UNDER THE FOLLOWING ARRANGEMENTS AND IN ACCORDANCE WITH THE NOTES
OVERLEAF.
I wish to join the Plan with effect from: (i.e., date of commencement (dd/mm/yyyy)
of employment)

Contribution
Please select one of the two options below re your rates of contribution
I wish to be auto enrolled at a rate subject to my terms and conditions of employment and in accordance with Note 7 &
11 overleaf

I wish my contribution rate to be greater than the auto enrolment terms in my contract. Please deduct ______ %
(Gross) of my Reference Salary (Please complete % amount)

Pension Flex

I wish to OPT OUT of the Pension Flex set out on Note 6. Tick only if you do NOT want to make your contribution via
Pension Flex.

Death in Service
By joining the Pension Plan you will also be opted into Death in Service Life Insurance cover (at no additional cost to you). For more
information on Death in Service benefits please contact your Human Resources Department.

Employee signature Date

When all sections of this form have been completed, please return to the Human Resources Department
Page 2

Notes

1. I, the Employee, authorise you, the Employer, to submit on my behalf an application to Scottish Widows. This application will be for me to join
the Plan and for Scottish Widows to issue to me a policy. I understand that this will involve me accepting important terms and conditions.
Scottish Widows will set these out for me and, if I do not cancel the policy in line with the cancellation right that will be given to me, then I shall
be bound by those declarations (and all the other terms relating to the policy and the Plan).
2. I authorise the Employer, its agents, and any agent of mine acting in connection with the Plan to pass information concerning me to Scottish
Widows and to Barnett Waddingham LLP. This will be information needed reasonably in connection with the Plan and any policy issued in
connection with that Plan.

3. I understand that I shall be given details of the policy to be issued, and a right to cancel. If I do not want to cancel, then I need do nothing
further. If I do not cancel, and contributions are paid to the Plan, then I accept this amounts to and/or confirms my agreement that I have
entered into a contract with Scottish Widows, and I have joined, and am bound by the terms of the Plan.

4. I confirm that you may pass a copy of this Application Form to Scottish Widows and/or to Barnett Waddingham LLP, if they request to see it, and
that they may rely on it.

5. I authorise the Employer to deduct from my earnings any contribution due by me under the Plan, and thereafter for it to be sent to Scottish
Widows to be applied under that Plan.

6. By participating in Pension Flex, I understand that I will not make a pension contribution into the Plan, instead, my Basic Salary will be reduced,
and the Company will make an additional employer pension contribution of equivalent value.

7. I understand that if contributions are not made via Pension Flex, my personal contributions to the Plan will be taken from my net pay (after
deductions for Tax and National Insurance Contributions) and paid across to the Plan. Once the contributions are received by the Plan, Scottish
Widows will automatically reclaim the basic rate tax relief on my personal pension contribution and invest this in my personal pension policy in
the Plan. I understand that if I am a higher rate taxpayer, I can claim additional tax relief up to my highest marginal rate of tax; it is my personal
responsibility to submit my claim for higher rate tax relief directly to HMRC. I understand that I will not make any National Insurance
Contribution savings if I do not make pension contributions via Pension Flex.
8. I understand that my “Reference Salary” is defined as my annual basic salary before any reduction due to participating in Pension Flex.

9. I understand that the value of my investment funds within the Plan can go down as well as up and the final value of my pension fund and the
pension benefits that can be purchased with it are not guaranteed. If I invest in funds that invest in overseas markets, I am aware that changes
in the rates of exchange between currencies may cause the value of my fund to fall.

10. I confirm I have not received any advice from Barnett Waddingham LLP, Scottish Widows, or the Employer in making the decisions I have entered
on this form.

11. I agree that contributions will initially be invested in the Plan’s default investment arrangement as set out in the Members’ Booklet, but that I
am able to subsequently change this at no cost. (Please refer to the Scottish Widows literature for details of the alternative funds in which you
can invest.) I also understand that my target retirement age under the Plan will initially be set to age of 65 and that I should inform Scottish
Widows if I plan to retire at a different age.
12. I understand that until October 2017 the minimum level of contributions payable to the Plan are as set out in the announcement issued to me by
my employer March 2014, or subsequently in my Contract of Employment, and that from October 2017 these rates will be subject to increase.

13. By signing this form, I understand that Barnett Waddingham LLP or the Employer is not suggesting that the Default Investment Arrangement is
suitable for my circumstances and that this arrangement operates to age 65. I should regularly consider my personal circumstances and review
my investments within the Plan to gauge whether they are suitable.

14. By signing this Application Form, and in providing information to the Employer, I am expressly consenting to the processing of such information
in accordance with the Data Protection Act 1998. I understand that my data will be held, processed, disclosed, and used by the Employer,
Barnett Waddingham LLP and Scottish Widows for relevant purposes in connection with the Plan.

15. I understand that it is my responsibility to inform the Employer if I have claimed either fixed, enhanced or primary protection and that
contributions to the Plan may affect my fixed/enhanced protection status or could result in additional tax being payable upon drawing benefits
if I have claimed primary protection.