Henderson Global Investors Withdrawal Form

Please complete in BLOCK CAPITALS, ensuring you have completed all relevant boxes and return to Henderson Global Investors,
PO Box 910, PETERBOROUGH, PE2 2BT.
SECTION 1 - Your details (*required field)
Account Number ■■■■■■■■
Current Address Previous Address (Please complete this section if we do not have your
correct address on record or you have moved in the last 6 months)
Name*
Address*
Daytime Telephone*
E-mail address
National Insurance Number*
Date of birth*
SECTION 2a - Your investment
Would you like to sell your entire investment?
Yes proceed to Section 3
No proceed to Section 2b
Postcode*
SECTION 2b - Your investment continued
Name*
Address*
Daytime Telephone*
E-mail address
(this is required for security purposes)
(this is required for security purposes)
Postcode*
Please state the value, number of shares/units or percentage you wish to sell below. Withdrawal fees, if applicable, will be deducted from the amount requested.
Product Fund Name(s) (if known) Cash (£) or Units/shares %
(e.g. Henderson Global Technology Fund) or
ISA
Other
SECTION 3 - Direct Debits
If you currently invest via direct debit, do you wish to continue? Y N
SECTION 4 - Bank Details
The proceeds of your withdrawal will be paid directly into your bank account. Please note we do not make payments to third parties. Please ensure
you are the named account holder and enclose verification of the bank account.
Bank
Sort Code ■■ ■■ ■■
Account Name
If you are making a payment to an account with a roll number, please contact your bank or building society to ascertain the correct clearing details.
PLEASE ENCLOSE VERIFICATION OF THE BANK ACCOUNT IN THE FORM OF A SPOILT CHEQUE OR PAYING IN SLIP.
SECTION 5 - Declaration
I/We hereby authorise Henderson Global Investors to sell the amount stated above from my/our ISA/Plan, in accordance with the terms and conditions of the
investment, and transfer the proceeds to my/our bank account.
Signature Date
Signature Date
(Joint holdings must be signed by all holders)
Branch
Account Number ■■■■■■■■
Roll No (Building Society)
Henderson Global Investors is the name under which Henderson Global Investors Limited (reg. no. 906355), Henderson Fund
Management plc (reg. no. 2607112), Henderson Investment Funds Limited (reg. no. 2678531), Henderson Investment Management
Limited (reg. no. 1795354), Henderson Alternative Investment Advisor Limited (reg. no. 962757) and Henderson Equity Partners
Limited (reg. no.2606646) (each incorporated and registered in England and Wales with registered office at 4 Broadgate, London
EC2M 2DA and authorised and regulated by the Financial Services Authority) provide investment products and services. Telephone
calls may be recorded and monitored.
WEB
HGI34256/0908