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Authorising a Practitioner
Is this an amendment?
Yes
No
Pension Scheme Details
Pension Scheme Name
Pension Scheme Tax Reference Number
Practitioner 1 Details
Is the Practitioner an Individual / Organisation
Select Practitioner
Individual
Organisation
Notification is to Authorise / De-authorise
Authorise
Deauthorise
Title
Dr
Mr
Mrs
Miss
Ms
Surname
Forename
Second Forename
Address
Postcode
Country
India
Practitioner ID
Client reference you have been given by your Practitioner
Notification is to Authorise / De-authorise
Authorise
Deauthorise
Organisation Name
Address
Postcode
Country
India
Practitioner ID
Client reference you have been given by your Practitioner
Practitioner 2 Details
(Optional)
Is the Practitioner an Individual / Organisation
Select Practitioner
Individual
Organisation
Notification is to Authorise / De-authorise
Authorise
Deauthorise
Title
Dr
Mr
Mrs
Miss
Ms
Surname
Forename
Second Forename
Address
Postcode
Country
India
Practitioner ID
Client reference you have been given by your Practitioner
Notification is to Authorise / De-authorise
Authorise
Deauthorise
Organisation Name
Address
Postcode
Country
India
Practitioner ID
Client reference you have been given by your Practitioner
Practitioner 3 Details
(Optional)
Is the Practitioner an Individual / Organisation
Select Practitioner
Individual
Organisation
Notification is to Authorise / De-authorise
Authorise
Deauthorise
Title
Dr
Mr
Mrs
Miss
Ms
Surname
Forename
Second Forename
Address
Postcode
Country
India
Practitioner ID
Client reference you have been given by your Practitioner
Notification is to Authorise / De-authorise
Authorise
Deauthorise
Organisation Name
Address
Postcode
Country
India
Practitioner ID
Client reference you have been given by your Practitioner
Practitioner 4 Details
(Optional)
Is the Practitioner an Individual / Organisation
Select Practitioner
Individual
Organisation
Notification is to Authorise / De-authorise
Authorise
Deauthorise
Title
Dr
Mr
Mrs
Miss
Ms
Surname
Forename
Second Forename
Address
Postcode
Country
India
Practitioner ID
Client reference you have been given by your Practitioner
Notification is to Authorise / De-authorise
Authorise
Deauthorise
Organisation Name
Address
Postcode
Country
India
Practitioner ID
Client reference you have been given by your Practitioner
Practitioner 5 Details
(Optional)
Is the Practitioner an Individual / Organisation
Select Practitioner
Individual
Organisation
Notification is to Authorise / De-authorise
Authorise
Deauthorise
Title
Dr
Mr
Mrs
Miss
Ms
Surname
Forename
Second Forename
Address
Postcode
Country
India
Practitioner ID
Client reference you have been given by your Practitioner
Notification is to Authorise / De-authorise
Authorise
Deauthorise
Organisation Name
Address
Postcode
Country
India
Practitioner ID
Client reference you have been given by your Practitioner
Declaration
I undertake that I will approve in advance, as correct and complete, all returns, reports and other notifications I am required to make and are submitted
by this practitioner on my behalf.
Do you want this authorisation to replace all previous authorisations given?
Yes
No