If you use assistive technology (such as a screen reader) and need a
version of this document in a more accessible format, please email email@example.com.
Please tell us what format you need. It will help us if you say what assistive technology you use.
Use this form to supply specimen signatures for a third party authorised to apply for a certificate of residence for a registered pension scheme.
You must give the names and signatures of the people in your organisation who are authorised to make these applications.