[ON HEADED NOTEPAPER OF trustees]

Ballot for the selection of member-nominated trustees of the SCHEME (Scheme)

A ballot is being held because there are [NUMBER] vacancies for member-nominated trustees, but [NUMBER] candidates.  You have one vote per vacancy.  Your voting form will be disregarded if you give more than one vote to a candidate.

Please return YOUR completed voting form to [NAME AND ADDRESS].  For your vote to count, you must return the form no later than .

Please vote by putting a cross against the names of the candidate[s] you select.

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