Maturing Plan Details

Please complete this form if you would like to encash your maturity proceeds.

Please return your completed and signed form to Investec Structured Products, PO Box 914, Newport NP20 9PE.

If you require financial advice please speak to your financial adviser, alternatively, if you require any assistance with completing this form please call 0344 892 0942.

I would like to encash the full maturity proceeds of my Direct Holding (please tick box)

I would like to encash the full maturity proceeds of my ISA Holding (please tick box)

Please note if you encash the maturity proceeds of your ISA you will lose the ISA status of that Investment.

You MUST complete these details if you wish to fully encash your investment. Payments can ONLY be made to an account with a bank or building society within the UK clearing system. Third party payments are not permitted.

PaymentsPlease fill in your bank details. Please note – if you require payment to a bank account that we do not hold on our records, we will also require a recent copy of a bank statement to verify this instruction.

Please return the completed and signed form to: Investec Structured Products, PO Box 914, Newport NP20 9PE.

Issued by: Investec Bank plc. Registered and incorporated in England No. 00489604. Investec Bank plc is authorised by the Prudential Regulation Authority

and regulated by the Financial Conduct Authority and the Prudential Regulation Authority. Registered under Financial Services Register reference 172330.

Plan Number

Plan Name

Investor Name

Joint Holder

Bank/Building Society Account to be credited (for example, MR & MRS A JONES)

Bank/Building Society Name

Bank Sort Code – –

Full Account Number(Normally 8 digits occasionally 7)

Building Society Reference or Roll Number

Maturity Encashment Form

Signature X

Print Name

Date

Signature X

Print Name

Date

Joint Holder if applicable (direct investment only):