Movember Europe is a registered company in England and Wales (company no. 7275694) and registered as a charity in England and Wales (charity no. 1137948) and in Scotland (charity no. SC041981).Prostate Cancer UK is a registered charity in England and Wales (1005541) and in Scotland (SC039332). Registered company 2653887.

Royal Mail, the Cruciform and the colour red are registered trade marks of Royal Mail Group Ltd. Royal Mail is a trading name of Royal Mail Group Ltd. Registered in England and Wales number 4138203.

MOVEMBERREGISTRATION FORM

Movember (the month formerly known as November) is a moustache growing charity event held during November each year that raises funds and awareness for men’s health.

All money raised by Royal Mail employees for Movember will be donated to Prostate Cancer UK to pay for specialist prostate cancer nurses. And, as part of our Charity of the Year programme, Royal Mail will match fundraising, penny for penny.

You must register with the Royal Mail Movember network to ensure that Royal Mail can match the money you raise.

There are two ways you can register. You can either complete this form or alternatively register online at myroyalmail.com/movember, where you will find details of the competitions and prizes available.

Eligibility Please tick where appropriate

Are you an employee of Royal Mail Group? Yes q No q

Are you registering yourself or registering on behalf of your adopted Mo Bro?

Myself q

On behalf of a Mo Bro q Name of your adopted Mo Bro:

Personal details

Please enter your details in the fields below. All fields must be completed.

Employee Payroll ID

First name Surname

Gender Male q Female q

Work Address

County Postcode

Preferred telephone number

Email address

MOVEMBER REGISTRATION FORM 2

Royal Mail Awards

Royal Mail and Movember are working together to provide competitions and prizes for those taking part in Movember this year. As a Royal Mail employee you will be eligible to take part in all the Royal Mail competitions and those run by Movember. Full details of the competitions are available on myroyalmail.com/movember where you can register, join in and enter the competitions.

For more information about the competitions run by Movember please visit uk.movember.com.

There are five Royal Mail awards to be won:

1. Royal Mail: Best individual fundraiserThe person who raises the most amount of money. You will automatically be entered into this competition when you register to participate in Movember.

2. Royal Mail: Team MoThe team that raises the most amount of money.

There are three team categories:n Small – fewer than 10 people n Medium – more than 11 but less than 100n Large – more than 101 but less than 250

Do you want to join a team of Royal Mail Mo Bros? Yes q No q

If yes, would you like to be the team captain? Yes q No q

If you don’t, please provide the name and payroll number of your team captain

Please tell us the name of your team

What size is your team? Small q Medium q Large q

3. Best Royal Male There’s a special award for the best moustache (mo) grown in the style of a Royal Male.

To enter you will need to take a photo of your mo on 30 November 2012 and send it, along with your name, address and Movember registration number, to the address below by 07 December 2012:

ROYAL MALE COMPETITIONCharity of the Year teamRoyal Mail Group100 Victoria EmbankmentLondon EC4Y 0HQ

MOVEMBER REGISTRATION FORM 2

Fundraising details Please tick where appropriate

Please tell us how you are going to raise money for Movember:

q Grow a Mo q Adopt a Mo Bro

q Mo 10k run q Other (please describe)

MOVEMBER REGISTRATION FORM 3MOVEMBER REGISTRATION FORM 3

Claimant’s Declaration

I can confirm that all information provided on this form is true and correct. I understand that any false or misleading statement or significant omission may disqualify me from obtaining matched giving and may render me liable to disciplinary action where dishonesty, theft or fraud are considered to be gross misconduct and may result in dismissal. I consent to the above data being held and processed for administration and analysis by Movember, Prostate Cancer UK and Royal Mail Group.

Signature Date

Line Manager Authorisation

To the best of my knowledge, the information given on this form is accurate and has been completed by an employee of Royal Mail Group. I confirm that I am this employee’s line manager.

Print name

Payroll number

Signed Date

Phone number

Where to send the completed form

Once you have completed this form, please send it back to: Movember CampaignCharities Trust, Suite 20-22Century BuildingsTower StreetLiverpool L3 4BJ

THANK YOU FOR TAKING PART IN MOVEMBER!