Santander Nominee Service
Aspect House
Lancing
West Sussex
BN99 6DA
Tel: 0371 384 2000*
www.santandershareview.com
v14 11/16
SV
This form must be completed in BLOCK CAPITALS and in black ink. If you are not entering information in any of the fields
please leave them blank and do not cross them through.
Please note that this instruction is specific to the holding shown below.
Payments Direct to your Bank/Building Society Account
Full name of shareholder
Shareholder Reference
Company
Banco Santander
Step 1

Please provide
details of your
bank or building
society account.
Step 2
Sort code
(UK bank branches only)
Account
Details
-
Building
society
reference or
roll number
-
(if not applicable, please leave blank)
(please check with your building society if unsure of this reference)
forward until further notice all distributions that may from time to time become payable to me/us in respect
Please
of any shares or stock held, to the above nominated bank or building society, or to such other branch of the
Please read
then sign and
date below.
All registered
holders must
sign to confirm
this instruction.
organisation as the bank or building society may from time to time request. Compliance with this request will
discharge Santander Nominee Service’s liability in respect of such dividends or other monies.
This instruction will override any existing instruction to pay your dividends direct to your bank/building society
account
Your signature(s)
(if signing on
behalf of a
shareholder,
please state legal
capacity e.g.
‘Legal
Representative’).
Today’s date
Step 3
Account number
(£ sterling accounts only)
Signature 1
Signature 2 (if applicable)
Signature 3 (if applicable)
Signature 4 (if applicable)
D D
/
M M
/
Y Y Y Y

If signing as a
Power of
Attorney or
other authority
please print
your full name
here.
Step 4

Please return this form to Santander Nominee Service at the address above.
*Lines are open Monday to Friday between 8.30am and 5.30pm (UK time, excluding English public holidays).
The Santander Nominee Service is sponsored by Santander and operated by Equiniti Financial Services Limited. Equiniti Financial Services Limited is part of the
Equiniti Group. Their registered offices are Aspect House, Spencer Road, Lancing, West Sussex, BN99 6DA, United Kingdom. Equiniti Financial Services Limited
is authorised and regulated by the Financial Conduct Authority. Registered in England and Wales No. 6208699. FCA No. 468631.Banco Santander, S.A. is
authorised and regulated by the Bank of Spain and is regulated by the Financial Conduct Authority for the conduct of investment business in the United Kingdom
under its European Economic Area Inward Branch Registration, Firm Reference Number 136261. Banco Santander S.A. - Registered Address: Paseo de Pereda
9-12, 39004 SANTANDER - Santander Mercantile Registry, Sheet 286, Fol. 64, Book 5 of Societies, 1st inscription. C.I.F A-39000013