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Get Canada UBC VPLA Application 2012-2024

E PAYMENT LIFE ANNUITY APPLICATION FORM Personal Information Full Name (Last, First Middle) Dr. Mr. Mrs. Street Address City Ms. Social Insurance Number Date of Birth Province Postal Code Country Email Address Home Phone Work Phone Annuity Selection For detailed information on the options below, please refer to the Retirement Information Brochure and the 4% & 7% Brochure. Please note that if you have a spouse (as defined by the Plan), you must choose a Joint and Survivor Option, u.

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