GLOBAL STOCK PLAN SERVICES LETTER OF AUTHORIZATION FOR SHARE TRANSFER (ORD)

GSPSTORD (08/2012)
PAGE 1 OF 3
Branch No. Account No. Financial Advisor No.
For Internal Use Only
Global Stock Plan Services
Letter of Authorization for Share Transfer (ORD)
Please be sure to complete this form accurately and com plete ly. Failure to provide complete and accurate information may result in delays in
receiving your shares or proceeds. Please read the attached instructions for more details.
Please print or type all required information in English.
Company
COMPANY NAME
Part I Personal Information
NAME OF ACCOUNT OWNER (EXACTLY AS IT APPEARS ON YOUR ACCOUNT) FIRST NAME LAST NAME
You MUST complete this box
ACCOUNT MAILING ADDRESS
CITY STATE ZIP/POSTAL CODE COUNTRY
TELEPHONE (INCLUDING COUNTRY CODE) EMAIL
Part II Share Transfer Instructions
Please transfer my stock plan shares, using the following information. (Please verify this information with your receiving rm. Please
complete all sections of the form. Your transfer cannot be processed if information is missing. It is important that you include the name of the
contact person and the required contact information including telephone and fax numbers and email.)
NAME OF RECEIVING FIRM/BANK/BROKER RECEIVING FIRM SWIFT BIC CODE ACCOUNT NUMBER AT RECEIVING FIRM
INTERMEDIARY BANK INTERMEDIARY BANK SWIFT BIC CODE RECEIVING FIRM ACCOUNT AT INTERMEDIARY BANK
RECEIVING BANK CONTACT PERSON NAME CONTACT PERSON TELEPHONE (INCLUDING COUNTRY CODE)
CONTACT PERSON FAX NUMBER (INCLUDING COUNTRY CODE) CONTACT PERSON EMAIL
Number of Shares to Transfer
All Shares (whole shares only.) If there are any remaining fractional shares, they will be liquidated. Please complete Part III to give
instructions for residual cash distribution.
Shares. Any remaining shares will stay in the account. Please note that certain plan rules may prohibit you from
keeping shares in this account if you are no longer employed by the plan sponsor.
9-Digit Global ID Number
Save Draft Clear Form
GLOBAL STOCK PLAN SERVICES LETTER OF AUTHORIZATION FOR SHARE TRANSFER (ORD)
GSPSTORD (08/2012)
PAGE 2 OF 3
Branch No. Account No. Financial Advisor No.
For Internal Use Only
Part III Residual Cash Distribution
THIS SECTION MUST BE COMPLETED TO ALLOW MORGAN STANLEY SMITH BARNEY TO LIQUIDATE ANY
FRACTIONAL SHARES IN YOUR ACCOUNT AFTER YOUR WHOLE SHARES ARE TRANSFERRED.
CURRENCY YOU ARE REQUESTING (LOCAL OR PLAN CURRENCY)
RECEIVING BANK NAME (FULL NAME OF BANK) RECEIVING BANK TELEPHONE NUMBER PLEASE ENTER FULL NUMBER, INCLUDING COUNTRY CODE
RECEIVING BANK NAME CITY COUNTRY
Receiving Bank Routing Number SWIFT/BIC Code National ID (ABA) IBAN
ACCOUNT NAME AS IT APPEARS ON YOUR BANK RECORDS YOUR BANK ACCOUNT NUMBER
Part IV Authorization to Convert and Transfer Funds
Tis Share Transfer Form and Authorization to Convert and Transfer Funds will only be used for the transaction specied above. Te
base currency for the plan will be exchanged into the currency I have chosen based on the available rate from Citibank on the Conversion
Date (normally the rst business day following the Settlement Date). I acknowledge that foreign exchange rates may uctuate between
the Trade Date and the date I actually receive the funds transferred and I hold Morgan Stanley Smith Barney harmless for any related
change in value of the funds or any delay in my receipt of the funds. I understand that all transfers must be made in accordance with the
U.S. O ce of Foreign Assets Control regulations and am aware of no violation thereof which would be caused by the transfer hereby
requested. It is my responsibility to assure the designated receiving bank is prepared to receive the currency requested. I am responsible for
my compliance with any laws in my jurisdiction regarding currency conversion and receipt of international money transfers. I represent
and warrant to Morgan Stanley Smith Barney that I have the lawful right to request and receive the above conversion and/or transfer.
I understand that I am responsible for all fees associated with the sale of my shares. Morgan Stanley Smith Barney will not be responsible
for errors in transmission or mechanical failures in transmission of this information. I understand that I must verify receipt of my order
by telephone. I understand that if the information I have provided above is not the same as the information Morgan Stanley
Smith Barney has on its records, Morgan Stanley Smith Barney has the right not to honor the instructions set forth above.
Part V Signature
ACCOUNT OWNERS SIGNATURE DATE DAYTIME TELEPHONE NUMBER
Please mail, fax or email the completed form together with a copy of your government-issued identication document to:
Morgan Stanley Smith Barney
Attn: Stock Options Processing
Edicio Triangle, Plaza Catalunya 1
08002 Barcelona, SPAIN
Fax No.: +34 91 114 1399
Email: mssb.admin@citi.com
Please allow ten business days from receipt to process your request.
SIGNATURE VERIFICATION IS REQUIRED FOR EACH ACCOUNT OWNER FOR ALL TRANSFERS. PLEASE ATTACH
AN ENLARGED COPY OF THE PRINTED AND SIGNATURE SIDE OF A GOVERNMENT-ISSUED IDENTIFICATION
DOCUMENT. IF YOU ARE SENDING VIA EMAIL, PLEASE ENCLOSE A READABLE SCANNED COPY OF THIS FORM
AND THE PRINTED AND SIGNATURE SIDE OF A GOVERNMENT-ISSUED IDENTIFICATION DOCUMENT.
2012 Morgan Stanley Private Wealth Management Limited. All rights reserved. Morgan Stanley Smith Barney is a trading name used by Morgan Stanley
Private Wealth Management Limited (MSPWM) for its Global Stock Plan Services Division. Accounts carried by Morgan Stanley & Co. International Plc
(MSIP). MSPWM and MSIP are authorized and regulated by the Financial Services Authority in the U.K. for investment business. MSPWMs registered
number is 06837134 and its registered address is 20 Bank Street, London E14 4AD. MSIPs registered number is 02068222 and its registered address
is 25 Cabot Square, London E14 4QA.
Save Draft Clear Form
Branch No. Account No. Financial Advisor No.
For Internal Use Only
GLOBAL STOCK PLAN SERVICES LETTER OF AUTHORIZATION FOR SHARE TRANSFER (ORD)
GSPSTORD (08/2012)
PAGE 3 OF 3
NY CS 7251928 08/12
Global Stock Plan Services
Instructions for Completing the Letter of Authorization for Share Transfer Form
Part I Personal Information
Company Name: Your company
Name of Account Owner: First Name, Last Name
9 Digit Global ID Number: Your Identication Code for the share plan.
Account Mailing Address: Provide your home address (Street name, city, country and postal code)
Part II Share Transfer Instructions
Name of Receiving Firm/Bank/Broker: Name of the bank/nancial institution where you have a brokerage account where you choose to have your shares sent.
Receiving Firm SWIFT-BIC Code: Te receiving rm SWIFT-BIC code is a bank identier code comprised of 8 or 11 consecutive characters that identies
the bank where you choose to have your shares sent. Your bank can provide this code upon request.
Account Number at Receiving Firm: You will need to have a Brokerage Account Number (Account where the shares are held) in your name, where your shares
are going to be delivered.
Intermediary Bank SWIFT-BIC Code: Te Intermediary Bank SWIFT-BIC code is a bank identier code comprised of 8 or 11 consecutive characters that
identies the intermediary Agent used by your bank to settle international trades. Your bank can provide this code upon
request.
Receiving Firm Account at Intermediary Bank: Tis is the account number which your bank needs to have in the Intermediary Bank for processing instructions.
Contact Person: Name of the contact person (preferably from the shares department) within your bank. It is compulsory and important
that you inform this person that you are expecting a certain quantity of shares.
Contact Person Telephone/Fax/Email: Compulsory and important.
Number of Shares to Transfer: If you wish to transfer all the shares please tick the rst box. If you wish to transfer a specic amount of shares please tick
the second box and please state the amount of shares to transfer. If you wish to be sent a share certicate please tick the
third box.
Part III Residual Cash Distribution Instructions/Authorization to Distribute Funds
You may have fractional shares in your account, once all the whole shares are transferred. Tis section is to instruct Morgan Stanley Smith Barney where to send the funds
once these shares are liquidated.
Sign Here/ Date/ Telephone Number: Please sign the form and ll in the date and your daytime telephone number.
Please remember to send us a copy of a valid ID with a readable signature (such as your Passport or driving license). Note: Please allow 15 business days for processing.
Routing Number: A bank routing number is an identier code that identies the bank/ nancial institution where you choose to receive your
funds. Upon request, your bank will be able to provide you with one of the following identier codes as appropriate:
SWIFT-BIC this code comprises of 8 or 11 characters
National ID:
Sort Code is required for GBP payments
BLZ is required for banks in Germany
IBAN International Bank Account Number required for payments in the EU
ABA number required for USD payments
Frequently Asked Questions
1.How do I retrieve my Intermediary Bank details?
Please contact your bank to conrm the details.
2. Do I have to inform my bank?
Yes, your bank needs to be aware of your intentions of receiving your Shares. Your bank needs to submit instructions to the intermediary bank to receive your shares. If your
bank does not enter matching instructions, your transfer might not settle.
3. What happens if there is any information missing?
Without proper instructions to us and proper receiving instructions from your bank, the process of the share transfer may be delayed. We will nevertheless try to contact you
if there is information missing. Please provide a valid telephone number on the Share Transfer form.*
4. What does my bank need to do?
Your bank needs to contact the intermediary bank and inform them that they are going to receive Share Transfer instructions. Please provide details of your request to your bank.
5. How long will the share transfer take?
If all data you provide on the account information form is correct, shares will be in your account approximately 15 business days after the date you submitted the
instructions. Should any vital information be incorrect (such as the account number or intermediary bank) the transfer will be cancelled after 20 business days.
6. If I do not provide the appropriate information on the account information form, does that mean that I wont receive my shares?
You will receive your shares; you are entitled to themnevertheless, it will take longer than the usual process if the account information form is not completed properly.
If the transfer cannot be completed due to missing information, the shares will be reinstated to your stock plan account.
* If you require assistance to complete your form, please contact your Customer Service Centre for instructions.
Save Draft Clear Form