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    Group Retirement Solutions      


  Personal information  
 
Date of birth  


Current annual income  
$

Province of residence


Age you currently plan to retire



Your Manulife plans 
(as of June 30, 2010)
Monthly
contributions  
Current
value
 
Registered $500.00   $0.00  
Non-registered $500.00   $0.00  


Lump sum contributions 
Do you intend to make lump sum contributions each year? Example, your annual, semi-annual or quarterly company bonus or a top-up to your group RRSP.
Yes
No

Estimated amount of money to be deposited each year as lump sum contributions to your group retirement savings plans
$

Note - You will have an opportunity to indicate a one-time lump sum contribution later.

Other retirement savings
Do you have other retirement savings to help you achieve your retirement income goal?  
Yes       No


The information collected will be kept confidential and will not be sold, distributed published, or otherwise disclosed in accordance with our privacy policy.
 
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