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Employee Information Change Request

GP1534US (05/2016)Page 1 of 1 Instructions for Employee Use this form to provide your informational changes. Please print all Information and return this completed form directly to the PlanAdministrator at your company. Contact your plan Administrator to make any other personal data changes not provided for by this form. If you wish to Change your investments, please log onto our participant website at (in New York, ), call 1-800-395-1113, or complete an investment Change form and submit to your plan for plan Administrator For SSN changes, submit this form to John Hancock Retirement plan Services.

GP1534US (05/2016) Page 1 of 1 Instructions for Employee • Use this form to provide your informational changes. Please print all information and return this completed form directly to the Plan

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