Received by (Branch): Received by (MPF Adm Ctr):
on (dd/mm/yy) on (dd/mm/yy)
BEA (MPF) Industry Scheme
FÈ]jn÷^æ~pº
Member – Notice of Cessation / Commencement (Self-employed Person)
¨ûУA / }lÛµG¾Ñ]ÛµHh^
(i) This Form must be completed by Member. Please use BLOCK LETTERS for completion and “ü” where applicable.
»í沷Ѩûñg+ÐH¿¢ñgÃb)í§èæº[WKüL¹+
(ii) Upon completion of this Form, please return to BEA branch or mail to MPF Administration Centre, 32nd Floor, BEA Tower, Millennium City 5, 418 Kwun Tong Road,
Kwun Tong, Kowloon, Hong Kong.
ñ´»íæá)Ðæ^FÈÈæÀæ)ÎH^/»äEI[í[í, " & ¹Ðö§°ÁFÈÈæ¤ß ! Ó)jîʽn÷æF¤ß+
This form is applicable to: ¨ Employer ¨ Relevant Employee ¨ Casual Employee (Daily Paid) ¨ Casual Employee (Non-Daily Paid) þ Self-employed Person ¨ Preserved Account Holder
»íæ)Îó µD @ëµû {ɵû]é~ä~^ {ɵû]Dé~ä~^ ÛµHh OdãáHh
Part I Details of Self-employed Person
Ä@¡÷ ÛµHhêÆ
Name in English (same as HKID Card / Passport) Name in Chinese
^åmW]2»ä÷Ò / (ÓÛP^ ¤åmW
HKID Card / Passport No. Contact Telephone / Mobile Phone No.
»ä÷Ò / (Ó¹: F¸qÜ / â£qܹ:
BEA (MPF) Industry Scheme No.
FÈ]jn÷^æ~FºI¹ E A I
Part II Details of Cessation / Commencement
ÄG¡÷ £A / }lÛµÔ¡
¨ Cessation of Self-employment
£AÛµ
Effective date (dd / mm / yyyy)
ÍÄéÁ]é / ë / ~^G
¨ Commencement of Self-employment
}lÛµ
Effective date (dd / mm / yyyy)
ÍÄéÁ]é / ë / ~^G
Signature of Self-employed Person Date (dd / mm / yyyy)
ÛµHh±p éÁ]é / ë / ~^
BEA (MPF) Hotline : 2211 1777 Fax no. : 3608 6003
FÈ ]j n ÷^ K ö ÇK¹:
TR 107 (05/2005)