Qualifying Recognised Overseas Pension Schemes –
Member information for pension scheme administrators
APSS263 Page 1 HMRC 01/17
About this form
Use this form to give your scheme administrator the information they need to transfer sums or assets held within a registered
pension scheme to a Qualifying Recognised Overseas Pension Scheme (QROPS). You must provide this information to your
scheme administrator within 60 days of your transfer request. The scheme administrator will need this information before
proceeding with your transfer request and HM Revenue & Customs may ask to see this.
Tax charges
There are circumstances in which you may have to pay UK tax on this transfer or later payment out of the overseas scheme
even if you are not resident in the UK. Please note if you don’t provide this information to your pension scheme administrator
within 60 days of your transfer request, your transfer will be subject to the overseas transfer charge. You can find more
information about transferring to an overseas pension scheme on gov.uk at
www.gov.uk/government/collections/overseas-pension-schemes
About you
1
Your full name
Title
Last name
First name(s)
2
National Insurance number
If you have contacted Jobcentre Plus and are not
entitled to a National Insurance number, please state
the reasons and give any HMRC reference number that
you have received
3
Your date of birth DD MM YYYY
4
Your principal residential address
This must not be c/o the scheme manager and must
not be a PO Box number unless this is necessary due to
the country of residence
Country
5
If the address given in the previous question is not in
the UK, please give your last principal address in
the UK
Postcode
Country
6
If your principal residential address is outside the UK,
please give the date you left the UK DD MM YYYY
If you don’t have a previous UK address, please tick
this box
7
Your contact phone number