Boots Pension Scheme

Member self-service website - registration form

Thank you for your interest in registering for the website. Please confirm the following information and we will contact you in due course with the details you will need to view your pension details online:

My details:

Pension reference/member number
(if known):

Forename(s):

Surname:

Date of birth:

National Insurance no:

Email address:

Contact telephone number:

Please confirm your details before submitting this form.

I hereby confirm that all of the above details are, to the best of my knowledge, complete and correct at the time of submitting this form.

Date:

Submit