Claims & Forms


Notification Of Death


Notification Of Withdrawal


Notification Of Retirement

– Step 1 of 4

THIS FORM MUST BE COMPLETED BY THE PRINCIPAL OFFICER & MEMBER’S DEPENDENT

A) MEMBER DETAILS

DEPENDANTS’ DETAILS

Details of Dependants/Beneficiaries to receive benefit in terms of the Rules or Board of Trustees Resolution:

1. Name Surname, Day.Month.Year
2. Name Surname, Day.Month.Year1. Name Surname, Day.Month.Year, relationship
2. Name Surname, Day.Month.Year, relationship

PAYMENT INSTRUCTION

(attach bank details confirmation eg copy of bank statement, bank card
reflecting account number, bank letter etc)

Please attach the following documents in respect of this claim and mark with a tick to show those
attached.



Click or drag files to this area to upload.
You can upload up to 10 files.

NB.
Proof of age must be submitted in the form of Birth Certificate, National Registration Card, Drivers Licence
or Passport

– Step 1 of 4

THIS FORM MUST BE COMPLETED BY THE PRINCIPAL OFFICER & MEMBER’S DEPENDENT

A) MEMBER DETAILS

DEPENDANTS’ DETAILS

Details of Dependants/Beneficiaries to receive benefit in terms of the Rules or Board of Trustees Resolution:

1. Name Surname, Day.Month.Year
2. Name Surname, Day.Month.Year1. Name Surname, Day.Month.Year, relationship
2. Name Surname, Day.Month.Year, relationship

PAYMENT INSTRUCTION

(attach bank details confirmation eg copy of bank statement, bank card
reflecting account number, bank letter etc)

Please attach the following documents in respect of this claim and mark with a tick to show those
attached.



Click or drag files to this area to upload.
You can upload up to 10 files.

NB.
Proof of age must be submitted in the form of Birth Certificate, National Registration Card, Drivers Licence
or Passport