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Get Claim To Complete When You Retire - Alexander Forbes

ALEXANDER FORBES LIFE LIMITED Reg No. 1997/022561/06 FAIS Licence No 1178 Alexander Forbes Retirement Fund P O Box 652071 Benmore 2010 Tel 0860 100 333 Fax 011 324 3461 MANAGEMENT COMMITTEE S CHOICE INDIVIDUAL NEW ENTRANT FORM Employer Name Section/paypoint Month ending 1. YOUR DETAILS Surname First name Marital status Employee Number Gender number Tax Telephone number Identity number Fax number of birth Date Email address joined company Cell number of pensionable service 2. INVESTMENT PORTFOLIO OPTION I understand that my fund credit and ongoing contributions will be invested in accordance with the management committee s investment choice. 3. MEMBER SIGNATURE Member name 4. EMPLOYER CONFIRMATION AND SIGNATURE I confirm that the details provided on this form are correct and that the employee has met the eligibility conditions in the rules of the fund to become a member. I confirm that the employee is in active service on the first working day of joining the fund. Employer stamp Authorised signature Name print Designation Contact number Date Copyright in this material is expressly reserved and this form and all attachments where applicable remains the exclusive property of Alexander Forbes. This form and all attachments where applicable may not be copied stored retrieved or in any way reproduced without the express written permission of Alexander Forbes. Breach of copyright is a serious offence and can lead to litigation* PG 1 of 1 AFRF MCC New Entrant 6760 2012/10. YOUR DETAILS Surname First name Marital status Employee Number Gender number Tax Telephone number Identity number Fax number of birth Date Email address joined company Cell number of pensionable service 2. INVESTMENT PORTFOLIO OPTION I understand that my fund credit and ongoing contributions will be invested in accordance with the management committee s investment choice. INVESTMENT PORTFOLIO OPTION I understand that my fund credit and ongoing contributions will be invested in accordance with the management committee s investment choice. 3. MEMBER SIGNATURE Member name 4. EMPLOYER CONFIRMATION AND SIGNATURE I confirm that the details provided on this form are correct and that the employee has met the eligibility conditions in the rules of the fund to become a member. 3. MEMBER SIGNATURE Member name 4. EMPLOYER CONFIRMATION AND SIGNATURE I confirm that the details provided on this form are correct and that the employee has met the eligibility conditions in the rules of the fund to become a member. I confirm that the employee is in active service on the first working day of joining the fund. Employer stamp Authorised signature Name print Designation Contact number Date Copyright in this material is expressly reserved and this form and all attachments where applicable remains the exclusive property of Alexander Forbes. I confirm that the employee is in active service on the first working day of joining the fund. Employer stamp Authorised signature Name print Designation Contact number Date Copyright in this material is expressly reserved and this form and all attachments where applicable remains the exclusive property of Alexander Forbes. This form and all attachments where applicable may not be copied stored retrieved or in any way reproduced without the express written permission of Alexander Forbes.

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