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ND EMPLOYEE REGISTRATION FORM Fund Proposed Type of Registration (Mandatory/Voluntary) Employer Employee's Payroll No. Employee's position Surname First Name Employee's Name Salary Second name(s) Permanent Address Sex (M) Daily-Rated (W) (F) Monthly Rated (S) Date of Birth Day ...Month ..Year .. (Documentary Evidence to be provided including Marriage Certificate where applicable) Marital Status: Date Employment Commen.

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