HA APPLICATION FORMS update - Nambawan …

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L I M I T E D APPLICATION FOR HOUSING ADVANCE The Form must be completed IN FULL by the Member and all required documents must be submitted together with this APPLICATION . Full Name: Age: Payroll No.: ______________________ Nambawan Super No.: Full Postal Address: Village: _________________District: ______________________ Province: _____________________ Employer: _____________________________________Tel ephone No: . Mobile No: Salary (Gross Per Annum) K ________________ Fax No: Email Address: Occupation: _______________________________ Date Joined Fund: Please tick ( ) the category in which your APPLICATION will fall under.

4 PAPUA NEW GUINEA ----- STATUTORY DECLARATION I, (a) Do solemnly and sincerely declare that:-(b)And I make this solemn declaration virtue of this Oath, Affirmations and Statutory Declarations

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