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APPLICATION FOR PAYMENT OF BENEFITS ON …

Engineering Industries Pension Fund Metal Industries Provident Fund PLEASE TICK RELEVANT FUND METAL INDUSTRIES HOUSE 42 ANDERSON STREET JOHANNESBURG 2001 BOX 7507 JOHANNESBURG 2000 CALL CENTRE NO 0860102544 Fax: (011) 870-2389/90 Engineering Fax: (011) 870-2394 Provident Website: APPLICATION FOR PAYMENT OF BENEFITS ON RESIGNATION, RETRENCHMENT OR RETIREMENT Full Names _____ Postal Address _____ _____ Postal Code _____ Fax No: _____ Tel No (h) _____ Tel No (w) _____ E-mail Address _____ Cell No: _____ Date of Birth.

mandate for payment of benefit to bank all alterations must be signed by applicant and bank official cheque account holders may attach a signed cancelled cheque or …

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