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APPLICATION FOR SPOUSE PENSION - GEPF

Z143 Bar Code Government Employees PENSION Fund ( gepf )SEE INSTRUCTIONS OVERLEAFPage 1 of 4 ALL PAGES OF THIS FORM MUST BE COMPLETED IN ORDER FOR THIS FORM TO BE VALIDAND THE RELEVANT PARTIES MUST INITIAL THIS PAGEC ommissionerof Oaths InitialApplicant'sInitialAPPLICATION FOR SPOUSE PENSIONA) PARTICULARS OF DECEASED (Compulsory)B) PARTICULARS OF PERSON APPLYING FOR SPOUSE PENSION (Compulsory) O D EC O D O D No. C) CONTACT PARTICULARS OF APPLICANT (Compulsory) of birthC C Y Y M M D of deathC C Y Y M M D No.

Physical Pensions Building GEPF Address: 34 Hamilton Street Postal Address: Private Bag X63 ArcadiaPretoria Pretoria0001 4.A spouse can apply for pension upon the death of a member or pensionerby submitting the original Z143 form with attachments to the GEPF. Only the spouse or life partner can complete the form if applying for Spouse’s Pension.

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Transcription of APPLICATION FOR SPOUSE PENSION - GEPF