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HA APPLICATION FORMS update - Nambawan Super Limited

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: _____Telephone 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.

3 EMPLOYER ENDORSEMENT I, (Name of Officer) employed in the capacity of (designation) hereby certify that I have been advised and verify that the particulars relating to the member/employee provided in this application is true and correct.

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