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MIBFA Engineering Industries Pension Fund / …

Engineering Industries Pension fund / metal Industries Provident fund BOX 7507 JOHANNESBURG, 2000 FAX: (011) 870-2389/2390/2242 WEBSITE: Call Centre no.: 086 010 2544 Beneficiary Nomination Form / Expression of Wish Form (Please note: This document is merely a guide to MIBFA ) (See reverse side for reasons for completing a nomination form) SURNAME OF MEMBER (CAPITAL LETTERS): _____ FIRST NAMES: _____ RESIDENTIAL ADDRESS OF MEMBER:_____ TEL NO. (h) _____ TEL NO. (w) _____ CELL NO. _____ IDENTITY NUMBER:_____ DATE OF BIRTH: _____ NAME OF CURRENT EMPLOYER: _____ 1. In terms of the Pension Funds Act, a member s dependants and persons nominated by the member may be considered by the Trustees when they decide in what proportion the lump sum death benefit could be shared between the valid beneficiaries. To assist the Trustees in making their decision please complete the following: 2. DEPENDANTS/NOMINEES: I nominate the following people to be CONSIDERED for payment in the event of my death.

Engineering Industries Pension Fund / Metal Industries Provident Fund P.O. BOX 7507 JOHANNESBURG, 2000 FAX: (011) 870-2389/2390/2242 WEBSITE: http://www.mibfa.co.za Call Centre no.: 086 010 2544

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  Engineering, Industreis, Metal, Fund, Pension, Engineering industries pension fund metal industries, Mibfa, Mibfa engineering industries pension fund

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