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NAME: TELEPHONE NUMBER: FAX : E-MAIL …

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 Surname _____First names _____ Initials _____ Residential Address: Postal Address: Unit No: _____ Complex: _____ Street No : _____ P O Box: _____ Suburb / District : _____ Suburb / District: _____ City / Town: _____ City / Town: _____ Co

mandate for payment of benefit to bank all alterations must be signed by applicant and bank official nb:. cheque account holders must attach a signed cancelled, cheque or cashed cheque as

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