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SEVERANCE PACKAGE - GEPF

A) PERSONAL PARTICULARS OF MEMBERG overnment Employees Pension Fund (GEPF)CHOICE FORM - SEVERANCE PACKAGEP rivate Bag x63 Pretoria SOUTH AFRICA 000134 Hamilton Street Arcadia PretoriaGEPF USE ONLY -GEPF STAMPSBAR CODEC) CERTIFICATION BY MEMBER AND EMPLOYER REPRESENTATIVECHOICE FORM FOR SEVERANCE PACKAGEP ension Benefits in terms of PSCBC form enables the GEPF to successfully process the request for withdrawal from the Fund as a result of a S e v e r a n c e PACKAGE No : (+27) (0) 12 319 1911 Fax No : (+27) (0) 12 326 2507 Call Centre : (+27) (0) 12 319 1000E-mail : : ) SEVERANCE PACKAGE OPTION (GEPF Law Rule )Pension NumberSurnameTitleInitialsFirst NoIncome Tax NoSalary No1.

A) PERSONAL PARTICULARS OF MEMBER Government Employees Pension Fund (GEPF) CHOICE FORM - SEVERANCE PACKAGE Private Bag x63 Pretoria SOUTH AFRICA

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