Transcription of MIBFA Engineering Industries Pension Fund / Metal ...
1 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.
2 SURNAME FIRST NAMES ADDRESS TEL. NO. SEX (M/F) DATE OF BIRTH (or ID NUMBER) SHARE OF BENEFIT (%) RELATIONSHIP 3. I, the undersigned, recognise that my circumstances and those of the persons shown above as nominees may change. I accept that it will be necessary for me to advise the Trustees of the fund when any change should be made regarding my nominations. SIGNATURE OF MEMBER: _____ DATE: _____ WITNESS: _____ NB: **PLEASE ATTACH A COPY OF YOUR IDENTITY DOCUMENT PLUS ANY SUPPORTIVE DOCUMENTATION RE-DEPENDANTS/NOMINEES MENTIONED** NB: A COPY OF THIS DOCUMENT SHOULD BE KEPT IN YOUR PERSONAL FILE WITH YOUR EMPLOYER AND THE ORIGINAL SUBMITTED TO THE fund MIBFA MIBFA REASONS FOR COMPLETING A BENEFICIARY NOMINATION FORM/EXPRESSION OF WISH FORM: It provides the Trustees with information regarding distribution of your benefit. It reduces the time taken to pay a benefit to your beneficiaries.
3 It enables the fund to contact you or your beneficiaries direct, if necessary. REDES WAAROM 'N ERFGENAAM NOMINASIEVORM VOLTOOI MOET WORD: Dit voorsien die Trustees met inligting oor die verdeling van u voordeel. Dit sal die tyd wat dit neem om die eis te betaal bespoedig. Dit stel die Fonds in staat om u of u begunstigdes direk te kontak, indien nodig. BOHLOKWA BA HO TLATSA FOROMO ENA E nehana ka dintlha tsa bohlokwa ho batsamaisi ba Mokgatla ka moo o lakatsang moputso wa hao o ka abelwanang ka oona, ha o se o hlokahetse. Mokgatlo o tla kgutsufatsa nako ya ho lefa moputso wa hao ho ba leloko ka wena, ha o fane ka dintlha tse hlokahalang foromong ena. E etsa hore hobe bobebe hore Mokgatlo o ka finyella wena kapa bahlokomeduwa ba bang ba hao, ha o se o hlokahetse. UKUBALULEKA KOKUCWALISA LELIFOMU Linikezana ngemininingwane ebalulekile kubaphathi be Sikhwama ngezifiso zakho ukuthi imivuzo yakho ihlukaniswe kanjani.
4 Isikhwama sizosheshisa ekukhokheni imivuzo yakho kwabomdeni wakho uma ucwalisile lelifomu. Lenza kubelula ukuthi isikhwana sixhumane nawe okanye abomndeni umakunesidingo. Please turn over To be completed, inserted into envelope supplied and returned. Engineering Industries Pension fund / Metal Industries Provident fund
