• No.5 Sam Nujoma Close, North Ridge, Accra Ghana.

PPT Occupational Pension Scheme Member Registration Form

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PPT OCCUPATIONAL PENSION SCHEME
REGISTRATION FORM

All sections must be completed in BLACK or BLUE INK and in BLOCK LETTERS only.

PART I: MEMBER’S PERSONAL DETAILS

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CURRENT CONTACT DETAILS

PART II: EMPLOYER’S DETAILS

Hazardous Non-Hazardous
EMPLOYER’S DETAILS (CONT.)
PART III: MEMBER BENEFICIARIES

I, hereby declare that the person(s) whose names are indicated below are to receive any benefits due me in the event of my death.

NAME OF BENEFICIARIES DATE OF BIRTH RELATIONSHIP ADDRESS OF BENEFICIARIES BENEFICIARY ID ID TYPE PHONE NUMBER(S) ALLOCATION %

Total Allocation: 0%