People’s Pension

PPT PROVIDENT FUND SCHEME
REGISTRATION FORM

PART I: MEMBER’S PERSONAL DETAILS

Last Name:

First Name:

Middle Name(s):

Previous Name or Maiden Name:

Date of Birth:

Gender:

Passport Picture:

Upload Picture

Ghana Card Number:

Date of Issue:

Expiry Date:

Occupation of Member:

Place of Birth

Town/City:

Region:

District:

Country:

Father's Name:

Mobile Phone No:

Mother's Name:

Mobile Phone No:

CURRENT CONTACT DETAILS

Permanent Residential Address:

Digital Address Code:

Postal Address:

Landmark:

Mobile Phone No.:

Email Address:

Home Town:

Region:

Marital Status:

Single

Married

Widowed

Divorced

PART II: EMPLOYER’S DETAILS

Employer’s Name:

SSNIT ER No.:

Digital Address:

Land Mark:

Postal Address:

Office Location:

EMPLOYER’S DETAILS (CONT.)

Mobile Phone No.:

Other Phone No.:

Email Address:

Date Joined Scheme:

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%

Declaration:

+233 302 738242

PPT Provident Fund Scheme Member Registration Form

PPT PROVIDENT FUND SCHEME
REGISTRATION FORM

PART I: MEMBER’S PERSONAL DETAILS

Place of Birth

CURRENT CONTACT DETAILS

PART II: EMPLOYER’S DETAILS

EMPLOYER’S DETAILS (CONT.)

PART III: MEMBER BENEFICIARIES

+233 302 738242

PPT Provident Fund Scheme Member Registration Form

PPT PROVIDENT FUND SCHEMEREGISTRATION FORM

PART I: MEMBER’S PERSONAL DETAILS

Place of Birth

CURRENT CONTACT DETAILS

PART II: EMPLOYER’S DETAILS

EMPLOYER’S DETAILS (CONT.)

PART III: MEMBER BENEFICIARIES

PPT PROVIDENT FUND SCHEME
REGISTRATION FORM