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  • Tick The One That Is Applicable To You Below.: Form KPF 3. V

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    Timoara Natan
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    This document is an application form for an existing member of the Kiribati Provident Fund to become a voluntary contributor. It requests information such as the applicant's name, address, employment details, membership number, and the monthly contribution amount. The applicant signs to confirm their application and a witness also provides their signature and address. The bottom section is for office use only to indicate whether the application is approved, entered into the system, and approved by management.

    Original Description:

    KPF-Voluntary Registration Form

    Original Title

    Voluntary Form New Edition

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    This document is an application form for an existing member of the Kiribati Provident Fund to become a voluntary contributor. It requests information such as the applicant's name, address, employment details, membership number, and the monthly contribution amount. The applicant signs to confirm their application and a witness also provides their signature and address. The bottom section is for office use only to indicate whether the application is approved, entered into the system, and approved by management.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    53 views1 page

    Tick The One That Is Applicable To You Below.: Form KPF 3. V

    Uploaded by

    Timoara Natan
    This document is an application form for an existing member of the Kiribati Provident Fund to become a voluntary contributor. It requests information such as the applicant's name, address, employment details, membership number, and the monthly contribution amount. The applicant signs to confirm their application and a witness also provides their signature and address. The bottom section is for office use only to indicate whether the application is approved, entered into the system, and approved by management.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    FORM KPF 3. V.

    APPLICATION FOR VOLUNTARY CONTRIBUTORS


    (Existing Member)

    I,(Full Name) …………………………………………………………………….hereby apply to become


    a voluntary contributor with the Kiribati Provident Fund.

    ADDRESS: -
    ..…………………………………………………………………………………………….
    ………………………………………………………………………………………………
    ………………………………………………………………………………………………

    Employment date Date of Place of Occupation Sex Marital Spouse Name


    Start voluntary pmt Birth Birth Status

    Tick the one that is applicable to you below.


    I am a member of the Kiribati Provident Fund and ceased employment on
    …………………………….….
    I am (currently/not) employed and would like to increase my benefits at KPF.

    My membership number is ………….…………………. If my application is approved I shall


    remit the sum of $…………………….. every month. (Amount must be equal or greater
    than$5.00 per month, no ceiling amount.)

    Signed by Member ……………………………………………………………


    Date ……………………………………………………………

    Witness Name ……………….. :………………………………………..


    Witness Signature ……………………………………………………………
    Address ……………………………………………………………
    …………………………………………………………...
    Office use only
    Application Approval Yes No Entered on SSS Yes No
    Entered By …………………………………..
    G:M Approval…………………………….. Signature …………………………………....
    Date: ………………………………………. Date……………………………………………

    Warning: TO GIVE FALSE INFORMATION MAY RESULT IN PROSECUTION.

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