G.

P 25
NEXT –OF-KIN FORM
PARTICULARS OF OFFICERS
Surname:...........................................................................................................................
Christian Names...............................................................................................................
Appointment:................................................................................................................. ...
PARTICUALRS OF NEXT-OF-KIN
Full Name:.........................................................................................................................
Relationship to officer....................................................................................................
PARTICULARS OF ALTERNATIVE NEXT-OF-KIN
(in case the person named above cannot be traced)

Full Name:........................................................................................................................
Relationship to officer.....................................................................................................

Address:..................................................................................................................... ........

Station:........................................................ Date...............................................

Signature of Officer…………………………………………………………

PARTICULARS SHOULD BE TYPED OR WRITTEN LEGIBLY IN BLOCK LETTERS

Even if the next-of-kin is in the Territory, a home address should be furnished,

and also in case when domiciled outside the Territory.

GPK (L)