Scribd Logo
Upload

Welcome to Scribd!

  • Inbound 8582631524615675282

    Uploaded by

    Derraz
    7 views1 page
    This document is a request form for benefits from a deceased relative's pension fund. It contains fields for the applicant's information like name, ID number, job, and contact details. It also requests information about the deceased like name, date of death, and relationship to the applicant. Required documents include a death certificate, proof of employment/retirement for the deceased, and family status certificate. The form will be reviewed by a committee who will decide on the request and payment amount. Benefits are only provided for one year following the death.

    Original Description:

    استمارة منحة الوفاة

    Original Title

    inbound8582631524615675282

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    This document is a request form for benefits from a deceased relative's pension fund. It contains fields for the applicant's information like name, ID number, job, and contact details. It also requests information about the deceased like name, date of death, and relationship to the applicant. Required documents include a death certificate, proof of employment/retirement for the deceased, and family status certificate. The form will be reviewed by a committee who will decide on the request and payment amount. Benefits are only provided for one year following the death.

    Copyright:

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

    Inbound 8582631524615675282

    Uploaded by

    Derraz
    This document is a request form for benefits from a deceased relative's pension fund. It contains fields for the applicant's information like name, ID number, job, and contact details. It also requests information about the deceased like name, date of death, and relationship to the applicant. Required documents include a death certificate, proof of employment/retirement for the deceased, and family status certificate. The form will be reviewed by a committee who will decide on the request and payment amount. Benefits are only provided for one year following the death.

    Copyright:

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

    ‫اجلنَــىريُ اجلــــشائزيُ الذميقـزاطًُ الشعبًــُ‬

    ‫وسارَ الرتبًُ الىطيًُ‬


    ‫اللجيـُ الىطيًُ للخذمات االجتناعًُ‬
    ‫ملف رقه‪.....................:‬‬
    ‫تاريخ اصتالو امللف‪........../......../...... :‬‬

    ‫طلب االصتفادَ مً ميحُ وفاَ الىالذ(َ)‬

    ‫اللقب (العامل (َ))‪ .......................................:‬اللقب األصلٌ للنتشوجُ ‪..........................:‬االصه‪.............................. :‬‬


    ‫تاريخ و مكاٌ االسدياد‪ ........./....../......:‬بـ ‪...........................‬العيىاٌ الشخصٌ‪.....................................................:‬‬
    ‫الىظًفُ‪...............................................:‬مكاٌ العنل‪.......................................................................................:‬‬
    ‫رقه اهلاتف ‪ .......... - ..... - .... - .... - .... - .... - .... - ....:‬رقه احلضاب الربيذٍ اجلارٍ ‪ ............................. :‬املفتا ‪.............‬‬

    ‫طلب ميحُ وفاَ الىالذ(َ)‪:‬‬


    ‫االصه واللقب‪ ....................................................:‬تاريخ الىفاَ‪.......................................................... :‬‬
    ‫حــزر بــ‪..................‬يف ‪......./....../...... :‬‬
    ‫إمضــاء املعين (َ)‬

    ‫الىثائق املطلىبُ ‪:‬‬


    ‫املزاقبُ‬ ‫املزاقبُ‬ ‫الىثائق‬
    ‫مالحظات‬ ‫الجاىًُ‬ ‫األوىل‬ ‫املضتلنُ‬
    ‫الىثائق املطلىبُ‬ ‫الزقه‬
    ‫االصتنارَ‬ ‫‪10‬‬
    ‫شَادَ عنل أو ىضخُ مً قزار التقاعذ أو قزار‬ ‫‪10‬‬
    ‫فضخ العقذ ‪.‬‬
    ‫شَادَ وفاَ الىالذ(َ)‪.‬‬ ‫‪10‬‬
    ‫شَادَ عائلًُ للىالذ(َ)‪.‬‬ ‫‪10‬‬
    ‫صك مشطىب للنضتفًذ(َ)‪.‬‬ ‫‪10‬‬

    ‫إطـار خاص باللجيـُ‪:‬‬


    ‫مبلغ االصتفادَ (املذاولُ) تأشريَ مضؤول القضه‬ ‫قزار اللجيُ (املذاولُ)‬ ‫تاريخ املعاجلُ( املذاولُ)‬

    ‫مالحظُ‪ :‬تضذد ٍذه امليحُ مزَ واحذَ يف الضيُ و يضقط حق االصتفادَ بعذ اىقضاء الضيُ املالًُ‬

    You might also like