NOMINATION MEMBER'S NAME BRANCH: pestis ieeeereee eee TO: THE TRUSTEES OF THE TAKAFUL GAMBIA LIMITED PROVIDENT FUND SCHEME, 105 FAJARA M SECTION, BANJUL THE GAMBIA In accordance with Rule No. 3 (d) of the Takatul Gambia Limited Employees’ Provident Fund Scheme, hereby nominate the person (s) mentioned below to receive the amount standing to my credit in the Takaful Gambia Limited Provident Fund Scheme in the event of my death while in the service of the said Takaful Gambia Limited or before my claims upon the said Provident Fund Scheme shall have been discharged, AND I direct that the said amount shall be distributed among the persons in the percentages indicated or specified here. APPENDIX ‘A’ Name & Address of Nominee Relation Age Percent Yours faithfully, Signed and acknowledged by the above-named WITNESS to the signature of the member. Name of Witness: Address: Signature: Date:NAME: To: APPENDIX 'B' MEMBER'S UNDERTAKING BRANCH: DATE JOINED SCHEME: The Trustees \ hereby declare that | have read and understood the Rules of the Takaful Gambia Limited Provident Fund Scheme, and | hereby subscribe to and agree to becomea member of the ‘Scheme and bound by the Rules thereto as may be amended or modified from time to time. | hereby authorise the Employer to deduct contributions at the rate prescribed in the Rules of the Scheme from my salary for onward transmission to the Trustees Date of Birth Designation: Date Of Employment: Signed Date: