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Republic of the Philippines

Departmet of Education
MIMAROPA REGION
Meralco Ave. cor. St. Paul Road
Pasig City
APPLICATION FOR DISABILITY RETIREMENT
(Elementary)
Please check the box opposite the requirement. 6 copies each
1 Indorsement from SDS
2 Certificate of Administrative Clearance ( SDO Atty.)
3 Division Clearance
4 District Clearance
5 School Clearance
SDO -PALAWAN

6 Affidavit of Undertaking- with authority to deduct accountabilities


7 Service Record
8 Certification of Leave Without Pay
9 Accomplished GSIS Retirement Form
10 Proof of Disability Part I, II and III
11 Intent Letter
12 SALN Certification - SDO Admin. Officer V
13 SALN 2022
14 CSC Pendency / Non-Pendency Clearance
15 OMBUDSMAN Clearance (indicating whether or not the retiree has a pending criminal
or administrative case)

Certified complete: ____________________________________


(Signature Over Printed Name)
Date forwaded to RO : ___________________________________

Republic of the Philippines


Departmet of Education
MIMAROPA REGION
Meralco Ave. cor. St. Paul Road
Pasig City
APPLICATION FOR DISABILITY RETIREMENT
(Elementary)
Please check the box opposite the requirement. 6 copies each
1 Indorsement from SDS
2 Certificate of Administrative Clearance ( SDO Atty.)
3 Division Clearance
4 District Clearance
5 School Clearance
SDO -PALAWAN

6 Affidavit of Undertaking- with authority to deduct accountabilities


7 Service Record
8 Certification of Leave Without Pay
9 Accomplished GSIS Retirement Form
10 Proof of Disability Part I, II and III
11 Intent Letter
12 SALN Certification - SDO Admin. Officer V
13 SALN 2022
14 CSC Pendency / Non-Pendency Clearance

15 OMBUDSMAN Clearance (indicating whether or not the retiree has a pending criminal
or administrative case)
Certified complete: ____________________________________
(Signature Over Printed Name)
Date forwaded to RO : ___________________________________

Republic of the Philippines


Departmet of Education
MIMAROPA REGION
Meralco Ave. cor. St. Paul Road
Pasig City
APPLICATION FOR RETIREMENT/SEPARATION/LIFE INSURANCE BENEFITS
(Elementary)
Please check the box opposite the requirement. 6 copies each
1 Indorsement from SDS
2 Certificate of Administrative Clearance ( SDO Atty.)
3 Division Clearance
4 District Clearance
5 School Clearance
SDO -PALAWAN

6 Affidavit of Undertaking- with authority to deduct accountabilities


7 Service Record
8 Certification of Leave Without Pay
9 Accomplished GSIS Retirement Form
10 Intent Letter
11 SALN Certification - SDO Admin. Officer V
12 SALN 2022
13 CSC Pendency / Non-Pendency Clearance
14 OMBUDSMAN Clearance (indicating whether or not the retiree has a pending criminal
or administrative case)

Certified complete: ____________________________________


(Signature Over Printed Name)

Date forwaded to RO : ___________________________________

Republic of the Philippines


Departmet of Education
MIMAROPA REGION
Meralco Ave. cor. St. Paul Road
Pasig City

APPLICATION FOR RETIREMENT/SEPARATION/LIFE INSURANCE BENEFITS


(Elementary)
Please check the box opposite the requirement. 6 copies each
1 Indorsement from SDS
2 Certificate of Administrative Clearance ( SDO Atty.)
3 Division Clearance
4 District Clearance
5 School Clearance
6 Affidavit of Undertaking- with authority to deduct accountabilities
SDO -PALAWAN

7 Service Record
8 Certification of Leave Without Pay
9 Accomplished GSIS Retirement Form
10 Intent Letter
11 SALN Certification - SDO Admin. Officer V
12 SALN 2022
13
CSC Pendency / Non-Pendency Clearance
14 OMBUDSMAN Clearance (indicating whether or not the retiree has a pending criminal
or administrative case)

Certified complete: ____________________________________


(Signature Over Printed Name)
Date forwaded to RO : ___________________________________
Republic of the Philippines
Departmet of Education
MIMAROPA REGION
Meralco Ave. cor. St. Paul Road
Pasig City

APPLICATION FOR RETIREMENT/SEPARATION/LIFE INSURANCE BENEFITS


(Secondary)
Please check the box opposite the requirement.
1 Indorsement from SDS
2 Certificate of Administrative Clearance ( SDO Atty.)
3 Division Clearance
4 School Clearance

5 Affidavit of Undertaking- with authority to deduct


SDO -PALAWAN

accountabilities
6 Service Record
7 Certification of Leave Without Pay
8 Accomplished GSIS Retirement Form
9 Intent Letter
10 SALN Certification - SDO Admin. Officer V
11 SALN 2022
12 CSC Pendency / Non-Pendency Clearance
13 OMBUDSMAN Clearance (indicating whether or not the retiree has
a pending criminal or administrative case)

Certified complete: ____________________________________


(Signature Over Printed Name)
Date forwaded to RO : ___________________________________

Republic of the Philippines


Departmet of Education
MIMAROPA REGION
Meralco Ave. cor. St. Paul Road
Pasig City

APPLICATION FOR RETIREMENT/SEPARATION/LIFE INSURANCE BENEFITS


(Secondary)
Please check the box opposite the requirement.
1 Indorsement from SDS
2 Certificate of Administrative Clearance ( SDO Atty.)
3 Division Clearance
4 School Clearance
5 Affidavit of Undertaking- with authority to deduct
SDO- PALAWAN

accountabilities
6 Service Record
7 Certification of Leave Without Pay
8 Accomplished GSIS Retirement Form
9 Intent Letter
10 SALN Certification - SDO Admin. Officer V
11 SALN 2022
12 CSC Pendency / Non-Pendency Clearance
13 OMBUDSMAN Clearance (indicating whether or not the retiree has
a pending criminal or administrative case)

Certified complete: ____________________________________


(Signature Over Printed Name)
Date forwaded to RO : ___________________________________
Republic of the Philippines
Departmet of Education
MIMAROPA REGION
Meralco Ave. cor. St. Paul Road
Pasig City

APPLICATION FOR RETIREMENT/SEPARATION/LIFE INSURANCE BENEFITS


(Secondary) IUS
Please check the box opposite the requirement.
1 Indorsement from SDS
2 Certificate of Administrative Clearance ( SDO Atty.)
3 Division Clearance
4 School Clearance
5 Affidavit of Undertaking- with authority to deduct
accountabilities
SDO- PALAWAN

6 Service Record
7 Certification of Leave Without Pay
8 Certification of Last Payment
9 Accomplished GSIS Retirement Form
10 Intent Letter
11 SALN Certification - SDO Admin. Officer V
12 SALN 2022 (Prior Year)
13 CSC Pendency / Non-Pendency Clearance
14 OMBUDSMAN Clearance (indicating whether or not the retiree has
a pending criminal or administrative case)

Certified complete: ____________________________________


(Signature Over Printed Name)

Date forwaded to RO : ___________________________________

Republic of the Philippines


Departmet of Education
MIMAROPA REGION
Meralco Ave. cor. St. Paul Road
Pasig City

APPLICATION FOR RETIREMENT/SEPARATION/LIFE INSURANCE BENEFITS


(Secondary) IUS
Please check the box opposite the requirement.
1 Indorsement from SDS
2 Certificate of Administrative Clearance ( SDO Atty.)
3 Division Clearance
4 School Clearance
5 Affidavit of Undertaking- with authority to deduct
accountabilities
SDO- PALAWAN

6 Service Record
7 Certification of Leave Without Pay
8 Certification of Last Payment
9 Accomplished GSIS Retirement Form
10 Intent Letter
11 SALN Certification - SDO Admin. Officer V
12 SALN 2022 (Prior Year)
13 CSC Pendency / Non-Pendency Clearance
14 OMBUDSMAN Clearance (indicating whether or not the retiree has
a pending criminal or administrative case)

Certified complete: ____________________________________


(Signature Over Printed Name)
Date forwaded to RO : ___________________________________

Republic of the Philippines


Departmet of Education
MIMAROPA REGION
Meralco Ave. cor. St. Paul Road
Pasig City
APPLICATION FOR RESIGNATION
(ELEMENTARY)
Please check the box opposite the requirement. (3 copies each)
1 Resignation Letter
SDO- PALAWAN

2 Latest IPCRF
3 School Clearance (Money & Property)
4 Disrict Clearance (Money & Property)
5 Division Clearance
6 Service Record
7 Certification of Leave Without Pay

Certified complete: ____________________________________


(Signature Over Printed Name)

Date forwaded to RO : ___________________________________

Republic of the Philippines


Departmet of Education
MIMAROPA REGION
Meralco Ave. cor. St. Paul Road
Pasig City
APPLICATION FOR RESIGNATION
(ELEMENTARY)
Please check the box opposite the requirement. (3 copies each)
1 Resignation Letter
SDO- PALAWAN

2 Latest IPCRF
3 School Clearance (Money & Property)
4 Disrict Clearance (Money & Property)
5 Division Clearance
6 Service Record
7 Certification of Leave Without Pay
Certified complete: ____________________________________
(Signature Over Printed Name)

Date forwaded to RO : ___________________________________

Republic of the Philippines


Departmet of Education
MIMAROPA REGION
Meralco Ave. cor. St. Paul Road
Pasig City
APPLICATION FOR RESIGNATION
(ELEMENTARY)
Please check the box opposite the requirement. (3 copies each)
1 Resignation Letter
SDO- PALAWAN

2 Latest IPCRF
3 School Clearance (Money & Property)
4 Disrict Clearance (Money & Property)
5 Division Clearance
6 Service Record
7 Certification of Leave Without Pay
Certified complete: ____________________________________
(Signature Over Printed Name)

Date forwaded to RO : ___________________________________

Republic of the Philippines


Departmet of Education
MIMAROPA REGION
Meralco Ave. cor. St. Paul Road
Pasig City
APPLICATION FOR DISABILITY RETIREMENT
(Secondary)
Please check the box opposite the requirement. 6 copies each
1 Indorsement from SDS
2 Certificate of Administrative Clearance ( SDO Atty.)
3 Division Clearance
4 School Clearance
5 Affidavit of Undertaking- with authority to deduct
SDO -PALAWAN

accountabilities
6 Service Record
7 Certification of Leave Without Pay
8 Certification of Last Payment ( for IUS )
9 Accomplished GSIS Retirement Form
10 Proof of Disability Part I, II and III
11 Intent Letter
12 SALN Certification - SDO Admin. Officer V
13 SALN 2022
14 CSC Pendency / Non-Pendency Clearance
15 OMBUDSMAN Clearance (indicating whether or not the retiree has
a pending criminal or administrative case)

Certified complete: ____________________________________


(Signature Over Printed Name)
Date forwaded to RO : ___________________________________

Republic of the Philippines


Departmet of Education
MIMAROPA REGION
Meralco Ave. cor. St. Paul Road
Pasig City
APPLICATION FOR DISABILITY RETIREMENT
(Secondary)
Please check the box opposite the requirement. 6 copies each
1 Indorsement from SDS
2 Certificate of Administrative Clearance ( SDO Atty.)
3 Division Clearance
4 School Clearance
5 Affidavit of Undertaking- with authority to deduct
SDO -PALAWAN

accountabilities
6 Service Record
7 Certification of Leave Without Pay
8 Certification of Last Payment (for IUS )
9 Accomplished GSIS Retirement Form
10 Proof of Disability Part I, II and III
11 Intent Letter
12 SALN Certification - SDO Admin. Officer V
13 SALN 2022
14 CSC Pendency / Non-Pendency Clearance
15 OMBUDSMAN Clearance (indicating whether or not the retiree has
a pending criminal or administrative case)

Certified complete: ____________________________________


(Signature Over Printed Name)
Date forwaded to RO : ___________________________________
APPLICATION FOR RETIREMENT/SEPARATION/LIFE INSURANCE APPLICATION FOR RETIREMENT/SEPARATION/LIFE INSURANCE
BENEFITS BENEFITS
(Elementary ) (Elementary )
6 COPIES EACH 6 COPIES EACH
1 Intent Letter 1 Intent Letter
2 Accomplished GSIS Retirement Form 2 Accomplished GSIS Retirement Form
3 Division Clearance (D.O) 3 Division Clearance
4 District Clearance (Money & Property) 4 District Clearance (Money & Property)
5 School Clearance (Money & Property) 5 School Clearance (Money & Property)
SDO-PALAWAN

SDO-PALAWAN
6 Affidavit of Undertaking- with authority to 6 Affidavit of Undertaking- with authority to deduct
deduct accountabilities accountabilities
7 Service Record-c/o (D.O) 7 Service Record-c/o (D.O)
8 Certification of Leave Without Pay (D.O) 8 Certification of Leave Without Pay (D.O)
9 CSC Pendency / Non-Pendency Clearance 9 CSC Pendency / Non-Pendency Clearance
10 SALN -Prior year 10 SALN -Prior year
OMBUDSMAN Clearance (indicating whether or not OMBUDSMAN Clearance (indicating whether or not
11 the retiree has a pending criminal or administrative 11 the retiree has a pending criminal or administrative
case) case)

APPLICATION FOR RETIREMENT/SEPARATION/LIFE INSURANCE APPLICATION FOR RETIREMENT/SEPARATION/LIFE INSURANCE


BENEFITS BENEFITS
(Elementary ) (Elementary )
6 COPIES EACH 6 COPIES EACH
1 Intent Letter 1 Intent Letter
2 Accomplished GSIS Retirement Form 2 Accomplished GSIS Retirement Form
3 Division Clearance 3 Division Clearance
4 District Clearance (Money & Property) 4 District Clearance (Money & Property)
5 School Clearance (Money & Property) 5 School Clearance (Money & Property)
SDO-PALAWAN

SDO-PALAWAN

6 Affidavit of Undertaking- with authority to 6 Affidavit of Undertaking- with authority to deduct


deduct accountabilities accountabilities
7 Service Record-c/o (D.O) 7 Service Record-c/o (D.O)
8 Certification of Leave Without Pay (D.O) 8 Certification of Leave Without Pay (D.O)
9 CSC Pendency / Non-Pendency Clearance 9 CSC Pendency / Non-Pendency Clearance
10 SALN -Prior year 10 SALN -Prior year
OMBUDSMAN Clearance (indicating whether or not OMBUDSMAN Clearance (indicating whether or not
11 the retiree has a pending criminal or administrative 11 the retiree has a pending criminal or administrative
case) case)

APPLICATION FOR RETIREMENT/SEPARATION/LIFE INSURANCE APPLICATION FOR RETIREMENT/SEPARATION/LIFE INSURANCE


BENEFITS BENEFITS
(Secondary ) (Secondary )
6 COPIES EACH 6 COPIES EACH
1 Intent Letter 1 Intent Letter
2 Accomplished GSIS Retirement Form 2 Accomplished GSIS Retirement Form
3 Division Clearance 3 Division Clearance
4 School Clearance (Money & Property) 4 School Clearance (Money & Property)
SDO-PALAWAN

SDO-PALAWAN

5 Affidavit of Undertaking- with authority to 5 Affidavit of Undertaking- with authority to deduct


deduct accountabilities accountabilities
6 Service Record- c/o (D.O) 6 Service Record- c/o (D.O)
7 Certification of Leave Without Pay- c/o ( D.O) 7 Certification of Leave Without Pay- c/o ( D.O)
8 CSC Pendency / Non-Pendency Clearance 8 CSC Pendency / Non-Pendency Clearance
9 SALN -Prior year 9 SALN -Prior year

OMBUDSMAN Clearance (indicating whether or not OMBUDSMAN Clearance (indicating whether or not
10 the retiree has a pending criminal or administrative 10 the retiree has a pending criminal or administrative
case) case)
APPLICATION FOR RETIREMENT/SEPARATION/LIFE INSURANCE APPLICATION FOR RETIREMENT/SEPARATION/LIFE INSURANCE
BENEFITS BENEFITS
(Secondary ) (Secondary )
6 COPIES EACH 6 COPIES EACH
1 Intent Letter 1 Intent Letter
2 Accomplished GSIS Retirement Form 2 Accomplished GSIS Retirement Form
3 Division Clearance 3 Division Clearance
4 School Clearance (Money & Property) 4 School Clearance (Money & Property)
SDO-PALAWAN

SDO-PALAWAN
5 Affidavit of Undertaking- with authority to 5 Affidavit of Undertaking- with authority to deduct
deduct accountabilities accountabilities
6 Service Record- c/o (D.O) 6 Service Record- c/o (D.O)
7 Certification of Leave Without Pay- c/o ( D.O) 7 Certification of Leave Without Pay- c/o ( D.O)
8 CSC Pendency / Non-Pendency Clearance 8 CSC Pendency / Non-Pendency Clearance
9 SALN -Prior year 9 SALN -Prior year
OMBUDSMAN Clearance (indicating whether or not OMBUDSMAN Clearance (indicating whether or not
10 the retiree has a pending criminal or administrative 10 the retiree has a pending criminal or administrative
case) case)

APPLICATION FOR RETIREMENT/SEPARATION/LIFE INSURANCE APPLICATION FOR RETIREMENT/SEPARATION/LIFE INSURANCE


BENEFITS BENEFITS
(Secondary ) IUS (Secondary ) IUS
6 COPIES EACH 6 COPIES EACH
1 Intent Letter 1 Intent Letter
2 Accomplished GSIS Retirement Form 2 Accomplished GSIS Retirement Form
3 Division Clearance 3 Division Clearance
4 School Clearance (Money & Property) 4 School Clearance (Money & Property)
5 Affidavit of Undertaking- with authority to 5 Affidavit of Undertaking- with authority to deduct
SDO-PALAWAN

SDO-PALAWAN

deduct accountabilities accountabilities


6 Service Record 6 Service Record
7 Certification of Leave Without Pay 7 Certification of Leave Without Pay
8 CSC Pendency / Non-Pendency Clearance 8 CSC Pendency / Non-Pendency Clearance
9 SALN -Prior year 9 SALN -Prior year
10 Certification of Last Payment 10 Certification of Last Payment
OMBUDSMAN Clearance (indicating whether or not OMBUDSMAN Clearance (indicating whether or not
11 the retiree has a pending criminal or administrative 11 the retiree has a pending criminal or administrative
case) case)

APPLICATION FOR RETIREMENT/SEPARATION/LIFE INSURANCE APPLICATION FOR RETIREMENT/SEPARATION/LIFE INSURANCE


BENEFITS BENEFITS
(Secondary ) IUS (Secondary ) IUS
6 COPIES EACH 6 COPIES EACH
1 Intent Letter 1 Intent Letter
2 Accomplished GSIS Retirement Form 2 Accomplished GSIS Retirement Form
3 Division Clearance 3 Division Clearance
4 School Clearance (Money & Property) 4 School Clearance (Money & Property)
5 Affidavit of Undertaking- with authority to 5 Affidavit of Undertaking- with authority to deduct
SDO-PALAWAN

SDO-PALAWAN

deduct accountabilities accountabilities


6 Service Record 6 Service Record
7 Certification of Leave Without Pay 7 Certification of Leave Without Pay
8 CSC Pendency / Non-Pendency Clearance 8 CSC Pendency / Non-Pendency Clearance
9 SALN -Prior year 9 SALN -Prior year
10 Certification of Last Payment 10 Certification of Last Payment

11 OMBUDSMAN Clearance (indicating whether or not 11 OMBUDSMAN Clearance (indicating whether or not
the retiree has a pending criminal or administrative the retiree has a pending criminal or administrative
case) case)
DOCUMENT REQUIREMENTS FOR RESIGNATION DOCUMENT REQUIREMENTS FOR RESIGNATION
(Elementary) (Secondary)
3 COPIES EACH 3 COPIES EACH
1 Resignation Letter 1 Resignation Letter
2 2
SDO-PALAWAN

SDO-PALAWAN
Latest IPCRF Latest IPCRF
3 School Clearance (Money & Property) 3 School Clearance (Money & Property)
4 District Clearance (Money & Property) 4 Division Clearance
5 Division Clearance 5 Service Record
6 Service Record 6 Certification of Leave Without Pay
7 Certification of Leave Without Pay

DOCUMENT REQUIREMENTS FOR RESIGNATION DOCUMENT REQUIREMENTS FOR RESIGNATION


(Elementary) (Secondary)
3 COPIES EACH 3 COPIES EACH
1 Resignation Letter 1 Resignation Letter
2 2
SDO-PALAWAN

SDO-PALAWAN
Latest IPCRF Latest IPCRF
3 School Clearance (Money & Property) 3 School Clearance (Money & Property)
4 District Clearance (Money & Property) 4 Division Clearance
5 Division Clearance 5 Service Record
6 Service Record 6 Certification of Leave Without Pay
7 Certification of Leave Without Pay

DOCUMENT REQUIREMENTS FOR SEPARATION DOCUMENT REQUIREMENTS FOR SEPARATION


(Secondary ) IUS (Secondary ) IUS
6 COPIES EACH 6 COPIES EACH
1 Intent Letter 1 Intent Letter
2 Accomplished GSIS Retirement Form 2 Accomplished GSIS Retirement Form
3 Division Clearance 3 Division Clearance
4 School Clearance (Money & Property) 4 School Clearance (Money & Property)
SDO-PALAWAN

SDO-PALAWAN

5 Affidavit of Undertaking- with authority to 5 Affidavit of Undertaking- with authority to deduct


deduct accountabilities accountabilities
6 Service Record 6 Service Record
7 Certification of Leave Without Pay 7 Certification of Leave Without Pay
8 CSC Pendency / Non-Pendency Clearance 8 CSC Pendency / Non-Pendency Clearance
9 SALN -Prior year 9 SALN -Prior year
10 Certification of Last Payment 10 Certification of Last Payment
11 IPCRF 11 IPCRF

DOCUMENT REQUIREMENTS FOR SEPARATION DOCUMENT REQUIREMENTS FOR SEPARATION


(Secondary ) IUS (Secondary ) IUS
6 COPIES EACH 6 COPIES EACH
1 Intent Letter 1 Intent Letter
2 Accomplished GSIS Retirement Form 2 Accomplished GSIS Retirement Form
3 Division Clearance 3 Division Clearance
SDO-PALAWAN

SDO-PALAWAN

4 School Clearance (Money & Property) 4 School Clearance (Money & Property)
5 Service Record 5 Service Record
6 Certification of Leave Without Pay 6 Certification of Leave Without Pay
7 CSC Pendency / Non-Pendency Clearance 7 CSC Pendency / Non-Pendency Clearance
8 SALN -Prior year 8 SALN -Prior year
9 Certification of Last Payment 9 Certification of Last Payment
10 IPCRF 10 IPCRF
DOCUMENT REQUIREMENTS FOR SURVIVORSHIP DOCUMENT REQUIREMENTS FOR SURVIVORSHIP

Please check the box opposite the requirement. 6 copies each Please check the box opposite the requirement. 6 copies each
1 INDORSEMENT FROM SDS 1 INDORSEMENT FROM SDS
2 ACCOMPLISHED GSIS SURVIVORSHIP FORM 2 ACCOMPLISHED GSIS SURVIVORSHIP FORM
3 GSIS AFFIDAVIT OF SURVIVING HEIRS 3 GSIS AFFIDAVIT OF SURVIVING HEIRS
4 GSIS LIFE INSURANCE 4 GSIS LIFE INSURANCE
5 DEATH CERTIFICATE (PSA COPY) 5 DEATH CERTIFICATE (PSA COPY)
6 SCHOOL & DISTRICT MONEY & PROPERTY CLEARANCE 6 SCHOOL & DISTRICT MONEY & PROPERTY CLEARANCE
7 DIVISION CLEARANCE 7 DIVISION CLEARANCE
8 Certificate of Administrative Clearance ( SDO Atty.) 8 Certificate of Administrative Clearance ( SDO Atty.)
9 Certification -Money & Accountability (SDO- Accountant) 9 Certification -Money & Accountability (SDO- Accountant)
10 SALN Certification - SDO Admin. Officer V 10 SALN Certification - SDO Admin. Officer V
11 SALN (Prior Year) 11 SALN (Prior Year)
12 CSC PENDENCY/NON-PENDENCY CLEARANCE 12 CSC PENDENCY/NON-PENDENCY CLEARANCE
13 SERVICE RECORD 13 SERVICE RECORD
14 CERTIFICATE OF LEAVE WITHOUT PAY 14 CERTIFICATE OF LEAVE WITHOUT PAY
15 CERTIFICATION OF LAST PAYMENT- for IUS only 15 CERTIFICATION OF LAST PAYMENT- for IUS only

FOR MARRIED EMPLOYEE: FOR MARRIED EMPLOYEE:


1 MARRIAGE CERTIFICATE (PSA copy ) if married 1 MARRIAGE CERTIFICATE (PSA copy ) if married
2 UMID or BIRTH CERTIFICATE OF SPOUSE (PSA copy) if married 2 UMID or BIRTH CERTIFICATE OF SPOUSE (PSA copy) if married
3 CENOMAR OF BOTH SPOUSES (PSA copy) (1 for husband, 1 for wife) 3 CENOMAR OF BOTH SPOUSES (PSA copy) (1 for husband, 1 for wife)
4 BIRTH CERTIFICATE OF ALL CHILDREN (PSA copy) 4 BIRTH CERTIFICATE OF ALL CHILDREN (PSA copy)
5 MARRIAGE CERTIFICATE OF FEMALE BENEFICIARIES, IF ANY (PSA copy 5 MARRIAGE CERTIFICATE OF FEMALE BENEFICIARIES, IF ANY (PSA copy)

FOR SINGLE EMPLOYEE: FOR SINGLE EMPLOYEE:


1 BIRTH CERTIFICATE PSA copy) 1 BIRTH CERTIFICATE PSA copy)
2 UMID or BIRTH CERTIFICATE OF BOTH PARENTS (PSA copy) 2 UMID or BIRTH CERTIFICATE OF BOTH PARENTS (PSA copy)
3 MARRIED CERTIFICATE OF PARENTS (PSA copy) 3 MARRIED CERTIFICATE OF PARENTS (PSA copy)

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