Request To Participate In Two-Pot Claim

Email Address to

Surname

Identity Number

First Names

Local Authority

Pension Number

Job Designation

Tax Number

Employee Number

Amount Being Withdrawn • The minimum amount that can be withdrawn is R 2 000.00;
• The member can withdraw any amount subject to the available balance on the Savings Component;
• The member is only allowed one withdrawal per tax year;
• Members at retirement age (55 years and above as at 01 March 2021) will need to make an election with the Fund;
• Members who have already made an election do not have to elect again;
and • Members that have not made an election with the Fund have until 31 August 2025 to make an election.

Pending Divorce Claim

Yes

Member’s Residential Address

Member’s Telephone Number

Alternative Number

Bank Account Details

Name of the Account Holder

Bank Name

Account Type

Account Number

Branch Code

I further declare that I understand and agree that the withdrawal is made voluntarily without coercion and that the implications have been explained to me. I also acknowledge that:

1. The withdrawal is made in terms of the Pension Funds Act as amended as well as the rules of the MEPF.
2. I can only make a single withdrawal in a year.
3. I understand fully the implications of this withdrawal on my benefits, in particular the impact on the fund credit and years of service as they will apply to my final withdrawal amount.
4. The Fund may charge an administration fee.
5. The withdrawal is subject to applicable tax deduction specified by SARS.

Certified ID Copy

Bank Statement

Tax Confirmation Letter

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