Request To Participate In Two-Pot Retirement System

Email Address to

Surname

First Names

Identity Number

Date of Birth

Tax Number

Pension Number

Job Designation

Employee Number

Email Address

Cell Phone Number

Alternative Contact

Local Authority

Residential Address

I hereby elect to participate in the two-pot retirement system

NB: Members who participate in the two-pot retirement system forfeit their continued rights from the date of election.

I hereby confirm that the information provided is true and correct, and the decision to participate is my choice.

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