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Z894-GEPF

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657 views1 page

Z894-GEPF

Uploaded by

sifisombanjwa304
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Government Employees GEPF USE ONLY - GEPF STAMPS Z894 - PERSONAL ACCOUNT

Pension Fund (GEPF)


BAR CODE
BANK FORM - PAYMENT
TO PERSONAL ACCOUNT
Private Bag x63 34 Hamilton Street Call Centre : 0800 117 669
Pretoria Arcadia
SOUTH AFRICA E-mail :[email protected]
Pretoria Website :www.gepf.co.za
0001
Please have this form completed by the bank as confirmation of your banking particulars
A) PARTICULARS OF THE MEMBER OR PENSIONER (Compulsory)
1. Pension or CP 2. Date of birth C C Y Y M M D D 3. Title
number

4. Surname

5. First Name

6. Initials 7. Member tax no

8. ID number 9. Passport No.

B) BANKING DETAILS OF THE ACCOUNT HOLDER (This section must be completed by the BANK) (Compulsory)
1. Account Holder
Name

2. Name of Bank

3. Account Number 4. Universal


Branch Code

5. Branch Name 6. Account type Cheque Transmission Savings

8. Branch E-Mail

9. Branch postal addr.

C O D E 10. Branch Tel No C O D E

Surname of Bank Official Initials


Official Date
Stamp of Bank
Signature of
Bank Official

C) PREVIOUS BANKING DETAILS OF MEMBER OR PENSIONER (required if account details are being updated)

1. Acc holder name

2. Name of bank

3. Branch name

4. Account No. 5. Branch code

D) DECLARATION

To be completed by the beneficiary (i.e. Pensioner / Member / Beneficiary)


I CONFIRM THAT THE ABOVE DETAILS ARE CORRECT:

Signature (Compulsory) Thumb print of beneficiary (Compulsory)


Date C C Y Y M M D D Cell No.

Email address

Residential address

C O D E

The GEPF respects privacy and personal information of its members and pensioners and therefore subscribes to the provisions of
the Protection of Personal Information Act 4 of 2013. Visit www.gepf.co.za to view GEPF Privacy Policy and Privacy statement.

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