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BENEFITS PAYMENT FORM
1. Personal Details. Please attach a copy of your ID for verification purposes.
First Name
Surname
Member ID Number
SSNIT Number
Mobile Number
Date of Birth
ID Number
Residential Address
Mailing Address
2. Withdrawal Details
Name of Scheme you are withdrawing from
Mechanical Llyd
Goil
Reason for the Withdrawal
OtherPlease specify
0 /
Beneficiary Withdrawal (Please complete the beneficiary details and attach a copy of your ID for verification purposes)
Name of Beneficiary
Permanent Address
Mobile Number
Date of Birth
3. Bank Payment Details (must be Member's / beneficiary's account details)
Bank Name
Bank Branch
Name of Bank Account
Bank Account Number
Type of Account
Sort Code
4. Length of Service
Date of Leaving Scheme
Date of Joining Scheme
Signature Upload
Upload
5. Declaration
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233 Adom Street, Adenta 

Accra - Ghana

info@thebeigepensiontrust.com

Call us on 0302 900 144 for assistance.