| Surname (Mr/Mrs/Miss) :
|
............................................................................................................ |
|
| Other
names : |
............................................................................................................. |
|
| NID No.
: |
|
|
| Occupation*
: ................................................................................................................ |
| Employer* : .............................................................................................. |
|
|
|
| Monthly
Salary* Rs |
.......................................................... |
|
|
| Beneficiary (in
case of death) : .............................................................................. |
|
Address : ...............................................................................................................................
|
|
| ...............................................................................................................................
|
|
| E-mail : ...............................................................................................................................
|
|
| Tel. No.
(home): .......................................... |
Tel. No.
(office): .......................................... |
|
|
| Bank : .......................................... |
Branch :
.......................................... |
|
|
|
|
|
|
I agree to join the RSF subject to the rules
and regulations of the Fund
MODE OF CONTRIBUTION
(in multiples of Rs50)
** I wish to make : A Lump sum contribution of Rs…..……….….
C (Cash / Cheque)
A monthly contribution of Rs……………….…C
I authorize a monthly deduction of Rs …………..
from my salary / from my bank account.
Signature : ………………………….
Date : ………………………..
N.B.:Please note that in case of withdrawal from the Fund,
only 50% of the accumulated balance shall be paid.
* Not
applicable if self-employed.
** Contributor may choose one or both.
|
|
|
OFFICE USE
|
|
| A. DOCUMENTS REQUIRED
AND SUBMITTED (Please tick as appropriate) |
| 1. Photocopies of National Identity
Card (original to be produced). |
|
| 2. Bank account number. ? |
|
| 3. Appointment letter from present employer.
? |
|
| 4. Recent Utility Bill |
|
| B. |
CATEGORY : |
Recognised Institution |
|
Approved Service |
|
| |
|
Self Employed |
|
Others |
|
C. I certify that the above particulars are correct
and have been duly verified with the relevant documents.
Customer Service Agent Signature:…………………
Name : …………………….
Date….../….../…..
|
|
|
D. I certify that the above information has been
correctly entered and verified in the RSF module and contributions
have been claimed in the month of ……………
Portfolio Adminstrator Signature:…………………
Name : …………………….
Date….../….../…..
|
