| Surname (Mr/Mrs/Miss) :
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............................................................................................................ |
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| Other
names : |
............................................................................................................. |
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| NID No.
: |
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Pay Site Code* :
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| Occupation*
: .............................................................................. Employer * : ...................................................................................... |
| Monthly Salary * Rs :............................................. |
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| Beneficiary (in
case of death) : .............................................................................. |
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| Relationship :
............................................................................................................................................ |
Address : ...............................................................................................................................
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| ...............................................................................................................................
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| E-mail : ...............................................................................................................................
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| Tel. No.
(home): .......................................... |
Tel. No.
(office): .......................................... Mobile : ........................ |
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| Bank : .......................................... |
Branch :
.......................................... |
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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 as from ..................
To fill payment form in case of lump sum contribution exceeding Rs 10,000.
SPECIAL CONDITIONS :
1. In case of withdrawal from the Fund, a penalty will be applied on both capital and accrued interest as per table below:
SN |
YEARS OF CONTRIBUTION |
%PENALTY |
1 |
0 ≤ 10 |
25 |
2 |
> 10 ≤ 20 |
15 |
3 |
>20 ≤ 30 |
10 |
4 |
>30 ≤ 40 |
5 |
5 |
>40 |
0 |
Signature : ………………………….
Date : ………………………..
* Not
applicable if self-employed.
** Contributor may choose one or both.
2. Contributions are credited with interest at a minimum of 2.00% per annum above the average savings rate and a bonus as approved by the Board. |
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OFFICE USE |
| B. |
CATEGORY : |
Recognised Institution |
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Approved Service |
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| |
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Self Employed |
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Others |
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ORIGINAL AND PHOTOCOPY OF DOCUMENTS REQUIRED TO JOIN THE RSF
Please tick as appropriate
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| 1. |
National Identity Card (NIC with initials should be supported by Birth Certificate ) |
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| 2. |
Bank account Number |
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| 3. |
Appointment letter from present employer (where applicable) |
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| 4. |
CEB or CWA Telephone Bill or bank Statement (not more than three months) |
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| 5. |
Recent Payslip (where applicable). |
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OFFICE USE |
|
Maker |
Date |
Checker |
Date |
Examiner |
Date |
| CIF - CREATE/UPDATE |
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| RSF INPUT |
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DATA PROTECTION ACT
In accordance with Data Protection Act, the Mauritius Civil Service Mutual Aid Association Ltd (MCSMAA Ltd) will collect, process and file the personal data supplied by you in this form or any other personal data which you will subsequently provide to the MCSMAA Ltd in any manner, for any or all of the following purposes:
(a) The performance of a contract to which you are a party or the implementation of pre-contranctual measures you request or require;
The obtaining of authorisation from officers or other employees of MCSMAA Ltd, when such authorisation is required in order to carry out obligations out of (a) for the purpose of informing such officers or employees of the developments within the MCSMAA Ltd whether such officers or employees are in Mauritius or outside Mauritius :
(c) For the establishing, exercising or defending of any legal claims arising;
(d) To send you information about products and /or services provided by the MCSMAA Ltd. Such information may be sent by mail, telephone, automated calling machine, facimile machine, electronic mail or any other electronic means;
(e) For the prevention and detection of any criminal activity which the company is bound to report;
It is mandatory to provide the data, else we will not be able to process the application. Recipient of the data collected is the Mauritius Civil Service Mutual Aid Association Ltd whose registered office is at 5, Guy Rozemont Square Port Louis.
You have the right to require access to your personal data which is being processed and demand correction. In appropriate circumtances, you may request the erasure of any inaccurate, incomplete or immaterial personal data. Please inform the MCSMAA Ltd immediately of any variations relating to your personal data which is being processed by the latter. The MCSMAA Ltd undertakes to implement appropriate measures and safeguards for the purpose of protecting the confidentiality, integrity and availability of all data processed. Once the application has been processed, all data will be destroyed as per legal requirements.
DECLARATION
I consent that you may process the data and keep the details given to you in a database. This includes the following :
- Details I give you on application forms
- Details I give during financial reviews and interviews
- Your analysis of my transactions
- What you know from my account
I further consent to the company using, updating and processing this information to :
- Provide me with services
- Identify products and services which might be suitable for me
- Prevent and detect fraud, and
- Update their own records about me
Signature of Applicant : ............................................. Date :..........................................
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NB : Please bring an office cheque drawn in the name of :
"M.C.S. Mutual Aid Association Ltd."
Or
Credit bank account number 610 301 0000 2233 at SBM Ltd.
Or
Credit bank account number 010 704 647 at MCB Ltd.
RR/SB/3.4.12 |
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