Form Fw02n - Nominee Claim Withdrawal Application - Fiji National Provident Fund Page 4

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ExPLANATORY NOTES:
Who is eligible for this withdrawal?
Persons who are nominated in the last valid nomination filed with the Fund are eligible to withdraw the deceased member’s
contributions.
Monies in the deceased member’s general and preserved accounts, plus any special death benefit if member is eligible will be
paid out according to the shares allocated by the nominator.
Where there is no valid nomination monies in the deceased member’s account shall be paid to the High Court for distribution.
Where the nominee (other than the spouse) is below the age of 18, then the monies will be paid to the High Court of Fiji.
If spouse is the sole nominee, then he/she will be eligible for Retirement product and required to complete Section C of the
FW02N form. Please ensure that you have read and understood the Key Feature Statement before you choose a retirement
option.
What documents will I need to submit with this application?
You must apply on the prescribed application form FW02N
The following documents will need to be attached:
Certified copies of nominees birth certificate.
Nominees latest bank statement for local bank deposit.
Overseas bank account ( certified true copy of passport showing identification details, certified true copy of PR Visa pages ,
bank statement, BSB/Routing Number and swift code).
ID of the nominee, that is, FNPF membership card or, other valid ID cards such as driver’s license and passport.
Statutory declaration if details of nominee written by deceased differ from that of birth certificate.
The following are additional documents which you will need to submit if you are purchasing a pension product
(applicable to sole nominee only):
Certified true copy of birth and/or marriage certificate of your nominee.
All document copies must be certified by either an authorised FNPF officer, Justice of Peace or Commissioner for Oath.
Where can I lodge this application?
Your completed application can be lodged at any of our FNPF office nearest to you.
Head Office
Lautoka
Labasa
Valelevu Agency
Nadi Agency
Savusavu Agency
Ba Agency
Provident Plaza 2
Shop 5, Naviti Street
Rosawa Street
Valelevu Complex Building
Shop 2 Lalidhar Arcade
Budget Lodge Building Ltd
Ganga Singh Street, Ba
Private Mail Bag, Suva
Private Mail Bag, Lautoka
Private Mail Bag,Labasa
Saqa Place, Valelevu
Namaka Lane, Nadi
Main Street, Savusavu
Telephone: (679) 667 0003
Telephone: (679) 330 7811
Telephone: (679) 666 1888
Telephone: (679) 881 2111
Telephone: (679) 3343 671
Telephone: (679) 672 8981
Telephone: (679) 885 3396
Facsimile: (679) 330 7611
Facsimile: (679) 666 5232
Facsimile: (679) 881 2741
Facsimile: (679) 3343 670
Facsimile: (679) 672 8982
Facsimile: (679) 885 3397
Email: .fj
Website:
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