Pension Form

Zimbabwe Pensioners Association
Information Required


Please complete and mail to: 

Zimbabwe Pensioners Association 
PO Box 95474 
Waterkloof 
0145 


(a) Full Names:……………………………………………………………………………………………………………………………………………….

(b) Postal Address:………………………………………………………………………………………………………………………………………….

(c) South African ID No.:………………………………………………………………………………………………………………………………….

(d) Telephone Number(s):………………………………………………………………………………………………………………………………..

(e) E-mail address (if available):…………………………………………………………..…………………………………………………………..

(f) Pension Fund(s):………………………………………………………………………..……………………………………………………………….

(g) Pension Number(s):……………………………………………………………………………………………………………………………………

(h) Date of last payment(s) received:………………………………………………………………………………………………………………..

(i) Last amount(s) received (Zimbabwe dollars):………………………………………………………………………………………………..

(j) Are you in critical need of assistance? If so, please indicate the need:……………………………………………………………..