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:……………………………………………………………..