The Treasury 庫務署

Annex VI

WIDOWS AND ORPHANS/WIDOWS AND CHILDREN'S PENSION SCHEMES

撫恤孤寡恩俸計劃與遺孀及子女恩俸計劃

COMPARATIVE STATEMENT OF PENSION BENEFITS AS AT

NAME OF CONTRIBUTOR

供款人姓名

恩泽利益比較表

I-WIDOWS AND ORPHANS PENSION SCHEME

||

專館俸計劃

结算日期

TRY.REF. NO.

DEPARTMENT

建務署憔號

部門

PAY ZONE

付款區

Annual registered

Annual paid-up

Pension (S)

每年登記恩俸

Notes 註

Pension (S)

Notes

Contributions refundable

plus interest/addition (5)

每年付足恩俸

可發還的供款加利息/附加數

Notes 註

1. Amount

1

2

3

數額

·WIDOWS' AND CHILDREN'S PENSIONS SCHEME

遺孀及子女恩俸計劃

1. Widow's Pension

Amount

数額

Additional amount if

contributing at 4%

按4% 供款的額外 數額

2. Children's Pension

子女恩俸

Where the deceased leaves a widow

如死者有遺孀

One child

一名子女

Two or more

children

兩名或以上子女

OR

Where the deceased leaves no widow

如死者並無遺孀

One child

一名子女

Two or more

children

兩名或以上于女

3. Guaranteed Pension

保經思維

4. Contributions refundable plus addition

可發還的供款加附加數

6

5

5

5

5

5

5

If there is no potential pension benefit relating to any particular item, the box relating to that item will be left blank. 饥在比较表內任何一項無思偉利益,該項方格則留空

TRY 466

7

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