I.
Annex III
Widows and Orphans Pension Scheme/Surviving Spouses' and Children's Pensions Scheme
ELECTION FORM B
(To be completed in triplicate by a married contributor who wishes to discontinue contributing to WOPS/SSCPS)
To: Director of Accounting Services
via
(Head of Department)
I hereby elect to discontinue contributing to the "Widows and Orphans Pension Scheme/Surviving Spouses' and Children's Pensions Scheme with effect from
1.2.1993
in accordance with the terms of Civil Service Branch Circular No. which I have acquired at that date.
I understand and accept that this election is irrevocable.
(the implementation date) 4/93 and to retain the pension benefits
Signature of
Witness
Name in
BLOCK LETTERS
Hong Kong I.C. No.
Date
Signature
Name in
BLOCK LETTERS
Hong Kong I.C. No.
TRN
Date
B
(Day) (Month)
(Year)
II. To: Director of Accounting Services
I have returned the triplicate copy of this form to the officer for his retention.
• Delete 25 appropriate
Distribution Original
to be forwarded to the Treasur Duplicate to be retained by the Department Triplicate - to be returned to the applicant G.F. 564B
for (
(Head of Department)
Date
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