Singapore Statutory Boards Employees’ Co-operative Thrift and Loan Society Ltd

Nominee Form

Please complete the member and nominee particulars below.

Member Particulars

Particulars of the SSBEC member making the nomination.

Member Name *

Member NRIC *

Email Address * Acknowledgement and submitted documents will be sent to this email.

Residential Address *

Singapore Postal Code *

Nominee Particulars

Add nominees below. Total Benefit % must equal exactly 100%.

Supporting document: Please attach a copy of the NRIC / identification document for each nominee entered.

No	NRIC / ID	Name	Relationship	Date of Birth	Benefit %	NRIC / ID Copy	Action
1						PDF/JPG/PNG, max 5 MB

Member Declaration

Electronic acceptance for the online nomination.

I, the member named above, hereby nominate the person(s) mentioned in this form to receive on my death the amount standing to my credit with the SSBEC T&L Society Ltd.

I confirm the information provided is true and correct and electronically accept this nomination. *

Witness Information

The original paper form contains Witness 1 and Witness 2 sections. These will remain in the generated PDF. No electronic witness particulars are collected at this stage.