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CINPF Forms Center

Forms & Resources

Download official fund documentation and member resources.
GUIDE
📢

Voluntary Funeral Presentation

Member product guide for the Voluntary Funeral Benefit Scheme (September 2024 update).

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RULES
📜

CINPF Revised Rules FSCA Approval Letter

FSCA approved consolidated rules for the Chemical Industries National Provident Fund.

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RULES
📜

CINPF Revised Rules FSCA approved & stamped

FSCA approved consolidated rules for the Chemical Industries National Provident Fund.

View Rules
NBC-H01
🏠

Housing Loan Application

Official NBC Finance form to apply for finance regarding land or home improvements.

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OWNERSHIP
📜

Declaration of Ownership

Mandatory proof of ownership or right to occupy for home loan validation.

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FIN-01
📊

Income & Expense Form

Monthly financial breakdown required for loan affordability assessments.

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CLAIMANT
🩺

Disability Claim - Claimant

Form 1: To be completed by the member initiating a disability claim (Hollard).

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ANNEX-2C
🏢

Disability Claim - Employer

Annexure-2c: Mandatory form to be completed by the Employer/Payroll department.

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MEDICAL
👨‍⚕️

Medical Attendant Report

Detailed medical report (2021 update) to be completed by your attending physician.

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NOTIFY
⚠️

Potential Claim Notification

Early notification form for potential disability claims (Hollard Group Risk).

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SAF-V01
⚱️

Voluntary Funeral Application

Application for Voluntary Funeral Assurance including extended family benefits (Safrican).

Download PDF
NOM-F01
📋

Funeral Beneficiary Form

Nomination form to be used for funeral benefit beneficiary designations.

Download PDF
HOLL-D01
🕊️

Hollard Death Claim Form

Death claim form to be used specifically for Hollard claim processing.

Download PDF
MRA-D01
🕊️

MRA Death Claim Form

The MRA death claim form to be used for official death claims processing.

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NOM-D01
✍️

Death Benefit Nomination

Form used for nominating beneficiaries for the death benefit portion.

Download PDF
MRA-W01
🚪

Withdrawal Claim Form

Claim form used for withdrawals other than retirement (Resignation/Dismissal).

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MRA-R01
👴

Retirement Claim Form

Claim form used specifically for withdrawals due to retirement.

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