Gen 87A

87 ‘¡’Éæ¾ø ïÀåó ¡å¨îºø ÀºòÆ
General 87 - A
*
(A4 S. & E) 12/83
(Internet Version)
Éæ¾à¼Åê ÀêÇæË Íå ¡¾ºà ¼Çæ —ÊòåÄ Éæ´êÀà ¨òÄÆ
WIDOWERS’ AND ORPHANS’ PENSION SCHEME
¼Çæïɨëïªà ¢À¼ûÄ ïÍåà —ÉåÍÆ ïÍåà ÄÇ¸Æ ªæ¾ ïÍåà ¼åÆú¨åÉïªà ÌàÉå•ÀêÇæËÆåïªà
¼ú¨¨
à Ìå¼ÑÄ ïÍåà ÄÇ¸Æ ªæ¾ ¼æ¾àÑÄ
Notification of Birth, Marriage or Death of a Child or Divorce, or Death of Husband of Contributor
¾øȽåÖ¾øÆïªà ̊ÀìÚ¸ ¾Ä
Full Name of Officer
º¾ºëÇ
Designation
ï¼ÀåںàºëÉ
Department
........................................................................................................................................................................
...................................................................................................................................................................................................................
........................................................................................................................................................................................................
ÄͺàÉÇæ¾ø,
SIRS,
Éæ¾à¼Åê ÀêÇæË Íå ¡¾ºà ¼Çæ —ÊòåÄ Éæ´êÀà ¡ÇÄê¼È ÀèÎè¿ ¡å³åÀ¾ïºà (1983 ¡â¨ 24 ) 6 Éæ¾ø Íå 7 Éæ¾ø ɪ¾àºø Æ´ïºà ÌæÀÆúÆ Æêºë
—ÌàºÇ ïÄÍú ¡¾ø¨à Àè´êïŒ ¼¨àÉå ¡æº.
THE particulars required to be furnished under Sections 6 and 7 of the W. & O. P. Fund Ordinance (No.24 of 1983) are shown overleaf.
.........................................................
¼åÆú¨åÉïªà ¡ºà̾.
Éæ¾à¼Åê Íå ¡¾ºà ¼Çæ —ÊòåÄ Éæ´êÀà ¨òÄïÆà
¡½ñ¨àËÉÇæ¾à ïɺ´Æú.
The Directors,
Widows and Orphans Pension Scheme.
H - 022255 (2004/10) Êòé Èâ¨å Ç°ïÆà Äê÷¸ ï¼ÀåںàºëÉ
Signature of Contributor.
¼ú¾Æ
Date
...................................
[¡. Àè. Â./ P.T.O.
1
¼ÇæÉåïªà ¾Ä
Name of Child
2
Ìàºòé ÀêÇæË
ÃåÉÆ
Sex
3
¼ÇæÉåïªà ÄÉïªà ¾Ä
Name of Mother of Child
4
¼ÇæÉå ¤À¾à/
—ÉåÍ Éì/ •ÆªúÆ*
¼è¾Æ
Date of Birth/
Marriage/ Death*
of Child
5
6
ÃåÚÆåÉïªà ¾Ä
ÃåÚÆåÉ諭à
¼ú¨à¨Ìå¼ Éì/
ÃåÚÆåÉ •ÆªúÆ*
¼è¾Æ
Name of Wife
Date of Divorce/
Death* of Wife
Ìæ. Æê. _ ¼Çæ ¤Àº¨à ªæ¾ ¼æ¾êŠ ¼ûÄ´ ¾Š 1 Éæ¾ø, 2 Éæ¾ø, 3 Éæ¾ø Íå 4 Éæ¾ø ï¨å´êÉÈ Èè—Æ ÆêºëÆ. ¼Çæïɨëïªà —ÉåÍƨà ïÍåà ÄǸƨà
ªæ¾ ¼æ¾êŠ ¼ûÄ´ ¾Š 1 Éæ¾ø, 2 Éæ¾ø Íå 4 Éæ¾ø ï¨å´êÉÈ Èè—Æ ÆêºëÆ. ÃåÚÆåÉïª¾à ¼ú¨à¨Ìå¼ÑÄ¨à ªæ¾ ïÍåà ÃåÚÆåÉïªà ÄǸÆ
ªæ¾ ¼æ¾êŠ ¼ûÄ´ ¾Š 5 Éæ¾ø Íå 6 Éæ¾ø ï¨å´êÉÈ Èè—Æ ÆêºëÆ.
* ¡¾ÉÊñ É®¾ ¨Àå ¼Ä¾à¾.
N.B. –
To notify the Birth of child, fill in columns 1,2,3 and 4.
To notify the Marriage or Death of child, fill in columns 1, 2 and 4.
To notify the Divorce or Death of wife, fill in columns 5 and 6.
In case of divorce of wife, a certified copy of the decree of divorce should be forwarded.
* Delete what is not applicable.
Éæ¾à¼Åê Íå ¡¾ºà ¼Çæ —ÊòåÄ Éæ´êÀà ¨åÚÆåÈïÆà, ïÈਊ ½êǾà½Ç ª¸¨å“¨åÖ Äͺå ïɺ´Æú,
ïŠ ¾øȽåÖÆåïªà Éæ¾à¼Åê Íå ¡¾ºà¼Çæ —ÊòåÄ Éæ´êÀà ïÈ੾ ¡â¨Æ .................................. Æ.
The Secretary & Accountant, W. & O. P. Office,
Forwarded. The W. & O. P. Register number of the officer is .....................................................
.........................................................
¼ú¾Æ
Date
...................................
ï¼ÀåںàºëïŒ Àò½å¾ ºæ¾.
Head of Department.