Sentinel Retirement Fund - Savings Withdrawal eForm

PERSONAL INFORMATION
Participant Number
This is a 9 digit membership number e.g 000123456
Industry Number
This is an alphanumeric number, 8 characters in length e.g Z123456
Staff Email
example@example.com
Full Names *
Please enter your full names as displayed on your identification document e.g John Marvin
Surname*
South African ID Number*
Passport Number (Only for Non South African Residents)
Passport Country of Origin
If other please specify:
Do you have a valid email address*
Email Address
example@example.com
Cell Phone Number*
Please enter a valid phone number.
Tax Number*
No Tax Number Declaration (Citizens of Mozambique must provide a TEBA Contract)

I hereby acknowledge that I'm a Mozambiquan citizen with a valid Teba contract
Residential Address*

Address 1

Address 2

CityState / Province

Postal / Zip Code (Numerics Only)Country
Are you in the process of a divorce from your spouse?*

NoNot ApplicableYes (If "yes", the Savings Withdrawal Benefit: Pending Divorce Consent and Pension Interest Liability Indemnity Form is required as a supporting document.
Pending Divorce Concent and Pension Interest Liability Indemnity Form
Are there any civil or criminal proceedings being instituted against you?*

NoYes (If "yes", provide a complete set of all court pleadings and documents as well as annexures thereto.)

WITHDRAWAL OPTIONS
Please indicate your current employer (Last Sentinel employer if you are a Paid-Up Member)
Withdrawal Options*
Limited to your Savings Component balance, with a minimum of R2000.00
Specify Rand Value*
Limited to your Savings Component balance, with a minimum of R2000.00
State Your Current Annual Salary Income*
Annual salary means all income from employment, an insurer or retirement fund, i.e. salary, wages, bonus, leave pay, commission, pension, overtime, allowances and other fringe benefits.

DOCUMENTS
Only pdf, jpg, jpeg and png files can be accepted with a maximum file size of 5mb! No password protected files will be accepted!
Please upload a clear copy of your ID or passport (Non-RSA Citizens)*

ID card to include front and back of the card.
Cancelof
Please upload a clear selfie of yourself holding your ID/Passport(head and shoulders)*

No hat, other head/face covering, no spectacles.
Cancelof
Please upload a clear copy of a Bank Confirmation Letter / Bank Statement, signed & dated by you (Electronic signatures are not permitted).*

Not older than 3 months.
Cancelof
Please upload a clear copy of your latest Teba Contract.

Only applicable to citizens of Mozambique.
Cancelof
Please upload a clear copy of proof of your tax number.*

SARS issued document, latest IRP5, or payslip reflecting your tax number.
Cancelof
Please upload a complete set of all court pleadings and documents as well as annexures thereto.

Cancelof
Please upload the Savings Withdrawal Benefit: Pending Divorce Consent and Pension Interest Liability Indemnity Form.

Cancelof

DECLARATION
Please confirm the following:*

I have read the guidelines and relevant brochure, and understand the content thereof and implications of my decision.By submitting a Savings Withdrawal Benefit application, I am requesting the Fund to disinvest this amount to cash as to enable payment of the benefit.If I knowingly mislead the Fund or withhold relevant information, including information in relation to divorce, civil and/or criminal proceedings that may be instituted against me, the Fund will be absolved of liability for loss which any person may suffer as a result.The submission of this application is irrevocable and can not be canceled or changed once processed by the Fund.I hereby accept that an invalid, incomplete or illegible application or supporting documents, will result in this application being canceled.I hereby specifically authorise the Fund to do any identity verification and/or bank account verification required to process my withdrawal request.
Please verify that you are human*
Electronic Signature*

By selecting this checkbox, I hereby digitally sign this application form.
Should be Empty:

Savings Component Withdrawal eForm