Unclaimed Benefits Please complete the form below. The enquiry is on behalf of myself.(Required) Yes No Name and surname of the person on whose behalf you are enquiring. I have obtained proper consent to do this enquiry and will not disclose any personal of the said person to anyone else.(Required) Yes No Enquirer's DetailsNames(Required) Surname(Required) Cell Number(Required)Email(Required) Name of Person in respect of whom the enquiry is madeStatus South African Foreign RSA ID Number Passport Number Surname(Required) Date of Birth(Required) MM slash DD slash YYYY Employer Name Fund Name (Registered Name) Consent(Required) I hereby give consent that the NBCEI may retain my personal information and that the information may be disclosed to the relevant contact person of the administrator of the fund if a possible match is identified.(Required) Δ
011 339 2312
info@nbcei.co.za