Government Appointments & Administrative

GAZETTE NOTICE NO. 9059

the fund was established) will be admissible for consideration. 2. Claims which are subject to court proceedings will only be paid after the court proceedings have been heard and determined. 3. All relevant information and documents to support the claim MUST be provided. 4. Providing false information on the form or making fraudulent claims will be construed as a criminal offense. 5. Fill only the relevant category of the claim form (e.g., CIA, CIB, CIC etc.) To enable us to complete the process of claims verification and compensation, kindly complete the details required in the form below (Completion of this form shall not be construed as an admission of liability) PART A: CLAIMANT'S PERSONAL DETAILS (COMPULSORY) Full Name: Next of Kin/Guardian Relationship Contact