Aon Registration Form PDF Details

The Aon Registration form is a comprehensive document designed as part of the TSC Medical Scheme to streamline the enrollment process for employees and their families. This form captures a wide range of important details, starting with the employee's personal information, including their name, TSC Personnel Number, gender, job group, date of birth, work station, and contact details. It extends to gather information about the spouse and biological or legally adopted dependent children, highlighting their names, genders, relationships, dates of birth, and contact details. Key sections also cover the next of kin and requisite bank information for payroll purposes. To ensure accuracy and verification, the form requires the submission of two passport photos for the employee and each family member, identification cards, a marriage certificate or equivalent proof for the spouse, and birth certificates or legal adoption papers for dependent children. Additionally, for older children still in education, proof of enrollment in a recognized post-secondary institution is necessary. The form concludes with a declaration and consent for the scheme administrators to seek additional information if needed, underscored by the employee's signature and the employer's certification, highlighting the procedural and privacy considerations integral to the TSC Medical Scheme's operation. This document, available through Aon Kenya, underscores the emphasis on meticulous record-keeping and compliance with the scheme's rules, indispensable for employees seeking to register and benefit from the medical coverage offered.

QuestionAnswer
Form NameAon Registration Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesbit ly memberuploads, aon minet portal login, https collaboration kenya minet com tsc 3, collaboration minet tsc

Form Preview Example

TSC MEDICAL SCHEME - MEMBER REGISTRATION FORM

EMPLOYEE DETAILS

Employee Name:

TSC Personnel No:

 

 

Gender:

Job Group:

 

 

Employee Date of Birth:

Current work Station:

 

 

Email Address:

National ID No:

 

 

Mobile / Cell Phone No:

NHIF No:

 

 

Date of Entry into Service:

P.O. Box No:

 

 

Your current County of Residence:

Current County of Residence of your Family:

 

 

SPOUSE DETAILS

Name (Adult):

 

Gender:

 

 

 

 

 

National ID No:

 

Date of Birth:

 

 

 

 

 

Mobile / Cell Phone No:

 

 

 

DETAILS FOR BIOLOGICAL / LEGALLY ADOPTED DEPENDANT CHILDREN

 

NAME

GENDER

RELATIONSHIP

D.O.B

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NEXT OF KIN DETAILS

Name:

Mobile / Cell Phone No:

 

 

Relationship:

National ID No:

 

 

If Minor, Give Name & details of Guardian:

 

 

 

BANK ACCOUNT DETAILS | (Please Provide payroll bank details)

Bank Name:

Bank Branch:

Account Number:

NOTE:

1.Please enclose two (2) passport photos for self & each family member, indicate name & TSC Personnel number at the back of each photo.

2.Please attach copies of Identification Cards for both Teacher and Spouse.

3.For spouse, attach copy of marriage certificate (for Civil & Religious marriage), affidavit or Chief’s letter for customary marriage.

4.Please attach copy of Birth Certificate or legal adoption papers for all dependant children. For children under six (6) months birth notification is acceptable.

5.Please attach proof of schooling for children between age of eighteen (18) years and twenty (25) years if still substantially dependant on the parents and enrolled in a recognized post- secondary institution.

DECLARATION:

I have read the rules of the TSC medical scheme by which I agree to abide, and declare that the above statements are true and complete. I consent to the Scheme Administrators seeking information from any doctor I or my dependants have consulted.

DATE

SIGNATURE

 

 

 

 

EMPLOYER CERTIFICATION:

 

DATE

STAMP

 

 

 

 

aon.com/kenya Aon_Kenya AonKe

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