The intricacies of the P3A form, pivotal within the framework of the National Insurance Scheme in Guyana, are designed with the comfort and accessibility of insured persons in mind. This form serves as a formal request to the National Insurance Board, seeking permission for a representative to collect and acknowledge receipt of funds on behalf of the pensioner who might be residing away from their registered address and consequently unable to personally attend post offices or National Insurance offices. Information required includes the name and address of the insured person in block capitals, their National Insurance Number, an intimate declaration of relocation, and the precise details of the representative chosen. Additionally, it stipulates the inclusion of the pension order book, specifying the range of voucher numbers. A section is devoted to ensuring the pensioner’s consent through their signature or mark, which, in the absence of a signature, must be witnessed. The form concludes with the representative’s signature and a mandatory declaration before a Senior Officer of National Insurance or a Guyana Consulate Officer, depending on the pensioner’s current residence. This process underscores the importance of ensuring financial entitlements are seamlessly transferred, highlighting a system built on trust and regulatory compliance.
| Question | Answer |
|---|---|
| Form Name | Form P3A |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | guyana national insurance scheme pension form p3a march 2010, nis form p3a, national p3a, form p3a appintment of person |
NAME OF INSURED PERSON .............................................................
(Block Capital)
NATIONAL INSURANCE NUMBER
|
|
ADDRESS |
|
|
................................................................................................ |
|
|
DATE |
TO: |
The General Manager |
|
|
National Insurance Scheme |
|
|
Brickdam & Winter Place |
|
|
Georgetown - Guyana |
|
Dear Comrade |
|
|
I shall be/have been residing |
with effect |
|
from |
...................................................................................................... |
and therefore will be unable to attend the Post |
Office or National Insurance Office for the purpose of encasing my National Insurance Vouchers.
Consequently approval is hereby sought from the National Insurance Board for the appointment of ………….
…………………….............................. of……………………………...................................................................
(enter name of representative)
whose signature appears below as my representative in Guyana and I have enclosed Pension Order Book, with
vouchers number |
to ..............................…....... to receive and give receipt on behalf of all |
sums of money which may become due, owing and payable to me by the National Insurance Board and receipt given
by my representative shall be full discharge to the National Insurance Board, and Fund for such sums.
………………………………………………… |
........................................................................... |
Date |
Signature of Pensioner |
NB: If pensioner cannot sign he/she should make |
|
his/her mark which should be witnessed. |
|
Mark of Pensioner: |
|
Witness to Mark |
|
Address of Witness |
|
Date |
|
SIGNATURE OF REPRESENTATIVE ...............................................................................
DATE...............................................................................
I |
hereby declare that Comrades |
................................................................................................. |
and |
Appeared before me today |
and signed their names in the space provided. |
|
(Date) |
|
..................................................................................... |
|
Senior Officer NIS/Consulate Officer |
MUST BE SIGNED BEFORE A SENIOR OFFICER OF NATIONAL INSURANCE OR A GUYANA CONSULATE OFFICER IN THE COUNTRY WHERE APPLICANT RESIDES.
Delete which is inapplicable
FORM P3A (Revised 1993)