|MELAYU

 

[ ]

 

DOWNLOADABLE FORMS FOR POST-SERVICE DIVISION

nternet Explorer User : Right Click dan Save Target As

No Form Title Form Number Download

PENSION APPLICATION

1 Pensioner’s Information JPA.BP.SPPP.B01a

2

Dependents’ Information

JPA.BP.SPPP.B03
3

Release Notice / Separation of Government’s Contribution in Employees’ Provident Fund for Pension Benefits Calculation

JPA.BP.SPPP.B04
4

Application for Aggregation of Past Reckonable Service

JPA.BP.SPPP.B05
5

Recommendation for Granting of Pensionable Status (for Statutory Body and Local Authority)

JPA.BP.SPPP.B06
6 Pensioner-to-be Basic Information JPA.BP.SPPP.B07a
7 Privatization Pensioner Basic Information JPA.BP.SPPP.B07b

8

Debtors/Non Debtors Declaration Certificate  

JPA.BP.UMUM.B01
9

Leave That Can Be Accumulated Under Regulation 21, Pension Regulations 1980  

JPA.BP.UMUM.B02 Pin

DERIVATIVE PENSION APPLICATION

10 Derivative Pension Application for Death In-Service JPA.BP.SPT.B01a
11 Dependents’ Information (for Death In-Service Cases) JPA.BP.SPT.B01e
12 Declaration Of Studying In An Institution of Higher Learning JPA.BP.SPT.B03b
13 Pension Recipient’s Bank Account Information  JPA.BP.SPT.B06 Pin 2007
14 Derivative Pension Application for Death After Retirement JPA.BP.SPT.B01d
15 Guardian Application Form JPA.BP.SPT.B02
16 Police Investigation Form For Accident Cases JPA.BP.UMUM.B03
17 Medical Specialist Confirmation Report for Retarded/Handicapped Child JPA.BP.UMUM.B04
PENSION ENFORCEMENT
18 Pensioner’s Declaration for Residing Outside of Malaysia - Under The Pension Law JPA.BP.SKP.B04
19 Pension Recipient’s Declaration on Resident Outside of Malaysia Under Pension Law JPA.BP.SKP.B05
20 Photograph, Thumb Impressions and Specimen Signature Of Malaysian Government Pension Recipient JPA.BP.SKP.B06
21 Appointment of Personal Representative for Pensioner / Pension Recipients JPA.BP.SKP.B07
22 Representative Application for Scheme A JPA.BP.SKP.B08
23 Information Update / Pensioner Card Replacement JPA.BP.UMUM.B05

MEDICAL CLAIMS APPLICATION

24 Travelling Claims Application for Medical Treatment JPA.BP.UBAT.B04
25 Application for Reimbursement of Cost for Equipment, Medicine and Treatment Perubatan 1/09(T)
26

Application for Emergency Treatment in a Private Hospital / Clinic

Perubatan 2/09(T)
27

Application for Overseas Treatment

Perubatan 3/09(T)
28 Travelling Claims Application for Retirees Court Appearance JPA.BP.MAK.01

HRMIS PENSION APPLICATION FORMS (FOR HR ADMINISTRATOR ONLY)

29

Representative Application for Scheme A (HRMIS)

JPA.BP.WAKIL
30

GCR / GCRK Application

JPA.BP.1
31 Debtors/Non Debtors Declaration Certificate JPA.BP.2
32 Medical Specialist Confirmation Report for Retarded/Handicapped Child JPA.BP.3
33 Police Investigation Form For Accident Cases JPA.BP.4
34

Urusan Persaraan Dan Pencen Melalui Aplikasi HRMIS

JPA.BP.HRMIS01
35

Pension Application ( HRMIS)

JPA.BP.HRMIS02
36

Pensioner-to-be Basic Information (HRMIS)

JPA.BP.HRMIS03
37

Application for Aggregation of Past Reckonable Service (HRMIS)

JPA.BP.HRMIS04  
       

HAK CIPTA TERPELIHARA ©2005