beneficiaries’ declaration and undertaking personal

ELTS-A6-20190525 - Acknowledgment and pledge to beneficiaries - updated-20190827-PI-511211

Beneficiaries’ declaration and undertaking

Personal Details of the Beneficiary

Name: ID number:

Entitlement Reason:

First Telephone

Number:

Second Telephone

Number:

Email:

Preferred Methods

of Communication

Email: Phone: SMS:

Please read the following text carefully before signing the declaration:

The following table shows the categories of beneficiaries who meet the conditions of

entitlement to the pension after the death of the retired member/pensioner and the reasons

of termination or suspension of payment of the share in such pension and the procedures to

follow:

Categories

of

Beneficiaries

Conditions of entitlement to

the pension share

Reasons of

pension share

payment

withholding

or suspension

Procedures to follow

Widows A widow is entitled to the

pension share upon death of her

husband; however, the payment

of such share will be suspended

once she remarries but it will be

resumed if divorced or

widowed from her last husband

unless she is entitled to a

pension from her last husband

upon his death.

This includes:

A widowed woman or

women even in case of a

Marriage The Fund must be notified

immediately

The pension share must be

seized until we are provided

with a marriage contract

If there are amounts of

money paid in excess, they

must be deducted from the

beneficiaries or the pre-

seized share

The pension is adjusted and

the shares are distributed

according to the table


multiple widows

A widowed husband who

cannot earn any money

attached to the Pension

Law.

Her

entitlement of

a pension

thanks to her

last husband

Upon divorce or widowing

from her last husband the

pension is readjusted and

her share is paid as of the

date on which she is

divorced or widowed.


Death The Fund must be notified

of the beneficiary death

The beneficiary’s pension

share must be seized until

we are provided with the

death certificate

The pension share payment

is suspended once we

receive the documents

required




attached to the Pension Law

When the widowed husband

starts working

His pension share will be

suspended once proven to

be working

Son Including the sons of the

deceased, the children of the

deceased son who dies after his

entitlement to a pension share

or before that. It is stipulated for

payment of the share that the

son has not reached the age of

21, and this entitlement shall

last after he reaches this age in

the following exceptions:

1. if disabled and unable to

earn money

2. if he is a student in one of

the academic phases higher

than the secondary

education stage, provided

that he is not above 26,

where in this case the son,

in order to continue to get

his share, must provide the

Completion of

study or

reaching the

age of 26,

whichever

occurs first

Notify the Fund of the

continuation of study or

provide the proof of full

devotion to study

Verify that the beneficiary

is not above 26 years of age


money paid in excess, they

must be deducted from the

beneficiaries or the pre-

seized share

An application must be

submitted to the medical

committee to assess his

health condition and issue

the appropriate decision

When the

beneficiary

joins work

The beneficiary is asked to

submit an employment

certificate


proof of being fully

engaged in a course of

study in any of the

academic phases higher

than the secondary

education stage

3. Whoever obtains a

university degree or

equivalent or higher,

provided that he has not

reached the age of 26.

Death of the

beneficiary


beneficiary’s death

Seize the beneficiary’s

share until we are provided

with a death certificate

Suspend the share once we

are provided with the

documents required




attached to the Pension

Law.

Daughter

and

daughter

of the

deceased

son

Daughter: including the

daughters of the deceased. It

is stipulated for payment of

the pension share if she is not

married.

Daughter of the deceased son:

including the daughters of the

deceased son. The share of the

son’s daughter is the share of

their deceased father when her

father was still alive or who

died after his entitlement to

the pension. It is stipulated for

payment of the pension share

that she is not married at the

date of death, as in the case of

the daughter and the sister.

In case of

marriage

Upon marriage, the Fund

must be informed

immediately

The share is seized till

the Fund is provided

with the Marriage

contract


money paid in excess,

they must be deducted

from the beneficiaries or

the pre-seized share

The pension is adjusted

and the shares are

distributed according to

the table attached to the

Pension Law.


In case of

death

The fund must be

notified of the death of

the beneficiary

The share is seized till

the Fund is provided

with the Marriage

contract

Sleaze the payment of

the share once we are

provided with the

documents required


and the shares are



Pension Law.

Son of the

deceased

son

The son of the deceased son

shall be entitled to his share of

the pension in case his father

dies while his father was still

alive, or died after his

entitlement to a share of the

pension as the share of the

deceased son; however, it is

stipulated for payment of this

share that the son meets the

prescribed entitlement

conditions, namely “that the

son has not reached the age of

21”. The entitlement shall

continue even if the age of the

Completion

of education

or reaching

the age of 26

whichever

occurs first

The Fund must be

notified of the continuity

of the study or full

devotion to study

Verify that the

beneficiary is not above

the age of 26






When the

beneficiary

joins work

The beneficiary is asked

to submit an employment

certificate


son’s reaches this age in the

following exceptions:

1. If he is disable and unable

to earn money (an

application must be

submitted to the medical

committee to assess his

health condition and issue

the appropriate decision)

2. If he is a student in one of

the academic phases

higher than the secondary





his pension share, must

provide the proof of being

fully engaged in a course

of study in any of the


than the secondary

education stage

3. If he is a student on a

postsecondary stage,

subject to not exceeding

the age of 26, where the

pension will be paid to

him until he reaches the

age of 26 or completes his

study whichever occurs

first.

In case of

beneficiary’s

death




share until we are

provided with a death

certificate

Suspend the share once


documents required


and the shares are



Pension Law.


Mother

The mother is entitled to a

share in the pension of her

deceased son and deceased

daughter, if the mother is a

widow or divorced.

In case of

marriage

Verify through the

Fund’s system that the

mother is not entitled to a

share in another pension

in the Fund.

Prove that she is not

married or provide an

affidavit of marital

status. If she is above the

age of 60, she must only

sign a deposition and

warranty.






In case of

mother’s

death

Notify the Fund of her

death

Seize the mother’s share

until we are provided




documents required


and the shares are



Pension Law.

Father

In order for the father to

be entitled to a share in

the pension of his

deceased son it is

stipulated that he was

fully dependent for his

sustenance on the

In case of

death

Notify the Fund of his

death

Seize the father’s share





deceased son and had no

other source of income

whether obtained from a

federal or local entity.

Verify through the Fund’s

system that the father is

not getting a pension from

the Fund

Proving the father’s

dependency must be

through a certificate

issued by the Judicial

Department

if there are amounts of






documents required


and the shares are



Pension Law.

Brother

Including the brother from a

father or mother.

It is stipulated for payment of

the share that the brother was

dependent, for his sustenance,

on his deceased brother or the

pensioner and that he did not

reach the age of 21, and this

entitlement shall last after he

reaches this age in the

following exceptions:

1. If he is disabled and

unable to earn money

2. If he is a student in one of

the academic phases

higher than the secondary




In case he

reached the

age of 21

Completed

his education

or reached the

age of 26

whichever

occurs first

The Fund must be

notified of the continuity

of the study or full

devotion to study

Verify that the

beneficiary is not above

the age of 26

Verify that the father is

not an employee or

retiree / pensioner from

the Fund

Provide a proof of full

dependency for

sustenance from the

Judicial Department







his share, must provide the

proof of being fully

engaged in a course of

study in any of the


than the secondary

education stage

3. Whoever obtains a

university degree or

equivalent or higher,

provided that he has not

reached the age of 26.

Note: Proving the brother’s

dependency must be through a

certificate issued by the

Judicial Department


When the

state of

disability

preventing

making a

living or work

is no more

An application is made

to the medical committee

to assess his condition

and issue the appropriate

decision.

In case of

death




share until we are

provided with a death

certificate



documents required


and the shares are



Pension Law.


Sister

Including sisters and siblings.

It is stipulated for payment of

the pension share:

That the sister is fully

dependent for her

sustenance on her

deceased brother

That she is not married,

divorced, or widow

In case of

marriage

Verify through the

Fund’s system that the

sister gets no pension

from the Fund

She must prove that she

is not married or provide

an affidavit of marital

status

If she is proven to be

working, the payment of

her pension will be

withheld






In case of

death

The Fund must be

notified of her death

The sister’s pension

share must be seized


with the death certificate

The pension share

payment is suspended

once we receive the

documents required


and the shares are



Pension Law


General Rules:

The beneficiary’s pension share shall be paid to him/her in the cases specified by the

Law, which means that it will be paid when such share plays a role in the beneficiary’s

living or sustenance, but it is withheld or suspended, as the case may be, when the

beneficiary starts getting another income or becomes under the care of another person,

where the pension is redistributed among the remaining beneficiaries, yet the payment

of the share which was withheld or suspended will resume as soon as the reason for

withholding it is no more, and the share may be indefinitely withheld with respect to the

same beneficiary in some cases.

The beneficiary is not permitted to combine two or more pensions, where in this case

he/she will be paid the highest one of them; therefore, the beneficiary must inform the

Fund of the reasons that would result in withholding or terminating their shares. This

would be in the interest of the beneficiaries and conserves the public funds. In case of

beneficiaries’ slackening and failure to notify the Fund of the reasons terminating or

withholding the payment of their shares or termination for reasons provided for in the

law, which would result in unlawful mass monthly payment of money to the

beneficiaries, in this case the Fund may deduct the amounts being unlawfully paid to the

beneficiary whose share payment was terminated or withheld from the amounts to

which all the beneficiaries are entitled, or in other words from the amounts of money to

which they are entitled in case of redistribution as a result of withholding the share in

proportion of the entitlement of each one of them from the others.

In addition to that the Fund will impose payment of any amounts unlawfully paid to the

beneficiary, the latter who unlawfully obtained these amounts without bothering about

informing the Fund that the reasons of their payment were no more, shall be criminally

liable to the Fund under the provisions of Article 95 of Law no. 2 of 2000 if he is

confirmed to have abstained from giving the Fund some crucial data that would help

withhold or terminate payment of the beneficiary’s data, as the violator shall be

punished by a term of imprisonment not exceeding one month and a fine not exceeding

2500 dirhams. The Law also permitted the other beneficiaries, whose shares underwent

deduction, to seek payment – by the beneficiary - of the share unlawfully paid to

him/her.


Declaration:

I, the abovementioned, acknowledge and depose that I read and understood all the

conditions pertaining to my entitlement to the pension share and undertake to notify the

Fund in case of occurrence of any event or reason that would lead to withholding or

termination of my entitlement to such share and I be fully liable for that, and I undertake to

refund the amounts unlawfully paid to me contrary to the provisions of Abu Dhabi Pensions

Law.

Date: Signature:

Name of the HR

Department employee

of the Employer:

Date:

Seal and signature:

beneficiaries’ declaration and undertaking personal

Documents