Namibia National Teachers’ Union (NANTU) NANTU Death Claim Form Part. 1 NANTU Details: Erongo Hardap Kavango East Kavango West Karas NANTU Region. 1.1 Kunene Khomas Ohangwena Omaheke Omusati [Indicate (x)] with a cross Oshana Oshikoto Otjozondjupa Zambezi [Same 1.2 NANTU Branch. Education Circuit] as the Part. 2 Member’s Details NOTE: This part should be filled in when the paid-up member is still alive. Surname. 2.1 Full Name(s). 2.2 [Indicate Title. 2.3 Mr Mrs Miss Dr Proff. Other (x)] : with a cross [Indicate 2.4 Marital Status Single Married Divorced Widowed (x)] with a cross Date 2.5 of ID Number. 2.6 Cell Number. 2.7 phone [Private] Postal Address. 2.8 Name School/Institution. 2.9 of Employee Code. 2.10
Namibia National Teachers’ Union (NANTU) NANTU Death Claim Form Part. 1 NANTU Details: 1.1 NANTU Region. [Indicate with a cross (x)] Erongo Hardap Kavango East Kavango West Karas Kunene Khomas Ohangwena Omaheke Omusati Oshana Oshikoto Otjozondjupa Zambezi 1.2 NANTU Branch. [Same as the Education Circuit] Part. 2 Member’s Details NOTE: This part should be filled in when the paid-up member is still alive. 2.1 Surname. 2.2 Full Name(s). 2.3 Title. [Indicate with a cross (x)] Mr Mrs Miss Dr Proff. Other : 2.4 Marital Status [Indicate with a cross (x)] Single Married Divorced Widowed 2.5 Date of 2.6 ID Number. 2.7 Cell phone Number. 2.8 Postal Address. [Private] 2.9 Name of School/Institution. 2.10 Employee Code.