Notice of Withdraw from Scheme Form

1Employee Details
2Member Details
3Supporting Documents

Name of Scheme

Name of Employee

Membership Number

Date of Birth

Date of Appointment

Date of Joining Scheme

Date of Termination of Service

Reasons of withdrawal

Last Deduction Month

Total Severance entitlement transferred into the pension fund

Employee Attachments

ABOUT ONE NICO CUSTOMER PORTAL

With the One NICO customer portal customers of NICO Group will have the ability to track their support requests and the answers or resolutions they received from past requests,enabling you to use the portal as a knowledge source of all things NICO and avoid asking the same questions again. With this customer portal you'll be able to manage and track all your applications and requests, giving you confidence that your concerns and questions have been heard and are being addressed.