Preferred Beneficiary Nomination Form. Personal Details. Incolink Member Number. First Name. Family Name. Address. .
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1 Preferred Beneficiary Nomination Form Personal Details Add beneficiary Remove beneficiary Incolink Member Number First Name Family Name Address Suburb Postcode Mobile Number Date of Birth A preferred beneficiary nomination allows you to nominate who you would prefer your benefit be paid to in the event of your death. A preferred beneficiary nomination is not binding on the Trustee, however, it will be taken into account when the Trustee determines who will receive your benefit. Incolink only accepts one preferred beneficiary nomination on an account. Please nominate your preferred beneficiary Surname Given Names What is the beneficiary s relationship to you? (Select one box only) Spouse Child Other (please specify) Is the beneficiary financially dependant on you? Yes No Member s signature Date The Redundancy Payment Central Fund Ltd (trading as Incolink) 1 Pelham Street, Carlton Victoria 3053 Telephone: (03) Fax: (03) Freecall: (Available regional areas only, not from mobile phones or the Melbourne metro region) redund@incolink.org.au ACN ABN FM
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