This form is only used for disability or death benefits.
Write your Pension Number. If you know your UID (9 digits) you can write it bellow the Pension Number box.
Choose your type of benefit.
Write again your Pension Number or UID.
Write your name as it is on your bank account.
Write your currency of payment, account type and your bank information.
Write your contact and emergency contact details.
Date and sign.
The form must be authenticated/witnessed by an official of the United Nations or a local governmental authority. Here the official will write his/her name and official title, affix the stamp, date and sign. The date must match the one you signed.