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Data Recapture Form

Please fill all fields

Title *

Gender *

Surname *

First Name *

Middle Name

Marital Status *

National Identity Number (NIN) *

Nationality *

Bank Verification Number (BVN)

International Passport Number (Non-Nigerians only)

Date of Birth *

Place of Birth (City/Village) *

State of Origin (Nigerians only) *

Local Government Area (Nigerians Only) *

Local Government Area (Nigerians Only) *

Local Government Area (Nigerians Only) *

Local Government Area (Nigerians Only)

Local Government Area (Nigerians Only) *

Local Government Area (Nigerians Only) *

Local Government Area (Nigerians Only) *

Local Government Area (Nigerians Only) *

Local Government Area (Nigerians Only) *

Local Government Area (Nigerians Only) *

Local Government Area (Nigerians Only) *

Local Government Area (Nigerians Only) *

Local Government Area (Nigerians Only) *

Local Government Area (Nigerians Only) *

Local Government Area (Nigerians Only) *

Local Government Area (Nigerians Only) *

Local Government Area (Nigerians Only) *

Local Government Area (Nigerians Only) *

Local Government Area (Nigerians Only) *

Local Government Area (Nigerians Only) *

Local Government Area (Nigerians Only) *

Local Government Area (Nigerians Only) *

Local Government Area (Nigerians Only) *

Local Government Area (Nigerians Only) *

Local Government Area (Nigerians Only) *

Local Government Area (Nigerians Only) *

Local Government Area (Nigerians Only) *

Local Government Area (Nigerians Only) *

Local Government Area (Nigerians Only) *

Local Government Area (Nigerians Only) *

Local Government Area (Nigerians Only) *

Local Government Area (Nigerians Only) *

Local Government Area (Nigerians Only) *

Local Government Area (Nigerians Only) *

Local Government Area (Nigerians Only) *

Local Government Area (Nigerians Only) *

Local Government Area (Nigerians Only) *

Residential Address *

Home Number/Name *

Street Name

City/Village/Town

State *

State *

Local Government Area (Nigerians Only) *

Local Government Area (Nigerians Only) *

Local Government Area (Nigerians Only) *

Local Government Area (Nigerians Only) *

Local Government Area (Nigerians Only)

Local Government Area (Nigerians Only) *

Local Government Area (Nigerians Only) *

Local Government Area (Nigerians Only) *

Local Government Area (Nigerians Only) *

Local Government Area (Nigerians Only) *

Local Government Area (Nigerians Only) *

Local Government Area (Nigerians Only) *

Local Government Area (Nigerians Only) *

Local Government Area (Nigerians Only) *

Local Government Area (Nigerians Only) *

Local Government Area (Nigerians Only) *

Local Government Area (Nigerians Only) *

Local Government Area (Nigerians Only) *

Local Government Area (Nigerians Only) *

Local Government Area (Nigerians Only) *

Local Government Area (Nigerians Only) *

Local Government Area (Nigerians Only) *

Local Government Area (Nigerians Only) *

Local Government Area (Nigerians Only) *

Local Government Area (Nigerians Only) *

Local Government Area (Nigerians Only) *

Local Government Area (Nigerians Only) *

Local Government Area (Nigerians Only) *

Local Government Area (Nigerians Only) *

Local Government Area (Nigerians Only) *

Local Government Area (Nigerians Only) *

Local Government Area (Nigerians Only) *

Local Government Area (Nigerians Only) *

Local Government Area (Nigerians Only) *

Local Government Area (Nigerians Only) *

Local Government Area (Nigerians Only) *

Local Government Area (Nigerians Only) *

Phone Number *

Personal Email Address *

Please indicate how you would like to receive your quaterly RSA Statement

EMPLOYMENT RECORD

Fill in CAPITAL LETTERS

Sector Classification

Employee under IPPIS?

Date Employee Joined IPPIS

IPPIS No.

Employer Name (e.g National Pension Commission NOT PenCom) *

Employer Name should be in full.

Employer Current Business Location/Address *

Building Address *

Village/Town/City *

State Code

Country Code

ZIP Code

P.O Box or PMB (if any)

Phone Number

Employer Email Address *

Nature of Business (Informal Sector Only)

Employee ID Number

Service ID Number

Date of Current Appointment

Date of First Appointment

Date of Employment *

State of Posting *

NEXT OF KIN DATA (NOK)

Fill in CAPITAL LETTERS

Title *

Gender *

Surname *

First Name *

Middle Name

Relationship *

Correspondence Address

Home Number/Name *

City/Village/Town *

State

Street Name *

Local Government Area

State *

State Code *

Country Code

Personal Email Address

Phone Number

Declaration/Consent *I hereby certify that the information provided in this form is correct. I further consent and authorize National Identity Management Commission to release my NIN information (as may be required) to the National Pension Commission (PenCom), upon request by my Pension Fund Administration (PFA) for the maintenance and operation of my Retirement Savings Account. It is my Understanding that PenCom shall exercise due care to ensure that my information is secure and protected.

Date of Declaration/Consent *

Passport Photograph *

Drop your file here or click here to upload You can upload up to 1 files.

Recent Passport Photo with a white background)

Signature Format

Signature Upload *

Drop your file here or click here to upload You can upload up to 1 files.

Signature *

Data Privacy *The company takes your privacy seriously and only processes your personal information to make your experience better. In accordance with NDPR and other applicable regulations, signing below indicates your consent to the processing of your personal data by Guaranty Trust Pension Managers, its strategic pertners/service providers, Guaranty Trust Holding Company and its subsidiaries as detailed in our Privacy Policy page.

Data Privacy

“The personal information that you provide on this platform will be collected and processed in accordance with our company’s privacy policy and in compliance with the Nigerian Data Protection Act (NDPA) 2023 and other applicable laws. You can access a full copy of our privacy policy in our Privacy Policy. “

GTPM DATA PROTECTION POLICY Download

DATA PRIVACY POLICY Download

Signature Format

File Upload *

Drop your file here or click here to upload You can upload up to 1 files.

Signature *

Date *

Documents

Upload size is 2mb

Upload Valid means of Identification *

Drop your file here or click here to upload You can upload up to 1 files.

Valid Driver’s License/Voters card/International Passport/Company ID Card

Upload Birth Certificate or Declaration of Age *

Drop your file here or click here to upload You can upload up to 1 files.

Upload Letter of Employment *

Drop your file here or click here to upload You can upload up to 1 files.

Upload National Identity Card or enrolment slip *

Drop your file here or click here to upload You can upload up to 1 files.

The slip must be issued by the National Identity Management Commission indicating the National Identity Number (NIN)

Upload Letter of First Appointment

Drop your file here or click here to upload You can upload up to 1 files.

Upload Letter of Attestation

Drop your file here or click here to upload You can upload up to 1 files.

Police Personnel

Upload Transfer or Acceptance of Service

Drop your file here or click here to upload You can upload up to 1 files.

Where Applicable

Upload Promotion Letters & Payslips for the periods of 30 Jun 2004, Jan 2007, Jul 2010, Dec 2013, Dec 2016 and Current

Drop your file here or click here to upload You can upload up to 1 files.

Public Sector Employees

Fingerprints Challenge

Fingerprints Challenge Situation

Upload Proof of Disability

Drop your file here or click here to upload You can upload up to 2 files.

Phone

About Guaranty Trust Pension Managers

We provide long-lasting safety through our list of pension management services which employees can optimise for a financially secure retirement.

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Title *MrMrsMissMs

Gender *MaleFemale

Surname *

First Name *

Middle Name

Email Address *

Phone *

Location *NigeriaAbroad

House Number/Name *

Village/Town/City *

State *

Retirement Savings Account (RSA) PIN *0 / 15

Current Pension Fund Administrator (PFA) *

Who is your current PFA? *

Have you completed the Data Recapture Exercise? *YesNo

National Identification Number(NIN) *0 / 11

Already have an account?

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RSA PIN *

FULL NAME

PHONE NUMBER

EMAIL ADDRESS

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