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My APS

APS

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  • APS Amendment Form (Pensioners)

APS Amendment Form (Pensioners)

Step 1. Please complete the ‘Amendment/Correction Form’ form below.
Step 2. Once completed, please click ‘Submit’ and then click ‘Download form’
Step 3. Please print your completed form and sign the form with your name and signature.
Step 4. Please scan your signed form, upload it and click ‘Submit’

Please note that it is necessary to include the following documents with this registration:

  • Copy of valid picture ID (passport, ID card, driver’s license)
  • Documents to substantiate your specific amendment request (see below)

AMENDMENT/CORRECTION FORM (Pensioners)

SUBMITTER

Name(Required)
DD slash MM slash YYYY
Sex(Required)
Address(Required)
I currently collect:(Required)
Preferences

MARITAL STATUS - DETAILS OF CHANGE

Please only complete the section of the form that is relevant to the change(s) you wish to inform APS of
Status
DD slash MM slash YYYY
Name Spouse
Sex
DD slash MM slash YYYY

Status
DD slash MM slash YYYY
Name Ex-Spouse
Sex
DD slash MM slash YYYY

Status
DD slash MM slash YYYY
Name Spouse
Sex
DD slash MM slash YYYY

FAMILY STATUS - DETAILS OF CHANGE

Please only complete the section of the form that is relevant to the change(s) you wish to inform APS of
I have children through:
DD slash MM slash YYYY
Sex
Attending school full-time?
I have children through:
DD slash MM slash YYYY
Sex
Attending school full-time?
I have children through:
DD slash MM slash YYYY
Sex
Attending school full-time?
I have children through:
DD slash MM slash YYYY
Sex
Attending school full-time?

SCHOOL DETAILS

Please only complete the section of the form that is relevant to the change(s) you wish to inform APS of
Status

CONTACT DETAILS - DETAILS OF CHANGE

Please only complete the section of the form that is relevant to the change(s) you wish to inform APS of
Status
DD slash MM slash YYYY
Address

Status
DD slash MM slash YYYY
Address
If you do not have a postal code, please input 5 zero's (00000).

Status

PAYMENT - DETAILS OF CHANGE

Please only complete the section of the form that is relevant to the change(s) you wish to inform APS of. Note: This must be a local or ING account.
Status
Note: This must be a local or ING account.
DD slash MM slash YYYY
Bank

Bank Address
Account Type
Note: This must be a local or ING account.

Status

Attestation(Required)

DETAILS ON PERSON FROM WHOM RIGHTS ARE DERIVED FROM

Category
Name
DD slash MM slash YYYY
DD slash MM slash YYYY

UPLOAD NECESSARY DOCUMENTS

Please ensure that the documents substantiating your pension request are submitted with this form.
Max. file size: 100 MB.
Max. file size: 100 MB.
Max. file size: 100 MB.
Max. file size: 100 MB.
Max. file size: 100 MB.
Max. file size: 100 MB.
Max. file size: 100 MB.
Max. file size: 100 MB.
Max. file size: 100 MB.
Max. file size: 100 MB.

To sign this form, please follow the steps below:

1. Submit and download your form. 2. Write your full name and sign your form. 3. Please click on the 'Upload signed form' button below.

Upload Signed Form

Yogesh Commercial Complex Unit 1A/1B A.J.C. Brouwersweg #4 Cul-de-Sac Sint Maarten, Dutch Caribbean

  • Phone: +1 721 543-0003 (8:30AM-5PM)
  • Hours: 8:30 AM -3:30 PM
  • Email: info@apsxm.org
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