My APS
My APS

APS

  • FORMS /
  • Amendment Form (Employees and Ex-Employees)

Amendment Form (Employees and Ex-Employees)

Step 1. Please complete the ‘Amendment Form’ (Employees and Ex-Employees) 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)
  • Detailed Extract form Civil Registry (“Uitgebreid uittreksel Burgerzaken”)
  • Documents to substantiate your specific amendment request (see below)

AMENDMENT/CORRECTION FORM (Employees / Ex-Employees)

SUBMITTER

Name(Required)
DD slash MM slash YYYY
Sex(Required)
Address(Required)
Marital Status(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

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

Status

EMPLOYER - 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

Status
DD slash MM slash YYYY

Status
DD slash MM slash YYYY
DD slash MM slash YYYY
Retention of Salary

Status
DD slash MM slash YYYY

Status
DD slash MM slash YYYY
Salary
Attestation(Required)

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.

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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