Voluntary Personal Pension Form

1 Personal Details (Applicant)

Please provide your personal information as it appears on your National ID.

Title *

Date of Joining Scheme *

First Name *

Other Name(s)

Surname *

Date of Birth * You must be at least 18 years old.

Gender *

Marital Status

National ID Number *

National Pension ID

Home Village / Area

Traditional Authority

Home District

Postal Address *

Physical Address

Mobile Number *

Alternative Mobile Number

Email Address *

Occupation *

Employer / Business Name

2 Pension Contribution Payment

Choose your contribution frequency and provide proof of source of funds.

Contribution Frequency *

Initial Contribution (MWK) *

Source of Funds *

Attach National ID Copy * Clear copy of your National ID (front and back)

Attach Proof of Income/ Payslip* Latest payslip or bank statement

Attach Proof of Payment * Bank deposit slip, transaction receipt, or mobile money confirmation

Attach Business Certificate (if applicable)

Attach Utility Bill e.g. Electricity or water bill

3 Politically Exposed Person (PEP) Verification

What is a PEP?

An individual who is or has been entrusted with prominent public functions in Malawi or abroad, e.g.: Head of State, Government official, Judicial officer, Military officer, senior executives of state‑owned enterprises, close family relative or business associate of a PEP.

Are you a PEP? *

Yes No

Are you related to a PEP? *

Yes No

4 Next of Kin Details

Full Name *

Relationship *

Phone Number *

Email Address

Physical Address

5 Data Protection & Consent

I acknowledge that my personal information will be processed by NICO Pension in accordance with the Data Protection Act, 2024.

I consent to NICO Pension collecting, using, storing, and sharing my personal information, including KYC documents, with NICO Group companies in Malawi where necessary for legitimate business, regulatory, compliance, and service delivery purposes.

I also consent to my information being shared with approved service providers, including those outside Malawi, for legitimate operational and compliance purposes such as data hosting and sanctions screening.

Do you consent to the processing and sharing of your personal information? *

Yes, I consent No, I do not consent

6 Beneficiary Details

Please nominate your beneficiaries. Total benefit percentages must add up to 100%.

Full Name	Relationship	Date of Birth	% Benefit	Phone	Email
Total %:

7 Bank Details for Payments

Bank Name

Branch

Account Number

8 Declaration & Signature

I, the undersigned, hereby apply for admission for membership into NICO Pension Services Limited Voluntary Personal Pension Fund. I agree to be bound by the provisions of the said Scheme in force from time to time. I hereby commit to remit my contributions from my income the amounts required to be contributed by me in terms of these provisions.

I shall furnish NICO Pension Services Limited such information relating to my membership as NICO Pension Services Limited shall from time to time reasonably require.

Date *

Full Name (as signed) *

Signature *

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Voluntary Personal Pension

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