CERTIFICATE OF EXISTENCE
System No
Surname First Name
ID Number Date of Birth
Title Marital Status
Cellphone No. Contact Address
Email
This Certificate must be signed in the presence of a witness who must be Commissioner of Oaths or a person of a similar standing
such as a Police Officer, Minister of Religion, District Administrator, Chief/Headman, Court President, Debswana Pension Fund
Officer or appointed Pension Fund Administrator Officer.
The Fund requires the Administrator to establish from time to time whether the Pensioner or Dependant is still alive. Payment of
the pension will be terminated or suspended as a result of failure to comply.
I, ______________________________________________________________________________________________________ ,
hereby declare that I am the legal recipient of a pension in terms of the Fund Rules.
_________________________________ _________________________________
Signature of Pensioner Date(dd/mm/yyyy)
“This is to certify that I have seen the above named and that I believe him/her to be the person named above and that he/she has
signed this certificate in my presence. He/she receives the pension as a pensioner/minor child”.
I certify that ___________________________________________, declared before me on this _________________ day of
___________________, 20_________ that he /she is the pensioner and is entitled to the pension benefit of the Fund.
Thus signed and sworn before me; the deponent having acknowledged that the deponent knows and understands the contents of
this affidavit, that the deponent has no objection to taking the prescribed oath, that the oath which the deponent has taken in respect
thereof is binding on the deponent’s conscience, and that the contents of this affidavit are both true and correct.
Name of Witness / Commissioner _________________________________________________________________________
Office _________________________________________________________________ Area_________________________
_________________________________ _______________________________
Signature of Witness Date(dd/mm/yyyy) OFFICIAL STAMP
Mmila Fund Administrators Contact Details:
Gaborone Office: Fairgrounds Office Park, Plot 64511 Tel: +267 3735267 / 3735263 / 3956966 Fax: +267 3956982
Jwaneng Office: Township Housing Office Block, Office No. 9 Tel: +267 5884849 | Orapa Office: HR Block, Office No. 11 Tel: +267 2902323
Email: info@[Link] | WhatsApp: +267 75925720
