Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 1

June 2, 2022

MS. NINA BOLGE


Administrative Manager
Storeband Pensjonst jenest
Professor Kohts vei 9
P.O. Box 45
1327 Lysaker
Norway

Dear Madam:

Subject : Claim for NSA Provident Fund


Membership number 1040978/1085843
Membership date 01.6.1998/01.12.2017
Date of Birth June 15, 1958

May I respectfully request your good office to process my application to claim


my retirement benefit under the NSA Provident Fund.
I am sending herewith copies of the following documents:

1. Personal Letter of request addressed to Storebrand


2. Completed Claim Form
3. Certified true copy of valid passport
4. Xerox copy NIS Yellow Yellow Book “Fartsoppgave”
5. Original Certificate of Sea Service
6. Proof of Membership to the Provident Fund
7. Xerox Copy of electricity bills
8. Xerox Copy of Bank Account of the Seafarer

Thank you and looking forward to your favorable action on the above
request.

Very truly yours

ROGELIO J. BRIONES

You might also like