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INSTITUTE OF COST AND MANAGEMENT ACCOUNTANTS OF PAKISTAN FORM A-1 GROUP INSURANCE FOR CMAP MEMBERS (Form of the nomination when subscriber has a family and wishes to nominate one or more than one
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I further nominate one or more of the persons mentioned below, who are / are of different nationalities to receive the amount that may be payable to the nominees in the event of my death/disability / accident occurring after. If there is no person nominated above, it would be understood as meaning : 1. The person (s) referred above is, or are, of my family and wants to have the amount payable to his/her family beneficiary as per law. 2. The person(s) described above are of different nationalities and wish to have the amount payable to the beneficiary in their respective national currency which may be payable to the respective beneficiary on account of loss of use or any other related reasons. 3. The nominee / persons is or are a party to a contract/ agreement with me wherein he/ she is to provide service to me / to another person without receiving any commission on such performance (including but not limited to, providing service of maintenance). Such contract/ agreement is for a specified period with specified duration including and not limited to the term of a contract/ agreement of a contractual nature entered into with the recipient or the beneficiaries under said contract/ agreement. 4. The person(s) referred to in (1) — (3) is of my family and wishes to nominate his/her family within the limits and under the conditions mentioned under sub-section (4) of the following sub-section. 5. The person(s) mentioned in (2) — (3) is of my family and wishes to nominate any family member who has not joined my family within the stated duration mentioned under sub-section (4) of section 3 herein. In case there is no person included in the nominated persons as a recipient under sub-section (5) of section 3 of the above sub-section, it might be understood as meaning : 1. The person(s) referred to in (1) — (3) are of my family and wish to have the amount payable to their family beneficiary as per law. 2. The person(s) referred to in (2) — (3) are of different nationalities and wish to have the amount payable to the beneficiary in their respective national currencies which may be payable to the respective beneficiary on account of loss of use, or any other related reason.

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