Ministry of Social Security, National Solidarity & Reform Institutions____________________________________________________________________

Claim File No: Benefit BranchUnit : Social Security HouseSurname : Old Moka Road, Rose HillName : Tel: 4032700Address :Date :

Dear Sir/Madam,The National Pensions Regulations provides that basic pension is payable to a beneficiary if;1. a person is a resident in the country,2. only six months after his/her departure from Mauritius.It would be much appreciated if you could produce your passport(s) Mauritian and/or Foreign to the nearest Social Security Office of your locality for completion of records as from

Yours faithfully

Senior Social Security OfficerPassport NoARRIVAL DEPARTURE ARRIVAL DEPARTURE.. ... ... ... . .. ...... .Signature of Beneficiary Signature of Checking OfficerDate: . Date: ..