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SSNIT Application Form

INSTRUCTIONS ON HOW TO COMPLETE THE FORM

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Most of the items on this form are self-explanatory. Those items that need further explanation are discussed below:

PLEASE, READ THESE INSTRUCTIONS CAREFULLY BEFORE COMPLETING THIS FORM.

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GENERAL

GENERAL INSTRUCTIONS

Complete Form in BLOCK characters in BLACK or BLUE ink only. Spell out all words – Do not use

Abbreviations.

Social Security No./Ref Number:

  • Enter the REFERENCE NUMBER given by the SSNIT Officer if you are now registering as a Contributor.
  • Enter your SOCIAL SECURITY number if you are already a registered member (i.e. a Contributor or a Pensioner).

SECTIONS 1 &2

PERSONALDETAILS& PARENTALNAMES

SECTION3: CURRENTMAILING ADDRESS

SECTION 4: RESIDENTIAL ADDRESS

DECLARATION

  • Surname means the given/family/last name of the Member/Applicant/ Parent.
  • First Name means the name that comes before (precedes) the Surname.
  • Other Names means any other name apart from the Surname and the First Name. C/oIndicate if your address is care of someone, or through an institution.

Postal type: Select the Postal type applicable.

P. O. BOX: Normal Post Box

P.M.B.: Private Mail Bag

DTD: “Door To Door” delivery

1. P. O. BOX; Normal Post Box: For example, P.O. BOX AN5012, ACCRA-NORTH

  • Postal type :Tick P. O. BOX,
  • Postal Number: Consists of two parts: the Prefix and the Number.

The prefix is a series of letters appended to a number for the purpose of sorting mail according to box location/area.

  • The prefix in this example is “AN” and the number is “5012”.
  • Write/enter AN as prefix and the number is 5012;
  • Box Location/area: – Name of post office area – Box Location/area in this example is ACCRA-NORTH.

2. P.M.B. Private Mail Bag: For example, PMB/MINISTRIES.

  • Postal type: Tick PMB only.
  • Box Location/Area identifies PMB location, i.e. MINISTRIES.

3. Door to Door (DTD): complete the Box Location/Area field as well.

House number– This is the number of the house on the street. For example, for 23 Pension Street, the house number is 23 and Pension street is the street name.

Building NameConspicuously and recognizable labelled building that you live in; for example, “PENSION HOUSE”.

Street name – Means the name of the street (if any) of your residential location such as “Wawa Street”.

Landmarkmeans a permanent building or landmark near to your place of residence such as “opposite the Church of Pentecost” or where applicable, some description that could aid in locating the building e.g. “50m from Danquah Circle”.

Location/area – Name of location – suburb and description of area within a city or town. For example, DANSOMAN (AKOKOFOTO) or NORTH KANESHIE (LAST STOP).

  • Member/Applicant must endorse the form with signature and date.
  • Member/Applicant must thumbprint the form in addition to the signature. The thumb-printing must be taken in the presence of a SSNIT Officer and in a SSNIT office (i.e. SSNIT Branch).
  • Member/Applicant is held liable for any false declaration.

Click To Download SSNIT Application Form

One thought on “SSNIT Application Form

  1. HAMZA ABDUL DAYAN says:

    PLEASE I WILL LIKE TO KNOW IF THERE IS A VACANCY IN ANY OF YOUR BRANCH OFFICES IN GHANA

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