beneficiaries’ declaration and undertaking personal
TRANSCRIPT
ELTS-A6-20190525 - Acknowledgment and pledge to beneficiaries - updated-20190827-PI-511211
Beneficiaries’ declaration and undertaking
Personal Details of the Beneficiary
Name: ID number:
Entitlement Reason:
First Telephone
Number:
Second Telephone
Number:
Email:
Preferred Methods
of Communication
Email: Phone: SMS:
Please read the following text carefully before signing the declaration:
The following table shows the categories of beneficiaries who meet the conditions of
entitlement to the pension after the death of the retired member/pensioner and the reasons
of termination or suspension of payment of the share in such pension and the procedures to
follow:
Categories
of
Beneficiaries
Conditions of entitlement to
the pension share
Reasons of
pension share
payment
withholding
or suspension
Procedures to follow
Widows A widow is entitled to the
pension share upon death of her
husband; however, the payment
of such share will be suspended
once she remarries but it will be
resumed if divorced or
widowed from her last husband
unless she is entitled to a
pension from her last husband
upon his death.
This includes:
A widowed woman or
women even in case of a
Marriage The Fund must be notified
immediately
The pension share must be
seized until we are provided
with a marriage contract
If there are amounts of
money paid in excess, they
must be deducted from the
beneficiaries or the pre-
seized share
The pension is adjusted and
the shares are distributed
according to the table
ELTS-A6-20190525 - Acknowledgment and pledge to beneficiaries - updated-20190827-PI-511211
multiple widows
A widowed husband who
cannot earn any money
attached to the Pension
Law.
Her
entitlement of
a pension
thanks to her
last husband
Upon divorce or widowing
from her last husband the
pension is readjusted and
her share is paid as of the
date on which she is
divorced or widowed.
ELTS-A6-20190525 - Acknowledgment and pledge to beneficiaries - updated-20190827-PI-511211
Death The Fund must be notified
of the beneficiary death
The beneficiary’s pension
share must be seized until
we are provided with the
death certificate
The pension share payment
is suspended once we
receive the documents
required
The pension is adjusted and
the shares are distributed
according to the table
attached to the Pension Law
When the widowed husband
starts working
His pension share will be
suspended once proven to
be working
Son Including the sons of the
deceased, the children of the
deceased son who dies after his
entitlement to a pension share
or before that. It is stipulated for
payment of the share that the
son has not reached the age of
21, and this entitlement shall
last after he reaches this age in
the following exceptions:
1. if disabled and unable to
earn money
2. if he is a student in one of
the academic phases higher
than the secondary
education stage, provided
that he is not above 26,
where in this case the son,
in order to continue to get
his share, must provide the
Completion of
study or
reaching the
age of 26,
whichever
occurs first
Notify the Fund of the
continuation of study or
provide the proof of full
devotion to study
Verify that the beneficiary
is not above 26 years of age
If there are amounts of
money paid in excess, they
must be deducted from the
beneficiaries or the pre-
seized share
An application must be
submitted to the medical
committee to assess his
health condition and issue
the appropriate decision
When the
beneficiary
joins work
The beneficiary is asked to
submit an employment
certificate
ELTS-A6-20190525 - Acknowledgment and pledge to beneficiaries - updated-20190827-PI-511211
proof of being fully
engaged in a course of
study in any of the
academic phases higher
than the secondary
education stage
3. Whoever obtains a
university degree or
equivalent or higher,
provided that he has not
reached the age of 26.
Death of the
beneficiary
Notify the Fund of the
beneficiary’s death
Seize the beneficiary’s
share until we are provided
with a death certificate
Suspend the share once we
are provided with the
documents required
The pension is adjusted and
the shares are distributed
according to the table
attached to the Pension
Law.
Daughter
and
daughter
of the
deceased
son
Daughter: including the
daughters of the deceased. It
is stipulated for payment of
the pension share if she is not
married.
Daughter of the deceased son:
including the daughters of the
deceased son. The share of the
son’s daughter is the share of
their deceased father when her
father was still alive or who
died after his entitlement to
the pension. It is stipulated for
payment of the pension share
that she is not married at the
date of death, as in the case of
the daughter and the sister.
In case of
marriage
Upon marriage, the Fund
must be informed
immediately
The share is seized till
the Fund is provided
with the Marriage
contract
If there are amounts of
money paid in excess,
they must be deducted
from the beneficiaries or
the pre-seized share
The pension is adjusted
and the shares are
distributed according to
the table attached to the
Pension Law.
ELTS-A6-20190525 - Acknowledgment and pledge to beneficiaries - updated-20190827-PI-511211
In case of
death
The fund must be
notified of the death of
the beneficiary
The share is seized till
the Fund is provided
with the Marriage
contract
Sleaze the payment of
the share once we are
provided with the
documents required
The pension is adjusted
and the shares are
distributed according to
the table attached to the
Pension Law.
Son of the
deceased
son
The son of the deceased son
shall be entitled to his share of
the pension in case his father
dies while his father was still
alive, or died after his
entitlement to a share of the
pension as the share of the
deceased son; however, it is
stipulated for payment of this
share that the son meets the
prescribed entitlement
conditions, namely “that the
son has not reached the age of
21”. The entitlement shall
continue even if the age of the
Completion
of education
or reaching
the age of 26
whichever
occurs first
The Fund must be
notified of the continuity
of the study or full
devotion to study
Verify that the
beneficiary is not above
the age of 26
If there are amounts of
money paid in excess,
they must be deducted
from the beneficiaries or
the pre-seized share
When the
beneficiary
joins work
The beneficiary is asked
to submit an employment
certificate
ELTS-A6-20190525 - Acknowledgment and pledge to beneficiaries - updated-20190827-PI-511211
son’s reaches this age in the
following exceptions:
1. If he is disable and unable
to earn money (an
application must be
submitted to the medical
committee to assess his
health condition and issue
the appropriate decision)
2. If he is a student in one of
the academic phases
higher than the secondary
education stage, provided
that he is not above 26,
where in this case the son,
in order to continue to get
his pension share, must
provide the proof of being
fully engaged in a course
of study in any of the
academic phases higher
than the secondary
education stage
3. If he is a student on a
postsecondary stage,
subject to not exceeding
the age of 26, where the
pension will be paid to
him until he reaches the
age of 26 or completes his
study whichever occurs
first.
In case of
beneficiary’s
death
Notify the Fund of the
beneficiary’s death
Seize the beneficiary’s
share until we are
provided with a death
certificate
Suspend the share once
we are provided with the
documents required
The pension is adjusted
and the shares are
distributed according to
the table attached to the
Pension Law.
ELTS-A6-20190525 - Acknowledgment and pledge to beneficiaries - updated-20190827-PI-511211
Mother
The mother is entitled to a
share in the pension of her
deceased son and deceased
daughter, if the mother is a
widow or divorced.
In case of
marriage
Verify through the
Fund’s system that the
mother is not entitled to a
share in another pension
in the Fund.
Prove that she is not
married or provide an
affidavit of marital
status. If she is above the
age of 60, she must only
sign a deposition and
warranty.
If there are amounts of
money paid in excess,
they must be deducted
from the beneficiaries or
the pre-seized share
In case of
mother’s
death
Notify the Fund of her
death
Seize the mother’s share
until we are provided
with a death certificate
Suspend the share once
we are provided with the
documents required
The pension is adjusted
and the shares are
distributed according to
the table attached to the
Pension Law.
Father
In order for the father to
be entitled to a share in
the pension of his
deceased son it is
stipulated that he was
fully dependent for his
sustenance on the
In case of
death
Notify the Fund of his
death
Seize the father’s share
until we are provided
with a death certificate
Suspend the share once
ELTS-A6-20190525 - Acknowledgment and pledge to beneficiaries - updated-20190827-PI-511211
deceased son and had no
other source of income
whether obtained from a
federal or local entity.
Verify through the Fund’s
system that the father is
not getting a pension from
the Fund
Proving the father’s
dependency must be
through a certificate
issued by the Judicial
Department
if there are amounts of
money paid in excess,
they must be deducted
from the beneficiaries or
the pre-seized share
we are provided with the
documents required
The pension is adjusted
and the shares are
distributed according to
the table attached to the
Pension Law.
Brother
Including the brother from a
father or mother.
It is stipulated for payment of
the share that the brother was
dependent, for his sustenance,
on his deceased brother or the
pensioner and that he did not
reach the age of 21, and this
entitlement shall last after he
reaches this age in the
following exceptions:
1. If he is disabled and
unable to earn money
2. If he is a student in one of
the academic phases
higher than the secondary
education stage, provided
that he is not above 26,
where in this case the son,
In case he
reached the
age of 21
Completed
his education
or reached the
age of 26
whichever
occurs first
The Fund must be
notified of the continuity
of the study or full
devotion to study
Verify that the
beneficiary is not above
the age of 26
Verify that the father is
not an employee or
retiree / pensioner from
the Fund
Provide a proof of full
dependency for
sustenance from the
Judicial Department
If there are amounts of
money paid in excess,
they must be deducted
from the beneficiaries or
ELTS-A6-20190525 - Acknowledgment and pledge to beneficiaries - updated-20190827-PI-511211
in order to continue to get
his share, must provide the
proof of being fully
engaged in a course of
study in any of the
academic phases higher
than the secondary
education stage
3. Whoever obtains a
university degree or
equivalent or higher,
provided that he has not
reached the age of 26.
Note: Proving the brother’s
dependency must be through a
certificate issued by the
Judicial Department
the pre-seized share
When the
state of
disability
preventing
making a
living or work
is no more
An application is made
to the medical committee
to assess his condition
and issue the appropriate
decision.
In case of
death
Notify the Fund of the
beneficiary’s death
Seize the beneficiary’s
share until we are
provided with a death
certificate
Suspend the share once
we are provided with the
documents required
The pension is adjusted
and the shares are
distributed according to
the table attached to the
Pension Law.
ELTS-A6-20190525 - Acknowledgment and pledge to beneficiaries - updated-20190827-PI-511211
Sister
Including sisters and siblings.
It is stipulated for payment of
the pension share:
That the sister is fully
dependent for her
sustenance on her
deceased brother
That she is not married,
divorced, or widow
In case of
marriage
Verify through the
Fund’s system that the
sister gets no pension
from the Fund
She must prove that she
is not married or provide
an affidavit of marital
status
If she is proven to be
working, the payment of
her pension will be
withheld
If there are amounts of
money paid in excess,
they must be deducted
from the beneficiaries or
the pre-seized share
In case of
death
The Fund must be
notified of her death
The sister’s pension
share must be seized
until we are provided
with the death certificate
The pension share
payment is suspended
once we receive the
documents required
The pension is adjusted
and the shares are
distributed according to
the table attached to the
Pension Law
ELTS-A6-20190525 - Acknowledgment and pledge to beneficiaries - updated-20190827-PI-511211
General Rules:
The beneficiary’s pension share shall be paid to him/her in the cases specified by the
Law, which means that it will be paid when such share plays a role in the beneficiary’s
living or sustenance, but it is withheld or suspended, as the case may be, when the
beneficiary starts getting another income or becomes under the care of another person,
where the pension is redistributed among the remaining beneficiaries, yet the payment
of the share which was withheld or suspended will resume as soon as the reason for
withholding it is no more, and the share may be indefinitely withheld with respect to the
same beneficiary in some cases.
The beneficiary is not permitted to combine two or more pensions, where in this case
he/she will be paid the highest one of them; therefore, the beneficiary must inform the
Fund of the reasons that would result in withholding or terminating their shares. This
would be in the interest of the beneficiaries and conserves the public funds. In case of
beneficiaries’ slackening and failure to notify the Fund of the reasons terminating or
withholding the payment of their shares or termination for reasons provided for in the
law, which would result in unlawful mass monthly payment of money to the
beneficiaries, in this case the Fund may deduct the amounts being unlawfully paid to the
beneficiary whose share payment was terminated or withheld from the amounts to
which all the beneficiaries are entitled, or in other words from the amounts of money to
which they are entitled in case of redistribution as a result of withholding the share in
proportion of the entitlement of each one of them from the others.
In addition to that the Fund will impose payment of any amounts unlawfully paid to the
beneficiary, the latter who unlawfully obtained these amounts without bothering about
informing the Fund that the reasons of their payment were no more, shall be criminally
liable to the Fund under the provisions of Article 95 of Law no. 2 of 2000 if he is
confirmed to have abstained from giving the Fund some crucial data that would help
withhold or terminate payment of the beneficiary’s data, as the violator shall be
punished by a term of imprisonment not exceeding one month and a fine not exceeding
2500 dirhams. The Law also permitted the other beneficiaries, whose shares underwent
deduction, to seek payment – by the beneficiary - of the share unlawfully paid to
him/her.
ELTS-A6-20190525 - Acknowledgment and pledge to beneficiaries - updated-20190827-PI-511211
Declaration:
I, the abovementioned, acknowledge and depose that I read and understood all the
conditions pertaining to my entitlement to the pension share and undertake to notify the
Fund in case of occurrence of any event or reason that would lead to withholding or
termination of my entitlement to such share and I be fully liable for that, and I undertake to
refund the amounts unlawfully paid to me contrary to the provisions of Abu Dhabi Pensions
Law.
Date: Signature:
Name of the HR
Department employee
of the Employer:
Date:
Seal and signature: