Pukwana ya Kganya Contract

58 11.1.5 nuclear weapons, ionising radiation or contamination by radio-activity from any nuclear fuel or nuclear waste resulting from the combustion of nuclear fuel (including any self-sustaining process of nuclear fission). 12. Claim documents for Personal Accident Benefits 12.1 Without limitation to the provisions of clause 13 of Part I, the following Claim Documents must be submitted to the Insurer in respect of a claim for Personal Accident Benefits: 12.1.1 PACN Form signed by 3 (three) Committee Members and all such documents as set out in the PACN Form. In the event that the Committee Members are unable or unwilling for whatsoever reason to sign the PACN Form, the Beneficiary can approach the Insurer directly with such claim, or lodge a complaint as contemplated in clause 19 of Part I ; 12.1.2 original or certified copy of the Medical Report; 12.1.3 original or certified copy of the identity document or identity card (copied both sides) of the Policyholder; 12.1.4 confirmation of Membership to the Kganya Benefits Fund Trust; 12.1.5 original and/or certified copy of the Payment Receipt Booklet to verify Receipts; 12.1.6 a copy of the police report confirming the Accident resulting in the Permanent Disability of the Assured Life; 12.1.7 confirmation of bank account into which the Personal Accident Benefits must be paid; 12.1.8 where the Assured Life is - 12.1.8.1 a Dependent Child, the original or certified copy of the identity document, identity card (copied both sides) or birth certificate of the Dependent Child; 12.1.8.2 a Dependent Child who is 25 (twenty-five) years or older, the original or certified copy of the identity document, identity card (copied both

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