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It requires applicants to provide comprehensive personal and employment details, including their designation, ministry or department, service dates, and residential information. The form is structured to ensure that all necessary documentation, such as the retirement or resignation letter, proof of continuous union subscription, and the return of the FPSA medical ID card, is submitted correctly. Furthermore, the applicant must provide valid banking information for benefit disbursement. By completing this form, members formally declare their continuous membership for the preceding five years and confirm the accuracy of all submitted data, ensuring compliance with FPSA administrative requirements for processing exit benefits following retirement, resignation, redundancy, or contract non-renewal.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/fiji-public-service-association-retirement-resignation-benefit-application-form/284098/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/fiji-public-service-association-retirement-resignation-benefit-application-form/284098.png","ImageObject",442,249,{"name":88,"@type":89},"Đào","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-11-02","2026-09-17",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",7,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"Who should use this application form?","Question",{"text":109,"@type":110},"This form is for members of the Fiji Public Service Association (FPSA) who are applying for retirement or resignation benefits.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"What documentation must be attached to the application?",{"text":114,"@type":110},"Applicants must attach a copy of their compulsory retirement or resignation letter from their employer, a letter certifying continuous subscription deduction towards FPSA, and return their FPSA Medical ID card.",{"name":116,"@type":107,"acceptedAnswer":117},"What is the requirement regarding union membership duration?",{"text":118,"@type":110},"The applicant must declare that they have been a continuous member of the Fiji Public Service Association for the past five years prior to their date of retirement, resignation, redundancy, or non-renewal of contract.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},284098,1790223150,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":9,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":140,"read_time":4},1374402968488,"https://ap-avatar.wpscdn.com/davatar_29158cc5080c5b710cf443261637dec0","| | FIJI PUBLIC SERVICE ASSOCIATION Retirement/Resignation Benefit Application Form |\n| --- | --- |\n| 1. Name of Member   2. EDP/EMP No:  \u003Cbr>3. Ministry/Depart. ................................ .............. ` 4. Station ................................ ...........\u003Cbr>5. Post Held   6. Date ofBirth  \u003Cbr>7 Postal Address  \u003Cbr>8. Residential Address  \u003Cbr>9. Telephone No. Office................................ ....... Residence PH: ..............................\u003Cbr>10 Date Joined service   11. Date Joined Union  \u003Cbr>12. Date retired /resigned from service ..................\u003Cbr>13. Employment History in order of posting to Ministry/Department\u003Cbr>(i) .......................................................................................................................\u003Cbr>(ii) .......................................................................................................................\u003Cbr>(iii) .......................................................................................................................\u003Cbr>14. I have attached a copy of compulsory retirement/resignation letter from the employer.\u003Cbr>15. I have attached a letter from the Employer certifying the date which my subscription has been continuously deducted towards FPSA.\u003Cbr>16. I have returned the FPSA Medical ID card.\u003Cbr>17. Bank   Bank Acct Name  \u003Cbr>Bank Acct No  \u003Cbr>I declare that I have been a continuous member of the Fiji Public Service Association for the past five years, prior to the date of my retirement/resignation/redundancy/non-renewal of contract. I understand the notes and question in this form and the information given is true and completed. |  |\n| (Date) (Signature) |  |","cbCaiciVr854Me8l","https://ap.wps.com/l/cbCaiciVr854Me8l","pdf",115093,"English","# Applicant Personal Details\n## Employment and Service History\n# Documentation and Declaration Requirements\n## Banking Information and Final Authorization","[{\"question\":\"Who should use this application form?\",\"answer\":\"This form is for members of the Fiji Public Service Association (FPSA) who are applying for retirement or resignation benefits.\"},{\"question\":\"What documentation must be attached to the application?\",\"answer\":\"Applicants must attach a copy of their compulsory retirement or resignation letter from their employer, a letter certifying continuous subscription deduction towards FPSA, and return their FPSA Medical ID card.\"},{\"question\":\"What is the requirement regarding union membership duration?\",\"answer\":\"The applicant must declare that they have been a continuous member of the Fiji Public Service Association for the past five years prior to their date of retirement, resignation, redundancy, or non-renewal of contract.\"}]","Fiji Public Service Association Retirement-Resignation Benefit Application Form | PDF",1789628192]