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" señala los campos obligatorios
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*
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Actual/Approximate Retirement Date
*
MM barra DD barra AAAA
Telephone
*
Cell phone
*
Email
*
Citizenship
IDB ID Number
*
Retirement plan type
International
Local
EMERGENCY CONTACT (Optional)
Name of spouse / partner / family member (optional)
First
Last
Email of spouse / partner / family member
Phone of spouse / partner / family member
MEMBERSHIP TYPE
1) INTERNATIONAL MEMBERSHIP
*
I authorize the following:
I authorize the Salaries and Benefits Payments Section of the IDB to deduct from my monthly pension payment the monthly membership fee as established from time to time by the Board of Directors of the IDB Retirees Association (currently $5.00 per month).
I understand that this fee may be adjusted from time to time by the Board in an amount adequate to support the financial sustainability of the Association.*
* Article 4(a)(i) of the By-Laws of the IDB Retirees Association authorizes the Board of Directors of the Association to determine membership fees. Any adjustments to the currently applicable fees will be explained to the membership during the presentation of the Financial Report of the Association at the next annual general meeting of the Association, consistent with the Board's fiduciary responsibilities.
From this date
*
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2) LOCAL MEMBERSHIP
*
I authorize the following:
As a local Retiree I authorize the Salaries and Benefit Payments Section of the IDB to deduct from my monthly pension payment the monthly membership fee as established from time to time by the Board of Directors of the IDB Retirees Association (currently $2.00 per month for local retirees).
I understand that this fee may be adjusted from time to time by the Board in an amount adequate to support the financial sustainability of the Association.
* Article 4(a)(i) of the By-Laws of the IDB Retirees Association authorizes the Board of Directors of the Association to determine membership fees. Any adjustments to the currently applicable fees will be explained to the membership during the presentation of the Financial Report of the Association at the next annual general meeting of the Association, consistent with the Board's fiduciary responsibilities.
From this date
*
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3) WIDOW(ER) MEMBERSHIP
I declare to receive a pension from the Inter-American Development Bank in my capacity as widow(er) of the deceased retiree mentioned here and I request the corresponding free quotas
Name and surname of deceased retiree
Approx date of spouse death
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Your name and address will be automatically included in the Member Directory, unless you request that it be excluded.*
Yes, I want my data to be displayed in the Members directory
I do not want to be included in the member directory
Do you want to receive regional daily news from the Bank via email?
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Signature (type your name)
*
Date
*
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Signature
Phone
Este campo es un campo de validación y debe quedar sin cambios.