Pensioner Contact Details Form

To add your details to the contact details database, please complete the form below. This form will require you to agree to your information being stored by APPA according to General Data Protection Regulations (GDPR).

When you have completed the form, click on Send to send your details to our Data Controller.

Check box if you are a member of Provincial Pension Scheme
Check box if you are a member of the Employee Benefit Scheme (formally AXA/Westgate)

I hereby agree that this data will be stored and processed to allow APPA to establish and maintain contact with myself. I am aware that I can revoke my consent at any time. (GDPR)*

* Indicates required fields
Thank you! The form has been sent. We will contact you if we have any queries.

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