Mandatory Provident Fund Statutory Declaration Form
Please complete this form to declare your MPF-related status and details.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Employer or Organization Name
*
MPF Status
*
Active Member
Exempt Person/Entity
Former Member
Other
Relevant MPF Scheme Name (if applicable)
Declaration Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Declaration Statement (please specify your MPF-related status or details)
*
Signature
*
Submit Declaration
Submit Declaration
Should be Empty: