Form-3.4

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Form 3.4
ROYAL CIVIL SERVICE COMMISSION
Civil Servants’ Welfare Scheme
Lifetime Membership Certificate
_________________________________________________________________________________
In recognition of a lifetime of dedicated service to Tsa-Wa-Sum, the Royal Civil Service Commission
has the pleasure to confer the Lifetime Membership to Civil Servants’ Welfare Scheme to
Dasho/Ms/Mr ………………………………………..…………………..… bearing CID number…………………………………
who has superannuated from …………………………………………………..…………………......………………..(Agency)
on……………………………………….….
This Lifetime Membership is free and the coverage would be for you and your spouse.
Wishing you a happy and fulfilling retirement.
Chairperson
Royal Civil Service Commission
_________________________________________________________________________________
For RCSC use:
Copy received by the RCSC:
Date
Name
Signature
Official seal
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