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