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ROYAL CIVIL SERVICE COMMISSIONCivil Servants’ Welfare Scheme

Lifetime Membership Certificate

Form 3.4

_________________________________________________________________________________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.

ChairpersonRoyal Civil Service Commission _________________________________________________________________________________For RCSC use:Copy received by the RCSC:

DateNameSignatureOfficial seal

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