Central Provident Fund Board For Official Use Only

Serial No.
79 Robinson Road, CPF Building, Singapore 068897
Website: www.cpf.gov.sg CPF Call Centre: 1800-227 1188
FORM 5A
Central Provident Fund Board
Nomination Form
Note: This form may take you 10 minutes to complete.
• You do not need to make a nomination if you wish to distribute your CPF moneys to your family members; under the intestacy laws (for non-Muslims)/Inheritance
Certificate (for Muslims).
For non-Muslims,
1) If you are single, your CPF moneys will be divided equally between your parents.
2) If you are married with children, half of your CPF moneys will be given to your spouse, and the remaining half divided equally among your children.
• For Muslims, your CPF moneys will be distributed according to the Inheritance Certificate, which your family members can obtain from the Syariah Court.
• If however, you wish to distribute your CPF moneys differently, please complete sections A and B. Please note that a marriage automatically revokes your earlier
nomination (if any) but a divorce does not. Additionally, a will does not supersede your earlier CPF nomination. For more information on the distribution of your CPF
moneys under the intestacy laws/Inheritance Certificate and under CPF nomination, please refer to the Frequently Asked Questions at our website, www.cpf.gov.sg.
• In the event you wish to make a nomination, you will require 2 witnesses. We encourage you to complete this form before our Customer Service Officers (CSOs) at any
of our Service Centres who can be your witnesses and clarify any questions you may have in respect of the nomination process.
• If however, you choose to have 2 witnesses other than our CSOs, both witnesses must be at least 21 years old and they must not be any of the nominee(s). You cannot
be a witness. Please see the instructions attached for further details.

SECTION A Must be completed by CPF member

NAME OF CPF MEMBER AS IN *NRIC / Passport (In BLOCK LETTERS) MARITAL STATUS
* Single / Married / Divorced / Widowed / Separated
DATE OF
MARRIAGE
Country where marriage
took place ___________________________

TELEPHONE NUMBERS: (H) _______________ (O) _______________ (HP) ________________

NRIC (OR CPF A/C No., if you do not have an NRIC)
S/T - EMAIL ADDRESS: ________________________________________________________________

*Signed by the abovenamed member/The right thumbprint of the abovenamed

member was affixed )
*(a) in the presence of the 2 witnesses below; OR )
*(b) after the contents have been read over and explained to *him/her in the )
________________ *language/dialect by _______________________________ (Name)
____________________(*NRIC/Passport No.) in the presence of the 2 witnesses below: Signature/right thumbprint of CPF member Date

Note: The 2 witnesses must be at least 21 years old (unless they are employees of the Board), and must not be the member or any of the nominee(s).

Name of witness 1) 2)
*NRIC (for Singaporeans and Permanent
Residents of Singapore) /
Passport No (for foreigners)

Address

Telephone No.

Relationship to CPF Member

Signature

*Please delete where applicable

SECTION B
• I nominate the person/persons named in Section B to receive according to the share set down against his/her/their name(s) the CPF moneys and any shares in an
approved corporation designated under section 26(1) of the Central Provident Fund Act payable on my death out of the Central Provident Fund under section 25(1)
of the Act.
• I declare that where any further distribution of shares in an approved corporation will result in fractions of shares, the remaining shares shall not be distributed but
shall be received by the nominee first-named in Section B who survives me.
• I understand that this nomination shall not supersede any nomination made by me under the Central Provident Fund (Minimum Sum Scheme Nominations) Rules.
I do not wish to distribute my CPF moneys according to the intestacy laws/Inheritance Certificate, whichever is applicable. I wish to distribute my CPF moneys and
any shares in an approved corporation to the following person(s) as stated below:
Note: Fill up the particulars of the nominee(s) as stated in the NRIC/Passport. TOTAL share should add up to 100% or 1 whole share. Any unassigned share will be
distributed under the intestacy laws/Inheritance Certificate. Please provide all required information of your nominee(s), and delete all unused rows.
Name of Nominee *NRIC (for Singaporeans) / Relationship to Share (in %
Address (please include country) & Email Address
(In BLOCK letters) Passport No. (for foreigners) CPF Member or fraction)

You should consider making a new nomination when you have additions to your family. Alternatively, you can revoke your earlier nomination by completing
a Notice of Revocation so that your CPF moneys will be distributed according to the intestacy laws/Inheritance Certificate, whichever is applicable.
Revised in April 2009
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 FOR OFFICIAL USE ONLY

Receipt Date:

Checker: Verifier:

Remarks:

Revised in January 2007

2006
Revised in April 2009
2 of 2