Deed of Reciept and Waiver AboutPost-Employment waiver of liability.FeeKsh 3,000 Step 1 of 10 10% Who is the Representative?* First Last Save and Continue Later What is the Representative's address of service?* Save and Continue Later Who is the former Employer?* Save and Continue Later What is the former Employer's address of service?* Save and Continue Later Who is the deceased?* First Last Save and Continue Later What was the deceased position in the company?* Save and Continue Later What is the date of the deceased's death?*Format: 16th January 2017 Save and Continue Later What is the settlement figure given to the deceased's representative?* Save and Continue Later What date would you like to send out this Agreement?* Save and Continue Later Select the payment Mode*MpesaAirtel MoneyCurrently we only support Mpesa and Airtel Money. Send M-PESA Ksh. 3,000.00 to Buy Goods and Services Till number 239230. Submit the Confirmation Code below. Go to M-PESA on your phone Select Buy Goods and Services option Enter Till no. 239230 Enter the Amount Ksh. 3,000 Enter your M-PESA PIN and Send You will receive a confirmation SMS from M-PESA with a Confirmation Code After you receive the confirmation SMS, enter your phone number and the Confirmation Code Click on Complete Send Airtel Money Ksh. 3,000.00 to nick-name Uwakili. Submit the Transaction ID below. Go to Airtel Money option on your phone Select Send Money Option Select Enter Nick-Name Option Type the name Uwakili Enter the Amount Ksh. 3,000.00 Confirm Amount and Nickname Enter your PIN and Send You will receive a confirmation SMS from Airtel Money with a Transaction ID After you receive the confirmation SMS, enter your phone number and the Transaction ID Click on Complete Phone number*Input phone number in the following format: 2547xxxxxxxx, where x refers to your mobile number.Transaction code*This is the code you receive after successfully sending money.PhoneThis field is for validation purposes and should be left unchanged. Save and Continue Later This iframe contains the logic required to handle AJAX powered Gravity Forms.