Aflatoun Account Opening Form

GSAC Aflatoun / Young Saver / Teen Saver Account Opening Form
Date

MonthDayYear
Date
Branch Office*
Type of account*

Young/Teen Savers (0-2 years old)Aflatoun Savers (3-17 years old)
How did you hear about the GSAC Youth Savings Product?

SchoolCooperative Officer/StaffThrough a Relative/FriendSocial MediaOther

TERMS AND CONDITIONS
PARENT/GUARDIAN ACKNOWLEDGEMENT*

I give consent to my child to join GSAC' Aflatoun/Teen Savers Club.
My child and I have agreed that:*

only his/her signature is necessary to make savings withdrawalthe signatures of both my child me should appear to make savings withdrawal
CERTIFICATION OF TRUTH, ACCURACY AND COMPLETENESS*

I hereby warrant to the truth, accuracy, completeness and authenticity of all data/information furnished herein as of the date of this application submission to the best of my knowledge. Any misdeclaration hereto will automatically cause the disapproval of this application.
DATA PRIVACY CONSENT FORM*

I hereby allow GUBAT ST. ANTHONY COOPERATIVE ("Cooperative") to provide me certain service declared in the forms where this Data Privacy Consent Form is attached.I hereby acknowledge that I have the consent of all parties pertinent to this transaction to disclose their information for the proper administration and provision of services requested from this transaction.I hereby hold free and harmless and undertake to indemnify the Cooperative for any complaint, suit, damages and the like which any party may file or claim against the Cooperative in relation to this acknowledgement and warranty.I agree to the terms and conditions contained in this Data Privacy Consent Form.
Name

First NameMiddle NameLast NameSuffix
Parent's/Guardian's Signature over printed name:

Clear

SPECIMEN SIGNATURES AND School ID or Birth Certificate
Aflatoun / Young Saver / Teen Saver

First NameMiddle NameLast NameSuffix
Kindly upload a photo of the specimen signature of the Applicant (Aflatoun / Young Saver / Teen Saver) written in a piece of white paper THREE (3) times.

Cancelof
Birth Certificate of Aflatoun /Teen Saver

(back side)
Cancelof
Young Saver

First NameMiddle NameLast NameSuffix
Kindly upload a photo of the specimen signature or the child's full name (should be hand written by the child) written in a piece of white paper THREE (3) times.

Cancelof
Please make sure that all the data and the requirements requested are correct before clicking the submit button.

GSAC Aflatoun / Young Saver / Teen Saver Account Opening Form