MEMBERSHIP APPLICATION FORM
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  • MEMBERSHIP APPLICATION FORM

  • Complete and return form to Cook Islands National Superannuation Fund, PO Box 3076, Rarotonga, Cook Islands Or Email enquiry@superfund.gov.ck along with all the required documents outlined in Section 5. Please write in blue or black pen only.
    Please read the Product Disclaimer Information Handbook and complete this form carefully.
  • If you do not complete the form properly your Application will not be confirmed and/or your Investment Direction will be recorded as being a 100% allocation to the CINSF Default Fund.

  • 1. Your Information

  • Title
  • Date of Birth (DD/MM/YYYY)
     - -
  • Gender
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Next of Kin
  • Format: (000) 000-0000.
  • Status (select one)
  • 2. Your Employment Information
  • Format: (000) 000-0000.

  • 3. Investment Accounts

  • All members begin with a compulsory account, into which 5% of their income is contributed. This is matched by an additional 5% from their employer. Members may also choose to open a voluntary account to make additional contributions. Members are entitled to one withdrawal from their voluntary account per calendar year. For more details refer to the Member Product Disclaimer Handbook.

  • Voluntary Account Option

  • Please indicate below if you wish to open a voluntary account. Contributions to the voluntary account can be made either.
  • Would you like to open a Voluntary Account?
  • If you select YES, please liaise with your Finance Division or contact our CINSF team for assistance with setup process.

  • 4. Investment Direction for Contributions (Compulsory & Voluntary)

  • Please specify how you wish your contributions to be invested in the CINSF Investment Fund(s) by indicating the percentage for reach selected Fund (whole percentage only – no fractions please). Each chosen CINSF Investment Fund must have a minimum of 5%.
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  • 5. Required Documentations

  • In order to open your investment account, the following documentations is required to be submitted with this completed application form. Without the supporting documents your investments account cannot be opened and your contributions from your income and from your employer cannot be receipted.

  • Photo Identification

  • 6. Member Declaration and Signature

  • I hereby
  • i. Apply for membership in the Fund and agree to adhere to the Cook Islands National Superannuation Act 2000 and the Trust Deed governing the Fund; and
  • ii. Acknowledge that I have read the Product Disclaimer Information Handbook available online;
  • iii. Authorise the Board and the Trustee of the Fund to collect information from my Employer that is relevant for the purposes of administering the Fund.
  • iv. Authorise the Board, the Trustee, the CINSF Office, any professional advisor to the Trustee, and any life insurance company to disclose between themselves personal information that is relevant for the purposes of administering the Fund.
  • v. Direct the Trustee to invest my contribution balances as indicated on this form. I acknowledge that neither the Trustee nor the CINSF Office will be liable for any losses resulting from this investment directions.
  • vi. Understand that the capital value of my contributions / investment in the CINSF Investment Fund(s) may fluctuate based on market conditions or decisions made by the investment manager's which means I could receive less than my original investment.
  • vii. Acknowledge that choosing my Investment Direction is solely my responsibility and neither the Board nor the Trustee is to be regarded as representing or implying that my Investment Direction is appropriate for my personal circumstances. My choice is a binding instruction to the Trustee.
  • viii. Certify that all the information provided above is true and correct.
  • Date
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