CINSF Employer Registration Form
Employer registration form for the Cook Islands National Superannuation Fund. Please read the Employers Handbook and complete this form carefully. Check all fields are accurate and correct before submitting your information.
Employer Details
Employer RMD Number
*
Employer Type
*
Company
Sole Trader
Partnership
Estate/Trust
Club/Societies/Charity/Other Organizations
Registered Name
*
(Print your full name of the company, sole trader, partnership, estate/trust, club, societies, charity, or other organizations)
Trading Name
(If the trading name is different from the name shown above, type here)
Employer Address Physical
*
Employer Address Postal
Nature of Business/Trade
*
Telephone - Business
-
Country Code
Phone Number
Telephone - Mobile
-
Country Code
Phone Number
Email Address
*
example@example.com
Super Payment Start Date
*
-
Day
-
Month
Year
Date
Total Present Number of Employees
*
Required Documentation
Please attach one of the following documents as identification
Certificate of incorporation for companies
Memorandum and Articles of Association
Resolution letter
Trust Deed
Sole trader/partnership - if not a registered company, obtain valid identification of owner(s)
Club/Society/Charity and other organisations - Obtained copy of the minute(s) of the office bearers for the current period with valid identification.
Contact Person Declarations
Declarations for the contact persons authorised on behalf of the employer.
Contact Person 1
Name
*
First Name
Last Name
Title
Email
*
example@example.com
Signature
Contact Person 2
Name
*
First Name
Middle Name
Last Name
Title
Email
*
example@example.com
Signature
Contact Person 3
Name
*
Title
Email
*
example@example.com
Signature
Employer Declarations
Declarations to be completed by the employer before submission.
Declarant 1
I/we hereby:• Apply to register as a registered employer under the CINSF Act 2000 and CINSF Trust Deed, constituting the Fund• Authorise the Board and Trustee to collect information that is relevant to administering the fund. • Authorise the Board and the Trustee, the Administrator/Manager of the Fund, any professional advisor for the purpose of administering the Fund. • I declare that the above information given in this form is true and correct.
Name
*
Position
*
Address
*
Contact Number
*
-
Country Code
Phone Number
Email
*
example@example.com
Signature
*
Declarant 2
Name
*
First Name
Last Name
Position
*
Address
*
Contact Number
*
-
Country Code
Phone Number
Email
*
example@example.com
Signature
*
Submit
Submit
Should be Empty: