Authority to Transfer Cook Islands National Superannuation Fund KiwiSaver Scheme

Authority to Transfer Cook Islands National Superannuation Fund KiwiSaver Scheme
Please complete this form if you wish to transfer your Cook Islands National Superannuation Fund to a regulated KiwiSaver Scheme. Complete this form and provide the necessary documents listed in Part 4 of this Form. For more information on the transfer process, please contact us on +682 255 15 between Monday - Friday 9am to 3pm
1. Member details – Cook Islands National Superannuation Fund
RMD Number
CINSF Member Number
Title

Other
First name(s)
Surname
Residential Address
Home Phone

Country CodePhone Number
Mobile Phone

Country CodePhone Number
Email Address
example@example.com
Gender
Date of Birth (DD/MM/YY)

DayMonthYear
Final contribution date

DayMonthYear
2. Details of a KIWISAVER SCHEME or Complying Superannuation Scheme
Your Member Membership Number (if known)
Your New Zealand IRD Number
Name of scheme
Scheme Bank Account
Scheme
Email: enquiry@superfund.gov.ck Phone: +682 25515 PO Box 3076, Avarua Rarotonga, Cook Islands WWW.CINSF.COM

3. Authorisation and Acknowledgement - Cook Islands National Superannuation Fund transfer to The KiwiSaver Scheme or Complying Superannuation Scheme acknowledgement.
Please arrange for the transfer of funds from my Cook Islands National Superannuation Fund scheme to the KiwiSaver Scheme or Complying Superannuation Scheme set out in Part 2 of this Authority Form. I understand that this application is subject to the approval of the provider of the KiwiSaver Scheme or Complying Superannuation Scheme and the office of the Cook Islands National Superannuation Fund.
I authorise the KiwiSaver Scheme or Complying Superannuation Scheme provider to act on my behalf if required for the purpose of actioning the transfer. This indudes obtaining all necessary documents and other information from the Cook Islands National Superannuation Fund as required to complete the transfer.
I have / will provide the KiwiSaver Scheme or Complying Superannuation Scheme provider with any information it may require to complete the transfer. I understand that any information I give to the Cook Islands National Superannuation Fund may be passed on to my KiwiSaver Scheme or Complying Superannuation Scheme provider as reasonably required. I authorise the Cook Islands National Superannuation Fund to give such information in relation to this transfer as requested by my chosen KiwiSaver Scheme or Complying Superannuation Scheme provider. This information may also be provided to the Supervisor and related entities of KiwiSaver Scheme or Complying Superannuation Scheme provider (and those who provide services to those entities).
I acknowledge that there may be tax consequences when transferring my Cook Islands National Superannuation Fund scheme to the KiwiSaver Scheme or Complying Superannuation Scheme, and that I am liable for any such tax consequences.
I acknowledge that the KiwiSaver Scheme or Complying Superannuation Scheme provider has recommended that I seek independent and professional Cook Islands and New Zealand tax and financial advice regarding my circumstances in relation to the proposed transfer. I am a New Zealand citizen entitled to live in New Zealand indefinitely, I have permanently emigrated from the Cook Islands to New Zealand without any intention to return to the Cook Islands. I confirm I meet the eligibility criteria for the KiwiSaver Scheme or Complying Superannuation Scheme provider.
I do not intend to transfer to another KiwiSaver scheme or Complying Superannuation Scheme before the transfer of my savings from the Cook Islands National Superannuation Fund takes place. I understand that once my Cook Islands National Superannuation Fund funds have been transferred to the KiwiSaver Scheme or Complying Superannuation Scheme, they will become subject to the rules and regulations governing the KiwiSaver Scheme or Complying Superannuation Scheme.
I understand that following a transfer of my Cook Islands National Superannuation Fund scheme funds to the KiwiSaver Scheme or Complying Superannuation Scheme I will not be able to transfer them to a third country (being a country other than New Zealand or Australia)
However, I acknowledge that once the funds have been transferred, they become subject to the rules and withdrawal provisions of the KiwiSaver Scheme or Complying Superannuation Scheme, including the ability to apply for a withdrawal under the Permanent Emigration rules, as permitted by the Kiwisaver Act 2006.
I understand that the bank fees incurred for the transfer of funds from the Cook Islands National Superannuation Fund to my selected KiwiSaver Scheme or Complying Superannuation Scheme will be met from my Cook Islands National Superannuation Fund funds.
Signature
Date

MonthDayYear
Date
Email: enquiry@superfund.gov.ck Phone: +682 25515 PO Box 3076, Avarua Rarotonga, Cook Islands WWW.CINSF.COM

4. Checklist
The following documentation must be submitted after completing your 6-month waiting period, which begins after your departure from the Cook Islands:
Once you have completed this form please post:
Cook Islands National Superannuation Fund
PO Box 3076
Avarua
Rarotonga
Cook Islands
Email: enquiry@superfund.gov.ck
Should be Empty:

Authority to Transfer Cook Islands National Superannuation Fund KiwiSaver Scheme

1. Member details – Cook Islands National Superannuation Fund

2. Details of a KIWISAVER SCHEME or Complying Superannuation Scheme

3. Authorisation and Acknowledgement - Cook Islands National Superannuation Fund transfer to The KiwiSaver Scheme or Complying Superannuation Scheme acknowledgement.

4. Checklist