WITHDRAWAL BENEFIT FORM PENSION ACCOUNTS FULL WITHDRAWAL REQUEST
PLEASE READ THIS SECTION BEFORE YOU START COMPLETING THIS FORM.
The Trust Deed has been amended to increase the minimum balance required for a Members Compulsory Account from $15,000 to $45,000 when determining whether a Member meets the threshold for receipt of a monthly pension. The amended Trust Deed will provide the existing Pensioner with an option to withdraw the balance of their Pension Account if their Compulsory Account balance was $45,000 or less at the date they became a Pensioner.
Pensioners will continue to receive their pension payments if they do not provide a direction to withdraw their Pension Account.
1. Member details - Cook Islands National Superannuation Fund
RMD Number
CINSF Member Number
Title
Mr
Mrs
Ms
Dr
Other
First name(s)
Surname
Residential Address
Phone Numbers
-
Country Code
Phone Number
Email Address
example@example.com
Gender
Male
Female
Date of Birth (DD/MM/YY)
-
Month
-
Day
Year
Date
Final contribution date
-
Month
-
Day
Year
Date
Step 2 - Payment Details:
please make payment by direct credit to my current bank account held on your records or
attached a copy of my bank statement or letter of changes to my bank account.
Email: enquiry@superfund.gov.ck Phone: +682 25515 PO Box 3076, Avarua Rarotonga, Cook Islands WWW.CINSF.COM
Back
Next
CINSF
COOK ISLANDS NATIONAL SUPERANNUATION FUND
Step 3 – Pensioner Declaration
a. My Pension Account balance was less than $45,000 at the time of becoming a Pensioner.
b. I am aware that I have the option to withdraw the balance of my Pension Account or continue receiving a monthly pension.
c. I am aware that once I submit this form to withdraw the balance of my Pension Account that my Pension Account will be closed permanently and that I will no longer receive the monthly pension payment for life.
Signature of Pensioner
Date
-
Month
-
Day
Year
Date
Preview PDF
Submit
Should be Empty: