Generate - Join or Transfer to Generate KiwiSaver Scheme

Join or Transfer to Generate KiwiSaver Scheme

Email Address

Mobile Number +64

First Name

Middle Name

Surname

Are you an existing KiwiSaver member?

Yes No I don't know

Date of birth

Residential address

Address

Suburb

City

Postcode

Postal address

Same as residential address

Address

Suburb

City

Postcode

IRD Number

Where to find it

Prescribed Investor Rate

10.5% 17.5% 28%

More about PIR

Employment status

Employed

Self Employed

Other

Account Holder Name*

Bank*

Branch*

Account*

Suffix*

Regular Direct Debit Payment Amount (minimum $10)*

Weekly

Fortnightly

Monthly

Quarterly

Yearly

One off Lump Sum

Date of first payment (i.e. 01-12-2021)*

Note: Please choose a date at least 10 days after you submitted this form

I confirm that I am the sole account holder of the above account, or if not, I am authorised to operate the nominated bank account above individually and not jointly.

I agree that this authority is subject to:
• The bank’s terms and conditions that relate to my account, and
• The specific terms and conditions available here.

My Fund Type (Choose from the list below)