Class A Application - Baptist Union Superannuation Scheme

This application form is for ministers within the Baptist Union and ACTS Churches NZ (and any other church or organisation recognised by the Trustee for Scheme purposes), missionaries and pastoral workers.

Title

Given Names*

Surname*

If you would like to be called something else, or go by a different name please tell us

Complete if you are known by a name which is not your first name (e.g. a middle name or a diminutive of your first name)

Date of Birth*

Gender

Male
Female
Other

IRD Number*

Postal Address*

Email address*

I prefer to be contacted at this email address.

Alternative email address

Work phone number

Mobile phone number

Member Additional Contributions

The compulsory minimum member contribution is 6% of gross basic remuneration (excluding allowances).

I wish to contribute at a higher rate

Employer / Church*

Postal address of Employer/Church*

Your Employer/Church must agree to contribute to the Scheme before your application can be accepted. The Scheme Administrator will contact your Employer/Church to obtain this agreement.

Declarations

I certify and agree to the declarations in this application and to be bound by the terms and conditions set out in the Product Disclosure Statement and the Trust Deed governing the Baptist Union Superannuation Scheme.

I apply for membership of the Baptist Union Superannuation Scheme.