I acknowledge that the Christian KiwiSaver Scheme is a restricted KiwiSaver scheme and is offered only to:

• Employees of organisations whose primary activities are in our opinion Christian mission or ministry (this includes employees of charitable entities associated with or operating in the Christian Church, or employees of entities which we approve as having a Christian special character); and/or
• Persons who express a Christian faith and have a commitment to Christian community involvement when applying (and their immediate family members and dependants).

I confirm that I am eligible to become a member of the Scheme by reason of my employer’s primary activities (but that this may require verifying) and/or a personal or immediate family commitment to a Christian faith and to Christian community involvement. I consent to receive electronic communications from the Scheme. I understand that statements and other communication materials will be sent by email, unless I request they be sent by post. If no email address is supplied, I understand statements and other communication materials will be sent to my postal address.

I have received and read a copy of the Scheme’s Product Disclosure Statement. I agree to be bound by the provisions of the Trust Deed and apply to become a member of the Scheme. If I am completing this online application under Power of Attorney, I acknowledge that this application cannot be processed until I have provided the Trustee with certified hard copies of the Power of Attorney and a certificate of non-revocation.

If employed I authorise my employer to:

• deduct contributions from my pay; and
• provide to the Trustee any personal information as needed (and I understand that such information will be used for the purpose of or in connection with administering the Scheme).

I acknowledge that if I was referred to the Christian KiwiSaver Scheme through a third party then the manager may pay that third party a commission or fee, provided that the third party has advised me of and obtained my consent to that payment. I agree to any such payment and I acknowledge it will not be deducted from my account balance in the Scheme.

I acknowledge that choosing an investment fund (or funds) is solely my responsibility, that the Trustee is not to be regarded as representing or implying that any particular fund (or funds) is (or are) appropriate for my personal circumstances, and that my choice of an investment fund (or funds) is a binding direction from me to the Trustee.

I acknowledge that the Product Disclosure Statement for the Scheme does not give financial advice and that if I am unsure about choosing an investment strategy I can seek advice from an authorised financial adviser.