Membership application | First Credit Union

Type of account *

1. Your name & contact details

What are your phone numbers and email address? *
Please provide two contact numbers.

We'd like to keep you informed about what's happening at First Credit Union with occasional emails. Please tick this box if you'd like to be included on our email list. We will not share your details, and you can unsubscribe from these at any time.

2. Your address

What is your home address? *

My home address is also my postal address

What is your postal address? *

3. Your personal details

What is your date of birth? *

Are you employed?

Have you or your join Applicant ever been declared bankrupt or gone through the No Asset Procedure? *

If yes, in what year?

Are you a NZ resident? *

Yes

No

IRD Number *

Do you pay tax? *

Yes

No

What is your tax rate? *

4. Outside of NZ

Are you a US citizen *

Yes

No

Are you a tax resident of country other than New Zealand? *

Yes

No

If you are a tax resident of country other than New Zealand, please provide which country and your Individual Identification Number number

If you are a tax resident of country other than New Zealand, please provide your Individual Identification Number number