Online Application Form

Personal Information
Employment Information
Other Information
Nomination Certificate

Identification Information (Only Two (2) valid forms):

If one of the above is not provided:

Income Cycle:

Monthly salary range:

Politically Exposed Person (“PEP”) includes individuals such as the Head of State or Government, senior politician , senior government, judicial or military officials, senior executives of State-own ed corporations and important political party officials who are or have been entrusted with prominent functions –, or a relative or known associate of that person.

Are you a PEP?

Are you related to a PEP or any person that holds a High Position in Public Office:

In the event of death, I hereby nominate of to receive a sum not exceeding $50,000.00 in accordance with section 10(e) of Bye Laws of the Society.

I, , I hereby apply for membership of and agree to abide by the laws of the SECU Credit Union and declare that this information given by me on this form is true and correct to the best of my knowledge.

I agree to provide proof of identity and address to satisfy Government Anti-Money Laundering/Combatting the Finance of Terrorism (AMI/CFT) laws.

By submitting this application form you will be indicating your consent to receiving product and service information by letter, Telephone or email from us. (Do not click if there is an objection).

In accordance with the principles of Data Protection Act 2011, we will use your personal details for the purposes of managing your accounts with SECU credit union. Your personal details will be treated confidentially and will only be shared with agencies for the purpose of credit referencing, debt recovery and statutory and legal requirements only.

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