Clico Credit Union

Application and Agreement for Fixed Deposit

Fixed Deposit Requisition Form

Primary Member Information

Indentification Information

Employment Information

For U.S. citizens/residents only

Transaction Details

Background Information (PEP)

Politically exposed persons are local and foreign individuals who are or have been entrusted with prominent public functions, e.g., Heads of State or of government, senior politicians, senior government, judicial or military officials, senior executives of state-owned corporations and important party officials who are or have been entrusted with prominent functions as defined in Regulation 20. Their immediate family members (parents, siblings, spouse and children) must also be considered in this category. A close associate of a PEP is also to be considered and includes any individual who is widely and publicly known to maintain a close personal or professional relationship with a PEP and includes a person who is in a position to conduct substantial domestic and international financial transactions on behalf of the PEP. All persons falling in this category should be subject to enhanced due diligence.

Joint Member Information

Identification Information

Employment Information

For U.S. citizens/residents only

Background Information (PEP)

Politically exposed persons are local and foreign individuals who are or have been entrusted with prominent public functions, e.g., Heads of State or of government, senior politicians, senior government, judicial or military officials, senior executives of state-owned corporations and important party officials who are or have been entrusted with prominent functions as defined in Regulation 20. Their immediate family members (parents, siblings, spouse and children) must also be considered in this category. A close associate of a PEP is also to be considered and includes any individual who is widely and publicly known to maintain a close personal or professional relationship with a PEP and includes a person who is in a position to conduct substantial domestic and international financial transactions on behalf of the PEP. All persons falling in this category should be subject to enhanced due diligence.