Member Application Form – Minor

Consent to Open Account for a Minor

Required only for prospective members outside the relation as per CCU Bye Laws, e.g. cousin, niece, partner, etc.

Name of Parent

Service Address on Utility Bill

Address Line 1

Address Line 2

City

Country

Name of Member Opening the Account

Relationship to minor – grandparent, aunt etc.

On behalf of (son, daughter, etc)

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Each file should be maximum 2MB in jpg/png/bmp/pdf/doc/docx format

Parent/Guardian - national ID/driver's permit/passport

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Parent/Guardian - proof of address (utility bill, bank statement)

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Member Opening Account - national ID/driver's permit/passport

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Member Opening Account - proof of address (utility bill, bank statement)

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Member Opening Account - proof of income (Job letter not more than 3 months old and most recent pay slip or other proof of income)

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Required only for prospective members outside the relation as per CCU Bye Laws, e.g. cousin, niece, partner, etc.

Minor Applicant Name

Contact Number

Applicant Date of Birth

Applicant Gender

Female

Male

Place of Birth

Nationality

Residential Address

Mailing Address

Upload scan of your ID (2MB pdf/jpg/png/doc/docx)

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School/University

Parent/Guardian Data Form

Relation to Applicant

Parent

Guardian

Parent/Guardian Name (Contributor)

Residential Address

Mailing Address

Gender

Marital Status

Mobile Telephone

Home Telephone

Work Telephone

Fax

Email Address

Parent/Guardian Identification Information

Identification 1

ID Type

Country of Issue

Expiry Date

Issue Date

Upload scan of your ID (2MB pdf/jpg/png/doc/docx)

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Identification 2

ID Type

Country of Issue

Expiry Date

Issue Date

Upload scan of your ID (2MB pdf/jpg/png/doc/docx)

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Employment Information

Parent/Guardian/Spouse Data

How long at current employer?

Job Title/Occupation

Name of Employer/Name of Business (If self-employed)

Address of Employer/Business

Address Line 1

Address Line 2

City/Town/Village

Country

Source of Income (Salary, Pension, Income from business etc.)

Other Income

Income Cycle

Annual Income Range (TT$)

Estimated Frequency of Contribution

Method of Contribution

Estimated Monthly Contribution to CCU Account (TT$)

Upload scans of your documents. Each item should be 2MB maximum in jpeg/png/bmp/pdf/doc/docx format.

Upload scan of your job letter

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Upload scan of most recent payslip

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Foreign Account Tax Compliance Act (FATCA) Declaration

Are you a citizen of any country other than Trinidad and Tobago?

Yes

No

Documents required
If yes, copies of relevant passport(s) are to be provided and details given.

Are you a U.S. citizen, resident or green card holder?

Yes

No

Documents required
W-9 or W-8BEN;
Document validating US citizenship;
Non-US passport or similar documentation establishing foreign citizenship

Upload scan of W-9 or W-8BEN (2MB pdf/jpg/png/doc/docx)

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Are you a grantee of power of attorney, or an authorised signatory with a U.S. address?

Yes

No

Documents required
W-9 or W-8BEN

Are you giving standing instructions for the transfer of dividence income/regular income to a U.S. account?

Yes

No

Documents required
W-9 or W-8BEN

Are you a person who must comply with disclosure requirement of tax residency?

Yes

No

If yes, please list the Country/Countries of Residency for Tax Purposes, and corresponding Social Security Number (SSN) or Individual Tax Identification Number (ITIN) details.

Country 1

SSN 1/ITIN 1

Country 2

SSN 2/ITIN 2

Country 3

SSN 3/ITIN 3

Member Application Form – Minor

Consent to Open Account for a Minor

Upload scans of your documents

Parent/Guardian Data Form

Parent/Guardian Identification Information

Identification 1

Identification 2

Employment Information

Foreign Account Tax Compliance Act (FATCA) Declaration

Membership

Address

Telephone

Fax

Email

Tools & Support

Membership

Member Application Form – Minor

Consent to Open Account for a Minor

Upload scans of your documents

Parent/Guardian Data Form

Parent/Guardian Identification Information

Identification 1

Identification 2

Employment Information

Foreign Account Tax Compliance Act (FATCA) Declaration

Membership

Address

Telephone

Fax

Email

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