CONTRIBUTOR ACCOUNT SET UP

Personal Details:

First Name*

Last Name*

Other Names

Previous Name/Maiden Name (If any)

Mother's Maiden Name

Gender:*

Marital Status

Date of Birth:*

Age

Place of Birth (City/Country)

Nationality:*

National ID Number (Ghana Card) *

Expiry Date:*

Other Identification Details:

ID Number:

Issue Date:

Expiry Date:

Upload Passport Picture: *

Contact Details

Primary Phone Number:*

Other Number:

Email Address:*

Postal Address:

Physical / Digital Residential Address:

Next Of Kin:*

Next Of Kin Contact Number:*

Employment Details

Employer Name:*

Date of Employment:*

Occupation:

Staff ID Number:

SSNIT Number:*

Scheme Membership Details

Are you already a Scheme Member?*

If Yes, Indicate Your Scheme Member Number:*

Which Scheme do You Wish to Join?:*

Do You Wish to Port in Your Funds from a Previous Trustee?

Select Fund Type *

Note: You are entitled to transfer between funds in the scheme following twenty-four (24) months after the first selected Fund, in accordance with the Scheme Rules.

Beneficiary Details

I HEREBY NOMINATE THE PERSON(S) BELOW AS MY BENEFICIARIES TO RECEIVE ANY BENEFITS DUE ME IN THE SCHEME IN THE EVENT OF MY DEATH

Beneficiary 1

Name:*

Relationship:*

Date Of Birth:*

Contact Number:*

Email:

Percentage:*

The total allocation to the beneficiaries should be 100%

Declaration

CERTIFY THAT ALL INFORMATION PROVIDED IS ACCURATE AND TRUE

Signature:

Upload Signature: *

Date:

Provide the name of the Secure Pensions Trust representative you dealt with:*

Preview Details

PERSONAL PENSION ACCOUNT SETUP

Maiden Name:
Gender:
Marital Status:
Date of Birth:
Age:
Place of Birth (City/Country)
Nationality:
National Id Number:
Expiry Date:
Other Identification Details:
Other Id Number:
Start Date:
Expiry Date:

Next of Kin:
Next of Kin Number:

Mother's Maiden Name:

Beneficiary Details

Name:
Relationship:
Date of Birth:
Contact Number:
Email:
Percentage:

Contact Details

Primary Phone Number

Other Phone Number

Email Address

Postal Address

Residential Address

Employment Details

Employer Name

Date of Employment

Occupation

Staff ID

SSNIT Number

Scheme Membership Details

Already a Scheme Member?

Scheme Number

Preferred Scheme

Port Funds from previous Trustee?

Selected Fund Type

Declaration

Full name

Signature

Signed Date

Pension Representative

Back To Edit

CONTRIBUTOR ACCOUNT SET UP

Personal Details:

Contact Details

Employment Details

Scheme Membership Details

Beneficiary Details

Declaration

PERSONAL PENSION ACCOUNT SETUP

Beneficiary Details

Contact Details

Employment Details

Scheme Membership Details

Declaration

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