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Note:
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These fields must be completed
Note: Please ensure that any required scanned images should be in JPEG, PNG, GIF, or PDF format. The maximum file size for each attachment must be less than 5MB.
To avoid this form from timing out, please ensure you have all documents ready before starting. This may include: Proof of ID, completed IR330 form, proof of bank details, power of attorney/authority document.
First name:
*
Last name:
*
Staff Number (if known):
Date of birth:
*
...
Note: dd/mm/yyyy
Note: please upload a proof of photo ID. e.g. Driver’s license, current passport, fire arms license or HANZ 18+ card.
Click here to attach a file
Have you ever changed your legal name since working at KiwiRail:
*
Yes
No
Other first name:
*
Other last name:
*
Note: please upload a proof of name change document.
Click here to attach a file
Address:
*
Address:
 
/
 
City:
State:
Postal Code:
Country:
Email for use in correspondence:
Phone:
*
Preferred contact method:
*
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IRD number:
*
-
-
Note: please fill out the
IR330
form and upload here.
Click here to attach a file
Bank account name:
*
Bank account number:
*
It must be a New Zealand bank account
-
-
-
Note: please upload a bank deposit slip or clear screen shot of your internet banking page which shows account number and name on it.
Click here to attach a file
Are you a KiwiSaver member:
*
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Are you currently on a contributions holiday/savings suspension:
*
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Contribution Holiday End Date:
*
...
Note: dd/mm/yyyy
What is your current/preferred contribution rate:
*
Were you a member of another superannuation scheme whilst employed by KiwiRail:
*
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Are you still a contributing member of the superannuation scheme:
*
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Please provide details of Super scheme:
*
Are you completing this form on behalf of another person?
*
Your full name:
*
Your email address:
*
Reason for completing on behalf of:
*
Power of attorney / authority document (TBC):
Click here to attach a file
Note: please upload authority document if you are completing this form behalf of someone
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