FOND ST JACQUES CREDIT CO-OPERATIVE SOCIETY

wish to apply for joint membership of the FOND ST. JACQUES CREDIT CO-OPERATIVE SOCIETY LIMITED. We agree to conform to the Society’s Ordinance, Regulations and By-Laws and adhere to any amendments to the foregoing.

Both/all parties to tha Account must sign jointly to close or change the composition of the joint membership of the said account.

Joint Tenancy: - We have agreed that all monies which is now or may later be credited to this account above (including interest and or dividends) is our joint property with the right of survivorship. That means that if one of us dies, all monies in the account automatically becomes the property of the other account holder(s).

However in the event that both parties die together or within close proximity of each other before surviving party receives ownership of funds on this joint account, the following person/persons are our beneficiaries:

Should the appointed beneficiary be a minor (below the age of 16 years) at the date of my death, the legal tutor shall be entitled to receive the benefit on their behalf by installments agreed by Fond St Jacques Credit Cooperative Society Ltd. Upon minor reaching age 16, the assigned Legal Tutor will be considered null and void

I hereby confirm that the details provided in this form and in any other document provided to the credit union are correct, true and complete, and agree to inform the credit union immediately of any change in the information provided.

I hereby declare that any money remitted into this account does not directly or indirectly originate from any illicit financial activity, and that I have not been, nor shall I be, involved, directly or indirectly, either individually or jointly with any other person(s), in any money laundering or terrorism financing activities.

In case any of the above information is found to be false or untrue or misleading or misrepresenting, I am aware that the credit union reserves the right to withdraw me from its membership.