MINORS APPLICATION FOR MEMBERSHIP

COMMUNITY FIRST CREDIT UNION

MINORS APPLICATION FOR MEMBERSHIP

First Name:

Last Name:

Name of Parent/Guardian:

Date of Birth:

Home Address:

Phone:

Proof of Identity - Parent/Guardian: Valid Passport (mandatory), Driver's Licence, Voter's Identification; Child's birth certificate/passport. In addition, current job letter of parent/guardian and confirmation of address (utility bill, bank or credit card statement).

Early Closure Fee (If account is closed under 1 year of opening) $100.00

I hereby make application for a minor's account with the Community First Co-operative Credit Union and agree to conform to the Rules and Amendments thereof. I understand that I cannot borrow or vote at an Annual General Meeting.

This application was entered in the Members' Register and approved by

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President Secretary

Date:

Herewith please find the sum of being as follows:

Deposits:

Entrance Fee:

Pass Book:

TOTAL:

NOMINATION FORM

(PURSUANT TO THE CO-OPERATIVE SOCIETIES ORDINANCE OF THE REVISED LAWS OF ANTIGUA AND BARBUDA)

COMMUNITY FIRST CO-OPERATIVE CREDIT UNION LIMITED

Account #.

Do nominate the following as the only person or persons (none of them being an Officer or Servant of the Society, to or among who shall be transferred my Deposits in the Society, or otherwise at my death in such proportions as is set forth below opposite their respective names:

NAME	RELATIONSHIP	OCCUPATION	DATE OF BIRTH	ADDRESS	CONTACT #	%

(Where the nomination is not intended to comprise the whole of the applicant's property in the Society, the amount to be comprised in it is to be specified.) Any previous nomination made by me is hereby cancelled.

As Witness to my hand, this

Signature of Applicant making Nomination -----------------------------------------------------------------------

Signature of Witness --------------------------------------------------------------------------------------------------

Address ------------------------------------------------------------------------------------------------------------------