BSB: 802-143
02 4350 5255

Application Type

Single Membership
Joint Membership

Application 1 Details

Applicant Name
Title
First Name
Middle Name
Last Name

Application 2 Details

Applicant Name
Title
First Name
Middle Name
Last Name

Membership Options

  • S1 At Call Account
  • S2 Pensioner Account
  • S3 Budget Saver Account
  • S4 Junior Saver Account
  • S5 Investment Savings
  • S8 Visa Line of Credit
  • S9 Christmas Club Account
  • S10 Special Purpose Savings
  • S11 Mortgage Offset Account
  • Visa Debit Card
  • Payroll
  • Internet Banking
  • Telephone Banking
  • Cheque Book
  • Home/Personal Loans
  • Home/Contents Insurance
  • Car Insurance
  • Finanacial Planning
  • Other

Politically Exposed Persons

A PEP is typically someone who holds a prominent public position or function in a government body or an international organisation.

If you have ticked the box above or if you are uncertain about whether you fall into any of these categories, please complete the PEP Declaration form.

Membership Declaration

I apply for membership and one, ten dollar share per Adult Member or one, two dollar share for a non-voting Junior Member (under 18 years old) in Central Coast Credit Union Ltd. I acknowledge receipt of, and agree to be bound by the Rules of Central Coast Credit Union. I agree to be bound by the Constitution of Central Coast Credit Union as governed by the Corporations Act, in place from time to time.

I believe the above details to be true and correct. It is an offence under the Anti-Money Laundering and Counter Terrorism Financing Act 2006 (Cth) to give false and misleading information. I understand that collection of my Tax File Number or Exemption is authorised and their use and disclosure are strictly, regulated by the law and the Privacy Act 1988 (Cth). I understand that quoting my Tax file Number is not compulsory but failing to do so may result in tax being taken out of my interest. I understand that the Tax File Number will be applied to all accounts under this membership unless I specifically request otherwise. The Australian Taxation Office has specific laws on Savings and Investment accounts in regard to the Tax File Number (TFN). For more information refer to the Australian Taxation Office.

I understand Central Coast Credit Union will collect personal information from me as required by the Anti- Money Laundering and Counter Terrorism Financing Act 2006 (Cth) and that it may take steps to verify the personal information it has collected. I consent to the collection, use, handling, disclosure and verification of personal information as required by the Anti- Money Laundering and Terrorist Financing Act 2006. I understand that if I provide Central Coast Credit Union with incomplete or inaccurate information that Central Coast Credit Union may not be able to provide me with the products or services that I am seeking.

Things that I will need to provide

  • One or more of the following documents
    • Current Australian passport (or one that has expired within last 2 years)
    • Current driver license
    • A proof of age card which contains a photograph
  • If you are unable to provide photo identification, then at least one document from Category B and C must be produced.
  • Category 'B' Documents
  • One or more of the following documents
    • Birth Certificate or extract of birth Certificate
    • Australian citizenship certificate
    • A pension card issued by Centrelink
  • Category 'C' Documents
  • One or more of the following documents
    • Benefit notice issued by Australian, State or Territory governments within last 12 mths
    • Benefit notice issued by the ATO within last 12 mths
    • Council rates notice or utilities bill issued within last 3 mths (with residential address)
  • Category C Documents must include the name of the individual and his or hers residential address
  • A Child under 18 years of age
  • Both of the following documents required if child to be the only signatory: Where the parent is the signatory of the account, the Birth Certificate is adequate identification.
  • Proof of age card containing photograph of the person whose name it is issued:
    • Birth certificate or extract of birth certificate;
    • Notice issued by school principal within last 3 months
  • Non-resident of Australia
  • One or more documents from Category “A”; or one or more documents from each Category “B” and “C”.
  • Category 'A' documents:
    • Current passport (with English translation as required)
    • Citizenship certificate issued by a foreign government (with English translation as required)
    • Birth certificate issued by a foreign government (with English translation as required)

Disclosure of your Tax File Number (TFN) is optional. Declining to quote is not an offence.

If you do not disclose your Tax File Number then withholding tax will be deducted from any interest paid to your accounts.
or TFN Exemption
Please write the name of the pension you receive or reason why you are exempt
This written record of your Tax File Number will be destroyed once loaded onto our system

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