Investment Application Form

Account Holder Details - Step 1 of 7

This application is for an: *

Individual
Joint Account

If you would like to set up an account for an entity including a trust, company, or society, please call 06 370 0070 or email [email protected] for an application form.

Full Legal Name

First Name * *

Middle Name

Surname * *

Preferred Name

Date of Birth *

IRD Number

Occupation

Home Phone

Mobile *

Email Address *

Residential Address

Suburb

City

Postcode

Tick if this person is the primary contact

Click here if this person is the primary contact

How did you hear about WBS?

Disclosure: Are you a senior member of the New Zealand or Foreign Government, Judiciary, Military, or any Ambassador – or are you immediately related to any?

Select One

I am only a tax resident in New Zealand
I am also a tax resident in another country/countries

If you are also a tax resident in another country/countries, please specify what country/countries and Tax Income Number/s:

Identity Verification

Under the Anti-money Laundering and Countering Financing of Terrorism Act 2009 (AML/CFT), WBS is required to verify your identity and address when you become an investor or borrower. Before we can accept your application you must complete our identification verification requirements. You can choose to verify your identity one of three ways:

Identity Verification

Electronic Verification (Biometric Check)
If you have a current New Zealand Passport or New Zealand Driver Licence you can verify your identity online. This will allow you to complete the application process quickly and efficiently.
Verify your identity in person
You can bring in your original identity documents (Passport, Firearms Licence or Driver Licence and Bank Card) along with proof of your address to our office at 125 Queen Street, Masterton.
Send us a certified copy of your documents
You can email certified copies of your identity documents (Passport, Firearms Licence or Driver Licence and Bank Card) to [email protected] or post them to PO Box 441, Masterton 5840, or courier them to our office at 125 Queen Street, Masterton.

As this application is for an individual account, you can skip this step.

Full Legal Name

First Name

Middle Name

Surname

Preferred Name

Date of Birth *

IRD Number

Occupation

Home Phone

Mobile

Email Address

Residential Address

Suburb

City

Postcode

Disclosure: Are you a senior member of the New Zealand or Foreign Government, Judiciary, Military, or any Ambassador – or are you immediately related to any?

Select One

I am only a tax resident in New Zealand
I am also a tax resident in another country/countries

If you are also a tax resident in another country/countries, please specify what country/countries and Tax Income Number/s:

Identity Verification

Identity Verification Joint Acount

Electronic Verification (Biometric Check)
If you have a current New Zealand Passport or New Zealand Driver Licence you can verify your identity online. This will allow you to complete the application process quickly and efficiently.
Verify your identity in person
You can bring in your original identity documents (Passport, Firearms Licence or Driver Licence and Bank Card) along with proof of your address to our office at 125 Queen Street, Masterton.
Send us a certified copy of your documents
You can email certified copies of your identity documents (Passport, Firearms Licence or Driver Licence and Bank Card) to [email protected] or post them to PO Box 441, Masterton 5840, or courier them to our office at 125 Queen Street, Masterton.

As this application is for an individual account, you can skip this step.

How many individuals will be required to authorise transactions or give us instructions in relation to your WBS investment(s)?

Any one alone
Any two together
Other

Please state

Please select one or both of the following

Term Investment

Term Length

90 Days
120 Days
180 Days
270 Days
1 Year
18 Months
2 Years
Other

Please state

Our Term Investment rates are reviewed regularly and subject to change. View our current investment rates by clicking here.

Term Investment Amount (minimum $500)

Call Investment

Call Investment

Call Investment Amount (minimum $500)

Our Call Investment rates are reviewed regularly and subject to change. View our current investment rates by clicking here.

Total Amount

$ 0.00

Nominated bank account details: please provide a copy of a bank deposit slip or bank statement for account verification. This is your nominated NZ bank account that you would like your investments interest/principal to be paid to.

Bank Account Number

IRD Details

Please confirm that this is your correct IRD number. (If your IRD number is incorrect, then you can change it on page 1 of this application form.)

IRD Number

IRD Details

As this is a joint account, please specify which IRD number you wish to use.

Preferred IRD Number

Applicant One
Applicant Two

Please select which Resident Withholding Tax rate applies to this investment:

10.5%
17.5%
30%
33%
39%
NRWT (Non-Resident Withholding Tax)

If you do not select a Resident Withholding Tax rate, interest paid on Call and Term Investments will be taxed at 33%. If you do not provide an IRD number interest will be taxed at 45%.

If you are unsure which tax bracket you fit into visit www.ird.govt.nz.

By completing this application form you agree to receive electronic account statements and other communications from WBS.

Please confirm the email address that all communications should be sent to

I/We have read, understood and accept the terms of the updated Product Disclosure Statement.

I/We agree to the terms outlined above in relation to document certification and the Privacy Act 2020 as amended or replaced by subsequent legislation and the user of personal information.

I/We agree to WBS obtaining information for AML/CFT purposes as authorised above. I/We agree to WBS disclosing information as required in accordance with any applicable law.

I/We acknowledge that WBS is not obliged to agree to any request for early repayment of a Term Investment and in considering any request understand that WBS will consider:

The reason for the request;
Whether the event that gave rise to the request of early repayment is unforeseen and
Whether or not declining the request would create material hardship. ‘Hardship’ means a sudden and unforeseen event that requires you to urgently access the Term Investment to pay for necessary expenses.

I/We acknowledge that we will be required to give 30 days’ notice to withdraw a Term Investment early.

I/We acknowledge that, if WBS agree to early repayment of this Term Investment, an interest adjustment will apply as outlined in the Product Disclosure Statement.

Your Privacy

Personal information gathered in this form will be held securely by WBS in accordance with our Privacy Policy and applicable provisions of the Privacy Act 2020 as amended or replaced by subsequent legislation. The information will be used to administer your investments or loan with us. Certain information will be released to Inland Revenue to comply with tax requirements. You have the right to access your information that we hold at any time to correct it.

Name *

Date *

Signature *

Name (Applicant 2) *

Date (Applicant 2) *

Signature (Applicant 2) *

Click here if you agree that the above information is true and correct. *

Click here to confirm that the information submitted is true and correct *