Hejaz Islamic Superannuation Application
This application allows you to establish an account with Hejaz Financial Services (FOC). By completing this application, you provide us with consent to establish your new account. Your request and consent to the transfer of superannuation as described in this application and authorise the superannuation provider of each fund to give effect to this transfer.
Residential Address
Postal Address
Your Superannuation Details
Who would you like your superannuation to be given to in case you pass away?
Please Note: the % of benefit MUST add up to 100% in total between beneficiaries.
Beneficiary 1
Beneficiary 2
Beneficiary 3
Beneficiary 4
We offer Hayat Protection™ to protect you and your family if something unexpected happens, like an injury, illness or death.
If you change your mind you can apply for cover at any time.
Waiver of Liability
ID Number 1
ID Number 2
Declaration to proceed
Declaration
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