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.



Personal Details

Residential Address

Postal Address


Employment Details


Current Superannuation Funds

Your Superannuation Details


Beneficiaries

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


Hayat Protection™

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


Assets


Validation - Please provide 2 ID's

ID Number 1

Browse

ID Number 2

Browse

Declaration to proceed

Declaration

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