Hejaz Financial Services Pension Service 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


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

Personal Protection

Waiver of Liability

Validation - Please provide 2 ID's

ID Number 1


ID Number 2


Declaration to proceed


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