Fixed Deposit Application | Gent Credit Union

Fixed Deposit Account Application

Complete all required fields marked with *

SECURE APPLICATION

Personal Information

Applicant Details

Title

First Name *

Middle Name

Last Name *

Date of Birth *

Gender *

Nationality *

Contact Information

Communication Details

Email Address *

Phone Number *

Residential Address *

Correspondence Address

Identification

Verification Information

Identification Type *

Identification Number *

Tax / Reference Number

Identification Document

Accepted formats: JPG, JPEG, PNG or PDF.

Proof of Address

Accepted formats: JPG, JPEG, PNG or PDF.

Fixed Deposit Details

Investment Preferences

Select Deposit Tenure *

3 Months Short-term deposit

6 Months Medium-term deposit

12 Months Long-term deposit

Deposit Amount *

Amount

Source of Funds *

Interest / Maturity Instruction *

Preferred Start Date *

Nominee Information

Beneficiary Details

Nominee Full Name

Relationship to Applicant

Nominee Phone

Nominee Address

Additional Information

Optional

Additional Comments

Before You Submit

Please verify that all information provided is accurate. Your application may be subject to identity verification, eligibility requirements and the applicable terms and conditions of the Fixed Deposit product.

I confirm that the information provided in this application is true and accurate to the best of my knowledge. I understand that submission of this application does not by itself constitute approval or confirmation of a Fixed Deposit account. I agree to review and comply with the applicable product terms, conditions, fees and requirements.

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