Enter your details here to sign up to one of Booster's Socially Responsible Investment Funds

PERSONAL DETAILS

First name *

Middle name

Last name *

Date of birth *

Date of birth

YYYY

Gender *

Female

Male

Other

CONTACT DETAILS

Contact Phone Number *

Contact Phone Number

### ### ####

(###)

###

####

Email address *

Address *

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Postal Address *

Same as physical address

Different

TAX DETAILS

IRD Number *

This is a 8 or 9 digit number unique to you. You can find it on your payslip, your KiwiSaver Statement. Or contact the IRD 0800 775 247 and say "What's my IRD Number?"

Your Prescribed Investor Rate (PIR) *

You can work this out on the 'Tell Us' page. It's the tax rate applied to your investments and is calculated using a combination of taxable income and income derived from managed entities.

FUND SELECTION

Investment fund choice *

If you don't know this yet, run through the guide on the left. The following choices are funds offered by the Booster KiwiSaver scheme.

Conservative

Socially Responsible Investment Balanced Fund

Socially Responsible Investment Growth Fund

I acknowledge that I have downloaded, read and understood the Booster KiwiSaver Scheme Product Disclosure Statement: www.bit.do/disclosurestatement *

We are required by law to provide you with the Booster KiwiSaver Scheme Product Disclosure Statement before you continue with your application.

Yes

IDENTIFICATION

ID *

Drivers licence

Passport