PARAMA CREDIT UNION LIMITED
Member Profile Information
PER_APP_PROFILE_V01 Page 1 of 1
MEMBER INFORMATION
Occupation (if retired, indicate pre-retirement occupation)
IDENTIFICATION (one must be a photo ID) (If Birth Certificate, please attach a second photo ID)
INTENDED USE OF ACCOUNT
THIRD PARTY ACCESS
YES
NO ACCESS
CHECK ALL THAT APPLY
Debit Card
Online Banking
Parama Marketing
CITIZENSHIP
Canada
United States
Other:
TAX RESIDENCY
I am a tax resident of the United States. Provide Taxpayer Identification
Number.
If you do not have a TIN have you applied for one? YES NO
I am a tax resident of a jurisdiction other than Canada or the United States. Provide jurisdiction of tax residence and
taxpayer identification numbers (TIN).
If you do not have a TIN for a specific jurisdiction, give the reason using one of these choices:
: I will apply or have applied for a TIN but have not yet received it.
: My jurisdiction of tax residence does not issue TINs to its residents.
Reason 3: Other reason. For this form, “other reason” is enough. However, you still have to tell Parama the specific reason.
Jurisdiction of tax residence
Taxpayer Identification Number
If you do not have a TIN,
choose reason 1, 2, or 3:
POLITICALLY EXPOSED PERSON (PEP)?
YES
NO
Does the applicant or any of their family members (spouse, common-law partner, parents, children, siblings, half siblings, spouse
or common law partner’s parents) hold or have ever held or is a close associate to these positions: A head of state of government;
member of the executive council of government or a member of legislature; deputy minister or equivalent rank; ambassador or attache
or counselor of an ambassador; military officer with a rank of general or above; president of a state owned company or state owned
bank; head of a government agency; judge; leader or president of a political party represented in legislature; head of an international
organization established by governments of states or head of an institution established by an international organization.
Please attach copies of SIN and valid Government ID
