New Account Application Form

Required fields are marked with *

How did you hear about us? *

Please choose closest region *

Are you a new client or do you have accounts with Southern Cross already?

New customer I am an existing customer

If you would like to open a new account this is the right form.
To apply for Internet or Phone Banking on existing accounts please use this form

Account Information

Customer Information

Applicant

Title *

Surname *

First name(s) *

Date of birth *

Marital status

Occupation

Number of dependants under 18

Home address *

City *

Postcode *

Address and Postcode finder

I have a different mailing address

Telephone home *

Telephone work

Mobile *

Fax

Email *

Account password *

Password prompt *

Joint-Applicant

Title *

Surname *

First name(s) *

Date of birth *

Marital status

Occupation

Number of dependants under 18

Home address *

City *

Postcode *

Address and Postcode finder

I have a different mailing address

Telephone home *

Telephone work

Mobile *

Fax

Email *

Account password *

Password prompt *

Next of Kin/Closest Contact

Surname *

First name(s) *

Address *

City *

Telephone home *

Mobile *

Deposit

A Southern Cross representative will contact you within 24 hours to open the new account and obtain your identification in complicance with the financial transactions reporting act. As a guide please add your opening deposit amount and specific date if known.

Deposit amount

Date

Privacy Act Consent and Account Conditions

Pursuant to the PRIVACY ACT 1993 the Southern Cross Building Society (“Society”) advises that:

a) This form collects personal information about you;
b) The information is being collected to enable you to open and operate an account with the Society and to obtain the use of other Society products and services;
c) The intended recipients of the information are the Society and its agencies, research firms and direct marketing firms engaged by the Society;
- i) research firms, for the purposes of providing generic research about the Society's customers (to be undertaken on a "no-names" basis); and
- ii) direct marketing firms engaged by the Society, for the purpose of various marketing initiatives that may be undertaken by the Society.
d) The information is being collected by and held at Southern Cross Building Society, P o Box 554, Auckland;
e) Failure to provide this information or provision of incorrect information may result in your application for Society products and services being declined, or your being unable to open an account with the Society;
f) You do have rights of access to, and correction of, personal information supplied to and held by the Society.

For further information about the Society's Privacy Policy please click here.

Personal Declaration *

If I am opening an account on behalf of another party, I confirm that I have read and understood the Account Opening Policy which will apply to this account (and in the event of any inconsistency with any other applicable terms, the more specific terms shall prevail).
I agree that my name, address and phone numbers may be used by the Society to advise me of other products or services and by research firms engaged by the Society to carry out customer research and surveys, and direct marketing firms engaged by the Society.
I understand that the Society's Terms and Conditions and Investment Statement for Term Investments form the basis of my relationship with the Society and will apply to all accounts and facilities I may open or operate (whether existing or in the future, solely, or with others).
I am not an undischarged bankrupt, I am not currently admitted to the no asset procedure, nor am I liable under any proceedings under the Insolvency Act 2006, or its amendments, and I agree to advise the Society should this situation change.
I confirm my personal information provided to the Society and recorded above to be true and correct as at today’s date

Once you have completed the online application process, you will still need to sign your application at some stage. One of our branch staff will be in touch to go through this application with you and answer any questions you may have. Simply hit “Apply Now” .

As an alternative, you can also select to print this application, so you can sign it and send it into one of our local branches or Agencies for processing. To do this please hit “Print Your Results” below.

Southern Cross Building Society

New Account Application Form

How did you hear about us? *

Please choose closest region *

Are you a new client or do you have accounts with Southern Cross already?

Account Information

Account type

Account type

Interest Deals (for Term investments only)

Interest to be paid

Net Interest to be paid into Southern Cross Account

Or, Other Trading Bank

Customer Information

Applicant

Joint-Applicant

Next of Kin/Closest Contact

Deposit

Privacy Act Consent and Account Conditions

Pursuant to the PRIVACY ACT 1993 the Southern Cross Building Society (“Society”) advises that:

Personal Declaration *