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HOLY REDEEMER CREDIT UNION LIMITED

MEMBERSHIP IDENTITY CARD


Please kindly fill in card below and have notary public witness document.
Do make sure to clearly state beneficiary name/names and their relations.
You may list benefiary or beneficiaries below card(sign BOTH card and form)

NOTARY STAMP

Additional beneficiaries:

Name Relationship to member owner

1. ___________________________ ___________________________________
2. ___________________________ ___________________________________
3. ___________________________ ___________________________________
4. ___________________________ ___________________________________
5. ___________________________ ___________________________________

Signature of member:X______________________________

Full name of Member:______________________________

NOTARY/ATTORNEY AT LAW :_______________________________ Date:_________________________

(Members signature is required where X are located )

Anti Money Laundering and Terrorism Prevention Laws of Belize require all Financial Institutions, including Holy Redeemer
Credit Union Ltd. to verify identity of its members and request certain documents and information from all its member-owners.

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