Please fill out the fields below with the relevant information and submit to update your account beneficiary information.
I,
with the
being a member of Tranquillity Credit Union Co operative Society Limited, do hereby designate the under mentioned person (s) as my Beneficiary / Beneficiaries.
I authorize Tranquillity Credit Union Co operative Society Limited, to pay the person(s) named hereunder on this form, the total sum of my Shareholdings and / or Deposits, and all sums of money paid under and by virtue of the terms and conditions of the Life Insurance contract, Life Savings Plan of the C.U.N.A. Mutual Insurance Society to the said Credit Union, in accordance with Rule 9 of Tranquillity Credit Union Co operative Society Limited.
Date of Birth:
Nominee Two
Nominee Three
Nominee Four
I hereby reserve the right to change the beneficiary herein designated. The execution of a subsequent designation of beneficiary form shall constitute a change of beneficiary.
