Axis Member Online Enrollment

Intro
Personal Details
Scheme Enrollment
Beneficiary Details
Preview Report

Hi, Welcome

My name is Afrakomah

What would you like to do?

Sign-Up to our Personal Pension Scheme(s) or Continue from where you left off with your previous sign-up?

Did someone recommend you to come here?

Referral CODE

Let Us Identify You

What is your level of Education?

Which scheme do you wish to sign-up to?

Cell Phone

Date of Birth

Social Security (optional)

Are you a member of any scheme administered by Axis?

Please provide member number:

Cell Phone

Personal Details

Surname

Other Name(s)

Date of Birth

Gender

Nationality

Marital Status

Your Profile Picture

CONTACT DETAILS

Cell Phone

Country of Residence

Hometown

Postal Address/Ghana Post Code

Residential Address

Next of Kin

Next of Kin Cell Phone

Your Mother's Maiden Name

EMPLOYMENT DETAILS

Sector

Occupation

Employer Name

Staff #

IDENTIFICATION DETAILS:

Do you have a Ghana Card?

National ID Number

ID Type

ID Number

Issue Date

Expiry Date

Scheme Enrollment

How much money are you aiming to accumulate for retirement? (optional)

How do you want your contributions allocated for savings and retirement in percentages (%)?

How do you want to run your investment accounts ?

Select your prefered investment package

SCHEME ENROLMENT DECLARATION:
The Axis Pension Plan is a long-term investment designed to help workers to save toward retirement. I declare that I have read and understood the terms of the scheme as per the member's broachure. I also understand that if I withdraw my benefits before the intended date, i will pay applicable early withdrawal penalty to the Scheme. I accept to be bound the present terms and conditions and as may be amended from time to time.

Axis pays benefits mainly via bank transfer. Please provide your preferred benefit payment details and how you want to be funding your account.

Do you want benefits paid to you via bank account?

Bank

Bank Branch

Bank Account Name

Bank Account Number

How do you want to fund your account?

DIRECT DEBIT SETUP

Bank Account Type

Deduction Date Option

Subsequent Deduction

Direct Debit Amount

Starting Month

Deduction End Date

Client Name

Staff ID

Monthly Contribution Amount

Start Date

Mandate Number

Mobile Money Number

Frequency

Start Date

End Date

Contribution Amount

Debit Day

Annual increament margin ...

Percentage Increase (%)

When to start

Beneficiary Details and Authorization

In the event of death, entitlement will be paid to person(s) nominated as beneficiary(ies)
Beneficiary Allocation
Click on the Add Beneficiary button when you are done filling this section to build a list of your beneficiaries. You can add as many beneficiaries as you please.

* Please Note! Total beneficiary percentage allocations must sum up to 100%.

Beneficiary Details

Name

Relationship

Date of Birth

Cell Phone

Emails

Percentage Allocation (%)

Name	Relationship	Mobile #	Email	% Allocation

DECLARATION:
I wish to authorise the Trustees to pay any lump sum benefit to the beneficiaries listed above. I understand that this instruction is an expression of wish and not a binding instruction on the Trustees. I may change my wish at any time by notifying the Trustees.

Authorization

** How do you want to capture your signature?

Select image to upload here and click on the Capture Signature button when done :

Clear Signature

Sign your signature in the pad below and click on the Capture Signature button when done:

Clear Signature

Signature Preview

Indemnity

I accept the indemnity detailed here

Finally ...

Tell us how you got to know about this product

Internet
Sales Agent
Radio
Employer
Another Customer

Provide name of Axis' representative you have spoken with if any

SUMMARY

You can also visit our website https://www.axispension.com for more information about us and/or our products and services
or download our mobile app form

or interact with me Afrakomah (+233261860000) on WhatsApp or Telegram