KiwiSaver Preferred Provider Application (for employers)

To select the AMP KiwiSaver Scheme as the chosen KiwiSaver scheme for your business, simply fill in this form.

denotes mandatory field

Employer IRD number
Company name
Trading name
Number of employees
BNZ customer number
Please use the same company name and IRD number that have been logged with Inland Revenue for PAYE purposes
Company contact details (we'll only use this information to contact you about KiwiSaver)
Title
First name
Surname
Job title
Phone (business)
Phone (mobile)
Email
Note: The contact details listed here will be used to notify your company of any changes relating to AMP's Preferred KiwiSaver Provider agreement. These details can be updated by contacting AMP's KiwiSave Administration Team on 0800 267 287.
Postal address
P.O. Box
Street address
Suburb
City
By checking this box I confirm that I have read the acknowledgements below and accept them.

Acknowledgements

  • I am an authorised signatory of the company named above and have the authority to complete this form on behalf of the named company.
  • The company appoints the AMP KiwiSaver Scheme (‘Scheme’) as the chosen KiwiSaver Scheme for the company’s employees who will be automatically enrolled into KiwiSaver and those employees who choose to opt in to KiwiSaver.
  • I authorise AMP Services (NZ) Limited (‘AMP’) to notify the Commissioner of Inland Revenue that the Scheme is the company’s chosen KiwiSaver Scheme for the purposes of section 46 of the KiwiSaver Act 2006. The company's choice of Scheme shall be effective from the date the notice is accepted by the Commissioner of Inland Revenue, and may be terminated in accordance with the KiwiSaver Act 2006.
  • The company will comply with its obligations under the KiwiSaver Act 2006 and the KiwiSaver Regulations including distributing the AMP KiwiSaver Scheme Investment Statement to employees.
  • I understand that this appointment will continue until written or verbal revocation of the appointment is received by AMP and the Inland Revenue.
  • I acknowledge that the Privacy Act 1993 provides me with the right to request access to and/or correct any of my personal information held by AMP (AMP in this context includes all members of the AMP Group of Companies and their subsidiaries, associated companies and agents) or the Trustee of the AMP KiwiSaver Scheme, and that any information supplied by me with this application will be used to process this application and may be disclosed for this purpose to third parties where relevant, including the Company's Adviser, or another intermediary or distributor.
  • Bank of New Zealand (‘BNZ’) distributes the AMP KiwiSaver Scheme to its business customers who are employers and receives an access fee from AMP in respect of employees of the employer who become members of the Scheme. This access fee is paid out of the administration fee referred to in the Scheme’s Investment Statement. BNZ is not a promoter of the AMP KiwiSaver Scheme.
  • I acknowledge that none of BNZ, AMP, The New Zealand Guardian Trust Company Limited, any of their related companies, their directors, the Crown or any other person guarantees the Scheme, any investment in the Scheme, or any returns on an investment in the Scheme.