Fidelity KiwiSaver Scheme Enrolment Form

You may join the Fidelity KiwiSaver Scheme as an employee, (you pay PAYE tax), or individual, (self employed or not employed or to enrol your children). (We recommend that you read the Fidelity KiwiSaver Scheme Investment Statement before completing the enrolment form.)   Complete the Fidelity KiwiSaver Scheme Application form online, (see new PIR below) and: print, sign and post it to (address below), or click submit and we will email it to you for print, sign and post. Post to:

Freepost 20793 Fidelity KiwiSaver PO Box 34 778, Birkenhead, Auckland 0746 .

If you wish to apply offline, contact us and we will mail you an Fidelity KiwiSaver Scheme Investment Statement which includes an Application form.

When completing your application form please note the from 1 October 2010 new PIR rates apply. Here's how to work out which new PIR applies:   Yes PIR If your taxable income in either the 2010 or 2011 tax years is $14,000 or less   Your PIR is 10.5% If your taxable income either the 2010 or 2011 tax years will be between $14,001 and $48,000   Your PIR is 17.5% If your taxable income in either the 2010 or 2011 tax years will be over $48,001   Your PIR is 28% * Please note: If you have any investments, the income they earned could move you into another tax rate. If this applies to you, contact Fidelity KiwiSaver Scheme 0800 88 KIWI for more information.     Remember that If no indication of a PIR is made, the default rate of 28% will apply.   ----------------------------------------------------------