Shareholder Form

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Personal Details



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Contact Details





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Bank Account Details


Please select your country above to display relevant bank account fields.




Photo ID Upload (required)
JPG or PDF smaller than 2MB

Account Confirmation Upload (required)
JPG or PDF smaller than 2MB


If you are supplying your bank account, you must a attach a legible copy of your photo ID, eg: a Passport or Driver’s Licence.

PKW is not responsible if the bank account provided is incorrect, therefore, please attach a bank confirmation of the account number.





Australian account holders, read this first:

Electronic transfers to Australia incur an international bank charge of up to NZ$43. Only dividends greater than $100 will be paid. PKW does not transfer dividends to Beneficiary Banks eg: Credit Unions, Teachers or Policy and Nurses Unions etc and, the Australian SWIFT Code is mandatory.

Photo ID Upload (required)
JPG or PDF smaller than 2MB

Account Confirmation Upload (required)
JPG or PDF smaller than 2MB




If you are supplying your bank account, you must a attach a legible copy of your photo ID, eg: a Passport or Driver’s Licence.

PKW is not responsible if the bank account provided is incorrect, therefore, please attach a bank confirmation of the account number.


Please sign

If there is more than one executor, administrator or trustee, a second authorised signatory must also sign this section.






Please draw your signature in the box below:





Please draw your signature in the box below: