TPCU Automated Clearing House (ACH) Online Form

TPCU Automated Clearing House (ACH) Online Form

TRINTOC (PENAL) CREDIT UNION CO-OPERATVE SOCIETY LIMITED

90A Clarke Road, Penal, 710424, Trinidad, West Indies Tel: (868) 270-7966, 270-7964, 333-0605, 348-5584 * email: info@trintocpenalcu.com MEMBER AUTOMATED CLEARING HOUSE (ACH)/ONLINE TRANSFER FORM This process facilitates the transfers of monies directly into your bank account.

Full Name*

Full Name as indicated in your bank statement.

Current Address*

Home Telephone Number

Mobile Number*

Email Address*

Passport No.

If National ID or Driver's Permit not available.

National ID Number*

Driver's Permit Number

Nationality*

Country of Residence

BANK INFORMATION

Bank Name*

Amount to be transferred ($) TTD*

Type of Account*

Select

Account Number*

Please you ensure the correct number.

MEMBER’S DECLARATION

Declaration

I, ___________________________________________________________________confirm that the information provided to the Trintoc (Penal) Credit Union Co-operative Society Limited is true and correct to the best of my knowledge. I agree to adhere to the Bye-laws and rules governing the operations of the Credit Union, to use the services of the Credit Union for valid purposes only and to refrain from using the services for the purpose of Money Laundering and / or Terrorist Financing.

Signature of Member

You are required to visit the Trintoc (Penal) Credit Union office to sign this form. Note: This document would be considered incomplete without your signature.

FOR OFFICIAL USE ONLY

File Upload

Required Documents 1. National ID 2. Bank Statement (Showing Name and Account Number) Note: These Documents can be submitted to the TPCU office when visiting to sign this document.

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