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Page 1 of 4September 2012
Scotiabank Student GIC Program (SSGP) Application Form
City Address Telephone #
Scotiabank Branch in India
Mumbai Ground Floor, Mittal Tower, ‘B’ Wing, Nariman Point, Mumbai 400 021 91-22-66364200
KMB Branches in India
Chandigarh S.C.O. 153-154-155, Sector 9 – C, Madhya Marg, Chandigarh – 160 017 (0172) 5008600
Chandigarh Ground Floor, S.C.O. 335–336, Sector 35B Chandigarh (0172) 4051300/19
Ahmedabad Bungalow 1, Paras–II, Nr. Auda Garden, Prahladnagar, Ahmedabad, Gujarat – 380 015 (079) 40056086
Bengaluru The Pinnacle, Ground Floor, No. 8, 5th Block, Koramangala, Bengaluru, Karnataka – 560 095 (080) 66330200
Delhi J–13/65, Rajouri Garden, New Delhi – 100 027 (011) 45656278
In this application form, “customer”, “you” and “your” mean the Study Permit/Visa applicant.
“we”, “our”, “us” and “Scotiabank” mean The Bank of Nova Scotia.
Instructions for completing this application form:
1.	 Complete all of the required information in Section A and B.
2.	 Include with this application a copy of:
a.	a valid passport and sign each page (including pages showing place/date of issue, photograph and
signature); and
b.	your Letter of Acceptance from a Designated College or University that is a member institution of the
Association of Canadian Community Colleges (ACCC)
3.	 Read the GIC Terms and Conditions attached to this application.
4.	 Sign and date this application.
Submit this application with all supporting documents to Scotiabank by scanning and emailing to
newaccounts@scotiabank.com. Students must indicate “Scotiabank Student GIC Program” on subject line.
Or you can mail a completed application to the following address:
Scotiabank – Multicultural Banking, Attn: SSGP
44 King Street West, 15th
Floor
Toronto, ON M4H 1H1 Canada
For assistance, you may address queries to the Scotiabank, Mumbai and KMB branches.
Page 2 of 4September 2012
	 Personal Information (required)
First Name (Legal)
Last Name (Legal)
Birth Date (YYYY/MM/DD)
Personal Email Address
Current Address
Current Phone Number
(please include country/city code)
City and Province of Arrival
in Canada
Expected Date of Arrival
in Canada
Name of Designated
Community College
or University
Guaranteed Investment Certificate – Summary
Issuer Scotiabank
Interest Payment Annual interest paid on maturity
Investment Amount $10,000 CAD
Term 1 year
Issue Date The date the funds (including principal amount and applicable fees) are received by Scotiabank via wire transfer
Annual Interest Rate Posted rate on the Issue Date (current rates can be found at http://www.scotiabank.com/ca/en/0,,1115,00.html)
Disbursement Details
Initial payment of $2,000 will be made when you arrive in Canada and provide suitable verifiable identification
to Scotiabank. Four subsequent payments of $2,000 will be made every 2 months thereafter, until the funds are
depleted.
Note:
Following receipt of this application form, Scotiabank will send you an email with wire transfer instructions to enable you
to purchase the GIC. You will be required to remit 10,000 CAD plus 50 CAD in administrative fees to Scotiabank.
A confirmation of the GIC details (such as issue date, maturity date, and interest rate) will be sent to you via encrypted
e-mail within 3 business days after receipt of your wire payment. You should submit a copy of this confirmation to the
Canadian High Commission along with your Study Permit Application. You are also responsible for printing or downloading
a copy of this GIC confirmation, delivered to you electronically, for your records.
	 Passport Information (required)
Passport Number
Country of Issue
Expiry Date
Page 3 of 4September 2012
If the Study Permit application is rejected by the applicable Canadian High Commission Office, please provide a copy of the
Refusal Letter from the Canadian High Commission (“CHC”) and the GIC account number to Scotiabank (scan and email a
copy to studentgic@scotiabank.com) in order to have your GIC cashed out and get the refund. Upon receipt of confirmation
from the CHC, Scotiabank will refund the GIC amount to your account in India.
To speak to a Scotiabank representative about the GIC or this program, you can contact us at:
Email: studentgic@scotiabank.com
By signing below:
Customer
(print full name)
Customer’s Signature
Date
•	You are applying to purchase the GIC upon the terms set out in this application, including the GIC Terms
and Conditions attached.
•	You agree that the payments you receive from the GIC will be used to pay tuition fees for the first year
of studies in Canada.
•	You confirm that the information you have given is true and complete.
•	You acknowledge that email is not a secure means of communication and therefore there are risks
involved in emailing your application form and other documents that include your personal and other
sensitive information to Scotiabank branches in Canada.
•	You agree to check the interest rate of the GIC at www.scotiabank.com/rates on the day that you send
your wire payment.
•	You authorize Scotiabank to send you the GIC confirmation to the personal email address you have
provided in this application form following the successful purchase of your GIC. The GIC confirmation
will include details such as the principal amount, term and interest rate will be included in the email.
•	You authorize Scotiabank to send your name, date of birth, and passport number to the Canadian High
Commission (“CHC”) following the successful purchase of your GIC. The CHC will use this information
for the administration of the SSGC.
•	You confirm that you have reviewed the following documents online through www.scotiabank.com:
→	Privacy Agreement and Brochure – http://www.scotiabank.com/ca/en/0,,351,00.html
→	Investment Companion Booklet – www.scotiabank.com/ca/en/files/12/05/investment_companion_
booklet.pdf
•	You consent to receiving the above documents in an electronic format at the links provided above
and through this application form only, and acknowledge that you have read and agree to the terms
and conditions set out in those documents as they apply to you. You are responsible for printing or
downloading a copy of these documents for your records. You acknowledge and agree that all documents
relating to the application will be drawn up in English or French depending on your prior selection.
•	You acknowledge that the GIC is not transferrable.
•	You confirm that this account is being opened for your benefit and will not be used to conduct business
on behalf of another party.
Page 4 of 4September 2012
® Registered trademarks of The Bank of Nova Scotia.
Terms and Conditions
General
“You” and “Your” mean the applicant for the GIC.
“We”, “our”, “us” and “Scotiabank” mean The Bank
of Nova Scotia, the  issuer of the GIC. “CAD” means
Canadian dollars.
Eligibility
To be eligible to purchase the SSGP Guaranteed
Investment Certificate (“GIC”), you are required to
have been accepted to  an educational institution that
is a member of the Association of Canadian Community
Colleges (the “Canadian Educational Institution”)
and have provided suitable verifiable identification
to Scotiabank.
Product Information
Purchase Amount/(Starting Principal): 10,000  CAD
Interest Rate: The Interest Rate is Scotiabank’s posted
rate for a 1-year cashable guaranteed investment
certificate on the Issue Date. The current rate on any day
can be found at http://www.scotiabank.com/rates.
Term: One year.
Issue Date: The Issue Date is the date that we receive
your wire transfer for the Purchase Amount plus
applicable fees. If  the date that we receive your wire
transfer is not a business day, the Issue Date will be the
next business day.
Maturity Date: One year after the Issue Date.
Calculation of Interest
Interest is accrued daily on the principal balance at the
end of each day during the Term, including the leap day
in a leap year, but not the Maturity Date. If the Maturity
Date falls on a holiday or Sunday the Term will be
extended to the next business day and interest will be
accrued up to but not including that next business day.
If any part of the principal, including the initial principal
payment of 2,000 CAD (see “GIC Payments” below),
is redeemed within 30 days of the Issue Date, no interest
is earned or paid on that part of the principal.
Payments of Principal and Interest
All payments of principal and interest will be paid to your
Scotiabank personal deposit account that you must open
at a Scotiabank branch after your arrival in Canada* in
accordance with the following schedule:
•	Initial principal payment of 2,000 CAD on the
day the Scotiabank personal deposit account
is  opened.
•	Four (4) subsequent principal payments of
2,000 CAD will be made every two months
beginning two months after the initial payment
was made. Any principal balance remaining on
the Maturity Date will be paid to you on the
Maturity Date.
•	Accrued interest will be paid on the Maturity
Date, or if the Maturity Date falls on a holiday or
Sunday, the next business day.
*	You must present identification acceptable to us in
order to open the personal deposit account.
No GIC Redemption
A full redemption of the outstanding principal of
your GIC cannot occur prior to the Maturity Date
unless you provide us with proof that (i) your Study
Permit application has been declined by the applicable
Canadian High Commission Office; (ii) your application
to admission to a Canadian Educational Institution
has been declined; or (iii) you have withdrawn from
enrollment at the Canadian Educational Institution after
your arrival in Canada. Upon proof of any of these events,
we will redeem the outstanding principal plus, for GICs
outstanding for more than thirty days, any accumulated
interest. The amount to be refunded will be transferred
to the bank account in your country from which your
original payment was remitted.
Fees
In addition to the 10,000 CAD principal amount, you
are required to remit an additional 50 CAD for a total of
10,050 CAD. The 50 CAD fee is for purposes of covering
administrative expenses.

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Pures College Of Technology gic application form scotiabank

  • 1. Page 1 of 4September 2012 Scotiabank Student GIC Program (SSGP) Application Form City Address Telephone # Scotiabank Branch in India Mumbai Ground Floor, Mittal Tower, ‘B’ Wing, Nariman Point, Mumbai 400 021 91-22-66364200 KMB Branches in India Chandigarh S.C.O. 153-154-155, Sector 9 – C, Madhya Marg, Chandigarh – 160 017 (0172) 5008600 Chandigarh Ground Floor, S.C.O. 335–336, Sector 35B Chandigarh (0172) 4051300/19 Ahmedabad Bungalow 1, Paras–II, Nr. Auda Garden, Prahladnagar, Ahmedabad, Gujarat – 380 015 (079) 40056086 Bengaluru The Pinnacle, Ground Floor, No. 8, 5th Block, Koramangala, Bengaluru, Karnataka – 560 095 (080) 66330200 Delhi J–13/65, Rajouri Garden, New Delhi – 100 027 (011) 45656278 In this application form, “customer”, “you” and “your” mean the Study Permit/Visa applicant. “we”, “our”, “us” and “Scotiabank” mean The Bank of Nova Scotia. Instructions for completing this application form: 1. Complete all of the required information in Section A and B. 2. Include with this application a copy of: a. a valid passport and sign each page (including pages showing place/date of issue, photograph and signature); and b. your Letter of Acceptance from a Designated College or University that is a member institution of the Association of Canadian Community Colleges (ACCC) 3. Read the GIC Terms and Conditions attached to this application. 4. Sign and date this application. Submit this application with all supporting documents to Scotiabank by scanning and emailing to newaccounts@scotiabank.com. Students must indicate “Scotiabank Student GIC Program” on subject line. Or you can mail a completed application to the following address: Scotiabank – Multicultural Banking, Attn: SSGP 44 King Street West, 15th Floor Toronto, ON M4H 1H1 Canada For assistance, you may address queries to the Scotiabank, Mumbai and KMB branches.
  • 2. Page 2 of 4September 2012 Personal Information (required) First Name (Legal) Last Name (Legal) Birth Date (YYYY/MM/DD) Personal Email Address Current Address Current Phone Number (please include country/city code) City and Province of Arrival in Canada Expected Date of Arrival in Canada Name of Designated Community College or University Guaranteed Investment Certificate – Summary Issuer Scotiabank Interest Payment Annual interest paid on maturity Investment Amount $10,000 CAD Term 1 year Issue Date The date the funds (including principal amount and applicable fees) are received by Scotiabank via wire transfer Annual Interest Rate Posted rate on the Issue Date (current rates can be found at http://www.scotiabank.com/ca/en/0,,1115,00.html) Disbursement Details Initial payment of $2,000 will be made when you arrive in Canada and provide suitable verifiable identification to Scotiabank. Four subsequent payments of $2,000 will be made every 2 months thereafter, until the funds are depleted. Note: Following receipt of this application form, Scotiabank will send you an email with wire transfer instructions to enable you to purchase the GIC. You will be required to remit 10,000 CAD plus 50 CAD in administrative fees to Scotiabank. A confirmation of the GIC details (such as issue date, maturity date, and interest rate) will be sent to you via encrypted e-mail within 3 business days after receipt of your wire payment. You should submit a copy of this confirmation to the Canadian High Commission along with your Study Permit Application. You are also responsible for printing or downloading a copy of this GIC confirmation, delivered to you electronically, for your records. Passport Information (required) Passport Number Country of Issue Expiry Date
  • 3. Page 3 of 4September 2012 If the Study Permit application is rejected by the applicable Canadian High Commission Office, please provide a copy of the Refusal Letter from the Canadian High Commission (“CHC”) and the GIC account number to Scotiabank (scan and email a copy to studentgic@scotiabank.com) in order to have your GIC cashed out and get the refund. Upon receipt of confirmation from the CHC, Scotiabank will refund the GIC amount to your account in India. To speak to a Scotiabank representative about the GIC or this program, you can contact us at: Email: studentgic@scotiabank.com By signing below: Customer (print full name) Customer’s Signature Date • You are applying to purchase the GIC upon the terms set out in this application, including the GIC Terms and Conditions attached. • You agree that the payments you receive from the GIC will be used to pay tuition fees for the first year of studies in Canada. • You confirm that the information you have given is true and complete. • You acknowledge that email is not a secure means of communication and therefore there are risks involved in emailing your application form and other documents that include your personal and other sensitive information to Scotiabank branches in Canada. • You agree to check the interest rate of the GIC at www.scotiabank.com/rates on the day that you send your wire payment. • You authorize Scotiabank to send you the GIC confirmation to the personal email address you have provided in this application form following the successful purchase of your GIC. The GIC confirmation will include details such as the principal amount, term and interest rate will be included in the email. • You authorize Scotiabank to send your name, date of birth, and passport number to the Canadian High Commission (“CHC”) following the successful purchase of your GIC. The CHC will use this information for the administration of the SSGC. • You confirm that you have reviewed the following documents online through www.scotiabank.com: → Privacy Agreement and Brochure – http://www.scotiabank.com/ca/en/0,,351,00.html → Investment Companion Booklet – www.scotiabank.com/ca/en/files/12/05/investment_companion_ booklet.pdf • You consent to receiving the above documents in an electronic format at the links provided above and through this application form only, and acknowledge that you have read and agree to the terms and conditions set out in those documents as they apply to you. You are responsible for printing or downloading a copy of these documents for your records. You acknowledge and agree that all documents relating to the application will be drawn up in English or French depending on your prior selection. • You acknowledge that the GIC is not transferrable. • You confirm that this account is being opened for your benefit and will not be used to conduct business on behalf of another party.
  • 4. Page 4 of 4September 2012 ® Registered trademarks of The Bank of Nova Scotia. Terms and Conditions General “You” and “Your” mean the applicant for the GIC. “We”, “our”, “us” and “Scotiabank” mean The Bank of Nova Scotia, the  issuer of the GIC. “CAD” means Canadian dollars. Eligibility To be eligible to purchase the SSGP Guaranteed Investment Certificate (“GIC”), you are required to have been accepted to  an educational institution that is a member of the Association of Canadian Community Colleges (the “Canadian Educational Institution”) and have provided suitable verifiable identification to Scotiabank. Product Information Purchase Amount/(Starting Principal): 10,000  CAD Interest Rate: The Interest Rate is Scotiabank’s posted rate for a 1-year cashable guaranteed investment certificate on the Issue Date. The current rate on any day can be found at http://www.scotiabank.com/rates. Term: One year. Issue Date: The Issue Date is the date that we receive your wire transfer for the Purchase Amount plus applicable fees. If  the date that we receive your wire transfer is not a business day, the Issue Date will be the next business day. Maturity Date: One year after the Issue Date. Calculation of Interest Interest is accrued daily on the principal balance at the end of each day during the Term, including the leap day in a leap year, but not the Maturity Date. If the Maturity Date falls on a holiday or Sunday the Term will be extended to the next business day and interest will be accrued up to but not including that next business day. If any part of the principal, including the initial principal payment of 2,000 CAD (see “GIC Payments” below), is redeemed within 30 days of the Issue Date, no interest is earned or paid on that part of the principal. Payments of Principal and Interest All payments of principal and interest will be paid to your Scotiabank personal deposit account that you must open at a Scotiabank branch after your arrival in Canada* in accordance with the following schedule: • Initial principal payment of 2,000 CAD on the day the Scotiabank personal deposit account is  opened. • Four (4) subsequent principal payments of 2,000 CAD will be made every two months beginning two months after the initial payment was made. Any principal balance remaining on the Maturity Date will be paid to you on the Maturity Date. • Accrued interest will be paid on the Maturity Date, or if the Maturity Date falls on a holiday or Sunday, the next business day. * You must present identification acceptable to us in order to open the personal deposit account. No GIC Redemption A full redemption of the outstanding principal of your GIC cannot occur prior to the Maturity Date unless you provide us with proof that (i) your Study Permit application has been declined by the applicable Canadian High Commission Office; (ii) your application to admission to a Canadian Educational Institution has been declined; or (iii) you have withdrawn from enrollment at the Canadian Educational Institution after your arrival in Canada. Upon proof of any of these events, we will redeem the outstanding principal plus, for GICs outstanding for more than thirty days, any accumulated interest. The amount to be refunded will be transferred to the bank account in your country from which your original payment was remitted. Fees In addition to the 10,000 CAD principal amount, you are required to remit an additional 50 CAD for a total of 10,050 CAD. The 50 CAD fee is for purposes of covering administrative expenses.