band member benefit Program

Paqtnkek First Nation Registered Band Members who are 18 as of December 31st, will be eligible for $500 per person. Anybody under the age of 18 will be eligible for $300 (held in trust). Applications must be fully completed by December 9th to ensure that all direct deposits are processed on time.

Benefit Program Application

Phone
This field is for validation purposes and should be left unchanged.
Personal Information
- Name*
- Paqtnkek Band Number*
Date of Birth*
DD slash MM slash YYYY
Email*
Address*
Street Address Address Line 2 City Province Postal Code
Direct Deposit Banking Information
If you have updated banking information, please provide us with the new banking information. If there were no changes, finance will use the banking information on file.
Institution Number | 3 digits
Transit Number | 5 digits
Account Number | 6 to 16 digits
Trust Fund
List all your children along with their band number and date of birth.
Tip: Please use the plus sign on the right hand side to add another dependant.
List
Name of Dependant Band Number (10 Digits) Date of Birth
Signature
By signing this I certify that I am registered band member of Paqtnkek Mi’kmaw Nation to verify and use the above information to process my application for Paqtnkek Mi’kmaw Nation Member Benefit Program.
Signature of Applicant*
Typed Signature*
Application Date
MM slash DD slash YYYY

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