THE CONSORTIUM OF THE RETIREMENT SAVINGS VEHICLE FOR EUROPEAN RESEARCH INSTITUTIONS ("RESAVER CONSORTIUM") , AN INTERNATIONAL NOT-FOR-PROFIT ORGANISATION UNDER BELGIAN LAW Application for membership form If you wish to apply to become a Full or Associate Member of the Consortium of the Retirement Savings Vehicle for European Research Institutions ("RESAVER Consortium") please complete this form in full, entering n/a where sections are not applicable. The admission or otherwise as a Full or Associate Member is subject to approval by the General Assembly and will, in general, be actioned at one of the General Assembly's regular annual meetings. Details of applicant Membership of the RESAVER Consortium is granted to legal entities rather than natural persons. The legal entity is represented by a natural person who is qualified to represent a Member in accordance with the applicable legal provisions. This application for membership should be signed by a natural person who is qualified to represent a Member (the "authorised signatory"). The authorised signatory may give power of attorney to other natural persons (the "authorised proxies") to attend and vote (if applicable) at meetings of the RESAVER Consortium. Company information Company name: Country of incorporation: Address of registered office: Company registration number: VAT number: Authorised signatory Full name: Position at company: Authorised proxies Proxy 1: Proxy 2: Proxy 3: Main contact Name of main contact person: Email address for correspondence: Postal address for correspondence: Description of primary business activities Please provide a description of your primary business activities and how these relate to research. Declaration We hereby apply to become a Full / Associate1 Member of the Consortium of the Retirement Savings Vehicle for European Research Institutions ("RESAVER Consortium"), established as an international not-for-profit organisation under Belgian law on 1st October 2014. We confirm to have read the bylaws and subscribe to act in accordance with them and the Internal Regulations of the Association. In case of application to become a Full or Associate Member, we confirm that: We apply to join RESAVER2 and therefore apply to become a Full Member Or We do not apply to join RESAVER and therefore apply to become an Associate Member And We are an organisation employing Professionals, with our registered address in the European Economic Area Or We are an organisation delegated to legally represent organisations registered in the European Economic Area employing Professionals Or We are an organisation representing academic institutions or research organisations without a legal capacity to do so in terms of employer benefits, with our registered address in the European Economic Area Note that "Professionals" are defined as professionals employed by research organisations within the EEA and includes qualified employees or contractual agents of an institution whose primary activity shall include research and employees or contractual agents that support such qualified employees or contractual agents. By way of demonstration, but not limitation, this would be a researcher, scientist, engineer, technician, or administrator. 1 Delete as appropriate Option only available once RESAVER is operational. Until RESAVER is operational all applications must be for Associate Members. 2 Submission of application Once completed, please return this form to RTD-PENSION-FUND@ec.europa.eu or post to: RESAVER Consortium c/o Thierry Verkest Aon Hewitt Rue Jules Cockxstraat 8 – 10, 1160 Brussels Belgium Please make sure that you include in your application copies of the following documents: Completed Application for membership form Information on the background of the applicant, a copy of the bylaws or an extract of the certificate or equivalent document from a national public authority providing information on the legal status and legal representative of the applicant. Completed forms for joining RESAVER (only applicable for applications for Full Membership)3 Completed proxy forms (only applicable if authorised proxies are being nominated in this form) 3 Forms not currently available