Merchant Facility. Application - Australia. Important Notes

Size: px
Start display at page:

Download "Merchant Facility. Application - Australia. Important Notes"

Transcription

1 Merchant Facility Application - Australia Important Notes 1. If this application is incomplete, or we have not received all of the required supporting documents, we cannot begin to process your application. If you have any questions about completing this application please call us; IBO Card Services Support: (option 3) 2. This application document is only valid for 90 days from the day you sign and date it. If your Merchant Facility is not approved and activated within this time you may be required to submit a new application, and you may be liable for any expenses incurred by Xplore Capital; 3. All IBOships applying must have at least one active address as all transaction reports and Merchant correspondence will be via ; and 4. This Merchant Facility accepts Bankcard, MasterCard, Visa and American Express cards only and is operated online in real-time via a telephone service (fixed or mobile) or the Internet. There is no Merchant Terminal or device supplied with this facility.

2 Information Required to Complete this Application ALL applicants are required to provide the following information: 1. Current registered IBO number; 2. Contact details for all individuals/company directors/trustees applying for this facility; 3. Drivers Licence details (non drivers to supply a photocopy of one of the following: current passport, telephone account or rates notice in their name); 4. Registered business trading name & ABN or registered company name, ACN & ABN (if applicable); 5. Active address; 6. Your Xplore Capital loan number/s (if you are a current mortgage loan client); and 7. Existing Merchant Facility details (another Provider) and photocopies of the previous 6 months statements (if applicable). Merchant Facility Application & Establishment Process The establishment of your Merchant Facility is a three (3) step process that will take approximately twentyone (21) days to complete provided the required information is provided in full and in a timely manner. Step 1: Application 1. 1.Complete the online application, print and forward the Application (this form) with required supporting documentation to: XPLORE CAPITAL 46 Carrington Road Castle Hill NSW The application is checked and processed. If necessary, you will be contacted via to request additional information; and 3. On approval, a Merchant Facility Offer is sent, which will include the Merchant Facility Agreement. Step 3: Registration 1. Complete and forward the Agreement (with supporting documentation) to the above address; 2. The agreement is checked and processed. If necessary, you will be contacted via to request additional information; 3. Your Merchant Account is created and the Annual Merchant Account Fee is direct debited from your nominated bank account; and 4. A Welcome is sent which includes your Merchant Account number, initial Security Code and instructions on how to activate your Merchant Account. Step 4: Activation 1. Your Merchant Account must be activated online within 14 days of receipt of the Welcome via the Xplore Capital website 2. Follow the instructions outlined in the Welcome ; and 3. Once activated, you are ready to commence processing credit card payments via the website or telephone service. Page 2 of 7

3 Privacy Acknowledgement and Consent I/We acknowledge that I/we have made an application for Credit Card Merchant Facilities from Xplore Capital. Xplore Capital may use the personal information I/we provide for the purpose of providing credit and subject to the provisions of the Privacy Act, I/we may have access to personal information collected and held by Xplore Capital, and the 3rd Party Service Providers noted in the Schedule. I/We may contact these companies for access to my/our personal information held (if any) by contacting the Privacy Officer at the address or in the manner disclosed in the Schedule. Authority to Exchange Information with other Credit Providers In accordance with Section 18N(1)(b) of the Privacy Act, I/we authorise Xplore Capital to give and obtain from credit providers that may be named in a credit report issued by a credit reporting agency, information about my/our credit arrangements. I/We understand this information can include any information about my/our credit worthiness, standing, history or capacity that credit providers are allowed to give or receive from each other under the Privacy Act The 3rd Party Service Providers will be collecting any such personal information about me/us for the purposes of: Assessing the risk of me/us being unable to meet a liability that might arise under a guarantee entered into, or proposed to be entered into, in respect of Credit Card Merchant Facility given (or to be given) by the 3rd Party Service Provider to another person; Risk assessment and management involving credit scoring, portfolio analysis, reporting and fraud prevention and claim recovery; and Complying with legislative and regulatory requirements. By signing the acknowledgment, I/we agree and consent to the 3rd Party Service Providers using and disclosing the personal information it collects about me/us for the purposes set out above (subject to any restrictions imposed on the 3rd Party Service Providers by Privacy Act 1988). The 3rd Party Service Providers will usually or may disclose personal information of the kind it collects about me/us to: its related companies; insurers; credit reporting agencies; its service providers; its agents, contractors, and external advisers; government and other regulatory bodies; ratings agencies; payment system operators; and other financial institutions, securitisers and credit providers. SCHEDULE 1. In this Notice, the 3rd Party Service Providers means each and every one of the following organisations (whether acting individually or together): IP Payments Pty Ltd ABN Level 2, 37 Little Bourke, Melbourne, Victoria 3000 ValueXchange Pty Ltd ABN Temuka Ave, Brunswick East, Victoria 3057 privacy@valuexchange.com.au Amway of Australia ABN Carrington Road, Castle Hill, New South Wales 2154 (02) Page 3 of 7

4 Applicant Details Applicants personal details must be completed for all individuals currently listed on the IBOship as per Amway of Australia's records. All directors/trustees personal contact details are required if IBOship is registered as a private company or Trust (copy page if necessary). Personal Applicant/Company Director/Trustee Personal Applicant/Company Director/Trustee Title Given Name(s) Title Given Name(s) Surname Drivers Licence Number Surname Drivers Licence Number Date of Birth Marital Status Date of Birth Marital Status / / / / Telephone (hm) ( ) ( ) Telephone (wk) Telephone (hm) ( ) ( ) Telephone (wk) Fax Mobile Fax Mobile ( ) ( ) Address Address Current Residential Address Current Residential Address Unit Name Unit Name Postal Address (if different to residential) Postal Address (if different to residential) P.O. Box Name P.O. Box Name Previous Residential Address (if less than 3 at current) Previous Residential Address (if less than 3 at current) Unit Name Unit Name Page 4 of 7

5 Company or Trust Applicant Details (if applicable) To be completed if the registered IBOship is in a private company name or a Trust. Name of Company/Trust Must match registered IBOship details Registered Business Name CAN ABN Name/s of registered Owners/Directors/Trustees Title Surname NOTE: All listed Owners/Directors/Trustees personal details are to be provided (copy page 4 if required). Business Address Unit Name Postal Address P.O. Box Name (if different from above) Business Contact Details Title Surname Given Name/s Position Telephone Fax Loan ID Number/s or Loan Number/s Xplore Capital Loan Details (if applicable) Existing Merchant Facility Details (if applicable) To be completed if IBO currently has an existing Merchant Facility from a financial institution. Existing Merchants to provide copies of last six months Merchant Facility statements Type of goods and services sold Period Merchant Facility has been in operation Page 5 of 7

6 Declaration, Authorisation and Acknowledgement Have you ever had a Merchant Facility refused or terminated by any Bank or under any Card Scheme? No Yes Provide details: I/We declare that I/we are over the age of 18 and the information contained in this application is true and correct in every particular and it is upon this basis that I/we make this application for this Merchant Facility. I/We also confirm my/our agreement to the matters set out above. I/We have read and accept the Privacy Acknowledgement and Consent on page 3 of this form and consent to such use and disclosure of my personal information. I/We understand that I/we may indicate that my/our consent does not apply to the use or disclosure of personal information for your marketing purposes. Print name Date Print name Date Print name Date Print name Date A tick () in the box indicates that I/we do not wish to receive marketing information from Xplore Capital LTD. Page 6 of 7

7 Checklist & Lodgement Instructions Applicants must provide the following documentation with this Application and forward to: XPLORE CAPITAL 46 Carrington Road Castle Hill NSW 2154 All Applicants Completed pages 4 & 6 (signatures required on page 6), and Legible photocopy of current Australian drivers licence (front & back) for all individuals listed on the application. Non-drivers to provide a photocopy of one of the following: Passport, current telephone account or rates notice in their name. Private Company/Trust Applicants Completed Company and Trust Details section of page 5 and personal details for all directors/trustees (copy page 4 if necessary). Current Xplore Capital Mortgage Clients Completed Xplore Capital Loan Details section of page 5. IBOs with an Existing Merchant Facility (with another financial Institution) Completed Existing Merchant Facility Details section of page 5, and copies of the past 6 months Merchant Facility statements. Application Checklist OFFICE USE ONLY Decision/Action Y N NA Current Amway IBO registration Good Amway trade reference Address Identification OK Declaration signed Clear Credit Check Merchant Facility previously refused Loan conduct OK Past 6 months merchant facility conduct OK Merchant Plan BP BEP BEXP BC BEC BEXC Page 7 of 7

SHORT TERM LOAN APPLICATION FORM

SHORT TERM LOAN APPLICATION FORM ACN 150 013 513 Australia s Fastest National Caveat Loan Lender Tel: (03) 9017 6611 Fax: (03) 8648 6328 Email: apply@homesec.com.au Web: www.homesec.com.au SHORT TERM LOAN APPLICATION FORM BORROWERS COMPANY

More information

Macquarie Mortgages Application for Finance

Macquarie Mortgages Application for Finance Macquarie Mortgages Application for Finance New application (stand-alone deal) Variation Principal increase Personal Details Applicant 1 Personal Details Applicant 2 Borrower Guarantor (please tick one

More information

Next of Kin: please provide details of preferred person to be contacted in the event of an emergency Name Relationship Hm. 1.

Next of Kin: please provide details of preferred person to be contacted in the event of an emergency Name Relationship Hm. 1. PERSONAL DETAILS Name Marital Status DOB Property Weekly Rent Term of Tenancy Occupation Date No. of Adults Ages of Children Pets Type No Registered Car Rego No Drivers Lic No Home ph Email Mobile Wk Current

More information

CREDIT CARD APPLICATION

CREDIT CARD APPLICATION 1. CREDIT CARD REQUEST DETAILS New application: Requested increase: I would like a McGrath Pink Visa Card: Limit increase: Balance transfer: Total limit requested: 2. APPLICANT DETAILS Membership number:

More information

BUSINESS LOAN APPLICATION FORM.

BUSINESS LOAN APPLICATION FORM. BUSINESS LOAN APPLICATION FORM. For any enquiries contact us on 1300 658 108 Mon to Fri 9am-5pm (AEST/AEDT) Mail to New Accounts - Business Banking, ME Bank, Reply Paid 1345, Melbourne, Victoria 8060.

More information

ASSET FINANCE APPLICATION.

ASSET FINANCE APPLICATION. ASSET FINANCE APPLICATION. For all enquiries please contact us on 1300 658 108 Mon to Fri 9am-5pm (Melbourne time) or email us at business@mebank.com.au Visit mebank.com.au Please complete this form and

More information

Visa Credit Card Application

Visa Credit Card Application Visa Credit Card Application How did you hear about our Credit Card product? Primary Member No. (if applicable) Joint Member No. (if applicable) Your Credit Card Details Is this application to increase

More information

Macquarie Mortgages Application for Finance

Macquarie Mortgages Application for Finance Macquarie Mortgages Application for Finance Personal Details Applicant 1 Applicant 2 Borrower Guarantor (please tick one only) Title First name Surname Middle name Date of birth / / Sex F/M Marital Status

More information

Commercial Cards Application

Commercial Cards Application Commercial Cards Application Apply for a Commercial Card Information you ll need to supply (it is recommended this information is supplied at the same time the application form is submitted to avoid unnecessary

More information

Loan / overdraft application

Loan / overdraft application Loan / overdraft application Loan details Loan 1 Type q Personal q Home q Mortgage Line of Credit Loan purpose This loan is predominantly for Amount required $ for a term of yrs at a rate of % p.a. Home

More information

DEBTOR FINANCE. Please FAX signed application form back to Nova Business Finance on 1300 138 187

DEBTOR FINANCE. Please FAX signed application form back to Nova Business Finance on 1300 138 187 DEBTOR FINANCE Please FAX signed application form back to va Business Finance on 1300 138 187 va Business Finance is pleased to accept your application with a view to providing you with a solution to your

More information

PRIVACY NOTICE AND CONSENT

PRIVACY NOTICE AND CONSENT Australian Credit Licence Number 387406 PRIVACY NOTICE AND CONSENT This privacy notice and consent relates to an application (the application) you make to a mortgage manager for a loan (your loan) or in

More information

RESIDENTIAL TENANCY APPLICATION

RESIDENTIAL TENANCY APPLICATION RESIDENTIAL TENANCY APPLICATION 1/53 Gawain Rd Bracken Ridge QLD 4017 P 07 3261 5122 F 07 3261 5144 E brackenridge@cotteerealestate.com.au 1/10 Third Ave Sandgate QLD 4017 P 0736319600 F 0736319696 E sandgate@cotteerealestate.com.au

More information

Home Loan and/or Top Up Application

Home Loan and/or Top Up Application Home Loan and/or Top Up Application How to use this form This form allows you to apply for a new Home Loan and/or apply for a Top-up to obtain additional funds on your existing Maxis Loan. We are here

More information

Key Facts About Credit Cards

Key Facts About Credit Cards December 2014 Key Facts About Credit Cards Talk to the world s leading food and agribusiness bank Rabobank Australia Limited ABN 50 001 621 129 AFSL 234 700 Australian Credit License 234 700 To contact

More information

Full name of business. ABN Years in business. Business structure (eg. Company/Trust/Partnership/Incorporation etc.)

Full name of business. ABN Years in business. Business structure (eg. Company/Trust/Partnership/Incorporation etc.) Application for Business Credit Card www.heritage.com.au Phone 13 14 22 Fax (07) 4694 9782 PO Box 190 Toowoomba Qld 4350 Use this form to apply for Business credit card only. Requests for cards to be linked

More information

ANZ Mortgage Broker Distribution Online Supporting Document Kit

ANZ Mortgage Broker Distribution Online Supporting Document Kit Please fax to your state s Broker Unit: VIC, QLD, TAS, NSW, ACT, SA, NT Enquiries 1800 812 785 Fax 1300 139 968 WA Enquiries 1300 367 389 Fax 1300 369 891 Please complete entire application in BLOCK letters

More information

HOME LOAN APPLICATION FORM HOME LOANS/FIXED RATE/VARIABLE RATE HOME EQUITY LOANS

HOME LOAN APPLICATION FORM HOME LOANS/FIXED RATE/VARIABLE RATE HOME EQUITY LOANS HOME LOAN APPLICATION FORM HOME LOANS/FIXED RATE/VARIABLE RATE HOME EQUITY LOANS This is an important document. If you have difficulty understanding English, you must use an interpreter to explain it to

More information

Home Loan Application

Home Loan Application Home Loan Application How did you hear about our home loan product? Primary Member No. (if applicable) Your Loan Details Joint Member No. (if applicable) On approval of this loan please provide me with

More information

Air BP Credit Application

Air BP Credit Application Air BP Credit Application If filling in this form manually, please take care as cross outs or white out on the application will not be accepted. Please mail completed Credit Application forms to: Sales

More information

Business Banking Home Loan Top-Up Application Form

Business Banking Home Loan Top-Up Application Form Business Banking Home Loan p-up Application Form For any enquiries contact 1300 658 108 How to apply Prior to applying for a top-up to your Business Banking Standard Home Loan please ensure your request

More information

Novated Lease Application Form

Novated Lease Application Form Novated Lease Application Form Please complete the following details and fax back with the following documents; Privacy Act Consent Form Letter from employer confirming current employment & salary Evidence

More information

ABN ACN Registration number (including ABN of any Trust) (company applicants only) (incorporated association applicants only) Business phone number:

ABN ACN Registration number (including ABN of any Trust) (company applicants only) (incorporated association applicants only) Business phone number: on 1300 658 108 Mon to Fri 9am-5pm (AEST/AEDT) Mail to New Accounts - Business Banking, ME Bank, Reply Paid 1345, Melbourne, Victoria 8060. Visit mebank.com.au Section 1 - Applicant Details Business Loan

More information

Self-Managed Superannuation Fund (SMSF) Application

Self-Managed Superannuation Fund (SMSF) Application Self-Managed Superannuation Fund (SMSF) Application Section 1 Applicant of Self-Managed Superannuation Fund SMSF ABN Please provide a certified copy of your Self-Managed Superannuation Fund Trust Deed.

More information

Fair Trading will aim to make a decision on your application within 6 weeks after receiving all relevant information from you and other agencies.

Fair Trading will aim to make a decision on your application within 6 weeks after receiving all relevant information from you and other agencies. Application No. OFFICE USE ONLY Form PL-21 ABN 81 913 830 179 Property, Stock and Business Agents Act 2002 Application for a CERTIFICATE OF REGISTRATION FEE: $129.00 - applicable from 1 July 2015 to 30

More information

A P P L I C A T I O N F O R T E N A N C Y

A P P L I C A T I O N F O R T E N A N C Y A P P L I C A T I O N F O R T E N A N C Y Property Applying For IMPORTANT IF YOU ARE SERIOUS ABOUT HAVING YOUR APPLICATION APPROVED, YOU MUST FILL IN ALL THE FIELDS REQUIRED. WHERE FIELDS DO NOT APPLY

More information

ADDITIONAL SUPPORTING INFO FOR ALL LOANS

ADDITIONAL SUPPORTING INFO FOR ALL LOANS INCOME CONFIRMATION - FULL DOC LOANS LO DOC LOANS *All tax file numbers are to be removed from all documents prior to sending the application to avoid delays in processing the application. * (completed

More information

Postcode: Postcode: Australia Business Number (ABN):

Postcode: Postcode: Australia Business Number (ABN): New client form Name of your AJ Park contact: Account name: Trading name: Full name of contact person: Mobile: Street address: Postcode: Postal address (if different from street address): Postcode: Phone:

More information

ABN: 256 523 26121 PH: 07 5592 5800 FAX: 07 5592 5855 DIRECT DEBIT REQUEST - NEW CUSTOMER

ABN: 256 523 26121 PH: 07 5592 5800 FAX: 07 5592 5855 DIRECT DEBIT REQUEST - NEW CUSTOMER DIRECT DEBIT REQUEST - NEW CUSTOMER Business: Kidz Kingdom Childcare Centre ABN/ACN: 46092385343 Customer Reference: *Surname: *First Name: Mobile Phone: *Email: *Address: * indicates a mandatory field.

More information

Home Warranty Insurance Claim Form

Home Warranty Insurance Claim Form Home Warranty Insurance Claim Form General WFI Insurance Limited (ABN 24 000 036 279) trading as Lumley Insurance offers Builders Home Warranty Insurance to owner Builders and Licensed Builders in the

More information

NAB 100% Investment Loan. Client Application

NAB 100% Investment Loan. Client Application NAB 100% Investment Loan Client Application Risk Disclosure Statement There are risks associated with using a NAB 100% Investment Loan Facility to borrow on the security of investments. You should be aware

More information

Public & Products Liability Claim Form

Public & Products Liability Claim Form Public & Products Liability Claim Form IMPORTANT NOTICES Purpose of this Claim Form The completion of this form is to report any incident: Which has the potential to result in an injury, damage and/or

More information

A Hero rate or Zero fees at selected ATMs.

A Hero rate or Zero fees at selected ATMs. A Hero rate or Zero fees at selected ATMs. It s easy to open your Bankwest Hero Transaction account or Bankwest Zero Transaction account. Here s how: Now that you have downloaded the Bankwest Hero Transaction

More information

Property purchase Refinance existing mortgage Land purchase Construction Investing Renovating

Property purchase Refinance existing mortgage Land purchase Construction Investing Renovating imortgage application form imortgage.com.au Office use only Loan writer name Loan writer phone Opportunity ID Loan requirements and objectives My/our requirements and objectives for seeking credit or reviewing

More information

APPLICATION FORM FOR RESIDENTIAL RENTAL PROPERTY

APPLICATION FORM FOR RESIDENTIAL RENTAL PROPERTY APPLICATION FORM FOR RESIDENTIAL RENTAL PROPERTY PROPERTY ADDRESS: RENT P/W: BOND: TERM: 6 MONTH / 12 MONTH COMMENCEMENT DATE: / / In order to process this application all questions must be answered fully.

More information

SHORT TERM FINANCE. Australian Bridging Finance. Consumer Loan Application Form. Introducer. Company name. Contact details

SHORT TERM FINANCE. Australian Bridging Finance. Consumer Loan Application Form. Introducer. Company name. Contact details Australian Bridging Finance SHORT TERM FINANCE Consumer Loan Application Form Introducer Company name Contact details Business phone: Business fax: Business email: BORROWERS DETAILS INDIVIDUAL Surname

More information

Business Telephone Banking Administration form

Business Telephone Banking Administration form Westpac Banking Corporation ABN 33 007 457 141 AFSL 233714 Business Telephone Banking Administration form Our privacy policy is available at westpac.com.au or by calling 132 032 and covers how we handle

More information

Agents financial administration Form 4

Agents financial administration Form 4 Agents financial administration Form 4 Collection agent application for authority to open a trust account Agents Financial Administration Act 2014 Debt Collectors (Field Agents and Collection Agents) Act

More information

BUSINESS/ INVESTMENT - SHORT TERM LOAN APPLICATION

BUSINESS/ INVESTMENT - SHORT TERM LOAN APPLICATION TO: BUSINESS/ INVESTMENT - SHORT TERM LOAN APPLICATION AAGT Private Loans I/We ( Borrower ) hereby submit my/ our application for a Short Term/ Bridging Loan to be made available to me/us/the Company,

More information

Home Warranty Insurance eligibility application

Home Warranty Insurance eligibility application Home Warranty Insurance eligibility application Please ensure all questions are completed and the declaration at the end of this form is signed prior to lodgement with your insurance broker. For any assistance

More information

ALL NATION FINANCE PTY LTD ATF THE ALL NATION UNIT TRUST TRADING AS ALL NATION FINANCE

ALL NATION FINANCE PTY LTD ATF THE ALL NATION UNIT TRUST TRADING AS ALL NATION FINANCE CREDIT GUIDE & QUOTE ALL NATION FINANCE PTY LTD ATF THE ALL NATION UNIT TRUST TRADING AS ALL NATION FINANCE ABN: 68 686 536 129 Address: 10 Lancaster Road, Wangara WA 6065 Australian Credit Licence No:

More information

Public Liability Insurance Claim

Public Liability Insurance Claim LogoUnderwriter STEADFAST GROUP MEMBER Public Liability Insurance Claim National Corporate Broking Pty Ltd Security with Integrity PO Box 461, Penrith NSW 2751 Phone (02) 4721 7737 Fax (02) 4721 7778 Email

More information

Liability Contract Works

Liability Contract Works INSURANCE SOLUTIONS CLAIM FORM Liability Contract Works EXTF062 Call ATC Claims for assistance on 1800 994 694 1. This claim form must be completed by the named insured of the policy. 2. Check all relevant

More information

Bentham Asset Management Application Form. Customer identification. Contact details. Checklist. Use this application form if you wish to invest in:

Bentham Asset Management Application Form. Customer identification. Contact details. Checklist. Use this application form if you wish to invest in: Bentham Asset Management Application Form Use this application form if you wish to invest in: Bentham Wholesale Global Income Fund Bentham Wholesale Syndicated Loan Fund Bentham Wholesale High Yield Fund

More information

business loan and overdraft application

business loan and overdraft application business loan and overdraft application Dnister Ukrainian Credit Co-operative Ltd ABN 59 087 651 394 AFSL / Australian Credit Licence 240673 BSB 704 235 Head Office : 912 Mt Alexander Road, Essendon VIC

More information

Signed Direct card request form (available with Credit Access and NoFin Credit Access products)

Signed Direct card request form (available with Credit Access and NoFin Credit Access products) PAYGSalaried Applicants 2 pay slips (not more than 1 month old) Also include at least one of the following P.A.Y.G. Payment Summary for the last two financial years A letter from the borrower's employer

More information

117 Cimitiere Street, Launceston, Tasmania 7250 Phone: (03) 6333 3678 Fax: (03) 6331 3972 rentals@bushby.com.au www.bushby.com.au

117 Cimitiere Street, Launceston, Tasmania 7250 Phone: (03) 6333 3678 Fax: (03) 6331 3972 rentals@bushby.com.au www.bushby.com.au Tenancy Application 117 Cimitiere Street, Launceston, Tasmania 7250 (03) 6333 3678 Fax: (03) 6331 3972 rentals@bushby.com.au www.bushby.com.au This tenancy application cannot be processed until ALL pages

More information

Fund Restructure Request

Fund Restructure Request Fund Restructure Request SC no. (office use only) Campaign Code (if applicable) The Service About the service For more information Any changes to your fund (e.g. new fund name, adding or removing trustees,

More information

FINANCE APPLICATION / NOVATED LEASE (salary packaging) Liabilities SURPLUS $

FINANCE APPLICATION / NOVATED LEASE (salary packaging) Liabilities SURPLUS $ STREET 9 Roberts St West, Osborne Park, WA, 6017 MAIL PO Box 1493, Osborne Park, WA, 6916 Telephone: 08 6465 5411 Fax: 08 6465 5433 Website: allwestfleet.com.au FINANCE APPLICATION / NOVATED LEASE (salary

More information

Professional Indemnity Insurance and optional Public & Products Liability

Professional Indemnity Insurance and optional Public & Products Liability Advantedge Members (Incorporating PLAN, FAST and CHOICE Members) Professional Indemnity Insurance and optional Public & Products Liability Proposal form 2014-2015 Please return completed proposal form

More information

Contact AMP You can call or fax a Customer Service Officer on Phone 131 267 Fax 1300 301 267

Contact AMP You can call or fax a Customer Service Officer on Phone 131 267 Fax 1300 301 267 getting a home loan? Easy cover for you Loan Cover Product Disclosure Statement Issue 3, 1 January 2012 Loan Cover is issued by AMP Life Limited ABN 84 079 300 379, AFS Licence No. 233671 Loan Cover is

More information

Wholesale Australian Property Fund and Australian Property Fund Application form

Wholesale Australian Property Fund and Australian Property Fund Application form Office use only Wholesale Australian Property Fund and Australian Property Fund Application form Issuer and responsible entity: National Mutual Funds Management Ltd ABN 32 006 787 720, AFSL 234652 National

More information

LOAN APPLICATION FORM

LOAN APPLICATION FORM Please select one of these options Reverse Mortgage Investment Property Mortgage Accommodation Bond Loan LOAN APPLICATION FORM FOR EACH APPLICANT Title: Mr Mrs Ms Miss Other: First name: Middle name: Surname:

More information

Please only use this form when you wish to open a Suncorp Share Trade Account: in your name, or in joint names

Please only use this form when you wish to open a Suncorp Share Trade Account: in your name, or in joint names Stockbroking INDIVIDUAL/JOINT ACCOUNT application form Please only use this form when you wish to open a Suncorp Share Trade Account: in your name, or in joint names In order to process your application

More information

ANZ Royal Bank Internet Banking Business Registration Form

ANZ Royal Bank Internet Banking Business Registration Form Please fill out this form to register a business for ANZ Royal Bank Internet Banking. Once you have completed all sections of this form, please send the original copy to your local ANZ Royal Bank branch.

More information

How does Barnes collect and hold personal information?

How does Barnes collect and hold personal information? Barnes Mortgage Management Pty Ltd ACN 061 590 341 Australian Credit Licence 384 156 Ground Floor, 132 Lutwyche Road (Corner Nicholas Street), Windsor, QLD, 4030 Tel: 07 3622 2400 Fax: 07 3357 9436 Privacy

More information

Application for a Mortgage Loan

Application for a Mortgage Loan Application for a Mortgage Loan Branch Name OFFICE USE ON LY Please print neatly in block letters using black or blue pen Lender s Name Loan Purpose & Term Buy a House Buy Land Buy a Unit Purchase Price/Amount

More information

Stockbroking. INDIVIDUAL/JOINT ACCOUNT application form. Please only use this form to open a trading account: in your name, or in joint names

Stockbroking. INDIVIDUAL/JOINT ACCOUNT application form. Please only use this form to open a trading account: in your name, or in joint names Stockbroking INDIVIDUAL/JOINT ACCOUNT application form Please only use this form to open a trading account: in your name, or in joint names In order to process your application we will need: your completed

More information

Project Application Form All work other than Multiple Dwelling Projects

Project Application Form All work other than Multiple Dwelling Projects HBCF HOME BUILDING COMPENSATION FUND Section 1 - Builder Information Project Application Form All work other than Multiple Dwelling Projects This application is to be completed by Builders & Contractors

More information

Welcome to the Yamaha Motor Finance (YMF) online pre-approval loan application form.

Welcome to the Yamaha Motor Finance (YMF) online pre-approval loan application form. YMF APPLICATION FORM Welcome to the Yamaha Motor Finance (YMF) online pre-approval loan application form. The following form allows you to apply for a pre-approved loan with YMF through your dealer. On

More information

Loan Application Checklist

Loan Application Checklist 22 Delhi Street West Perth WA 6005 PO Box 710 West Perth WA 6872 Tel: 1800 629 948 Fax: 1800 002 881 www.afghomeloans.com.au Loan Application Checklist ALL APPLICATIONS Completed and signed application

More information

Application Form ABN: 63 135 196 397. PO Box 6290 Upper Mt Gravatt, Queensland 4122 Ph: 07 3040 4320 Fax: 07 3343 8590. Email: admin@integrapay.com.

Application Form ABN: 63 135 196 397. PO Box 6290 Upper Mt Gravatt, Queensland 4122 Ph: 07 3040 4320 Fax: 07 3343 8590. Email: admin@integrapay.com. Application Form ABN: 63 135 196 397 PO Box 6290 Upper Mt Gravatt, Queensland 4122 Ph: 07 3040 4320 Fax: 07 3343 8590 Email: admin@integrapay.com.au Australian Financial Services Licence No. 418105 Business

More information

Terms of Engagement & Fee Proposal

Terms of Engagement & Fee Proposal Cloud Financial Planning Pty Ltd ABN 32 206 837 858 Authorised Representative Dover Financial Advisers Pty Ltd Australian Financial Services Licensee Geelong Office Level 1 / 2a Belle Vue Arcade Highton

More information

Application/Amendment

Application/Amendment ONLINE BUSINESS BANKING Application/Amendment BSP Online Request type (place an X in the appropriate check box) New Amend Cancel Purpose of this Form: This Form is to be used by Businesses, Companies or

More information

BUSINESS APPLICATION

BUSINESS APPLICATION BUSINESS APPLICATION InterPrac Finance Services Pty Ltd Finance Facility BORROWER DETAILS Hire Purchase Lease Chattel Mortgage Company Name A.B.N Trading Name A.C.N Trust Name Industry Total Number of

More information

GE Money s Know Your Intermediary Broker Application

GE Money s Know Your Intermediary Broker Application GE Money s Know Your Intermediary Broker Application Application for accreditation with GE Money to introduce: Motor Loans Personal Loans* (Optional) In order to comply with the Know Your Intermediary

More information

Financial Planning 1 July 2014

Financial Planning 1 July 2014 Financial Planning 1 July 2014 Privacy Statement Equip Financial Planning 1800 065 753 www.equipsuper.com.au Privacy Statement Equip Financial Planning provides financial advice to clients and holds personal,

More information

Loan Application - Company

Loan Application - Company BANK OF CHINA LIMITED, SYDNEY BRANCH A.B.N. 29 002 979 955 AFS License No. 230547 Bank of China Limited, Sydney Branch Telephone: (02) 8235 5888 39-41 York Street Telegraphic Address: Chungkuo, Syd. Sydney

More information

HOME WARRANTY INSURANCE ELIGIBILITY APPLICATION

HOME WARRANTY INSURANCE ELIGIBILITY APPLICATION HOME WARRANTY INSURANCE ELIGIBILITY APPLICATION Please ensure all questions are completed and the declaration at the end of this form is signed prior to lodgement with your insurance broker. For any assistance

More information

APPLICATION FOR A LICENCE FOR FOOD PREPARATION & SERVICE TO VULNERABLE POPULATIONS Food Regulation 2010

APPLICATION FOR A LICENCE FOR FOOD PREPARATION & SERVICE TO VULNERABLE POPULATIONS Food Regulation 2010 Use the guide to help you complete this application where you see this symbol Print clearly in BLOCK letters A licence is not transferable from one person or business to another SECTION A BUSINESS DETAILS

More information

Home Loan Application Form

Home Loan Application Form Mandatory for all Home Loan Applications Home Loan Application Form CHECKLIST Information to include with the Specialised Home Loan Application APPLICATION FORM Fully completed Relative sections on Pages

More information

Application Form for Millinium's Wholesale Fixed Income Fund Individual(s) / Sole Trader (Resident/Non Resident)

Application Form for Millinium's Wholesale Fixed Income Fund Individual(s) / Sole Trader (Resident/Non Resident) Before you sign this application form, we wish to give you a Information Memorandum ("IM") which is a summary of important information relating to Millinium's Wholesale Fixed Income Fund ("Fund"). The

More information

GE Money s Know Your Intermediary Personal Loan Broker Application

GE Money s Know Your Intermediary Personal Loan Broker Application GE Money s Know Your Intermediary Personal Loan Broker Application In order to comply with the Know Your Intermediary (KYI) requirements of GE Money for the introduction of personal loans, the following

More information

1. The applicant for registration of this funeral fund is a: New funeral fund Previously exempt funeral fund

1. The applicant for registration of this funeral fund is a: New funeral fund Previously exempt funeral fund ABN 81 913 830 179 Application for registration of a funeral fund Funeral Funds Act 1979 Funeral Funds Regulation 2011 FEE: $507 Before completing this application, please consult the accompanying explanatory

More information

Application for Overdraft, Personal or Car loan

Application for Overdraft, Personal or Car loan Application for Overdraft, Personal or Car loan How to lodge your application: bankvic.com.au loans@bankvic.com.au 13 63 73 option 4 Reply Paid 669, BankVic PO Box 669, Carlton Sth Vic 3053 Visit a branch

More information

BROKER HOME LOAN TOP UP APPLICATION.

BROKER HOME LOAN TOP UP APPLICATION. BROKER HOME LOAN TOP UP APPLICATION. Broker Services Email: brokerservices@mebank.com.au Phone: 1300 728 154 Fax: 1300 305 033 Visit: mebank.com.au/broker Broker details Name ME Bank Broker Identification

More information

Form 11 Application for electrical work licence/permit (other than apprentice)

Form 11 Application for electrical work licence/permit (other than apprentice) Electrical Safety Office Form 11 Application for electrical work licence/permit (other than apprentice) V15.06-2014 Electrical Safety Act 2002 If you are applying for an additional electrical work training

More information

Advantages: How it works:

Advantages: How it works: Suncorp Wealth Cash Management Account Application Form Details Suncorp Wealth Cash Management Account offers competitive interest with no ongoing fees and charges. To conveniently settle your share purchases

More information

NON AWARD or CROSS INSTITUTIONAL ENROLMENTS This Application is for the use of International Students Only

NON AWARD or CROSS INSTITUTIONAL ENROLMENTS This Application is for the use of International Students Only THE UNIVERSITY OF NEW SOUTH WALES NON AWARD or CROSS INSTITUTIONAL ENROLMENTS This Application is for the use of International Students Only Applicants should read this leaflet before completing their

More information

QBE BUILDERS WARRANTY. Owner Builders Warranty INSURANCE PROPOSAL. Application Form Information Sheet PROPOSAL

QBE BUILDERS WARRANTY. Owner Builders Warranty INSURANCE PROPOSAL. Application Form Information Sheet PROPOSAL QBE BUILDERS WARRANTY Owner Builders Warranty INSURANCE PROPOSAL Application Form Information Sheet PROPOSAL Residential Builders Warranty Insurance Application Form Information Sheet Insurance Coverage

More information

Application Form ABN: 63 135 196 397. PO Box 6290 Upper Mt Gravatt, Queensland 4122 Ph: 07 3040 4320 Fax: 07 3343 8590. Email: admin@integrapay.com.

Application Form ABN: 63 135 196 397. PO Box 6290 Upper Mt Gravatt, Queensland 4122 Ph: 07 3040 4320 Fax: 07 3343 8590. Email: admin@integrapay.com. Application Form ABN: 63 135 196 397 PO Box 6290 Upper Mt Gravatt, Queensland 4122 Ph: 07 3040 4320 Fax: 07 3343 8590 Email: admin@integrapay.com.au Australian Financial Services Licence No. 418105 Business

More information

WA - Builders - Home Warranty Insurance Application Form

WA - Builders - Home Warranty Insurance Application Form Commercial & General Insurance Brokers (Aust) Pty Ltd Suite 4, 1016 Doncaster Road Doncaster East Victoria 3109 Phone: 1300 764 244 Fax: 03 8841 42 99 Email: home.warranty@cgib.com.au Web: www.cgib.com.au

More information

APPLICATION FOR FUNDING

APPLICATION FOR FUNDING APPLICATION FOR FUNDING Applicant Details Applicant(s): ABN ACN Business Address: Postal: Business Phone : Business Fax: Email Address: Type of Business / Employment: Yrs Est.: No of Staff: Date Incorp:

More information

Guarantor Application Form

Guarantor Application Form 12/10 12455 Guarantor Application Form Prior to assessing a loan for an applicant and to meet the conditions of our Australian Credit Licence and the National Credit Code, Big Sky staff will aim to meet

More information

Broker Home Loan Application Complete the form using a BLACK PEN and print in clear CAPITAL LETTERS

Broker Home Loan Application Complete the form using a BLACK PEN and print in clear CAPITAL LETTERS Broker Home Loan Application Complete the form using a BLACK PEN and print in clear CAPITAL LETTERS NOTE: HOME LOAN APPLICATIONS WILL ONLY BE ACCEPTED FROM HSBC ACCREDITED BROKERS 1 BROKER DETAILS TO BE

More information

HOME LOAN APPLICATION

HOME LOAN APPLICATION HOME LOAN APPLICATION D D M M Y Y Y Y Today s date (Bank use only) Application number 1. Getting started Please print your details clearly in CAPITAL letters, using a pen Who is this application for? For

More information

Application for registration Building contractor (company)

Application for registration Building contractor (company) Government of Western Australia Department of Commerce Application for registration Building contractor (company) Refer to the application guidelines for assistance in completing this application form.

More information

Credit Card Application Form for GPRA Members

Credit Card Application Form for GPRA Members Credit Card Application Form for GPRA Members Credit Card Application Form for GPRA Members Please complete your details and return by email to RACGP@boqspecialist.com.au or alternatively by post to BOQ

More information

Application for an Electrical Contractor s Licence

Application for an Electrical Contractor s Licence Application for an Electrical Contractor s Licence 303 Sevenoaks Street (entrance Grose Ave) Cannington WA 6107 Postal Address: Locked Bag 14 Cloisters Square WA 6850 Telephone: (08) 6251 2000 Email enquires

More information

Yorkshire Property ABN 19607169899 Licensed Estate agents and Property managers 82A Wellington Street Collingwood VIC 3066 Director - Patrick Coy

Yorkshire Property ABN 19607169899 Licensed Estate agents and Property managers 82A Wellington Street Collingwood VIC 3066 Director - Patrick Coy Yorkshire Property ABN 19607169899 Licensed Estate agents and Property managers 82A Wellington Street Collingwood VIC 3066 Director - Patrick Coy admin@yorkshireproperty.com.au 03 9998 8100 THE FOLLOWING

More information

AVA - Diners Club Business Card Application

AVA - Diners Club Business Card Application AVA - Diners Club Business Card Application Please provide ALL information requested to avoid delays in processing the application. Please complete this form in BLACK pen and BLOCK CAPITALS. Before completing

More information

Share Trading Account Application Form Individual & Joint

Share Trading Account Application Form Individual & Joint Westpac Securities Phone 13 13 31 Fax 1300 130 493 Reply Paid 85157 Australia Square NSW 1214 securities@westpac.com.au www.westpac.com.au/onlineinvesting Westpac Securities Limited ABN 39 087 924 221

More information

Lantern Finance Pty Ltd

Lantern Finance Pty Ltd COMPLETED APPLICATION FORM? APPLICATION CHECK LIST DETAILS OF ATTACHED DOCUMENTS YES NO DECLARATION AS TO PURPOSE OF CREDIT COMPLETED & ATTACHED? AUTHORITY TO RELEASE INFORMATION COMPLETED & ATTACHED?

More information

Home Loan Application Form

Home Loan Application Form How did you hear about us? (Tick only one source) TV Radio Newspaper/Magazine Internet Letter Email ANZ called me Referral from a friend/family Other - please specify Promotion code To assist us please

More information

Home Loan Application

Home Loan Application Broker Group: Broker Name/Personal Banker: Broker Number: Application Number: Home Loan Application 1. Loan details Tell us which loan product you re after: Low Cost Home Loan Fixed Rate Home Loan Qantas

More information

Jump Start Interest Free Loan Business Application Form

Jump Start Interest Free Loan Business Application Form Jump Start Interest Free Loan Business Application Form If for any reason you have difficulty in completing the application form, please contact your Relationship Officer directly on (03) 8517 5607 or

More information

Home Loan Application Form www.eaussie.com.au

Home Loan Application Form www.eaussie.com.au Home Loan Application Form www.eaussie.com.au AHL Investments Pty Ltd ACN 105 265 861 Please Print & Use Black Pen Only PERSONAL DETAILS OF APPLICANT ONE PERSONAL DETAILS OF APPLICANT TWO Borrower Guarantor

More information

Pay-by-the-month Insurance

Pay-by-the-month Insurance Improve your business cash flow Pay-by-the-month Insurance Application form The insurer is AAI Limited ABN 48 005 297 807 trading as GIO. This product is distributed by Resilium Pty Ltd ABN 40 098 080

More information

Lombard Visa Card Account Conditions of Use

Lombard Visa Card Account Conditions of Use Lombard Finance Pty Limited Phone: 1300 132 302 PO Box 6227, Baulkham Hills NSW 2153 ABN 31 099 651 877 Australian Credit Licence 247 415 V0312 Lombard Visa Card Account Conditions of Use Your contract

More information