• Section D: Authorised person’s details

    If you are the account holder, you do not need to complete this section.

    Only complete this section if you are authorised to act as the legal personal representative of the account holder.

    Question 10


    Provide details of your authority to make this application on behalf of the account holder – for example, if you have a power of attorney, a probate, a notice of public trustee or you are an estate trustee.

    Question 11


    Provide your title and full name.

    Question 12

    Residential address

    Provide your residential address.

    Question 13

    Postal address

    Provide your postal address.

    If this is the same as your residential address, write ‘as above’.

    Question 14

    Daytime phone number

    Provide your daytime phone number, including the area code (and the country code if you are outside Australia).

    Question 15

    Date of birth

    Provide your date of birth.

    Last modified: 04 Dec 2014QC 16320