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.
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.
Provide your title and full name.
Provide your residential address.
Provide your postal address.
If this is the same as your residential address, write ‘as above’.
Daytime phone number
Provide your daytime phone number, including the area code (and the country code if you are outside Australia).
Date of birth
Provide your date of birth.
Last modified: 04 Dec 2014QC 16320