Name as per photo identification
The following information is required specifically for identity authentication purposes (i.e. To confirm caller identity prior to releasing confidential information). You must take reasonable measures to keep the nominated identifier confidential.
Have you ever:
Declared bankruptcy, been declared bankrupt, or been subject to control under the Bankruptcy Act 1966?
Been found guilty of, or been charged with any crime or offence (other than a minor crime such as traffic offence) which has not been withdrawn or dismissed?
Had an application for grant or renewal of any financial services license or registration, authorisation to act as a credit representative or membership of an industry or professional association refused or revoked?
Had an application for accreditation declined or been cancelled by any other credit provider?
Been banned from holding a company directorship?
Been known by or had any other name?
I acknowledge that: