Certified Copies Identification Form

Certified Copies Identification Form
Bankwest, a division of Commonwealth Bank of Australia
ABN 48 123 123 124 AFSL/Australian credit licence 234945
Purpose of this form
Bankwest is required by the Anti-Money Laundering and Counter-Terrorism Financing Act 2006 to verify your identity before opening
your new account or including you as a signatory to an existing account. This form will assist Bankwest to verify an applicant’s identity
and may be used where an applicant is not able to present original identification documents to the Bank.
Instructions for completion
• This form is only required if you are NOT an existing Bankwest customer.
• You must arrange for a prescribed person to complete Section 2 of this form.
• This prescribed person is a person described in Section 4 of this form.
• You must show the prescribed person original identification documents, as well as the copies to be certified.
• Return the completed form and certified copies to the Bank.
• If your identification cannot be verified using this form you are requested to visit a Bankwest store to be identified.
It is an offence under the Anti-Money Laundering and Counter-Terrorism Financing Act 2006 for you or the prescribed person
to make a false or misleading statement.
Section 1 – Details of the applicant
Full name of the applicant
Other name(s) known by if any
Date of birth
DD/MM/YYYY
Residential address of the applicant (PO Box is not acceptable)
State
Postcode
Section 2 – Details of prescribed person
Prescribed person’s full name
Prescribed person’s day time phone number
(
Prescribed person’s category (refer listing in Section 4)
)
Prescribed person’s business name
Prescribed person’s business or workplace address
State
Signature of prescribed person
✗
Date document(s) certified
Postcode
Authenticating stamp
DD/MM/YYYY
Notes of guidance for completing this form: To be an acceptable prescribed person, you must be a person listed overleaf.
Please complete all information in black ink. You (being the prescribed person) need to examine the applicant’s original identification
documents and certify the copy of the document by writing: ‘I certify this to be a true and correct copy of the original document’, then
record your signature, print your full name and date.
Your information has been collected to assist the applicant with the requirement to be identified in accordance with the Anti-Money
Laundering and Counter-Terrorism Financing Act. The information you give us is held confidentially. Our privacy policy outlines how you
can complain about a breach of our obligations under the Privacy Act and how we will deal with your complaint. The privacy policy also
outlines how you can obtain information we hold about you and is available at www.bankwest.com.au or you can call us on 13 17 19 to
obtain a copy.
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Section 3 – Acceptable identification (personal customer)
To comply with identification standards you can choose to provide documents described and listed under Option A OR Option B. Documents
must be current/not expired unless specified otherwise.
Option A: 1 x Primary Photographic Identification (is sufficient ID by itself)
• Australian Passport, which has not been expired for more
than two years
• Australian or New Zealand Drivers licence
• Australian Government issued Proof of Age Cards (all States)
• NSW Birth Card and/or NSW Photo Card
• Australian Defence Force Identity Card (excluding Spouse card)
• International Passport/National Identity Card issued for the
purpose of identity which:
– contains a photograph and signature of the person in whose
name the document is issued;
– is issued by a foreign government, the United Nations (UN) or
an agency of the United Nations (UN); and
– if written in a language other than English, accompanied by
an English translation from an accredited translator.
Option B: Choose from 2 x Primary non photographic ID or 1 x Primary non photographic ID and 1 x Secondary ID
Primary Non Photographic Identification
• Australian or New Zealand Drivers licence (without photo)
• Australian Birth Certificate or extract
• Birth certificate issued by a foreign government, the United
Nations (UN) or an agency of the UN
– If written in a language other than English accompanied by
an English translation from an accredited translator
• Australian Government issued Citizenship certificate
• Citizenship certificate issued by a foreign government
– If written in a language other than English accompanied by
an English translation from an accredited translator
• A pension or healthcare card issued by Centrelink that entitles
the person in whose name the card is issued, to financial benefits
• Secondary Identification
• Australian Tax Assessment Notice dated within the last 12
months which contains the name of the individual and his or
her residential address
• A notice that was issued within the last 3 months by a local
government or public utility bill e.g. gas, electricity, water, rates
and contains the applicants name and his or her residential
address
• Drivers licence issued by a foreign government
• Australian Government issued Security Guard/Crowd Safety
Officer identity card (All States)
Section 4 – Prescribed person’s categories (occupation or other persons)
Who is a prescribed person?
1. Accountant (where a member of a recognised association
or institute)
18. Minister of religion registered under Subdivision A
of Division 1 of Part IV of the Marriage Act 1961
2. Agent in charge of an Australian Post Office supplying postal
services to the public
19. Notary public
3. Building Society employee with 5 or more years of
continuous service
21.Optometrist*
4.Chiropractor*
5.Dentist*
6. Finance industry Employee (including Bank, Credit Union or
Finance Company) with 5 or more years of continuous service.
7. Holder of an Australian Financial Services licence, having 5 or
more years of continuous service with one or more licenses
8. Justice of the Peace
9. Judge or Master of a Federal, State or Territory court
10. Legal practitioner*
11.Magistrate
12. Marriage celebrant registered under Subdivision C of Division 1
of Part IV of the Marriage Act 1961
13. Medical practitioner*
14. Member of Chartered Secretaries Australia
15. Member of Engineers Australia, other than at the grade of student
16. Member of Parliament (Commonwealth, State or Territory
legislature or Local government)
17. Member of the Australian Defence Force who is:
• an officer; or
• a non-commissioned officer within the meaning of the Defence
Force Discipline Act 1982 with 2 or more years of continuous
service; or
• a warrant officer within the meaning of that Act.
20.Nurse*
22.Patent attorney*
23.Permanent Employee of a Post Office supplying postal services
to the public with 2 or more years of continuous service.
24.Permanent employee of:
•
•
•
the Commonwealth or a Commonwealth authority; or
a State or Territory or a State or Territory authority; or
a local government authority;
with 2 or more years of continuous service
25.Pharmacist*
26.Physiotherapist*
27. Police officer
28.Psychologist*
29.Teacher employed on a full-time basis at a school or tertiary
education institution
30.Trademarks attorney*
31. Veterinary surgeon*
*These persons MUST be licensed or registered to practice
in this occupation under Australian State or Territory law.
Additional categories of prescribed persons can be
obtained from our Customer Service Representatives by
calling 13 17 19.
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