Identification by certified copy: individuals, signatories and

ANZ Identification by Certified Copy for Individual
(including Signatories and Agents) Form
This form must be signed by a Person Authorised to Certify as listed overleaf.
To complete this form, complete Part A, Part B and Part C and attach the certified copies.
Upon instruction from ANZ, this form may be used where the customer is unable to present their original documents to the bank in person.
All information on this form must be completed in English and clear block letters.
PART A: INDIVIDUAL’S DETAILS
Full Name of Individual (no initials)
Given name(s) Date of birth
Last name(s) Occupation
Residential address (PO Box is not acceptable)
Country of Citizenship
Other Country of Citizenship (if applicable)
Suburb
State
PostcodeCountry
If the residential address is not an Australian address, please state
the reason for seeking a banking relationship in Australia
Signature (to be signed in the presence of the Certifier) PART B: DOCUMENTS CERTIFIED – ENSURE CERTIFIED COPIES ARE ATTACHED TO THIS FORM
Acceptable Documents for Individuals and Acceptable Linking Documents are listed overleaf.
Warning: It is an offence under Part 12 of the Anti-Money Laundering and Counter-Terrorism Financing Act 2006 (Cth) to produce false or misleading
information, produce a false or misleading document or forge a document for use in an applicable customer identification procedure.
Guidance Notes for Certified Copies
Certified copy means a document that has been certified as a true copy of an original document by one of the authorised persons.
To produce a certified copy, you should make a photocopy of the original document and take the original and the copy to an authorised person.
If any document is written in a language other than English, it must be translated into English by an accredited translator. An ‘accredited translator’ is
defined as a person currently accredited by the National Accreditation Authority for Translators and Interpreters Ltd. (NAATI) at the level of Professional
Translator, or above, to translate from a language other than English into English.
Primary Identification Document or Secondary Identification Document 1 of 2 (Type of Document)
Secondary Identification Document 2 of 2, if any (Type of Document)
Linking Document (If either or both identification documents are in a different name to Individual’s details)
PART C: DETAILS OF PERSON AUTHORISED TO CERTIFY
Acceptable Persons Authorised to Certify are listed overleaf
Job title of certifier
Name of Organisation
Given name(s) of certifier
Address of Organisation
Last name(s) of certifier
Suburb
Business phone number
Postcode/ZIP Code
Professional Membership Number (if applicable)
Signature of certifier Date Day/Month/Year State/Region
Country
Declaration of certifier
• I have examined the original of all the individual’s identification
documents listed above
• The copy of the individual’s identification documents attached are
true and correct copies of the original documents that I have examined
and certified
• The individual has signed this form in my presence
Australia and New Zealand Banking Group Limited (ANZ) ABN 11 005 357 522. Australian Credit Licence Number 234527. Item No. 60877 11.2015 W472889
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ANZ Identification by Certified Copy for Individual
(including Signatories and Agents) Form
PERSONS AUTHORISED TO CERTIFY
The following is a list of Authorised persons who can certify a copy of the individual’s identification documents.
Unless it is specified that the Authorised Person may be overseas, an Authorised Person must be either an Australian Citizen or Permanent Resident
of Australia.
Authorised Persons where the Authorised Person is an officer who holds position within Australia
1. A person who is enrolled on the roll of the Supreme Court of a State or
Territory, or the High Court of Australia, as a legal practitioner
(however described);
2. A judge of a court in Australia;
3. A magistrate in Australia;
4. A chief executive officer of a Commonwealth court;
5. A registrar or deputy registrar of a court;
6. A Justice of the Peace;
7. A notary public (for the purposes of the Statutory Declaration
Regulations 1993) in Australia or overseas;
8. A police officer;
9. An agent of the Australian Postal Corporation who is in charge of an
office supplying postal services to the public;
10. A permanent employee of the Australian Postal Corporation with
2 or more years of continuous service who is employed in an office
supplying postal services to the public;
11. An Australian consular officer or an Australian diplomatic officer
(within the meaning of the Consular Fees Act 1955);
12. An officer with 2 or more continuous years service with one or more
Australian financial institutions (for the purposes of the Statutory
Declaration Regulations 1993) or overseas financial institutions with
which ANZ has an existing correspondent banking relationship;
13. A finance company officer with 2 or more continuous years of
service with one or more finance companies (for the purposes of the
Statutory Declaration Regulations 1993);
14. An officer with, or authorised representative of, a holder of an
Australian financial services licence, having 2 or more continuous
years of service with one or more licensees;
15. A member of the Institute of Chartered Accountants in Australia,
CPA Australia or the National Institute of Accountants;
16. A pharmacist.
Authorised Persons where the Authorised Person is an officer who holds position overseas
1. A notary public (for the purposes of the Statutory Declaration Regulations 1993) overseas;
2. An Australian consular officer or an Australian diplomatic officer (within the meaning of the Consular Fees Act 1955);
3. An officer with 2 or more continuous years’ service with one or more Australian financial institutions (for the purposes of the Statutory Declaration
Regulations 1993) or overseas financial institutions with which ANZ has an existing correspondent banking relationship;
4. Employee of the Australian Trade Commission (AUSTRADE) who is in a country or place outside Australia, and authorised under paragraph 3(d) of the
Consular Fees Act 1955, and exercising his or her function in that place.
INSTRUCTIONS AND CHECKLIST FOR CERTIFIER
You are an acceptable person authorised to certify within a specified class defined above in “Persons Authorised To Certify”.
All identification documents are current
All pages of the copies has been certified with “This is a true copy of the original document” followed by the certifier’s signature, full name, position
and date.
The combination of identification documents certified meets the Acceptable document combinations and linking documents.
The individual has signed this ANZ Identification by Certified Copy for Individual Form in your presence.
The certified copies of the identification documents are attached to this ANZ Identification by Certified Copy for individuals (including signatories
and agents) Form.
SIGNATORIES/AGENT AND VERIFYING OFFICERS: ACCEPTABLE AUTHORISING DOCUMENT
This section lists the different types of acceptable authorising documents for Signatories/Agents and Verifying Officers, and any other information that
needs to be recorded.
Signatory/Agent
One of:
• Power of Attorney
• Agent’s Authority (Individual and Joint Accounts)
• Company Account Authority
Also required:
• The name of the person or organisation issuing the signing or
agent’s authority
Verifying Officer
One of:
• Power of Attorney
• Company Account Authority
Also required:
• Full name of the customer - i.e. company as registered by ASIC,
or other entity
If the customer is a company:
•Full address of the company’s registered office (only applies to
company entity types)
•ACN/ARBN issued to the company (only applies to company entity types)
Australia and New Zealand Banking Group Limited (ANZ) ABN 11 005 357 522. Australian Credit Licence Number 234527. Item No. 60877 11.2015 W472889
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ANZ Identification by Certified Copy for Individual
(including Signatories and Agents) Form
IDENTIFICATION VERIFICATION DOCUMENTS FOR INDIVIDUALS
The Know Your Customer process requires identification document(s): either One Primary Government Issued Photographic ID Document, or Two
Secondary Documents.
If an identification document is in a different name to that recorded in the Key Details, a linking document will also be required, e.g. a marriage certificate
that links the married name in the Key Details to the maiden name on a driver licence.
KNOW YOUR CUSTOMER (KYC): ACCEPTABLE IDENTIFICATION DOCUMENTS, PERSON/SIGNATORY
Acceptable combination of documents
• At least One Primary identification document, or
• Any Two Secondary identification documents
Acceptable identification documents (must be current unless otherwise specified)
Primary
•
Australian photographic driver’s licence or learner’s permit
•
Australian passport (current, or one that has expired within the past
two years)
•
Foreign passport (must not be expired)
•Australian State/Territory Government issued Proof of Age card
•
Government issued National Identification card
•
Australian Department of Defence Identification card
•
Australian Army, Navy or Air Force Identification card
•
Australian Police Officer Identification card
•
Australian Firearms/Shooting Licence
•
Australian Explosives Licence
•
Australian Waterway/Boat Licence
Secondary
• Birth certificate, birth card, birth extract issued by an Australian State
or Territory, or Foreign Government*
• Australian Medicare card
• Australian Centrelink pension card, including Health and Veterans
Affairs cards, and Pensioner Concession cards (including interim cards)
• Foreign driver’s licence (must not be expired)
• Australian citizenship certificate
• Foreign citizenship certificate*
• Australian Tax Office Tax (ATO) assessment notice (less than 12 months
old) with name & address
• Utility bill (water, gas, electricity, telephone) less than 3 months old,
with name and address
• Local government rates notice (less than 3 months old) with name
& address
• Australian School attendance letter issued by principal to person under
18, recording address and period of attendance (less than 3 months old)
• Notice from Aged Care facility with name and address
• Australian Government benefits notice (less than 12 months old)
• Letter issued by the Australian Electoral Commission within the last 3
months with name and address
• Another Australian Bank’s account statement issued within the last
three months. (Bank must be a member of Australian Banking
Association)
• Bank statement issued by an ANZ Point of Representation e.g. ANZ Fiji
(within last three months)
• Australian ImmiCards, including Evidence of Immigration Status (EIS)
ImmiCard; Permanent Resident Evidence (PRE) ImmiCard; Residence
Determination ImmiCard (RDI)
*If it is written in a language not understood by the person carrying out the verification it must be translated into English by an accredited translator.
An accredited translator is a translator accredited by the National Accreditation Authority for Translators and Interpreters.
Indigenous Australians or Torres Strait Islanders:
Primary
If unable to provide the above forms of identification:
• Indigenous Community Identification Card
• Community Leader Document: Verification in writing and signed by two Indigenous Australians or Torres Strait Islanders (from the list below):
- elected members of an Aboriginal Council; or
- members of a regional council; or
- members of a land council; or
- community leaders
The Community Leader Document may consist of one letter signed by 2 community leaders or 2 letters each signed by a different community
leader. Either is acceptable. Must contain name and date of birth.
Australia and New Zealand Banking Group Limited (ANZ) ABN 11 005 357 522. Australian Credit Licence Number 234527. Item No. 60877 11.2015 W472889
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