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Additionalauthority CommSEC Additional Authority form

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1 of 3CSL1029 (08/19)
1
ADDITIONAL AUTHORITY FORM
Commonwealth Securities Limited
ABN 60 067 254 399 AFSL 238814
A Participant of the ASX Group and Chi-X Australia.
Commonwealth Securities Limited
Locked Bag 22 Australia Square NSW 1215
Phone: 13 15 19 or Margin Lending: 13 17 09
commsec.com.au
IMPORTANT INFORMATION READ BEFORE PROCEEDING
ACCOUNT DETAILS
A
I/we: Authorise the Additional Authority set out below to act on my/
our behalf in connection with the following products and services I/We
have listed below.
REGISTERED NAME ON COMMSEC TRADING ACCOUNT
Note: Please list accounts registered in the above name that you
wish to update. If you have accounts in multiple names, please use
additional copies of this form for each account name. i.e. two different
account names, such as “John Smith” & “John Smith PTY LTD” will
require two forms to be completed.
If you list an account for which you are not an owner or signatory we
will not be effecting any change to that account.
If you do not list an account number we will not be authorised to
update the account details.
ACCOUNT NUMBER(S)
Equities
Margin Loan
Options
International
0 A C
Please select the access level for the authority - if you select nothing
then view only access will be granted.
View Only
With this access level the authority is able:
(a) To have access to receive & enquire about information pertaining
to an account.
View and Transact
With this access level the authority is able:
(a) To have access to receive & enquire about information pertaining
to an account.
(b) To acquire, buy, deal with, dispose of or sell any
financial products
(c) To make and receive payment for any financial products
transactions and attendant expenses by any means whatsoever
and to give goods receipts and discharges for the proceeds of
sales on financial products and other monies;
(d) To execute all contracts and other documents necessary or
proper for the custody, dealing and transfer of financial products
and related matters;
* An additional authority cannot be authorised on a CommSec Pocket account.
** CommSec Margin Loan is a product of Commonwealth Bank of Australia (CBA) ABN 48 123 123 124 AFSL 234945, administered by its wholly-owned but non-guaranteed subsidiary
Commonwealth Securities Limited (CommSec) ABN 60 067 254 399 AFSL 238814.
continued next page
ADDITIONAL AUTHORITY TO COMPLETE
B
Personal Details:
TITLE GIVEN NAME(S)
SURNAME
OTHER NAMES KNOWN BY
JOB CATEGORY (eg. Professional)
JOB TYPE (eg. Lawyer)
DATE OF BIRTH GENDER
DD / MM / YYYY M F
If you reside outside of Australia please complete the following question.
WHAT IS THE REASON FOR OPERATING THE ACCOUNT(S)
IN AUSTRALIA?
ADDITIONAL AUTHORITY IDENTIFICATION
Please tick, and complete (if applicable)
EXISTING COMMSEC CUSTOMERS
COMMSEC CLIENT ID
››› GO TO SECTION D
OR
NEW CLIENT TO COMMSEC
(e) To receive, hold, arrange custody of and deliver share certificates
and other evidence of title to financial products;
(f) To exercise all rights and privileges and perform all duties and
obligations which may now or in the future pertain to me as
holder of financial products;
(g) To operate a CommSec Margin Loan, including but not limited
to making decisions to sell security, lodge additional security
or provide additional funds in the event of a margin call (Margin
Loan only);
(h) To be contacted by us if we cannot contact you regarding your
CommSec Margin Loan and to receive information from us about
your CommSec Margin Loan and security (Margin Loan only).
This Authority Form should be completed when you wish to authorise
someone else to access your account(s)* or transact on your behalf.
For Additional Authorities who do not have an Existing Client ID, you will be
advised of your new Client ID once this form has been processed. When
you have obtained this Client ID you will be required to contact us to have
the Client ID activated and a temporary password allocated.
Note: If you list an account for which you are not an owner or signatory we
will not be effecting any change to that account, AND where you list an
Equities or Margin Loan* account that is linked to an Options account (or an
Options account that is linked to an Equities or Margin Loan** account) the
Additional Authority will be provided access to both the Options & Equities/
Margin Loan accounts.
Where you provide a Margin Lending loan or trading account number the
Additional Authority will be provided access to both the Margin Loan and
the trading account associated with it.
The Additional Authority must sign the Additional Authority
declaration and provide proof of identification. See Section C.
We accept this form and certied identication documents returned to us
by email or post. The email address listed below is to return this form only.
Please direct all other enquiries through the appropriate channels.
Email: accountmaintenance@commsec.com.au
Post: CommSec, Locked Bag 22, Australia Square NSW 1215;
2 of 3CSL1029 (08/19)
1
ADDITIONAL AUTHORITY FORM
IDENTIFICATION
C
MANDATORY TO COMPLETE (if you do not have a Client ID)
For existing clients, please provide address details as you have
them on your existing account(s). If the information provided
differs from that on the account we will not be using this form as
notification of a request to change address on your account(s). To
change the address on your account please submit a Change of
Contact Details Form.
RESIDENTIAL ADDRESS (NOT A PO BOX)
STATE POSTCODE
POSTAL ADDRESS (IF DIFFERENT FROM ABOVE)
STATE POSTCODE
EMAIL ADDRESS (MANDATORY)
CONTACT NUMBERS
(Please tick your preferred contact number)
Note: Its mandatory to include a mobile number
W
( ) WORK
M
( ) MOBILE
H
( ) HOME
F
( ) FAX
Identification for authority without existing Client ID
There are three options for you to provide proof of identification.
• Provide details of an existing Commonwealth Bank account
held in the same name as above,
• Provide details of an existing Commonwealth Bank Credit
Card held in the same name as above, or
• Attach acceptable identification documentation
Please tick and complete ONE of the options below:
I have a Commonwealth Bank Account with
the following details:
REGISTERED NAME OF BANK ACCOUNT
BSB
ACCOUNT NUMBER
I have a Commonwealth Bank Credit Card with
the following details
EXISTING CBA CREDIT CARD NUMBER
NAME ON CARD
continued next page
IDENTIFICATION (CONTINUED)
C
OR
I do not have a Commonwealth Bank account,
Commonwealth Bank Credit Card or CommSec Trading
Account. I have attached a clear and legible certified
photocopy of ONE of the following:
Australian Driver licence
Passport
Australian proof of age card
New South Wales photo card
New South Wales birth card
Defence Force identity card
Firearms licence issued under law (All states)
For a complete list of acceptable documents, persons allowed
to certify and how to certify documents please refer to the
DOCUMENT CERTIFICATION INSTRUCTIONS booklet available
at https://www2.comsec.com.au/media/68016/formsofid_and_
eligiblecertifiers.pdf
Please DO NOT attach original identification documents. Send only
CERTIFIED copies of original documents.
ACCOUNT HOLDER(S) TO SIGN
D
This authority must be signed by all account holders (for CommSec
Trading) and borrowers (for Margin Lending).
I/We:
• Acknowledge that I/We are responsible for and bound by the
instructions that the Additional Authority gives CommSec,
and you indemnify CommSec in relation to the actions of the
Additional Authority. You also acknowledge that it is my/our
obligation to be aware of any activity undertaken on my/our
behalf by the Additional Authority.
• Acknowledge that CommSec will issue a Client ID and/or
relevant account access to the Additional Authority and agree
that I/We will not provide my/our personal CommSec Client ID(s)
and relevant login details to the Additional Authority.
• Acknowledge that I/we have agree to be bound by the Terms and
Conditions governing each product provided in connection to the
appointment of the Additional Authority pursuant to this authority.
• Authorise and request CommSec to accept and act upon any
instructions issued by the Additional Authority pursuant to this
authority and undertake to ratify whatever the Authority lawfully
does or causes to be done pursuant to this authority.
• Understand the appointment of an Additional Authority remains
effective until I/we revoke it by providing a notice in writing to
CommSec.
• Understand that by appointing an Additional Authority for a
CommSec Equities or Margin Lending Trading Account, this
authority will also extend to any linked CommSec Options
Trading Accounts(s), and by appointing an Additional Signatory
for a CommSec Options Trading Account(s), this authority will
also extend to any linked CommSec Equities or Margin Lending
Trading Account(s).
Where additional authority is being given over to a CommSec
MarginLoan:
• You authorise us to act on the instructions of your Additional
Authority in relation to your CommSec Margin Loan, and you
authorise us to provide information about your CommSec
Margin Loan and your security to your Additional Authority.
• If we cannot contact you in relation to your CommSec Margin
Loan, we may contact your additional signatory for instructions.
This includes (but is not restricted to) the event of a Margin Call.
In the event of a Margin Call your Additional Authority must be
able to make decisions to sell security, lodge additional security
or provide additional funds.
3 of 3CSL1029 (08/19)
1
ADDITIONAL AUTHORITY FORM
ACCOUNT HOLDER(S) TO SIGN (CONTINUED)
D
The appointment of an Additional Authority is pursuant to Part 1,
Clause 10 of the
CommSec Margin Loan Terms and Conditions.
In appointing an
Additional Authority, you acknowledge that Part
1, Clause 10 of the
CommSec Margin Loan Terms and Conditions
applies. Under Clause 10,
you are responsible for and bound by the
instructions that the
Additional Authority gives us, and you indemnify
us in relation to the actions of your authorised agent. This appointment
of an
Additional Authority remains effective until you revoke it by
providing
Written Notice to us.
CLIENT 1 CLIENT ID
CLIENT 1 NAME
CLIENT 1 SIGNATURE
✗
DATE
DD / MM / YYYY
CLIENT 2 CLIENT ID (if applicable)
CLIENT 2 NAME
CLIENT 2 SIGNATURE
✗
CLIENT 3 CLIENT ID (if applicable)
CLIENT 3 NAME
CLIENT 3 SIGNATURE
✗
ADDITIONAL AUTHORITY TO SIGN
E
I/We understand and acknowledge that:
• The name of individual persons given to the Commonwealth
Securities Limited are true and correct and that the law
prohibits the use of false names, as well as the giving or
use of a false document in connection with an identification
procedure.
• My particulars (including identification details) as shown on this
form are complete and correct;
• Acknowledge that CommSec, both on its own behalf and
as necessary on behalf of Commonwealth Bank of Australia
collects my particulars in order to allow me to exercise this
authority; and
• Acknowledge that I have received and agree to be bound by
the Terms and Conditions governing each product/account
provided on this form and consent to the uses and disclosures
of my/our personal information set out in the Privacy sections
of those Terms and Conditions.
ADDITIONAL AUTHORITY TO SIGN (CONTINUED)
E
CommSec is required by the Anti-Money Laundering and
Counter-Terrorism Financing Act 2006 to collect information
about you and verify your identity before CommSec can
provide you with the services or products for which you’ve
applied. By ticking this box on this form:
• I/We consent to having electronic identification performed
using personal details and identification documents I/
we have provided, and understand that providing false
or misleading information about my/our identity(s) is an
offence under the Anti-Money Laundering and Counter-
Terrorism Financing Act 2006.
• I/We consent to having my/our personal details and
identification documents matched to information held by
the issuer or Official Record Holder via third party systems
• I/We understand that my/our personal information will be
exchanged with external organisations including: credit
reporting agencies, Commonwealth and State government
departments, independent and private sector organisations
and outsourced providers who coordinate the electronic
identification process and who may conduct additional
matches against public or proprietary databases
• As part of the electronic identification process, I/we permit
these external organisations to record, use and disclose
my/our information in accordance with their own privacy
policies and legal obligations. I/We understand that
CommSec and its outsourced providers will access records
held about me/us by these external organisations only for
the purpose of matching the identifying information I/we
have chosen to provide
• I/We consent to providing my/our name(s), address(es) and
date of birth to selected credit reporting agencies to match
this information against their records. I/We understand
that this is done only for identity verification purposes
as required by the Anti-Money Laundering and Counter-
Terrorism Financing Act 2006.
You do not have to consent to electronic verification. If you do
not want to be verified electronically, you have the option of
attending a branch to be identified.
NAME OF ADDITIONAL AUTHORITY
ADDITIONAL AUTHORITY SIGNATURE
✗
DATE
DD / MM / YYYY
I do not wish to receive marketing or promotional material
fromCommSec.
Privacy statement – CommSec is collecting your personal
information in connection with your role as an account authority.
Fordetails of CommSec’s privacy and information handling practices,
including how you may access your information, seek correction
of that information and how you may complain, please refer to our
Privacy Policy which is available at www.commsec.com.au
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Completed 10 March 2020

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