© 2018 Westpac Banking Corporation ABN 33 007 457 141 AFSL and Australian credit licence 233714. PC2640 0918 Page 1 of 3
Administrator form – Online Banking.
Complete this form each time you want to nominate a User to become an Administrator or where you want to remove
Administrator access from a User for your Personal or Business Network.
Section 1 – Network Owner.
Please provide the full name of the Organisation or the individual name under which the Network has been established.
Full Name of the Network Owner (e.g. John Smith Pty Ltd or Susie Jones)
8 digit customer number of Network
Section 2 – User details.
Please provide details of the User you want to grant access or remove access to User administration.
All fields are mandatory.
User name (first name, surname)
User 8 digit customer number User email address
Do you want to add or remove Administrator access from this User?
Add
(proceed to section 3 for Business Network or section 4 ifPersonalNetwork)
Remove
(once the administrator access has been removed you can remove
the User if required via User administration. Proceed to section 4)
The User must be identified by Westpac to Westpac’s customer identification standard. If the User has not been
identified they must attend a Westpac branch before submitting this form.
Section 3 – Security device (Business Networks only).
Note: An Administrator will require a Security device to access User administration. Please select an option below.
Register this User for Westpac Protect
®
SMS Code using mobile number:
(Must be an Australian or New Zealand number
used by the User)
This User is already registered for a Security device (Westpac Protect
®
SMS Code or a SecurID Token)
Section 4 – Authorisation and Acknowledgement.
uu It is mandatory for the Executive Ocer(s)/Oce holder(s) Network Owner of the Network to complete this section.
Adding an Administrator Authorisation.
I/We authorise the User nominated in Section 2 to be an Administrator on behalf of the Network Owner in respect of all
User(s) and all accounts accessible through Online Banking. I/We authorise the Administrator to manage the Network
and complete administrator tasks as described in the Online Banking Terms and Conditions.
I/We undertake to advise Westpac as soon as practicable should the nomination of Administrator be revoked or the
individual cease to be an employee of the business.
Adding an Administrator to a Business Network – additional authorisation.
Where the network detailed in section 1 is a Business Network, I/We also agree that:
Westpac may accept instructions through Online Banking from any Administrator(s) in the Network to open everyday,
savings or Term Deposit accounts for and on behalf of the Network Owner; and
the Administrators are authorised to grant any user (having the same meaning as in the Online Banking Terms and
Conditions) (User), as appointed from time to time, the ability to issue instructions through Online Banking to open
everyday, savings or Term Deposit accounts for and on behalf of the Network Owner.
PRINT
CLEAR FORM
© 2018 Westpac Banking Corporation ABN 33 007 457 141 AFSL and Australian credit licence 233714. PC2640 0918 Page 2 of 3
Administrator form – Online Banking.
Section 4 – Authorisation and Acknowledgement (continued).
I/We acknowledge and agree that:
any Administrator, or any User who has been granted the ability to issue instructions in accordance with this authority,
may receive disclosures relating to the account, and can accept the terms and conditions of the account, including
interest rates and fees and charges, for and on behalf of the Network Owner. Such disclosures and terms and conditions
may be communicated to an Administrator or User electronically, including through Online Banking;
any instruction given or acceptance provided by an Administrator or a User in accordance with this authority does not
need to be verified by Westpac, and is issued with the full authority of the Network Owner and will bind the Network
Owner as if they had issued the instruction themselves;
any account opened in accordance with this authority will be automatically added to the Business Network with
adefault of any one to operate. Withdrawals on an account will not be able to be eected through a Branch or other
physical channel until such time as the Network Owner establishes an Account Operating Authority with Westpac for
the specific account;
this authority is in addition to any other authority that the Network Owner has provided to Westpac to open or operate
accounts and that it does not alter or replace any such authority;
this authority will continue in full force and eect until Westpac receives a written notice from the Network Owner of
removal of the Administrators, and any Users granted the ability to open accounts pursuant to this authority, from the
Business Network.
acknowledges and agrees that Westpac reserves the right to cancel this authority at any time and for any reason
without notice.
any account opened in accordance with this authority will be opened in the name of the Network Owner and in no
other capacity, notwithstanding any existing relationship the Network Owner may have with Westpac.
I/We indemnify Westpac against any claims, losses, damages or costs suered or incurred by Westpac as a result of
Westpac acting in accordance with this Authority, including but not limited to any claims for breaches of privacy or
confidentiality, or fraud caused, or contributed to, by an Administrator or User. This indemnity survives cancellation
ofthisauthority.
I/We represent and warrant all things necessary, including obtaining any approvals or corporate authorisations, to enter
into this authority and the transactions it contemplates have been done.
Removing an Administrator.
Where I/we have requested in Section 2 to remove Administrator access, I/we request the Administrator access to be
removed from the User listed in Section 2.
I/We acknowledge the individual will continue to be a User on the Network, and the Administrator(s) for the Network
canmanage the Users access to the accounts through User administrationand that the Security device will not be
cancelled by revoking Administrator access and the User can continue to use their Security device for the accounts
theUser is permitted to access.
Signed for and on behalf of the Network Owner.
Executive Ocer/Oce holder/Network Owner #1 Executive Ocer/Oce holder/Network Owner #2
Full Name Full Name
Position Position
Signature Date Signature Date
/ /
/ /
© 2018 Westpac Banking Corporation ABN 33 007 457 141 AFSL and Australian credit licence 233714. PC2640 0918 Page 3 of 3
Administrator form – Online Banking.
Section 5 – Westpac Use Only.
Verified and Approved By (Westpac Approving Ocer).
Name
Verifying Branch
Stamp Required
Position
Salary No. BSB Fax No.
()
Signature Date
/ /
Westpac Employee Checklist (Branch) All of the following must be completed.
I have verified all the required signatures in Section 4 against the Account Opening form(s).
I have completed all of the fields in the ‘Verified and Approved By’ section above.
I have placed the branch stamp in the ‘Verified and Approved By’ section above.
Westpac Use Only
Once the ‘Westpac Use Only’ section has been completed and all signatures have
beenverified, please fax this form to the Access Authorities Team on 1300 655 471.
Important Note This document is a permanent customer record and must be retained for the period stated in the Records
Management policy.
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