Issued by HSBC Bank Australia Limited ABN 48 006 434 162 AFSL 232595
HSBC01989 07/20
CUSTOMER DETAILS
Complete the form using blue or black pen and print in clear CAPITAL LETTERS
Client Acknowledgement and Signature(s)
Application reference number
(located on the confirmation page and in the confirmation sent to you via email)
Account name 1
Name of Applicant 1
Name of Applicant 2
(if applicable)
ACKNOWLEDGEMENT
By signing this form, I acknowledge that:
• My signature will be used for account opening and in some cases to see if I’m the person giving HSBC instructions.
• If more than one person signs this form, then any one of us can give instructions and operate the accounts listed
in this form.
AUTHORISATION
Name of Individual/Joint Signatory 1
Signature Date
DD MM YY
Name of Individual/Joint Signatory 2
Signature Date
DD MM YY
Mail the completed form to: GPO Box 5302, SYDNEY NSW 2001
This form is to be used for your recent personal account application. Please mail the completed form within 30
days of submitting your application.
For any assistance, please call our Direct Banking Centre on 1300 308 008
Account name 2
(if applicable)
Account name 3
(if applicable)
Account name 4
(if applicable)
On completion of this form,
please print and sign by hand
On completion of this form,
please print and sign by hand
