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Experian Australia Credit Services Pty Ltd ABN 12 150 305 838
PO Box 1969, North Sydney, NSW 2060, Australia | 1300 783 684 9am to 5pm AEST – Monday to Friday | creditreport@au.experian.com experian.com.au
Australian Credit Bureau
Experian Consumer Credit
Report Request Form
PERSONAL DETAILS
We require some information about you in order to enable us to generate your Experian Credit Report.
First Name*
Middle Name(s)
Last Name*
Have you ever used another name or an alias? Yes No If so, please include below:
First Name
Middle Name(s)
Last Name
Alias
CURRENT RESIDENTIAL ADDRESS
House/Unit No* Street Name*
City/Suburb* State* Postcode*
PREVIOUS RESIDENTIAL ADDRESS If you have moved within the past 5 years
House/Unit No* Street Name*
City/Suburb* State* Postcode*
Driver Licence Number Phone
Date of Birth* DD/MM/YYYY Email
CURRENT EMPLOYER If you are currently employed
Employer Name
This form is designed to help you request your Experian Credit Report.
Please ensure that all the required identification documents are submitted with this form when you send your request
to us. Your Experian Credit Report will be processed within ten (10) days from the date we receive all your required
identification documents. Failure to provide all required documentation may delay processing your request.
Your Experian C
redit Report will be sent to you by the same channel you contact us. Should you mail us your request, your
Experian Credit Report will be posted to the current address as shown on the copies of your identification provided.
Files marked with an asterisk (*) are mandatory. PLEASE USE BLOCK LETTERS.
You are welcome to view our Privacy Policy at experian.com.au/privacy-policy.
© Copyright 2020 Experian CNF001.
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The Privacy Act gives you the right to make a complaint to The Oce of The Australian Information Commissioner (OAIC) if you believe an Australian or ACT government agency, or a private sector
organisation covered by the Act, has mishandled your personal information contained in a record. To do so please visit The Oce of The Australian Information Commissioner at www.privacy.gov.au.
IDENTIFICATION
To safeguard your credit information, we need to verify your identity before issuing you with your credit report. You
must include high quality clear and legible copies of the following documents with this Experian Consumer Credit
Report Request Form. Failure to do so may delay processing your request.
YOU WILL BE REQUIRED TO PROVIDE A MINIMUM OF 100 POINTS OF IDENTIFICATION AND
PROOF OF ADDRESS FROM THE LIST BELOW:
Would you like to participate in the Experian Customer Experience Survey?
We wish to improve our services to you and value your feedback. If you would like to participate in our Customer
Experience Survey, please provide us with the email address to which you would like it sent.
Email
REVIEW
Please review your details and check that high quality clear and legible copies of all the required identification
documents are included with this form prior to sending us your credit report request. Please send your requests to:
Email: creditreport@au.experian.com Post: Experian Australia Credit Services Pty Ltd
Attn: Consumer Support
PO Box 1969
North Sydney, NSW 2060
PRIMARY
GROUP A
Driver Licence issued by an Australian State or Territory 40
Roads and Maritime Services (Formerly RTA) photo card 40
Proof of Age Card (Government issued) 40
Government employee ID (Australian Federal/State Territory) 40
Current Australian Tertiary Education Institution Photo ID 40
Defense Force Identity Card (with photo) 40
Foreign passport (current) 70
Australian passport (current) 70
SECONDARY
GROUP B
Medicare card issued by Health Insurance Commission 25
Credit card or debit card issued by a financial institution in Australia 25
Australian Marriage Certificate (Australia Registry issue only) 25
Change of Name Certificate (Australian Registry only) 25
Taxation Assessment Notice 25
Centrelink card issued by Centrelink 40
Department of Veteran’s Aairs card issued by DVA 40
Working with Children / Teacher’s Registration Card 40
Full Birth Certificate (not a Birth Certificate extract) 70
SECONDARY
GROUP C
Utility bills (e.g. phone, electricity or gas) 20
Australian Mortgage Document (current address) 25
Property rates notice 25
Bank or credit card statements showing your current residential address 25
Property lease agreement 25
Minimum of ONE (1) d
ocument from Group A (must be photo ID)
Minimum of ONE (1) document from Group B
/ Group C
Experian Australia Credit Services Pty Ltd ABN 12 150 305 838
PO Box 1969, North Sydney, NSW 2060, Australia | 1300 783 684 9am to 5pm AEST – Monday to Friday | creditreport@au.experian.com experian.com.au
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