Home loans identification form
Page 1 of 2
Date of Birth:
Residential address (PO Box is not acceptable)
1. Details of person being identified
Full name (including middle names):
continued >
/
/
/
/
The person being identified needs to have a face to face interview with a qualified witness and provide original identification documents from one of the
categories in 2. Qualified witness details.
The qualified witness needs to sight acceptable identification documents and certify copies of these documents. Refer to Guide 1: How to certify documents.
All identification documents must be current and not expired (except for an expired Australian Passport which has not been cancelled and was current within
the preceding 2 years).
The name on all identification documents must be identical to the loan application and any Marriage or Change of Name Certificate must be provided.
Complete one form for each individual that is being identified.
Scan and email the completed form to us with supporting certified documents. If you're unable to provide the documents required, please contact us.
How to complete this form
Complete this section only if the person being identified is a third party to the loan, for example, Power of Attorney, Executor, or other
third party. Mortgage brokers are not required to complete this section for new applicants.
Tax residency rules differ by country. Whether an individual is tax resident of a particular country is often (but not always) based on the amount of
time a person spends in a country, the location of a person's residence or place of work. For the US, tax residency can be as a result of
citizenship or residency. Please answer both tax residency questions:
a) Are you an Australian resident for tax purposes?
b) Are you a tax resident of another country?
Yes
No
No
Go to Section 2
Yes. If the individual is a tax resident of a country other than Australia, please provide their tax
identification number (TIN) or equivalent below. If they are a tax resident of more than one other country,
please list all relevant countries below.
A TIN is the number assigned by each country for the purposes of administering tax laws. This is the equivalent of a Tax File Number in Australia or a
Social Security Number in the US. If a TIN is not provided, please list one of the three reasons specified (A, B or C) for not providing a TIN.
Country 1 Country 2 Country
Country
TIN (if no TIN, list reason A/B/C)
Reason A: The country of tax residency does not issue TINs to tax residents
Reason B: The individual has not been issued with a TIN
Reason C: The country of tax residency does not require the TIN to be disclosed
Please tick this box if there are more countries, provide details on a separate sheet.
Country
TIN (if no TIN, list reason A/B/C)
Country
TIN (if no TIN, list reason A/B/C)
2. Qualified witness details
Full name of qualified witness (including middle names):
Occupation:
Date and location of interview:
Guide 1: How to certify documents
Each document must be certified separately and must show clearly:
the words “certified true copy of the original”;
the signature of the certifying officer;
the name, address, contact telephone number, provider/registration number (if applicable) and profession of the certifying officer, legibly printed below the signature; and
the date the document was certified.
Page 2 of 2
Macquarie Bank Limited ABN 46 008 583 542 AFSL and Australian Credit Licence 237502
BFS0858 07/19
Persons who may certify documents for the Lender include:
(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;
(3) a magistrate;
(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);
(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 of service with one or more financial
institutions (for the purposes of the Statutory Declaration Regulations 1993);
(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 with 2 or more years of continuous membership.
(16) Limited agents specifically appointed by the Lender to verify identity on behalf
of the Lender.
By signing this document, I certify that:
a) all of the information on this form is true and correct;
b) the original and current identification documents were produced to me in a face to
face interview and certified copies of these documents endorsed by me are attached;
c) the person identified has a reasonable likeness to the person in the photographs
included in the original identity documents; and
d) this verification of identity has been conducted in accordance with the Verification of
Identity standard in the ARNECC Model Participation Rules and of the Anti-Money
Laundering and Counter-Terrorism Financing Rules Instrument 2007 (No. 1).
Signature of qualified witness
Date
// //
1
Australian passport or foreign passport
plus an Australian drivers licence or Photo Card
plus change of name or marriage certificate if necessary
2
Australian passport or foreign passport
plus full birth certificate or citizenship certificate or descent certificate
plus Medicare or Centrelink or Department of Veterans’ Affairs card
plus change of name or marriage certificate if necessary
3
Australian drivers licence or Photo Card
plus full birth certificate or citizenship certificate or descent certificate
plus Medicare or Centrelink or Department of Veterans’ Affairs card
plus change of name or marriage certificate if necessary
4
(a) Australian Passport or foreign passport
plus another form of government issued photographic identity Document
plus change of name or marriage certificate if necessary
(b) Australian Passport or foreign passport
plus full birth certificate
plus another form of government issued identity Document
plus change of name or marriage certificate if necessary
For Persons who are not Australian citizens or residents:
5
(a) Foreign passport
plus another form of government issued photographic identity Document
plus change of name or marriage certificate if necessary
(b) Foreign passport
plus full birth certificate
plus another form of government issued identity Document
plus change of name or marriage certificate if necessary
Category Minimum document requirements
The qualified witness must sight originals and certify copies of documents from one of the below categories.
Please select a category and tick the box next to ea
ch document within the chosen category if you have sighted the original and certified the copies.
Please attach certified copies of the documents with this completed form.
Original sighted and copies certified
OR
OR
Note: If any identity documents are not in English, they will need to be accompanied with an appropriate translation certificate from an Australian registered and licensed
translation service prior to certification.
Chrome Web Store
It looks like you haven't installed the Fill Chrome Extension Add to Chrome