© 2016 Westpac Banking Corporation ABN 33 007 457 141 AFSL and Australian credit licence 233714. WBC000103WBC 0716 Page 1 of 3
Verification of Identity Certificate
Instructions for completing this form
1. This form is used for Verification of Identity conducted in Australia during a face-to-face interview.
2. A separate form is to be completed for each individual acting in the capacity of Borrower, Guarantor, Attorney under a Power
ofAttorney, or Identity Declarant.
3. The verifier can only be a Westpac Group staff member or a Westpac accredited Broker (for Broker-originated applications).
4. Current and original documents must be used for verification unless otherwise stated.
5. If any document is written in a language other than English, it must be accompanied by an English translation prepared
byanaccredited translator.
6. The verifier is to submit copies of the originals with this document.
7. Where verification is undertaken by a Westpac Group accredited Broker, the Broker must certify copies of the original
identification documents by signing, dating, and endorsing the copy as a true copy of the original document.
8. Where Section 2 is used the verifier must be reasonably satisfied that the photographic documents bear a reasonable likeness
to the person being identified.
9. Section 3 or 4 are only to be used where the verifier is reasonably satisfied that the documents required to complete
Section 2 cannot beproduced.
10. Place a tick () in the box beside the documents for which copies have been provided for Verification of Identity.
SECTION 1: DETAILS OF PERSON BEING IDENTIFIED
This identification relates to
Borrower Guarantor Attorney under a Power of Attorney Identity Declarant (tick one box)
SECTION 2: PRIMARY IDENTIFICATION WITH PHOTOGRAPHIC IDENTITY DOCUMENTS
Person being identified to supply at least one of the following documents containing their photo and signature.
Australian passport (can either be current or expired within the last two years but must not be defaced, mutilated or cancelled)
Foreign passport
Foreign travel document
Australian driver’s licence/permit (can either be a driver’s licence, learner’s permit)
Foreign driver’s licence
Proof of age card issued by a State or Territory (or equivalent)
National identity card issued by a foreign government
Can the individual’s full name including all middle names and date of birth be verified using the supplied documents? Yes No
If Yes proceed to Section 5
If No seek another Photographic Identity Document from the list above with the required details. If none exist then:
If documents do not contain full name details, complete section 2.A
If documents do not match due to change of name details, complete section 2.B
SECTION 2.A: SECONDARY IDENTIFICATION DOCUMENTS
Person being identified to supply a Section 2 document plus one of the following:
Full Australian birth certificate or extract
Full foreign birth certificate
Australian Citizenship certificate
Citizenship certificate issued by a foreign government
Descent certificate
Centrelink pension card (Australian)
Department of Veterans’ Affairs card
Can the individual’s full name including all middle names and date of birth be verified using the supplied documents? Yes No
If Yes proceed to Section 5
If No Refer to the Verification of Identity escalation procedures
PRINT
CLEAR
VERIFICATION OF IDENTITY CERTIFICATE
© 2016 Westpac Banking Corporation ABN 33 007 457 141 AFSL and Australian credit licence 233714. WBC000103WBC 0716 Page 2 of 3
SECTION 2.B: CHANGE OF NAME
If the name on the identification document(s) supplied in Section 2 or 2.A differs between documents evidence of their changed
name is required by:
Marriage Certificate issued by State/Territory Registry of Births, Deaths & Marriages
Deed Poll
Change of Name Certificate
An endorsement of the change of name on a Full Australian birth certificate issued by State/Territory Marriage Certificate issued
by State/Territory Registry of Births, Deaths & Marriages
Can the individual’s full name including all middle names and date of birth be verified using the supplied documents?
Yes No
If Yes proceed to Section 5
If No Refer to the Verification of Identity escalation procedures
SECTION 3: IDENTIFICATION WITHOUT PHOTOGRAPHIC IDENTITY DOCUMENTS
This section is only to be used where the verifier is reasonably satisfied that the documents required to complete Section 2 cannot
beproduced.
Person being identified to supply one of the following documents:
Medicare card
Centrelink card
Department of Veterans’ Affairs card
Plus one of the following documents:
Full birth certificate
Citizenship certificate
Descent certificate
The Identity Declarant of the person being identified must:
• complete a Statutory Declaration – Verification of Identity form for the relevant State
attend a face to face verification interview along with the person being identified and provide Photographic
Identification Documents
• be verified as outlined in Section 2 using a separate Verification of Identity Certificate form
Can the individual’s full name including all middle names and date of birth be verified using the supplied documents?
Yes No
If Yes proceed to Section 5
If No
• If documents do not match due to change of name details, complete section 4.A, or
• Refer to the Verification of Identity escalation procedures
VERIFICATION OF IDENTITY CERTIFICATE
© 2016 Westpac Banking Corporation ABN 33 007 457 141 AFSL and Australian credit licence 233714. WBC000103WBC 0716 Page 3 of 3
SECTION 4: LISTED CATEGORY OF IDENTITY DECLARANT
This section is only to be used where the verifier is reasonably satisfied that the documents required to complete Section 2 or 3
cannot beproduced.
Person being identified to supply one of the following documents:
Medicare card
Centrelink card
Department of Veterans’ Affairs card
The Identity Declarant of the person being identified must:
be an Australian Legal Practitioner, a Bank Manager, Community Leader, Court Officer, Medical Doctor, Land Council Officeholder,
Licensed Conveyancer, Local Government Officeholder, Nurse, Public Servant or Police Officer.
complete a Statutory Declaration – Verification of Identity form for the relevant State
attend a face to face verification interview along with the person being identified and provide Photographic
Identification Documents
• be verified as outlined in Section 2 using a separate Verification of Identity Certificate form
Can the individual’s name be verified using the supplied documents?
Yes No
If Yes proceed to Section 5
If No seek another Identity Document from the list above
If documents do not match due to change of name details, complete section 4.A, or
Refer to the Verification of Identity escalation procedures
SECTION 4.A: CHANGE OF NAME
If the name on the identification document(s) supplied in either Section 3 or 4 differs between documents evidence of their changed
name is required by:
Marriage Certificate issued by State/Territory Registry of Births, Deaths & Marriages
Deed Poll
Change of Name Certificate
An endorsement of the change of name on a Full Australian birth certificate issued by State/Territory Marriage Certificate issued
by State/Territory Registry of Births, Deaths & Marriages
Can the individual’s full name be verified using the supplied documents?
Yes No
If Yes proceed to Section 5
If No Refer to the Verification of Identity escalation procedures
SECTION 5: VERIFICATION DECLARATION
I, < Full name and occupation of verifier >
hereby certify that
a) The original and current identification as marked above, or over, were produced to me in a face to face interview and copies
of these documents areattached to this certification.
b) Where evidenced the person identified has a reasonable likeness to the person in the photographs included in the original
identity documents.
c) The Verification of Identity has been conducted in accordance with Westpac Group policy.
d) Copies of the documents attached to this certification are endorsed by me as true copies (Brokers only).
Verifier’s Signature
Contact Telephone Number Date <DD/MM/YYYY>
( )
/ /
PRIVACY STATEMENT The personal information we collect from you on this form will be used to identify you. We may disclose your personal information to
other members of the Westpac Group, anyone we engage to do something on our behalf and other organisations that assist us with our business. Our privacy
policy, available at westpac.com.au or by calling 132 032, contains further information about how we manage your personal information
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