Fillable Verification of Identity Certificate (Australian National University)

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Verification of Identity Certificate (Australian National University)

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Page 1 of 3 WBC000103SGB 0321
1. Broker must submit copies of the original documents along with this completed and signed form (Section 5).
2. Place a tick (✓) in the box beside the documents for which copies have been provided for Verification of Identity.
3. Sections 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.
Identity Document Requirements
• Current, unexpired and original documents must be used for verification unless otherwise stated.
• If any document is written in a language other than English, it must be accompanied by an English translation prepared by an
accredited translator.
• The verifier must be reasonably satisfied that the photographic documents bear a reasonable likeness to the person being
identified.
• Broker must ensure all copies of identification documents provided are clear and legible.
Section 1 – Details of person being identified
Complete a separate form for each individual acting in the capacity of Borrower, Guarantor, Attorney under a Power of Attorney,
or Identity Declarant.
Tick one box only –
 Borrower   Guarantor   Attorney under a Power of Attorney   Identity Declarant
This identification relates to
Section 2 – Primary identification with photographic identity documents
Person being identified to supply at least one of the following documents that contains their photo and signature.
 Australian driver’s licence/permit (learner’s permit is acceptable)
 Proof of age card issued by an Australian State or Territory (or equivalent)
  Australian passport (if current not available, expired within last 2 years is acceptable but must not be defaced,
mutilated or cancelled)
  Foreign passport
 Foreign travel document
 Foreign driver’s licence
 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 Ye s proceed to Section 5
If No obtain a different Photographic Identity Document item 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 4.A
© 2021 St.George Bank – A Division of Westpac Banking Corporation ABN 33 007 457 141 AFSL and Australian credit licence 233714.
Verification of Identity Certificate
This form is only used for face-to-face interviews conducted in Australia for Verification of Identity.
The verifier can only be a St.George Accredited Broker (for Broker Originated Applications).
Instructions for completing this form
RESET
PRINT
Page 2 of 3 WBC000103SGB 0321
Section 2.A – Secondary identification documents
Person being identified to supply a document from Section 2 above plus one of the following documents:
 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 Ye s 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: Plus one of the following documents:
 Medicare card
 Centrelink card
 Department of Veterans’ Affairs card
 Full birth certificate
 Citizenship certificate
 Australian Citizenship 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
• to be verified using a separate Verification of Identity Form based on Section 2 guidelines.
Can the individual’s full name including all middle names and date of birth be verified using the supplied documents?
 Yes   No
If Ye s 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
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
sections 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
© 2021 St.George Bank – A Division of Westpac Banking Corporation ABN 33 007 457 141 AFSL and Australian credit licence 233714.
Page 3 of 3 WBC000103SGB 0321
• attend a face to face verification interview along with the person being identified and provide Photographic Identification
Documents
• Identity Declarant to be verified as outlined in section 2 using a separate Verification of Identity Form.
Can the individual’s name be verified using the supplied documents?
 Yes   No
If Ye s 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
Section 4.A – Change of name
If the name on the identification document(s) supplied in any of the sections 1, 2, 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 Ye s proceed to Section 5
If No Refer to the Verification of Identity escalation procedures
Section 5 – Verification certification
I, Broker Full Name
Occupation (insert job title)
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.
Verifier’s Signature Contact Telephone Number Date
✗
/ /
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 stgeorge.com.au or by calling 13 33 30, contains further information about how we manage your personal information.
© 2021 St.George Bank – A Division of Westpac Banking Corporation ABN 33 007 457 141 AFSL and Australian credit licence 233714.
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Completed 11 May 2021

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