Source of Funds - Individual

To establish the source of wealth and source of funds of our customers to assess their money laundering/terrorism financing risk. The Anti-Money Laundering and Counter-Terrorism Financing Act 2006 (Cth) (AML/CTF Act) requires us to collect this information to comply with our regulatory obligations.

1. Personal Details

2. Source of Wealth

3. Source of Funds

  1. The information I have provided to Australian Unity Bank Limited (ABN 30 087 652 079; AFSL No 237994) (Australian Unity Bank) in this form and any requested documentary evidence (if applicable) is true and correct.
  2. I agree to provide Australian Unity Bank with supporting documentary evidence upon request and understand failure to provide documentary evidence when requested may result in suspension or closure of my account/s.
  3. Australian Unity Bank may collect, use and exchange my personal information as described in Australian Unity’s Privacy Policy, available at australianunity.com.au/privacy-policy .

It is an offence under the AML/CTF Act to give false or misleading information.