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. Non-Individual Entity Details

2. Organisation’s Source of Wealth

3. Organisation’s Source of Funds

  1. I am a person authorised to disclose the requested information on behalf on the organisation
  2. 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.
  3. 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 the organisation’s account/s.
  4. Australian Unity Bank may collect, use and exchange any 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.

Source of Funds - Non Individual