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Before we begin:

Would you like to make an additional investment to an existing holding you have with Blackwattle Investment Partners?


YES


NO

Also:

Are you a wholesale investor?


YES


NO

Ok, let's get started

Which type of account would you like to open?


Individual or Sole Trader

Invest in your name,
e.g John Smith, or in joint names, e.g. John and Mary Smith.


Company
 

Invest in the name of a company, e.g. ABC Pty Ltd


Trust
 

Invest on behalf of a Trust (including superannuation funds, e.g. SMSFs)

This online application platform is only available to Individual, Sole Trader, Company and Trust/Super customer types. If you are a Partnership, Association, Co-operative, Government Body or other type of entity please contact Apex on 1300 133 451 (within Australia) or +61 2 8259 8888 (outside Australia) from 8:30am to 5:30pm (Sydney time) Monday to Friday or email us at registry@apexgroup.com.

The online application platform is only available to Australian Investors who are Individual, Sole Trader, Company and Trust/Super customer types. Any related parties such as Trustees, Beneficiaries and Directors must also be Residents of Australia for Tax Purposes. If you are a Non–Australian investor, Partnership, Association, Co-operative, Government Body or other type of entity please contact Apex on 1300 133 451 (within Australia) or +61 2 8259 8888 (outside Australia) from 8:30am to 5:30pm (Sydney time) Monday to Friday or email us at registry@apexgroup.com.

 

This offer is not open to any US investor or US person connected to this investment. Please refer to the PDS/IM for further information.

Please select continue if you are a non US investor AND there are no US persons connected to this investment


Continue

One more question

In which country do you reside? In which country is the company registered? In which country is the trust registered?


Australia


New Zealand


Any other country

Sorry

The PDS does not allow investments by entities based in your country.

Please refer to the manager's website for more information.

Accept the Terms and Conditions

Individual or Joint Application

Company Application

Trust Application

Additional Application

This is the Macquarie Investment Management application form issued by Macquarie Investment Management Australia Limited ABN 55 092 552 611 AFSL 238321 (Macquarie) for each of the funds listed in the Investment Details tab (Fund).

This Application Form accompanies the Product Disclosure Statement and Information booklet for each Fund (collectively, a PDS). Each PDS contains important information about investing in that fund. You should read the relevant PDS before making a decision to invest in a Fund.

Information in a PDS may change from time to time. Where information that changes is not materially adverse to investors, we may update this information by updating the relevant document or by publishing an update on the Macquarie website.

You can access a copy of the latest version of the PDS, any updated information and Application Form free of charge from our website or by contacting us.

The information provided in the PDS is general information only and does not take into account of your personal financial situation or needs. You should obtain your own financial advice tailored to your personal circumstances.

Information you will need to complete the Application Form:

  • Proof that individual investors are 18 or older
  • A valid email address and mobile number
  • Bank account details to be linked to your account (Australian bank account details only)
  • To apply for a joint account you will require a joint bank account in the name of the investors
  • Date of birth of each applicant
  • TFN for Australian investor/s
  • Electronic Identity Verification (if selected online, the following may assist Australian investors in verifying your identity): Australian Drivers Licence, Passport, Medicare Card, Australian Visa
  • Australia's Anti-Money Laundering and Counter Terrorism Financing (“AML/CTF”) legislation obliges us to collect Identification Information from prospective Investors (this includes beneficial owners). The online ID Facility, Green ID, provides the opportunity to compete the identity verification electronically. For further information on Green ID, please visit the Green ID website.

Information you will need to complete the Application Form:

  • A valid email address and mobile telephone number
  • Bank account details to be linked to your account (Australian bank account details only)
  • TFN or ABN for Australian company
  • Registration details:
    • Australian company - ABN or ACN
    • Foreign company - company registration
  • Electronic Identity Verification for any Beneficial Owner and Company directors (if selected online, the following may assist Australian individuals in verifying their identity): Australian Drivers Licence, Passport, Medicare Card, Australian Visa
  • Australia's Anti-Money Laundering and Counter Terrorism Financing (“AML/CTF”) legislation obliges us to collect Identification Information from prospective Investors (this includes beneficial owners). The online ID Facility, Green ID, provides the opportunity to compete the identity verification electronically. For further information on Green ID, please visit the Green ID website.

Information you will need to complete the Application Form:

Trust or super fund with individual trustees

  • A valid email address and mobile telephone number
  • Bank account details to be linked to your account (Australian bank account details only)
  • TFN or ABN for Australian Trust / Super Fund
  • Registration details:
    • Australian SMSF - ABN
    • Other Trust – registration / licensing details (if obtained)
  • Electronic Identity Verification for one Trustee, any Settlor and all Beneficial Owner(s) of unregulated trusts (if selected online, the following may assist Australian individuals in verifying their identity): Australian Drivers Licence, Passport, Medicare Card, Australian Visa
  • Australia's Anti-Money Laundering and Counter Terrorism Financing (“AML/CTF”) legislation obliges us to collect Identification Information from prospective Investors (this includes beneficial owners). The online ID Facility, Green ID, provides the opportunity to compete the identity verification electronically. For further information on Green ID, please visit the Green ID website.

Trust or super fund with corporate trustees

  • A valid email address and valid mobile telephone number
  • Bank account details to be linked to your account
  • TFN or ABN for Australian Trust / Super Fund
  • Registration details:
    • Australian company - ABN or ACN
    • Australian SMSF - ABN
    • Other Trust – registration / licensing details (if obtained)
  • Electronic Identity Verification for any Settlor and all Beneficial Owner(s) of unregulated trusts/trustees (if selected online, the following may assist Australian individuals in verifying their identity): Australian Drivers Licence, Passport, Medicare Card, Australian Visa
  • Australia's Anti-Money Laundering and Counter Terrorism Financing (“AML/CTF”) legislation obliges us to collect Identification Information from prospective Investors (this includes beneficial owners). The online ID Facility, Green ID, provides the opportunity to compete the identity verification electronically. For further information on Green ID, please visit the Green ID website.

Information you will need to complete the Application Form:

  • Full name of each applicant investor
  • Proof that individual investors are 18 or older
  • A valid email address and mobile number
  • Residential address (PO Box not accepted) of each applicant investor
  • Sources of funds and wealth must be identified
  • Bank account details to be linked to your Blackwattle Investment Partners Investment Account (Australian financial institution account details only)
  • To apply for a joint investment Account with us you will require a joint bank account in the name of all investors
  • Date of birth of each applicant investor
  • Electronic Identity Verification (if selected online, the following may assist Australian investors in verifying your identity): Australian Drivers Licence, Passport, Medicare Card, Australian Visa, Australian State or Territory Proof of Age Card
  • Australia's Anti-Money Laundering and Counter Terrorism Financing (“AML/CTF”) legislation obliges us to collect Identification Information from prospective Investors (this includes beneficial owners). The online ID Facility, Green ID, provides the opportunity to compete the identity verification electronically. For further information on Green ID, please visit the Green ID website.

Information you will need to complete the Application Form:

  • Full company name as registered with ASIC
  • Business trading name/s
  • A valid email address and mobile telephone number
  • Registered Office address (PO Box not accepted)
  • Principle place of business (PO Box not accepted)
  • Bank account details to be linked to your Blackwattle Investment Partners Investment Account (Australian financial institution account details only)
  • Sources of funds and wealth must be identified
  • Company Category must be identified
  • Company type must be identified (proprietary or public)
  • Full name of each Director/s
  • Beneficial Owner/s and Controlling Party/ies to be Identified (must complete a separate Customer Identification Form)
  • Registration details:
    • Australian companies - ABN or ACN
    • Foreign companies - company registration
  • For an Australian Listed entity an official document issued by the company showing its legal entity name (e.g. Annual Report).
  • Electronic Identity Verification for any Beneficial Owner and Company directors (if selected online, the following may assist Australian individuals in verifying their identity): Australian Drivers Licence, Passport, Medicare Card, Australian Visa
  • Australia's Anti-Money Laundering and Counter Terrorism Financing (“AML/CTF”) legislation obliges us to collect Identification Information from prospective Investors (this includes beneficial owners). The online ID Facility, Green ID, provides the opportunity to compete the identity verification electronically. For further information on Green ID, please visit the Green ID website.

Information you will need to complete the Application Form:

Trusts or superannuation funds for all trusts and trustees

  • Full Name of Trust
  • Full name of Settlor/s (if unregulated)
  • Business name (if any)
  • Country of formation/incorporation/registration
  • Sources of Funds and Wealth
  • Trustee Type (Individual, Australian Company, Foreign Company)
  • All Trustees to be identified (must complete a separate Customer Identification Form)
  • Trustee Residential Address (PO Box not accepted)
  • If an Australian Company Trustee the following is required:
    • Full company name as registered with ASIC, Registered Office Address (PO BOX not accepted) and Principle Place of Business Address (PO Box not accepted)
    • Company Category (Regulated Company, Australian Listed Company, Majority Owned Subsidiary of an Australian Listed Company)
    • Company Type (proprietary or public)
  • Trust Category (Managed Investment Scheme (MIS), Regulated Trust, Government Super Fund, SMFS, Unregistered MIS, Family Trust, unit Trust, Charitable Trust, Testamentary Trust, other)
  • A valid email address and mobile telephone number
  • Beneficial Owner/s and Controlling Party/ies to be Identified (must complete a separate Customer Identification Form)
  • Bank account details to be linked to your Blackwattle Investment Partners investment Account (Australian financial institution account details only)
  • Registration details:
    • Regulated Trust: relevant extract of the legislation establishing the government
    • superannuation fund sourced from a government website
    • Registered managed investment schemes or government superannuation funds: product disclosure statement (PDS), annual report or audited financial statement
    • for the Trust
    • Government superannuation funds: relevant extract of the legislation establishing the superannuation fund sourced from a government website
    • Superannuation funds: relevant extract of the legislation from abr.business.gov.au or superfundlookup.gov.au that includes the Trust’s name, ABN and super fund status
    • Unregulated trusts: certified letter from a solicitor or qualified accountant that confirms the name and existence of the Trust and the settlor of Trust full name or certified extract of the Trust deed showing the full name of the Trust, deed issuer, issue date and settlor of the Trust full name.
    • Other Trusts – registration / licensing details (if obtained)
  • Electronic Identity Verification for one Trustee and all Beneficial Owner(s) of unregulated trusts (if selected online, the following may assist Australian individuals in verifying their identity): Australian Drivers Licence, Passport, Medicare Card, Australian Visa
  • Australia's Anti-Money Laundering and Counter Terrorism Financing (“AML/CTF”) legislation obliges us to collect Identification Information from prospective Investors (this includes beneficial owners). The online ID Facility, Green ID, provides the opportunity to compete the identity verification electronically. For further information on Green ID, please visit the Green ID website.

In completing this application, or in authorising someone to complete it for you, the applicant is telling us that:

  • they have read and understood the current Product Disclosure Statement (PDS)
  • they agree to be bound by the constitution of the Fund and the PDS, as supplemented, replaced or re-issued from time to time
  • monies being invested are not associated with crime, terrorism, money laundering or terrorism financing, nor will monies received from their account have any such association
  • they are not bankrupt or a minor, and have the power to invest
  • the information given is complete and correct, can be used as described in the PDS (including the collection, use and disclosure of your personal information) and if about another person, has been provided with their permission
  • they understand neither performance nor their investment is guaranteed in any way.
  Save Application
Need help? Get in touch now.

Start application

 




You must choose whether you are an adviser.

You must choose whether you have an adviser.
You must enter your AFSL number. You must enter a valid AFSL number.
Adviser Details
You must enter a full name. You must enter a valid name. The name must not exceed 50 characters.
You must enter an email. You must enter a valid email.

You must answer this question.
You must enter an address. You must enter a valid address line.
You must enter a valid address line.
You must enter a suburb. You must enter a valid suburb.
You must enter a state. You must enter a valid state.
You must enter a postcode. You must enter a valid postcode.
You must enter a country. You must enter a valid country.

You must select an international prefix.
You must enter a phone number. You must enter a valid phone number.
You must enter a dealer group name. You must enter a valid dealer group name. Dealer group name must not exceed 50 characters.
You must enter a adviser company name. You must enter a valid adviser company name.
If you don't have a MAC for online services, you can complete the Online Registration Form to request a MAC. The full terms and conditions are available on the website.

I declare that I have completed the AML/CTF identification and verification for this applicant as required by the AML/CTF Act and AML/CTF Rules and I am satisfied that the identity of the applicant is as stated in this Application. I have retained a copy of the identification documents obtained and a record of the procedure undertaken to verify the identity of the applicant and I agree to provide a copy of this information upon request to support this declaration.


You must answer this declaration.

Investors

Please fill in the details of the investors.



You must answer this question.
You must enter an investment number. You must enter a valid 5-digit investor number.
Your 5-digit investor number can be located on your statement .

Note, you are still required to complete this Application in full.

[[ setInvestorTitle(investor) || 'Investor '+ ($index + 1) ]][[ ($index == 0) ? ' - will be considered primary contact' : '' ]]

You must choose whether the investor is Australian.
You must choose a title.
You must enter (a) given name(s). You must enter (a) valid given name(s).
You must enter valid other names.
You must enter a family name. You must enter a valid family name.
You must enter a email. You must enter a valid email.
Please note we do not accept any investment in the name of a minor (someone under 18 years of age).
You must enter a date of birth. Date of birth must be in dd/mm/yyyy format.
You must enter a valid unit number.
You must enter a street number. You must enter a valid street number.
You must enter a street. You must enter a valid street.
You must enter a suburb. You must enter a valid suburb.
You must enter a state. You must enter a valid state.
You must enter a postcode. You must enter a valid postcode.
You must enter a country. You must enter a valid country.
You must enter an address. You must enter a valid address line.
You must enter a valid address line.
You must enter a suburb. You must enter a valid suburb.
You must enter a state. You must enter a valid state.
You must enter a postcode. You must enter a valid postcode.
You must enter a country. You must enter a valid country.

You must select an international prefix.
You must enter a mobile number. You must enter a valid mobile number.

You must select an international prefix.
You must enter a valid home number.

You must select an international prefix.
You must enter a valid work number.
If you don't have a MAC for online services, you can complete the Online Registration Form to request a MAC. The full terms and conditions are available on the website.

You must choose whether the investor is a Politically Exposed Person.
You must enter a valid Australian Tax File Number.

You must choose whether the investor is a sole trader.
You must enter a valid business name.
You must enter a valid ABN.
You must enter a valid place of business.

You must choose whether the investor is a US citizen or tax resident of the US. This investor cannot be a US citizen or tax resident of the US.
You must enter a TIN number.
A Taxpayer Identification Number (TIN) is an identifying number used for tax purposes in the United States. It is also known as a Tax Identification Number or Federal Taxpayer Identification Number. A TIN may be assigned by the Social Security Administration or by the Internal Revenues Service (IRS).

You must choose whether the investor is a tax resident of another country.
Other Countries

Please add details for each country below.

You have not added any countries.
You must choose a country. You cannot choose USA as a country.
You must specify a country.

You must answer this question.
You must enter a TIN.

You must answer this question.
Reason A:

The country/jurisdiction where the Account Holder is a resident does not issue TINs to its residents

Reason B:

The Account Holder is otherwise unable to obtain a TIN or equivalent number

Reason C:

No TIN is required (Note: Only select this reason if the domestic law of the relevant jurisdiction does not require the collection of the TIN issued by such jurisdiction)

You must enter a reason.
Remove Country  
Add Country  
You must choose a business activity.
You must specify a business activity.
You must enter an occupation title. You must enter a valid occupation title.
You must choose a country of birth.
You must specify a country.
Verify Identity   Verified   Remove Investor  
Add Investor  
You have not added any investors.

Existing Investor Details

 



You must enter an investor number.
i.e. name of the individual, joint investors, sole trader, company, trust or superannuation fund, association, government body or charity.
You must enter an account name.

You must select an international prefix.
You must enter a valid phone number.

Primary Contact

 



Primary Contact
You must enter a given name(s). You must enter a valid given name(s).
You must enter a family name. You must enter a valid family name.
You must enter an email. You must enter a valid email.

You must select an international prefix.
You must enter a valid mobile number.

You must select an international prefix.
You must enter a valid home number.

You must select an international prefix.
You must enter a valid mobile number.
You must enter at least one phone number.
You must enter a valid unit number.
You must enter a street number. You must enter a valid street number.
You must enter a street. You must enter a valid street.
You must enter a suburb. You must enter a valid suburb.
You must enter a state. You must enter a valid state.
You must enter a postcode. You must enter a valid postcode.
You must enter a country. You must enter a valid country.

Company Details

 



You must answer this question.
You must enter an investment number. You must enter a valid 5-digit investor number.
Your 5-digit investor number can be located on your statement .

Note, you are still required to complete this Application in full.


You must answer this question.
A:

I am/we are applying for units at a price, or for the value of at least $500,000 under this Application Form

B:

I have/we have net assets of at least $2.5 million, and I am/we are applying for Units in the Fund for a purpose other than for use in connection with a business

C:

I have/we have a gross income for each of the last two financial years of at least $250,000 per year, and I am/we are applying for Units in the Fund for a purpose other than for use in connection with a business

D:

I am/we are a ‘professional investor’ as defined in the Corporations Act

You must choose a company type.
You must enter an ABN. You must enter a valid ABN.
You must enter a valid ACN. You must enter an ACN.
You must enter a valid Australian Tax File Number.
You must enter a valid date in the dd mm yyyy format.
You must enter a company name. You must enter a valid company name.
You must choose a business activity.
You must enter the business activity.
You must enter a valid unit number.
You must enter a street number. You must enter a valid street number.
You must enter a street. You must enter a valid street.
You must enter a suburb. You must enter a valid suburb.
You must enter a state. You must enter a valid state.
You must enter a postcode. You must enter a valid postcode.
You must enter a country. You must enter a valid country.
You must enter a valid unit number.
You must enter a street number. You must enter a valid street number.
You must enter a street. You must enter a valid street.
You must enter a suburb. You must enter a valid suburb.
You must enter a state. You must enter a valid state.
You must enter a postcode. You must enter a valid postcode.
You must enter a country. You must enter a valid country.

You must choose a country for tax purposes.
You must choose a country of incorporation.
Include any identification number issued upon registration.

You must enter the company name.
You must enter the relevant exchange.

Director Details

 



[[ setDirectorTitle(director) || 'Director '+ ($index + 1) ]]

You must choose whether the director is Australian.

You must choose whether the director is a signatory.
You must choose a title.
You must enter given name(s). You must enter valid given name(s).
You must enter valid other names.
You must enter a family name. You must enter a valid family name.
You must enter a date of birth. Date of birth must be in dd/mm/yyyy format.
You must choose a country of birth.
You must specify a country.

You must choose whether the director is a Politically Exposed Person.
You must enter an occupation.
You must enter a valid unit number.
You must enter a street number. You must enter a valid street number.
You must enter a street. You must enter a valid street.
You must enter a suburb. You must enter a valid suburb.
You must enter a state. You must enter a valid state.
You must enter a postcode. You must enter a valid postcode.
You must enter a country. You must enter a valid country.

You must choose whether the director is a tax resident of the US. This director cannot be a tax resident of the US.
You must enter a TIN number.
A Taxpayer Identification Number (TIN) is an identifying number used for tax purposes in the United States. It is also known as a Tax Identification Number or Federal Taxpayer Identification Number. A TIN may be assigned by the Social Security Administration or by the Internal Revenues Service (IRS).

You must choose whether the director is a tax resident of another country.
Other Countries

Please add details for each country below.

You have not added any countries.
You must choose a country. You cannot choose USA as a country.
You must specify a country.

You must answer this question.
You must enter a TIN.

You must answer this question.
Reason A:

The country/jurisdiction where the Account Holder is a resident does not issue TINs to its residents

Reason B:

The Account Holder is otherwise unable to obtain a TIN or equivalent number

Reason C:

No TIN is required (Note: Only select this reason if the domestic law of the relevant jurisdiction does not require the collection of the TIN issued by such jurisdiction)

You must enter a reason.
Remove Country  
Add Country  
Verify Identity   Verified   Remove Director  
Add Director  
You have not added any directors.

Trusts

 



You must answer this question.
You must enter an investment number. You must enter a valid 5-digit investor number.
Your 5-digit investor number can be located on your statement .

Note, you are still required to complete this Application in full.


You must answer this question.
A:

I am/we are applying for units at a price, or for the value of at least $500,000 under this Application Form

B:

I have/we have net assets of at least $2.5 million, and I am/we are applying for Units in the Fund for a purpose other than for use in connection with a business

C:

I have/we have a gross income for each of the last two financial years of at least $250,000 per year, and I am/we are applying for Units in the Fund for a purpose other than for use in connection with a business

D:

I am/we are a ‘professional investor’ as defined in the Corporations Act

You must choose a type of trust.
You must choose a type of unregulated trust.
You must enter an unregulated trust type. You must enter a valid unregulated trust type.
You must answer this question.
You must enter a trust activity. You must enter a valid trust activity.
You must enter a trust name. You must enter a valid trust name.
You must enter an ABN. You must enter a valid ABN.
You must enter a valid Australian Tax File Number.
You must enter an address. You must enter a valid address line.
You must enter a valid address line.
You must enter a suburb. You must enter a valid suburb.
You must enter a state. You must enter a valid state.
You must enter a postcode. You must enter a valid postcode.
You must enter a country. You must enter a valid country.
You must choose a country in which the trust was estabilished.
You must specify a country.
You must choose a country of tax residence.
You must specify a country.
You must enter a name. You must enter a valid name.
You must enter a valid name.
You must enter an ARSN.

[[pageTwo.steps[pageTwo.currentStep].stepTitle]]

 



You must answer this question.
[[ setTrusteeTitle(trustee) || 'Trustee '+ ($index + 1) ]]
You must answer this question.

You must choose whether the trustee is a signatory.
You must choose a title.
You must enter a given name(s). You must enter a valid given name(s).
You must enter valid other names.
You must enter a family name. You must enter a valid family name.
You must enter a date of birth. Date of birth must be in dd/mm/yyyy format.
You must enter a valid unit number.
You must enter a street number. You must enter a valid street number.
You must enter a street. You must enter a valid street.
You must enter a suburb. You must enter a valid suburb.
You must enter a state. You must enter a valid state.
You must enter a postcode. You must enter a valid postcode.
You must enter a country. You must enter a valid country.

You must choose whether the trustee is a Politically Exposed Person.

You must choose whether the trustee is a tax resident of another country.
Countries of Tax Residency other than Australia

Please add details of all countries the trustee is a tax resident of:

You have not added any countries.
You must choose a country. You cannot choose USA as a country.
You must specify a country.

You must answer this question.
You must enter a TIN.

You must answer this question.
Reason A:

The country/jurisdiction where the Account Holder is a resident does not issue TINs to its residents

Reason B:

The Account Holder is otherwise unable to obtain a TIN or equivalent number

Reason C:

No TIN is required (Note: Only select this reason if the domestic law of the relevant jurisdiction does not require the collection of the TIN issued by such jurisdiction)

You must enter a reason.
Remove Country  
Add Country  
You must choose a business activity.
You must specify a business activity.
You must enter an occupation title. You must enter a valid occupation title.
Verify Identity   Verified   Remove Trustee  
Add Trustee  
You have not added any trustees.
You must answer this question.
You must enter an investment number. You must enter a valid 5-digit investor number.
Your 5-digit investor number can be located on your statement .

Note, you are still required to complete this Application in full.


You must answer this question.
A:

I am/we are applying for units at a price, or for the value of at least $500,000 under this Application Form

B:

I have/we have net assets of at least $2.5 million, and I am/we are applying for Units in the Fund for a purpose other than for use in connection with a business

C:

I have/we have a gross income for each of the last two financial years of at least $250,000 per year, and I am/we are applying for Units in the Fund for a purpose other than for use in connection with a business

D:

I am/we are a ‘professional investor’ as defined in the Corporations Act

You must choose a company type.
You must enter an ABN. You must enter a valid ABN.
You must enter a valid ACN. You must enter an ACN.
You must enter a valid Australian Tax File Number.
You must enter a valid date in the dd mm yyyy format.
You must enter a company name. You must enter a valid company name.
You must choose a business activity.
You must enter the business activity.
You must enter a valid unit number.
You must enter a street number. You must enter a valid street number.
You must enter a street. You must enter a valid street.
You must enter a suburb. You must enter a valid suburb.
You must enter a state. You must enter a valid state.
You must enter a postcode. You must enter a valid postcode.
You must enter a country. You must enter a valid country.
You must enter a valid unit number.
You must enter a street number. You must enter a valid street number.
You must enter a street. You must enter a valid street.
You must enter a suburb. You must enter a valid suburb.
You must enter a state. You must enter a valid state.
You must enter a postcode. You must enter a valid postcode.
You must enter a country. You must enter a valid country.

You must choose a country for tax purposes.
You must choose a country of incorporation.
Include any identification number issued upon registration.

You must enter the company name.
You must enter the relevant exchange.

Trustee Directors

 



[[ setDirectorTitle(director) || 'Director '+ ($index + 1) ]]

You must choose whether the director is Australian.

You must choose whether the director is a signatory.
You must choose a title.
You must enter given name(s). You must enter valid given name(s).
You must enter valid other names.
You must enter a family name. You must enter a valid family name.
You must enter a date of birth. Date of birth must be in dd/mm/yyyy format.
You must choose a country of birth.
You must specify a country.

You must choose whether the director is a Politically Exposed Person.
You must enter an occupation.
You must enter a valid unit number.
You must enter a street number. You must enter a valid street number.
You must enter a street. You must enter a valid street.
You must enter a suburb. You must enter a valid suburb.
You must enter a state. You must enter a valid state.
You must enter a postcode. You must enter a valid postcode.
You must enter a country. You must enter a valid country.

You must choose whether the director is a tax resident of the US. This director cannot be a tax resident of the US.
You must enter a TIN number.
A Taxpayer Identification Number (TIN) is an identifying number used for tax purposes in the United States. It is also known as a Tax Identification Number or Federal Taxpayer Identification Number. A TIN may be assigned by the Social Security Administration or by the Internal Revenues Service (IRS).

You must choose whether the director is a tax resident of another country.
Other Countries

Please add details for each country below.

You have not added any countries.
You must choose a country. You cannot choose USA as a country.
You must specify a country.

You must answer this question.
You must enter a TIN.

You must answer this question.
Reason A:

The country/jurisdiction where the Account Holder is a resident does not issue TINs to its residents

Reason B:

The Account Holder is otherwise unable to obtain a TIN or equivalent number

Reason C:

No TIN is required (Note: Only select this reason if the domestic law of the relevant jurisdiction does not require the collection of the TIN issued by such jurisdiction)

You must enter a reason.
Remove Country  
Add Country  
Verify Identity   Verified   Remove Director  
Add Director  
You have not added any directors.

Beneficial Owner(s)

 



You must provide details of each individual who ultimately (whether directly or indirectly):

  • owns 25% or more of the issued capital of the company; or
  • controls the company, for example a person who has the capacity to determine decisions about financial and operating policies.

If there is no one under this category, then please provide any individual who is entitled to exercise 25% or more of the voting rights, including a power of veto.

If there is no one that satisfies either of these categories, then provide the details of any individual who holds the position of senior managing official (or equivalent).

Please provide details for each shareholder who is beneficially entitled to 25% or more of issued capital in the company. If no shareholder owns more than 25% of the company’s shares, please list the persons who directly or indirectly control the company.

You must provide details of each individual who ultimately (whether directly or indirectly):

  • owns 25% or more of the trust; or
  • controls the trust, for example a person who has the capacity to determine decisions about financial and operating policies.

If there is no one under this category, then any individual who holds the power to appoint or remove the trustees of the trust. This role is usually described as the ‘appointer’, but may also be called the ‘custodian’ or ‘principal’, and should be noted in the trust deed.


You must answer this question.
[[ setBeneficialOwnerTitle(beneficialOwner) || ( 'Beneficial Owner ' + ($index + 1)) ]]

You must choose whether the beneficial owner is an existing [[ getExistingPersonType('trustee') ]].
You must choose an existing [[ getExistingPersonType('trustee') ]].

You must choose whether the beneficial owner is Australian.

You must answer this question.
You must enter a role. You must enter a valid role.
You must enter (a) class(es) of beneficial owners. You must enter (a) class(es) of beneficial owners.

You must choose whether the beneficial owner directly or indirectly controls the trust.
You must enter a role. You must enter a valid role.
You must choose a title.
You must enter (a) given name(s). You must enter (a) valid given name(s).
You must enter valid other names.
You must enter a family name. You must enter a valid family name.
You must enter a email. You must enter a valid email.
You must enter a date of birth. Date of birth must be in dd/mm/yyyy format.
You must enter a valid unit number.
You must enter a street number. You must enter a valid street number.
You must enter a street. You must enter a valid street.
You must enter a suburb. You must enter a valid suburb.
You must enter a state. You must enter a valid state.
You must enter a postcode. You must enter a valid postcode.
You must enter a country. You must enter a valid country.
You must enter an address. You must enter a valid address line.
You must enter a valid address line.
You must enter a suburb. You must enter a valid suburb.
You must enter a state. You must enter a valid state.
You must enter a postcode. You must enter a valid postcode.
You must enter a country. You must enter a valid country.

You must select an international prefix.
You must enter a mobile number. You must enter a valid mobile number.

You must choose whether the beneficial owner is a Politically Exposed Person.

You must choose whether the beneficial owner is a sole trader.
You must enter a valid business name.
You must enter a valid ABN.
You must enter a valid place of business.

You must choose whether the beneficial owner is a tax resident of another country.
Countries of Tax Residency other than Australia

Please add details of all countries the beneficial owner is a tax resident of:

You have not added any countries.
You must choose a country. You cannot choose USA as a country.
You must specify a country.

You must answer this question.
You must enter a TIN.

You must answer this question.
Reason A:

The country/jurisdiction where the Account Holder is a resident does not issue TINs to its residents

Reason B:

The Account Holder is otherwise unable to obtain a TIN or equivalent number

Reason C:

No TIN is required (Note: Only select this reason if the domestic law of the relevant jurisdiction does not require the collection of the TIN issued by such jurisdiction)

You must enter a reason.
Remove Country  
Add Country  
You must choose a business activity.
You must specify a business activity.
You must enter an occupation title. You must enter a valid occupation title.
You must choose a country of birth.
You must specify a country.
Verify Identity   Verified   Remove Beneficial Owner  
Add Beneficial Owner  
You have not added any beneficial owners.

Trustee CRS & FATCA



Regulations based on the OECD Common Reporting Standard (CRS) and the US legislation known as FATCA (Foreign Accounts Tax Compliance Act) require Financial Institutions (FIs) to collect and report certain information about an account holder’s tax residency. If the account holder’s tax residence is located outside the country where the FI maintaining the account is located, we may be legally obliged to pass on the information in this form and other financial information with respect to your financial accounts to the Australian Tax Office (ATO). The ATO may exchange this information with tax authorities of other jurisdictions. For more information, refer to the ATO website; the Organisation for Economic Co-operation and Development (OECD) website; or the United States Internal Revenue Services (IRS) website.


You must choose an entity type.

Under FATCA and CRS, an Exempt Beneficial Owner includes:

  1. Australian government organisation or agency
  2. Reserve Bank of Australia
  3. International (including intergovernmental) organisation
  4. Australian regulated superannuation fund

A financial institution includes the following entity types; a Depository Institution, an investment Entity, a Specified Insurance Company or a Custodial Institution


You must answer this question.
You must specify a GIIN.

You must choose an FFI status.
You must specify a status.
You must specify a name.

You must answer this question.
Countries of Tax Residency[[ (appForm.entityType.indexOf('3') == 0 || appForm.entityType.indexOf('6') == 0) ? ' other than Australia' : '' ]]

Please add details for each country below.

You have not added any countries.
You must choose a country.
You must specify a country.

You must answer this question.
You must enter a TIN.

You must answer this question.
Reason A:

The country/jurisdiction where the entity is a resident does not issue TINs to its residents

Reason B:

The entity is otherwise unable to obtain a TIN or equivalent number

Reason C:

No TIN is required (Note: Only select this reason if the domestic law of the relevant jurisdiction does not require the collection of the TIN issued by such jurisdiction)

You must enter a reason.
Remove Country  
Add Country  

You must answer this question.
Note: You can review the Automatic Exchange of Information (AEOI) guidance for CRS participating jurisdictions on the ATO website
[[ setCrsControllingPersonTitle(controllingPerson) || 'Controlling Person '+ ($index + 1) ]]

You must choose whether the controlling person is Australian.
You must choose a role.
You must choose a title.
You must enter (a) given name(s). You must enter (a) valid given name(s).
You must enter valid other names.
You must enter a family name. You must enter a valid family name.
You must enter a email. You must enter a valid email.
You must enter a date of birth. Date of birth must be in dd/mm/yyyy format.
You must enter a valid unit number.
You must enter a street number. You must enter a valid street number.
You must enter a street. You must enter a valid street.
You must enter a suburb. You must enter a valid suburb.
You must enter a state. You must enter a valid state.
You must enter a postcode. You must enter a valid postcode.
You must enter a country. You must enter a valid country.
You must enter an address. You must enter a valid address line.
You must enter a valid address line.
You must enter a suburb. You must enter a valid suburb.
You must enter a state. You must enter a valid state.
You must enter a postcode. You must enter a valid postcode.
You must enter a country. You must enter a valid country.

You must select an international prefix.
You must enter a mobile number. You must enter a valid mobile number.

You must choose whether the controlling person is a Politically Exposed Person.

You must choose whether the controlling person is a sole trader.
You must enter a valid business name.
You must enter a valid ABN.
You must enter a valid place of business.

You must choose whether the controlling person is a tax resident of another country.
Countries of Tax Residency other than Australia

Please add details of all countries the controlling person is a tax resident of:

You have not added any countries.
You must choose a country. You cannot choose USA as a country.
You must specify a country.

You must answer this question.
You must enter a TIN.

You must answer this question.
Reason A:

The country/jurisdiction where the Account Holder is a resident does not issue TINs to its residents

Reason B:

The Account Holder is otherwise unable to obtain a TIN or equivalent number

Reason C:

No TIN is required (Note: Only select this reason if the domestic law of the relevant jurisdiction does not require the collection of the TIN issued by such jurisdiction)

You must enter a reason.
Remove Country  
Add Country  
You must choose a business activity.
You must specify a business activity.
You must enter an occupation title. You must enter a valid occupation title.
You must choose a country of birth.
You must specify a country.
Verify Identity   Verified   Remove Controlling Person  
Add Controlling Person  
You have not added any controlling persons.

A NFE/NFFE includes the following entity types: a company that is NOT a financial institution, a partnership, a trust, a co-operative, association or club, or a charitable organisation etc.


You must answer this question.
Active NFFE/NFE:

The entity operates an active trade or business (other than a financial business earning from providing services, or is engaged in producing, manufacturing or selling products or goods. Examples include: listed and regularly traded corporations, service providers, charities, primary producers, central banks and government agencies.

Passive NFFE/NFE:

The entity earns 50% or more of its revenue from investment activities (e.g. rent, dividends, interest or distributions), or 50% or more of the entity’s assets are used to generate investment income.

Beneficiaries

Please provide details of all beneficiaries of the trust.



[[ setBeneficiaryTitle(beneficiary) || 'Beneficiary '+ ($index + 1) ]]

You must choose whether the beneficiary is an existing trustee.
You must choose an existing trustee.
You must enter (a) given name(s). You must enter (a) valid given name(s).
You must enter valid other names.
You must enter a family name. You must enter a valid family name.
Remove Beneficiary  
Add Beneficiary  
You have not added any beneficiaries.

Beneficial Owner(s)

 



You must provide details of each individual who ultimately (whether directly or indirectly):

  • owns 25% or more of the issued capital of the company; or
  • controls the company, for example a person who has the capacity to determine decisions about financial and operating policies.

If there is no one under this category, then please provide any individual who is entitled to exercise 25% or more of the voting rights, including a power of veto.

If there is no one that satisfies either of these categories, then provide the details of any individual who holds the position of senior managing official (or equivalent).

Please provide details for each shareholder who is beneficially entitled to 25% or more of issued capital in the company. If no shareholder owns more than 25% of the company’s shares, please list the persons who directly or indirectly control the company.

You must provide details of each individual who ultimately (whether directly or indirectly):

  • owns 25% or more of the trust; or
  • controls the trust, for example a person who has the capacity to determine decisions about financial and operating policies.

If there is no one under this category, then any individual who holds the power to appoint or remove the trustees of the trust. This role is usually described as the ‘appointer’, but may also be called the ‘custodian’ or ‘principal’, and should be noted in the trust deed.


You must answer this question.
[[ setBeneficialOwnerTitle(beneficialOwner) || ( 'Beneficial Owner ' + ($index + 1)) ]]

You must choose whether the beneficial owner is an existing [[ getExistingPersonType('company') ]].
You must choose an existing [[ getExistingPersonType('company') ]].

You must choose whether the beneficial owner is Australian.

You must answer this question.
You must enter a role. You must enter a valid role.
You must enter (a) class(es) of beneficial owners. You must enter (a) class(es) of beneficial owners.

You must choose whether the beneficial owner directly or indirectly controls the trust.
You must enter a role. You must enter a valid role.
You must choose a title.
You must enter (a) given name(s). You must enter (a) valid given name(s).
You must enter valid other names.
You must enter a family name. You must enter a valid family name.
You must enter a email. You must enter a valid email.
You must enter a date of birth. Date of birth must be in dd/mm/yyyy format.
You must enter a valid unit number.
You must enter a street number. You must enter a valid street number.
You must enter a street. You must enter a valid street.
You must enter a suburb. You must enter a valid suburb.
You must enter a state. You must enter a valid state.
You must enter a postcode. You must enter a valid postcode.
You must enter a country. You must enter a valid country.
You must enter an address. You must enter a valid address line.
You must enter a valid address line.
You must enter a suburb. You must enter a valid suburb.
You must enter a state. You must enter a valid state.
You must enter a postcode. You must enter a valid postcode.
You must enter a country. You must enter a valid country.

You must select an international prefix.
You must enter a mobile number. You must enter a valid mobile number.

You must choose whether the beneficial owner is a Politically Exposed Person.

You must choose whether the beneficial owner is a sole trader.
You must enter a valid business name.
You must enter a valid ABN.
You must enter a valid place of business.

You must choose whether the beneficial owner is a tax resident of another country.
Countries of Tax Residency other than Australia

Please add details of all countries the beneficial owner is a tax resident of:

You have not added any countries.
You must choose a country. You cannot choose USA as a country.
You must specify a country.

You must answer this question.
You must enter a TIN.

You must answer this question.
Reason A:

The country/jurisdiction where the Account Holder is a resident does not issue TINs to its residents

Reason B:

The Account Holder is otherwise unable to obtain a TIN or equivalent number

Reason C:

No TIN is required (Note: Only select this reason if the domestic law of the relevant jurisdiction does not require the collection of the TIN issued by such jurisdiction)

You must enter a reason.
Remove Country  
Add Country  
You must choose a business activity.
You must specify a business activity.
You must enter an occupation title. You must enter a valid occupation title.
You must choose a country of birth.
You must specify a country.
Verify Identity   Verified   Remove Beneficial Owner  
Add Beneficial Owner  
You have not added any beneficial owners.

Investment Details

 



Funds

Please choose at least one fund to invest in.

You have not chosen any funds.

You must choose a fund.
$
You must enter an investment amount. You must enter a number here. You must enter a investment amount [[singleFund.minInitial | currency:"$":0]] or greater.
$
You must enter a number here. You must enter an amount [[singleFund.minSub | currency:"$":0]] or greater.

By default, your distributions will be reinvested as additional Units. Alternatively, you can elect to have them paid into your nominated bank account.

Note that Distribution Reinvestment is not available in this fund.

You must answer this question.
Design & Distribution Obligations (DDO)

In relation to our Design and Distribution Obligations (DDO) under the Corporations Act, we seek the following information about your attributes as an investor (please complete the questions below, as appropriate):


Please select all that apply





You must agree to this declaration.






Remove Fund  
Add Fund  
Bank Account

Please nominate a[[pageOne.allowForeignBankAccounts ? '' : 'n Australian']] bank account to be used in relation to this investment including future redemptions. Please note the Account Name must match the name of the Investor listed on this application.


You must answer this question.
You must enter an account name. You must enter a valid account name.
Enter a valid BSB in the format xxx-xxx.
You must enter a bank/institution name. You must enter a valid bank/institution name.
You must enter a branch name and address. You must enter a valid branch name and address.
You must enter an account number. You must enter a valid account number.
You must enter a Swift/BIC code. You must enter a valid Swift/BIC code.
You must choose a country.
You must specify a country.
You must enter a beneficiary address. You must enter a valid beneficiary address.

You must answer this question.
Distribution Bank Account

Please nominate a bank account to be used for future distributions. Please note the Account Name must match the name of the Investor listed on this application.


You must answer this question.
You must enter an account name. You must enter a valid account name.
Enter a valid BSB in the format xxx-xxx.
You must enter a bank/institution name. You must enter a valid bank/institution name.
You must enter a branch name and address. You must enter a valid branch name and address.
You must enter an account number. You must enter a valid account number.
You must enter a Swift/BIC code. You must enter a valid Swift/BIC code.
You must choose a country.
You must specify a country.
You must enter a beneficiary address. You must enter a valid beneficiary address.

You must choose a payment method.

Please ensure that you have sufficient cleared funds available in your nominated account. We will notify you if a direct debit request has been declined and you must arrange payment of the initial investment amount by another method. Please refer to the Direct Debit Service Agreement and current PDS.

Generally, application money paid by direct debit can take up to four Business Days before the amount is invested but may take longer in certain circumstances. Please ensure that your financial institution allows direct debits on your nominated account and that funds are available from the time that your application form is submitted. Macquarie may not be able to issue units immediately after receipt of your application money.


You must answer this question.
Direct Debit Bank Account

Please note the Account Name must match the name of the Investor listed on this application.


You must answer this question.
You must enter an account name. You must enter a valid account name.
Enter a valid BSB in the format xxx-xxx.
You must enter a bank/institution name. You must enter a valid bank/institution name.
You must enter a branch name and address. You must enter a valid branch name and address.
You must enter an account number. You must enter a valid account number.
You must enter a Swift/BIC code. You must enter a valid Swift/BIC code.
You must choose a country.
You must specify a country.
You must enter a beneficiary address. You must enter a valid beneficiary address.

You must answer this question.

If the account nominated above is a joint bank account, all account holders must be added below. If it is a company account and the company has more than one director, two directors or a director and a secretary must be added below.

Add Joint Account Holders

[[ ddrAccountHolder.name || 'Joint Account Holder '+ ($index + 1) ]]
You must enter a name. You must enter a valid name.
Remove Account Holder  
Add Account Holder  
You have not added any account holders.

You will be able to deposit funds into your account when you receive a confirmation of your account details (Investment Account) once your application has been accepted.

Send your payment to the below account(s), and make sure to use the name of the investing entity as the reference for any EFT payments.

Fund: [[singleFund.fundDetails.FUNDNAMEWITHCLASS]]
BSB: [[singleFund.eftDetails.BSBCODE]]
Account Number: [[singleFund.eftDetails.ACNO]]
Account Name: [[singleFund.eftDetails.ACNAME]]

Fund: [[singleFund.fundDetails.FUNDNAMEWITHCLASS]]
BPAY Biller Code: [[singleFund.bpayBillerCode]]
BPAY Customer Reference Number: [[pageTwo.bpayCrn]]

Please send the cheque to:

C/- Manager - Blackwattle Investment Partners
Apex Fund Services
GPO Box 4968
Sydney NSW 2001
 PO Box R1723
Royal Exchange NSW 1225
 Australia

Cheques should be made payable to:

  • [[singleFund.fundDetails.FUNDNAMEWITHCLASS]] Application Account MIMAL – [[singleFund.fundDetails.FUNDNAMEWITHCLASS]] A/C [[showPrimaryInvestor()]]

You must choose an investment purpose.
You must enter an answer.

You must choose an investment source.
You must enter an answer.

You must answer this question.

You must choose your communication preference.

If you provide your email address, you agree that we may provide you with information including statements, transaction confirmations, reports and other material by email. If an email address is provided for a corporate trustee or company, as well as for an individual, the corporate email address will be used. From time to time, we may still send correspondence in the post. Contact Client Services if you wish to change your communication preferences.

If you provide your email address, you agree that we may provide you with information including statements, transaction confirmations, reports and other material by email. If an email address is provided for a corporate trustee or company, as well as for an individual, the corporate email address will be used. From time to time, we may still send correspondence in the post. Contact Client Services if you wish to change your communication preferences.


You must answer this question.

You must answer this question.

You must choose your annual report communication preference.

CRS & FATCA



Regulations based on the OECD Common Reporting Standard (CRS) and the US legislation known as FATCA (Foreign Accounts Tax Compliance Act) require Financial Institutions (FIs) to collect and report certain information about an account holder’s tax residency. If the account holder’s tax residence is located outside the country where the FI maintaining the account is located, we may be legally obliged to pass on the information in this form and other financial information with respect to your financial accounts to the Australian Tax Office (ATO). The ATO may exchange this information with tax authorities of other jurisdictions. For more information, refer to the ATO website; the Organisation for Economic Co-operation and Development (OECD) website; or the United States Internal Revenue Services (IRS) website.


You must choose an entity type.

Under FATCA and CRS, an Exempt Beneficial Owner includes:

  1. Australian government organisation or agency
  2. Reserve Bank of Australia
  3. International (including intergovernmental) organisation
  4. Australian regulated superannuation fund

A financial institution includes the following entity types; a Depository Institution, an investment Entity, a Specified Insurance Company or a Custodial Institution


You must answer this question.
You must specify a GIIN.

You must choose an FFI status.
You must specify a status.
You must specify a name.

You must answer this question.
Countries of Tax Residency[[ (appForm.entityType.indexOf('3') == 0 || appForm.entityType.indexOf('6') == 0) ? ' other than Australia' : '' ]]

Please add details for each country below.

You have not added any countries.
You must choose a country.
You must specify a country.

You must answer this question.
You must enter a TIN.

You must answer this question.
Reason A:

The country/jurisdiction where the entity is a resident does not issue TINs to its residents

Reason B:

The entity is otherwise unable to obtain a TIN or equivalent number

Reason C:

No TIN is required (Note: Only select this reason if the domestic law of the relevant jurisdiction does not require the collection of the TIN issued by such jurisdiction)

You must enter a reason.
Remove Country  
Add Country  

You must answer this question.
Note: You can review the Automatic Exchange of Information (AEOI) guidance for CRS participating jurisdictions on the ATO website
[[ setCrsControllingPersonTitle(controllingPerson) || 'Controlling Person '+ ($index + 1) ]]

You must choose whether the controlling person is Australian.
You must choose a role.
You must choose a title.
You must enter (a) given name(s). You must enter (a) valid given name(s).
You must enter valid other names.
You must enter a family name. You must enter a valid family name.
You must enter a email. You must enter a valid email.
You must enter a date of birth. Date of birth must be in dd/mm/yyyy format.
You must enter a valid unit number.
You must enter a street number. You must enter a valid street number.
You must enter a street. You must enter a valid street.
You must enter a suburb. You must enter a valid suburb.
You must enter a state. You must enter a valid state.
You must enter a postcode. You must enter a valid postcode.
You must enter a country. You must enter a valid country.
You must enter an address. You must enter a valid address line.
You must enter a valid address line.
You must enter a suburb. You must enter a valid suburb.
You must enter a state. You must enter a valid state.
You must enter a postcode. You must enter a valid postcode.
You must enter a country. You must enter a valid country.

You must select an international prefix.
You must enter a mobile number. You must enter a valid mobile number.

You must choose whether the controlling person is a Politically Exposed Person.

You must choose whether the controlling person is a sole trader.
You must enter a valid business name.
You must enter a valid ABN.
You must enter a valid place of business.

You must choose whether the controlling person is a tax resident of another country.
Countries of Tax Residency other than Australia

Please add details of all countries the controlling person is a tax resident of:

You have not added any countries.
You must choose a country. You cannot choose USA as a country.
You must specify a country.

You must answer this question.
You must enter a TIN.

You must answer this question.
Reason A:

The country/jurisdiction where the Account Holder is a resident does not issue TINs to its residents

Reason B:

The Account Holder is otherwise unable to obtain a TIN or equivalent number

Reason C:

No TIN is required (Note: Only select this reason if the domestic law of the relevant jurisdiction does not require the collection of the TIN issued by such jurisdiction)

You must enter a reason.
Remove Country  
Add Country  
You must choose a business activity.
You must specify a business activity.
You must enter an occupation title. You must enter a valid occupation title.
You must choose a country of birth.
You must specify a country.
Verify Identity   Verified   Remove Controlling Person  
Add Controlling Person  
You have not added any controlling persons.

A NFE/NFFE includes the following entity types: a company that is NOT a financial institution, a partnership, a trust, a co-operative, association or club, or a charitable organisation etc.


You must answer this question.
Active NFFE/NFE:

The entity operates an active trade or business (other than a financial business earning from providing services, or is engaged in producing, manufacturing or selling products or goods. Examples include: listed and regularly traded corporations, service providers, charities, primary producers, central banks and government agencies.

Passive NFFE/NFE:

The entity earns 50% or more of its revenue from investment activities (e.g. rent, dividends, interest or distributions), or 50% or more of the entity’s assets are used to generate investment income.

With respect to an Entity that is a trust, Controlling Persons means the settlor(s), the trustee(s), the protector(s) (if any), the beneficiary(ies) or class(es) of beneficiary(ies) AND any other natural person(s) exercising control over the trust.

Where the beneficiaries under a trust are identified as a class of beneficiaries, only those beneficiaries that have received or become entitled to receive a distribution in the year up to the date of the signing of the Application Form, or any beneficiary who otherwise has actual control of the trust, need to be identified as Controlling Persons.

[[ setPassiveControllingPersonTitle(controllingPerson) || 'Controlling Person '+ ($index + 1) ]]
You must choose a role.
You must choose a title.
You must enter (a) given name(s). You must enter (a) valid given name(s).
You must enter valid other names.
You must enter a family name. You must enter a valid family name.
You must enter a valid unit number.
You must enter a street number. You must enter a valid street number.
You must enter a street. You must enter a valid street.
You must enter a suburb. You must enter a valid suburb.
You must enter a state. You must enter a valid state.
You must enter a postcode. You must enter a valid postcode.
You must enter a country. You must enter a valid country.
Remove Controlling Person  
Add Controlling Person  

You must agree to the above.

Declaration

The applicant needs to also assert the following :



When you complete this Application Form you make the following declarations:

  • I/We have received the PDS/IM and made this application in Australia (and/or New Zealand for those offers made in New Zealand).
  • I/We have read the PDS/IM to which this Application Form applies and agree to be bound by the terms and conditions of the PDS/IM and the Constitution of the relevant Fund/Trust in which I/we have chosen to invest.
  • I/we have carefully considered the features of Fund/Trust as described in the PDS (including its investment objectives, minimum suggested investment timeframe, risk level, withdrawal arrangements and investor suitability) and, after obtaining any financial and/or tax advice that I/we deemed appropriate, am/are satisfied that my/our proposed investment in the Fund/Trust is consistent with my/our investment objectives, financial circumstances and needs. *
  • I/we have considered our personal circumstances and, where appropriate, obtained investment and/or taxation advice. 
  • I/We hereby declare that I/we are not a US Person as defined in the PDS/IM. 
  • I/We acknowledge that (if a natural person) I am/we are 18 years of age and over and I am/we are eligible to hold units in the Fund/Trust in which I/we have chosen to invest. 
  • I/We acknowledge and agree that Equity Trustees has outlined in the PDS/IM provided to me/us how and where I/we can obtain a copy of the Equity Trustees Group Privacy Statement. 
  • I/We consent to the transfer of any of my/our personal information to external third parties including but not limited to fund administrators, fund investment manager(s) and related bodies corporate who are located outside of Australia for the purpose of administering the products and services for which I/we have engaged the services of Equity Trustees or its related bodies corporate and to foreign government agencies for reporting purposes (if necessary).
  • I/we hereby confirm that the personal information that I/we have provided to Equity Trustees is correct and current in every detail, and should these details change, I/we shall promptly advise Equity Trustees in writing of the change(s).
  • I/We agree to provide further information or personal details to the Responsible Entity if required to meet its obligations under anti-money laundering and counter-terrorism legislation, US tax legislation or reporting legislation and acknowledge that processing of my/our application may be delayed and will be processed at the unit price applicable for the Business Day as at which all required information has been received and verified. 
  • If I/we have provided an email address, I/we consent to receive ongoing investor information including PDS/IM information, confirmations of transactions and additional information as applicable via email. 
  • I/We acknowledge that Equity Trustees does not guarantee the repayment of capital or the performance of the Fund/Trust or any particular rate of return from the Fund/Trust.
  • I/We acknowledge that an investment in the Fund/Trust is not a deposit with or liability of Equity Trustees and is subject to investment risk including possible delays in repayment and loss of income or capital invested.
  • I/We acknowledge that Equity Trustees is not responsible for the delays in receipt of monies caused by the postal service or the investor's bank.
  • If I/we lodge a fax application request, I/we acknowledge and agree to release, discharge and agree to indemnify Equity Trustees from and against any and all losses, liabilities, actions, proceedings, account claims and demands arising from any fax application.
  • If I/we have completed and lodged the relevant sections on authorised representatives, agents and/or financial advisers on the Application Form then I/we agree to release, discharge and agree to indemnify Equity Trustees from and against any and all losses, liabilities, actions, proceedings, account claims and demands arising from Equity Trustees acting on the instructions of my/our authorised representatives, agents and/or financial advisers.
  • If this is a joint application each of us agrees that our investment is held as joint tenants.
  • I/We acknowledge and agree that where the Responsible Entity, in its sole discretion, determines that:
    - I/we are ineligible to hold units in a Fund/Trust or have provided misleading information in my/our Application Form; or
    - I/we owe any amounts to Equity Trustees, then I/we appoint the Responsibility Entity as my/our agent to submit a withdrawal request on my/our behalf in respect of all or part of my/our units, as the case requires, in the Fund/Trust.
  • For Wholesale Clients* - I/We acknowledge that I am/we are a Wholesale Client (as defined in Section 761G of the Corporations Act 2001 (Cth) and are therefore eligible to hold units in the Fund/Trust/
  • For New Zealand applications* - I/we have read the terms of the offer relating to New Zealand investors, including the New Zealand warning statement.
  • For New Zealand Wholesale Investors* - I/we acknowledge and agree that:
    - I/We have read the "New Zealand Wholesale Investor Fact Sheet" and PDS/IM or "New Zealand Investors: Selling Restriction" for the Fund/Trust;
    - I am/We are a Wholesale Investor and am/are therefore eligible to hold units in the Fund/Trust; and
    - I/We have not:
    Offered, sold, or transferred, and will not offer sell, or transfer, directly or indirectly, any units in the Fund/Trust;
    Granted, issues, or transferred, and will not grant, issue or transfer, any interests in or options over, directly or indirectly, any units in the Fund/Trust; and
    Distributed and will not distribute, directly or indirectly, the PDS/IM or any other offering materials or advertisement in relation to any offer of units in the Fund/Trust, in each case in New Zealand, other than to a person who is a Wholesale Investor; and
    - I/We will notify Equity Trustees if I/we cease to be a Wholesale Investor; and
    - I/We have separately provided a signed Wholesale Investor Certification located at the end of this Application Form. 

All references to Wholesale Investor in this Declaration are a reference to Wholesale Investor in terms of clause 3(2) of Schedule 1 of the Financial Markets Conduct Act 2013 (New Zealand).

* Disregard if not applicable.

Terms and conditions for the collection of Tax File Numbers (TFN) and Australian Business Numbers (ABN)

Collection of TFN and ABN information is authorised and its use and disclosure strictly regulated by tax laws and the Privacy Act. Investors must only provide an ABN instead of a TFN when the investment is made in the course of their enterprise. You are not obliged to provide either your TFN or ABN, but if you do not provide either or claim an exemption, we are required to deduct tax from your distribution at the highest marginal tax rate plus Medicare levy to meet Australian taxation law requirements. 

For more information about the use of TFNs for investments, contact the enquiries section of your local branch of the ATO. Once provided, your TFN will be applied automatically to any future investments in the Fund/Trust where formal application procedures are not required (e.g. distribution reinvestments), unless you indicate, at any time, that you do not wish to quote a TFN for a particular investment. Exempt investors should attach a copy of the certificate of exemption. For super funds or trusts list only the applicable ABN or TFN for the super fund or trust. 


You must agree to the above.
You must answer this question.

You must choose whether the Settlor is deceased.

You must answer this question.
Settlor Details
You must choose a title.
You must enter (a) given name(s). You must enter (a) valid given name(s).
You must enter valid other names.
You must enter a family name. You must enter a valid family name.
Signatories

The signatories below have been added based on your answers to previous questions. If you have any additional signatories such as powers of attorney or custodians, you can add them below.

Please note that applications made by an authorised signatory of the investor will be governed by the terms of investment (which will include the relevant PDS/IM and Information Booklet, where applicable, trust deed or constitution) current at the time of the application, and as updated from time to time.

If no option is nominated, all future written instructions must be executed by the individual account holder(s).

[[signatory.sigName]]

Add [[ pageTwo.accountType != 'additional' ? 'additional' : '' ]] signatories

You must add the signatories in line with the account signing authority option nominated in your original application form or what we have on file, otherwise this application will be considered incomplete.

[[ setSignatoryTitle(signatory) || (pageTwo.accountType != 'additional' ? 'Additional Signatory ' : 'Signatory ') + ($index + 1) ]]
You must enter a name. You must enter a valid name.
You must choose a title.
Remove Signatory  
Add Signatory  
You have not added any signatories.
Operating Authority

When giving instructions to us about your investment, please indicate who has authority to operate your account:


You must answer the question.
Name Title Make changes to my/our contact details only Full Operating Authority
[[signatory.sigName]] [[signatory.sigType]]

AND


You must answer this question.

Supporting Documents



The list of supporting documents below need to be uploaded to complete the application.

You can't upload any documents until all the previous steps have been completed.

[[pageTwo.fileChoiceFailedMessage]]

Adviser

Signature
A file containing the adviser's signature.
Download [[appForm.supportingDocs.adviserSignature.fileName ? 'Replace' : 'Choose file']]

Signatories

[[ signatory.sigName || 'Signatory '+ ($index + 1) ]] ([[ signatory.sigType ]])

Signature
Please arrange for the Acknowledgement Form to be signed and uploaded.
A file containing the signatory's signature.
Download [[signatory.supportingDocs.signature.fileName ? 'Replace' : 'Choose file']]
Business registration
Registration document showing details of the signatory's sole trader business.
Download [[signatory.supportingDocs.busRegistration.fileName ? 'Replace' : 'Choose file']]
Government issued photo ID
A copy of any photo ID issued by the signatory's country.
Download [[signatory.supportingDocs.photoID.fileName ? 'Replace' : 'Choose file']]
Power of Attorney
A certified copy of the Power of Attorney.
Download [[signatory.supportingDocs.powerOfAttorney.fileName ? 'Replace' : 'Choose file']]
Accountant's Certificate
A file containing the Accountant's Certificate
Download [[signatory.supportingDocs.accountantCertificate.fileName ? 'Replace' : 'Choose file']]

I confirm that the attached signature is my signature and understand that it will be used by Macquarie Group Limited, and its related parties, to verify future instructions in relation to the account.

Macquarie shall not be liable in respect of any act or omission by Macquarie in reliance on any communication given or action taken by any person acting or purporting to act on my/our behalf whom Macquarie reasonably believes to be me/us (including any person using this signature).

Foreign persons

[[ foreignPerson.sectionTitle || 'Foreign Person '+ ($index + 1) ]]

Government issued photo ID
A copy of any photo ID issued by the person's country.
Download [[foreignPerson.supportingDocs.photoID.fileName ? 'Replace' : 'Choose file']]

AML/KYC Documentation

Documents used for AML/KYC verification are required to be uploaded and certified.

Individuals

[[ amlUploader.sectionTitle || 'AML Individual '+ ($index + 1) ]]

One of the following:
  • FSC/FPA form completed by your financial adviser (where applicable)
  • certified copy of Australian drivers licence
  • certified copy of Australian passport
  • certified copy of a card issued under a state or territory law for the purpose of proving a person’s age which contains a photograph of the person in whose name the document is issued
  • certified copy of foreign passport or similar document issued for the purpose of international travel that contains a photograph and the signature of the person in whose name the document is issued.

To appoint a power of attorney, complete Section 8.2 of this Application Form and provide the certified copy of the power of attorney document

Download [[amlUploader.supportingDocs.amlDoc.fileName ? 'Replace' : 'Choose file']]
  • Company Extract (or certified copy of company’s cert of registration/incorporation)
  • FSC/FPA form completed by your financial adviser (where applicable)
Company extract or certificate of registration must include registered address of company, names & addresses of directors and shareholders with more than 25% interest.
Download [[appForm.supportingDocs.companyExtract.fileName ? 'Replace' : 'Choose file']]

Where an application is made in the name of a trust we require one of the following:

Trust deed
  • FSC/FPA Form completed by your financial adviser (where applicable)
  • Certified copy of the trust deed or extract of the trust deed (we will only use the trust deed for AML/KYC purposes and will not otherwise review the trust deed)
  • Copy of as notice of assessment issued from the Australian Tax Office within the last 12 months
  • Hard-signed letter from solicitor or qualified accountant verifying the name of the trust
Download [[appForm.supportingDocs.trustDeed.fileName ? 'Replace' : 'Choose file']]

Company trustee

Company Extract (or certified copy of company’s cert of registration/incorporation)
Company extract or certificate of registration must include registered address of company, names & addresses of directors and shareholders with more than 25% interest.
Download [[appForm.supportingDocs.trusteeCompanyExtract.fileName ? 'Replace' : 'Choose file']]

Wholesale Investor Documentation

Accountant's Certificate
A file containing the Accountant's Certificate
Download [[appForm.supportingDocs.accountantCertificate.fileName ? 'Replace' : 'Choose file']]

CRS & FATCA Documentation

If you are a tax resident of a country other than, or in addition to, Australia, and/or you are a US citizen,If the country of tax residence is not Australia, please complete the Macquarie Asset Management FATCA/CRS self-certification form and upload via the link below. The form can be downloaded from Macquarie Asset Management FATCA/CRS self-certification form.

It should then be filled out and uploaded via the link below.

[[crsUploader.sigName]] ([[ crsUploader.sigType ]])
[[ crsUploader.supportingDocs.macquarieCRSForm.fileName ? 'A file containing the Macquarie Asset Management FATCA/CRS self-certification form.' : 'Please upload the completed form downloaded from above.' ]]
Download [[crsUploader.supportingDocs.macquarieCRSForm.fileName ? 'Replace' : 'Choose file']]
[[crsUploader.sigName]] ([[ crsUploader.sigType ]])
[[ crsUploader.supportingDocs.macquarieCRSForm.fileName ? 'A file containing the Macquarie Asset Management FATCA/CRS self-certification form.' : 'Please upload the completed form downloaded from above.' ]]
Download [[crsUploader.supportingDocs.macquarieTrusteeCRSForm.fileName ? 'Replace' : 'Choose file']]

Joint Account Holders

[[ accountHolder.name || 'Joint Account Holder '+ ($index + 1) ]]

Signature
A file containing the joint account holder's signature.
Download [[accountHolder.supportingDocs.signature.fileName ? 'Replace' : 'Choose file']]

Download [[appForm.supportingDocs.customDocument.fileName ? 'Replace' : 'Choose file']]

Download [[appForm.supportingDocs.customDocumentTwo.fileName ? 'Replace' : 'Choose file']]

Files ready to upload

Total files to be uploaded: [[ uploader.queue.length ]]

Document File chosen Size Status
I confirm the following is an authentic original signature and understand that it will be used by Apex Group to assert the application being made online and submitted today.I confirm that the attached signature is my signature and understand that it will be used by Macquarie Group Limited, and its related parties, to verify future instructions in relation to the account.
[[ item.formData[0].filename ]] [[ item.file.name ]] [[ item.file.size/1024/1024|number:2 ]] MB
Queue progress:

Review and Submit



You cannot review and submit this application until all previous sections have been completed.

Investors
Has existing Blackwattle Investment Partners account? [[appForm.hasInvestmentAccount]]
Investor Number: [[appForm.existingInvestorNumber]]
[[ investor.sectionTitle || 'Investor '+ ($index + 1) ]]
Is the Investor Australian: [[investor.isAustralian]]
Title: [[investor.title]]
Given Name(s): [[investor.givenNames]]
Other Names: [[investor.otherNames]]
Family Name: [[investor.familyName]]
Email: [[investor.emailAddress]]
Date of Birth: [[investor.dateOfBirth | date: 'dd/MM/yyyy']]
Residential Address
Unit Number: [[investor.address.unitNumber]]
Street Number: [[investor.address.streetNumber]]
Street: [[investor.address.street]]
Suburb: [[investor.address.suburb]]
State: [[investor.address.state]]
Postcode: [[investor.address.postcode]]
Country: [[investor.address.country]]
Postal Address is the same as residential address? [[investor.postalAddress.copyDetails ? 'Yes' : 'No']]
Postal Address
Address Line 1: [[investor.postalAddress.address1]]
Address Line 2: [[investor.postalAddress.address2]]
Suburb: [[investor.postalAddress.suburb]]
State: [[investor.postalAddress.state]]
Postcode: [[investor.postalAddress.postcode]]
Country: [[investor.postalAddress.country]]
Macquarie Access Code (MAC): [[investor.mac]]
Politically Exposed Person: [[investor.isPEP]]
Tax File Number: [[investor.tfn]]
Tax File Number Exemption Code: [[investor.tfnExemption.code]]
Mobile: [[investor.mobilePrefix]].[[investor.mobileNumber]]
Is the Investor a sole trader: [[investor.isSoleTrader]]
Home number: [[investor.homePrefix]].[[investor.homeNumber]]
Work number: [[investor.workPrefix]].[[investor.workNumber]]
Name of Business: [[investor.businessName]]
ABN: [[investor.abn]]
Primary Place of Business: [[investor.placeOfBusiness]]
Tax Resident or citizen of the US: [[investor.usTaxResident]]
TIN: [[investor.tinNumber]]
Tax Resident of another Country: [[investor.otherCountryTax]]
Other Country Tax Residences
[[(taxCountry.otherCountryTaxName.DESCRIPTION == 'Other') ? taxCountry.otherCountryTaxNameOther : taxCountry.otherCountryTaxName.DESCRIPTION]]
Does investor have TIN: [[taxCountry.otherCountryHasTIN]]
TIN: [[taxCountry.otherCountryTIN]]
Reason for no TIN: [[taxCountry.reasonForNoTIN]]
Unable to obtain TIN reason: [[taxCountry.noTINReasonB]]
Business Activity: [[investor.occupation]]
Other Business Activity: [[investor.otherOccupation]]
Occupation Title: [[investor.occupationTitle]]
Country of Birth: [[investor.countryOfBirth.DESCRIPTION]]
Other Country Name: [[investor.countryOfBirthOther]]
City or Town of Birth: [[investor.cityOfBirth]]
Existing Investor Details
Investor number: [[appForm.investorNumber]]
Account Name: [[appForm.investorName]]
Contact Number: [[appForm.existingInvestorContactNumberPrefix]].[[appForm.existingInvestorContactNumber]]
Primary Contact
Given Name(s): [[appForm.contactGivenName]]
Family Name: [[appForm.contactFamilyName]]
Email: [[appForm.contactEmail]]
Mobile Phone: [[appForm.contactMobilePhonePrefix]].[[appForm.contactMobilePhone]]
Home Phone: [[appForm.contactHomePhonePrefix]].[[appForm.contactHomePhone]]
Work Phone: [[appForm.contactWorkPhonePrefix]].[[appForm.contactWorkPhone]]
Address
Unit Number: [[appForm.primaryContactAddress.unitNumber]]
Street Number: [[appForm.primaryContactAddress.streetNumber]]
Street: [[appForm.primaryContactAddress.street]]
Suburb: [[appForm.primaryContactAddress.suburb]]
State: [[appForm.primaryContactAddress.state]]
Postcode: [[appForm.primaryContactAddress.postcode]]
Country: [[appForm.primaryContactAddress.country]]
Company Details
Has existing Blackwattle Investment Partners account? [[appForm.company_hasInvestmentAccount]]
Investor Number: [[appForm.company_existingInvestorNumber]]
Wholesale Circumstances: [[appForm.wholesaleCircumstances]]
Company Type: [[appForm.company_companyType]]
ABN: [[appForm.company_abn]]
ACN: [[appForm.company_acn]]
ARBN: [[appForm.company_arbn]]
ARSN: [[appForm.company_arsn]]
Tax File Number: [[appForm.company_tfn]]
Tax File Number Exemption Code: [[appForm.company_tfnExemption.code]]
Date of Registration: [[appForm.company_registrationDay]]/[[appForm.company_registrationMonth]]/[[appForm.company_registrationYear]]
Company Name: [[appForm.company_companyName]]
Business Activity: [[appForm.company_companyBusinessActivity]]
Other Business Activity: [[appForm.company_otherBusinessActivity]]
Industry: [[appForm.company_industry]]
Full Street Address of Registered Office
Unit Number: [[appForm.company_companyRegisteredAddress.unitNumber]]
Street Number: [[appForm.company_companyRegisteredAddress.streetNumber]]
Street: [[appForm.company_companyRegisteredAddress.street]]
Suburb: [[appForm.company_companyRegisteredAddress.suburb]]
State: [[appForm.company_companyRegisteredAddress.state]]
Postcode: [[appForm.company_companyRegisteredAddress.postcode]]
Country: [[appForm.company_companyRegisteredAddress.country]]
Full Street Address of Principal Place of Business
Unit Number: [[appForm.company_companyPlaceOfBusiness.unitNumber]]
Street Number: [[appForm.company_companyPlaceOfBusiness.streetNumber]]
Suburb: [[appForm.company_companyPlaceOfBusiness.suburb]]
State: [[appForm.company_companyPlaceOfBusiness.state]]
Postcode: [[appForm.company_companyPlaceOfBusiness.postcode]]
Country: [[appForm.company_companyPlaceOfBusiness.country]]
Is the company a foreign entity for tax purposes: [[appForm.company_companyForeignEntity]]
Country for tax purposes: [[appForm.company_companyCountryTaxPurposes.DESCRIPTION]]
Country of Incorporation: [[appForm.company_companyCountryOfIncoporation.DESCRIPTION]]
Name of regulator/registration body: [[appForm.company_companyRegulator]]
Details of relevant licence: [[appForm.company_companyLicence]]
Listed on Market/exchange: [[appForm.company_companyMarket]]
Regulator name: [[appForm.company_companyRegulatorName]]
License details: [[appForm.company_companyLicenceDetails]]
Is the entity a majority owned subsidiary of an Australian listed company: [[appForm.company_companyIsSubsidiary]]
Name of parent company: [[appForm.company_companyListedCompanyName]]
Relevant exchange: [[appForm.company_companyListedCompanyExchange]]
Directors
[[ director.sectionTitle || 'Director '+ ($index + 1) ]]
Is Australian: [[director.isAustralian]]
Is a signatory: [[director.isSignatory]]
Title: [[director.title]]
Given Name(s): [[director.givenNames]]
Other Names: [[director.otherNames]]
Family Name: [[director.familyName]]
Date of Birth: [[director.dateOfBirth | date: 'dd/MM/yyyy']]
Country of Birth: [[director.countryOfBirth.DESCRIPTION]]
Other Country Name: [[director.countryOfBirthOther]]
City or Town of Birth: [[director.cityOfBirth]]
Politically Exposed Person: [[director.isPEP]]
Occupation: [[director.occupation]]
Residential Address
Unit Number: [[director.address.unitNumber]]
Street Number: [[director.address.streetNumber]]
Street: [[director.address.street]]
Suburb: [[director.address.suburb]]
State: [[director.address.state]]
Postcode: [[director.address.postcode]]
Country: [[director.address.country]]
Tax Resident or citizen of the US: [[director.usTaxResident]]
TIN: [[director.tinNumber]]
Tax Resident of another Country: [[director.otherCountryTax]]
Other Country Tax Residences
[[(taxCountry.otherCountryTaxName.DESCRIPTION == 'Other') ? taxCountry.otherCountryTaxNameOther : taxCountry.otherCountryTaxName.DESCRIPTION]]
Does director have TIN: [[taxCountry.otherCountryHasTIN]]
TIN: [[taxCountry.otherCountryTIN]]
Reason for no TIN: [[taxCountry.reasonForNoTIN]]
Unable to obtain TIN reason: [[taxCountry.noTINReasonB]]
Trust Information
Has existing Blackwattle Investment Partners account? [[appForm.hasInvestmentAccount]]
Investor Number: [[appForm.existingInvestorNumber]]
Wholesale Circumstances: [[appForm.wholesaleCircumstances]]
Type of Trust: [[appForm.trustType]]
Type of Unregulated Trust: [[appForm.unregulatedTrustType]]
Other Unregulated Trust Type: [[appForm.otherUnregulatedTrustType]]
Name of Regulator: [[appForm.regulatorLicence]]
Trust Activity: [[appForm.trustActivity]]
Other Trust Activity: [[appForm.otherTrustActivity]]
Industry: [[appForm.trustIndustry]]
[[ (appForm.trustActivity == 'Superannuation fund') ? 'Superannuation Fund' : 'Trust' ]] Name: [[appForm.trustName]]
ABN: [[appForm.trustABN]]
Tax File Number: [[appForm.trustTFN]]
Tax File Number Exemption Code: [[appForm.tfnExemption.code]]
Address Line 1: [[appForm.trustAddress.address1]]
Address Line 2: [[appForm.trustAddress.address2]]
Suburb: [[appForm.trustAddress.suburb]]
State: [[appForm.trustAddress.state]]
Postcode: [[appForm.trustAddress.postcode]]
Country: [[appForm.trustAddress.country]]
Country of trust establishment: [[appForm.trustEstablisedCountry.DESCRIPTION]]
Other Country Name: [[appForm.trustEstablishedCountryOther]]
Country of tax residence: [[appForm.trustTaxResidence.DESCRIPTION]]
Other Country Name: [[appForm.trustTaxResidenceOther]]
Name of Regulator: [[appForm.regulatorLicence]]
Name of Legislation: [[appForm.trustLegislation]]
ARSN: [[appForm.ARSN]]
Trustees
The trustee(s) for this trust are:: [[appForm.trusteeType]]
[[ trustee.sectionTitle || 'Trustee '+ ($index + 1) ]]
Is Australian: [[trustee.isAustralian]]
Is a signatory: [[trustee.isSignatory]]
Title: [[trustee.title]]
Given Name(s): [[trustee.givenNames]]
Other Names: [[trustee.otherNames]]
Family Name: [[trustee.familyName]]
Date of Birth: [[trustee.dateOfBirth | date: 'dd/MM/yyyy']]
Politically Exposed Person: [[trustee.isPEP]]
Residential Address
Unit Number: [[trustee.address.unitNumber]]
Street Number: [[trustee.address.streetNumber]]
Street: [[trustee.address.street]]
Suburb: [[trustee.address.suburb]]
State: [[trustee.address.state]]
Postcode: [[trustee.address.postcode]]
Country: [[trustee.address.country]]
Tax Resident of a Country other than Australia: [[trustee.otherCountryTax]]
Other Country Tax Residences
[[(taxCountry.otherCountryTaxName.DESCRIPTION == 'Other') ? taxCountry.otherCountryTaxNameOther : taxCountry.otherCountryTaxName.DESCRIPTION]]
Does trustee have TIN: [[taxCountry.otherCountryHasTIN]]
TIN: [[taxCountry.otherCountryTIN]]
Reason for no TIN: [[taxCountry.reasonForNoTIN]]
Unable to obtain TIN reason: [[taxCountry.noTINReasonB]]
Business Activity: [[trustee.occupation]]
Other Business Activity: [[trustee.otherOccupation]]
Occupation Title: [[trustee.occupationTitle]]
Has existing Blackwattle Investment Partners account? [[appForm.trustee_hasInvestmentAccount]]
Investor Number: [[appForm.trustee_existingInvestorNumber]]
Wholesale Circumstances: [[appForm.wholesaleCircumstances]]
Company Type: [[appForm.trustee_companyType]]
ABN: [[appForm.trustee_abn]]
ACN: [[appForm.trustee_acn]]
ARBN: [[appForm.trustee_arbn]]
ARSN: [[appForm.trustee_arsn]]
Tax File Number: [[appForm.trustee_tfn]]
Tax File Number Exemption Code: [[appForm.trustee_tfnExemption.code]]
Date of Registration: [[appForm.trustee_registrationDay]]/[[appForm.trustee_registrationMonth]]/[[appForm.trustee_registrationYear]]
Company Name: [[appForm.trustee_companyName]]
Business Activity: [[appForm.trustee_companyBusinessActivity]]
Other Business Activity: [[appForm.trustee_otherBusinessActivity]]
Industry: [[appForm.trustee_industry]]
Full Street Address of Registered Office
Unit Number: [[appForm.trustee_companyRegisteredAddress.unitNumber]]
Street Number: [[appForm.trustee_companyRegisteredAddress.streetNumber]]
Street: [[appForm.trustee_companyRegisteredAddress.street]]
Suburb: [[appForm.trustee_companyRegisteredAddress.suburb]]
State: [[appForm.trustee_companyRegisteredAddress.state]]
Postcode: [[appForm.trustee_companyRegisteredAddress.postcode]]
Country: [[appForm.trustee_companyRegisteredAddress.country]]
Full Street Address of Principal Place of Business
Unit Number: [[appForm.trustee_companyPlaceOfBusiness.unitNumber]]
Street Number: [[appForm.trustee_companyPlaceOfBusiness.streetNumber]]
Suburb: [[appForm.trustee_companyPlaceOfBusiness.suburb]]
State: [[appForm.trustee_companyPlaceOfBusiness.state]]
Postcode: [[appForm.trustee_companyPlaceOfBusiness.postcode]]
Country: [[appForm.trustee_companyPlaceOfBusiness.country]]
Is the company a foreign entity for tax purposes: [[appForm.trustee_companyForeignEntity]]
Country for tax purposes: [[appForm.trustee_companyCountryTaxPurposes.DESCRIPTION]]
Country of Incorporation: [[appForm.trustee_companyCountryOfIncoporation.DESCRIPTION]]
Name of regulator/registration body: [[appForm.trustee_companyRegulator]]
Details of relevant licence: [[appForm.trustee_companyLicence]]
Listed on Market/exchange: [[appForm.trustee_companyMarket]]
Regulator name: [[appForm.trustee_companyRegulatorName]]
License details: [[appForm.trustee_companyLicenceDetails]]
Is the entity a majority owned subsidiary of an Australian listed company: [[appForm.trustee_companyIsSubsidiary]]
Name of parent company: [[appForm.trustee_companyListedCompanyName]]
Relevant exchange: [[appForm.trustee_companyListedCompanyExchange]]
Trustee Directors
[[ director.sectionTitle || 'Director '+ ($index + 1) ]]
Is Australian: [[director.isAustralian]]
Is a signatory: [[director.isSignatory]]
Title: [[director.title]]
Given Name(s): [[director.givenNames]]
Other Names: [[director.otherNames]]
Family Name: [[director.familyName]]
Date of Birth: [[director.dateOfBirth | date: 'dd/MM/yyyy']]
Country of Birth: [[director.countryOfBirth.DESCRIPTION]]
Other Country Name: [[director.countryOfBirthOther]]
City or Town of Birth: [[director.cityOfBirth]]
Politically Exposed Person: [[director.isPEP]]
Occupation: [[director.occupation]]
Residential Address
Unit Number: [[director.address.unitNumber]]
Street Number: [[director.address.streetNumber]]
Street: [[director.address.street]]
Suburb: [[director.address.suburb]]
State: [[director.address.state]]
Postcode: [[director.address.postcode]]
Country: [[director.address.country]]
Tax Resident or citizen of the US: [[director.usTaxResident]]
TIN: [[director.tinNumber]]
Tax Resident of another Country: [[director.otherCountryTax]]
Other Country Tax Residences
[[(taxCountry.otherCountryTaxName.DESCRIPTION == 'Other') ? taxCountry.otherCountryTaxNameOther : taxCountry.otherCountryTaxName.DESCRIPTION]]
Does director have TIN: [[taxCountry.otherCountryHasTIN]]
TIN: [[taxCountry.otherCountryTIN]]
Reason for no TIN: [[taxCountry.reasonForNoTIN]]
Unable to obtain TIN reason: [[taxCountry.noTINReasonB]]
Trustee Beneficial Owner(s)
Are there any beneficial owners: [[appForm.trustee_otherBeneficialOwners]]
[[ beneficialOwner.sectionTitle || ( 'Beneficial Owner '+ ($index + 1)) ]]
Is the beneficial owner an existing [[ getExistingPersonType('trustee') ]]? [[beneficialOwner.isExistingPerson]]
Existing [[ getExistingPersonType('trustee') ]]: [[setExistingPersonTitle(beneficialOwner.existingPerson,'trustee')]]
Is the beneficial owner Australian: [[beneficialOwner.isAustralian]]
Does the beneficial owner own 25% or more of the company? [[beneficialOwner.beneficialOwnerCompanyOwnership]]
Role of beneficial owner: [[beneficialOwner.role]]
Class(es) of Beneficial Owners: [[beneficialOwner.beneficialOwnerClass]]
Does the beneficial owner directly or indirectly control the trust? [[beneficialOwner.beneficialOwnerTrustControl]]
Role of individual: [[beneficialOwner.role]]
Title: [[beneficialOwner.title]]
Given Name(s): [[beneficialOwner.givenNames]]
Other Names: [[beneficialOwner.otherNames]]
Family Name: [[beneficialOwner.familyName]]
Email: [[beneficialOwner.emailAddress]]
Date of Birth: [[beneficialOwner.dateOfBirth | date: 'dd/MM/yyyy']]
Residential Address
Unit Number: [[beneficialOwner.address.unitNumber]]
Street Number: [[beneficialOwner.address.streetNumber]]
Street: [[beneficialOwner.address.street]]
Suburb: [[beneficialOwner.address.suburb]]
State: [[beneficialOwner.address.state]]
Postcode: [[beneficialOwner.address.postcode]]
Country: [[beneficialOwner.address.country]]
Postal Address
Address Line 1: [[beneficialOwner.postalAddress.address1]]
Address Line 2: [[beneficialOwner.postalAddress.address2]]
Suburb: [[beneficialOwner.postalAddress.suburb]]
State: [[beneficialOwner.postalAddress.state]]
Postcode: [[beneficialOwner.postalAddress.postcode]]
Country: [[beneficialOwner.postalAddress.country]]
Mobile: [[beneficialOwner.mobilePrefix]].[[beneficialOwner.mobileNumber]]
Politically Exposed Person: [[beneficialOwner.isPEP]]
Is the beneficial owner a sole trader: [[beneficialOwner.isSoleTrader]]
Name of Business: [[beneficialOwner.businessName]]
ABN: [[beneficialOwner.abn]]
Principal Place of Business: [[beneficialOwner.placeOfBusiness]]
Tax Resident of Australia only: [[beneficialOwner.otherCountryTax]]
Other Country Tax Residences
[[(taxCountry.otherCountryTaxName.DESCRIPTION == 'Other') ? taxCountry.otherCountryTaxNameOther : taxCountry.otherCountryTaxName.DESCRIPTION]]
Does beneficial owner have TIN: [[taxCountry.otherCountryHasTIN]]
TIN: [[taxCountry.otherCountryTIN]]
Reason for no TIN: [[taxCountry.reasonForNoTIN]]
Unable to obtain TIN reason: [[taxCountry.noTINReasonB]]
Business Activity: [[beneficialOwner.occupation]]
Other Business Activity: [[beneficialOwner.otherOccupation]]
Occupation Title: [[beneficialOwner.occupationTitle]]
Country of Birth: [[beneficialOwner.countryOfBirth.DESCRIPTION]]
Other Country Name: [[beneficialOwner.countryOfBirthOther]]
City or Town of Birth: [[beneficialOwner.cityOfBirth]]
Trustee CRS & FATCA
Entity Type: [[appForm.trustee_entityType]]
Does Entity have GIIN: [[appForm.trustee_entityHasGIIN]]
GIIN: [[appForm.trustee_entityGIIN]]
FFI Status: [[appForm.trustee_entityFFIStatus]]
Trustee GIIN: [[appForm.trustee_entityTrusteeGIIN]]
Describe the FATCA status: [[appForm.trustee_entityFATCAStatus]]
Legal Name of Entity: [[appForm.trustee_entityLegalName]]
Entity Street Address: [[appForm.trustee_entityAddress.autocomplete]]
Is the entity a Tax Resident of Australia Only: [[appForm.trustee_entityTaxResidentAusOnly]]
[[(taxCountry.otherCountryTaxName.DESCRIPTION == 'Other') ? taxCountry.otherCountryTaxNameOther : taxCountry.otherCountryTaxName.DESCRIPTION]]
Does beneficiary have TIN: [[taxCountry.otherCountryHasTIN]]
TIN: [[taxCountry.otherCountryTIN]]
Reason for no TIN: [[taxCountry.reasonForNoTIN]]
Unable to obtain TIN reason: [[taxCountry.noTINReasonB]]
Is the entity an Investment Entity located in a non-CRS participating jurisdiction and professionally managed by another Financial Institution? [[appForm.trustee_entityCRS]]
[[ controllingPerson.sectionTitle || 'Controlling Person '+ ($index + 1) ]]
Is the Controlling Person Australian: [[controllingPerson.isAustralian]]
Role: [[controllingPerson.role]]
Title: [[controllingPerson.title]]
Given Name(s): [[controllingPerson.givenNames]]
Other Names: [[controllingPerson.otherNames]]
Family Name: [[controllingPerson.familyName]]
Email: [[controllingPerson.emailAddress]]
Date of Birth: [[controllingPerson.dateOfBirth | date: 'dd/MM/yyyy']]
Residential Address
Unit Number: [[controllingPerson.address.unitNumber]]
Street Number: [[controllingPerson.address.streetNumber]]
Street: [[controllingPerson.address.street]]
Suburb: [[controllingPerson.address.suburb]]
State: [[controllingPerson.address.state]]
Postcode: [[controllingPerson.address.postcode]]
Country: [[controllingPerson.address.country]]
Postal Address
Address Line 1: [[controllingPerson.postalAddress.address1]]
Address Line 2: [[controllingPerson.postalAddress.address2]]
Suburb: [[controllingPerson.postalAddress.suburb]]
State: [[controllingPerson.postalAddress.state]]
Postcode: [[controllingPerson.postalAddress.postcode]]
Country: [[controllingPerson.postalAddress.country]]
Mobile: [[controllingPerson.mobilePrefix]].[[controllingPerson.mobileNumber]]
Politically Exposed Person: [[controllingPerson.isPEP]]
Is the Beneficiary a sole trader: [[controllingPerson.isSoleTrader]]
Name of Business: [[controllingPerson.businessName]]
ABN: [[controllingPerson.abn]]
Principal Place of Business: [[controllingPerson.placeOfBusiness]]
Tax Resident of Australia only? [[controllingPerson.otherCountryTax]]
Other Country Tax Residences
[[(taxCountry.otherCountryTaxName.DESCRIPTION == 'Other') ? taxCountry.otherCountryTaxNameOther : taxCountry.otherCountryTaxName.DESCRIPTION]]
Does controllingPerson have TIN: [[taxCountry.otherCountryHasTIN]]
TIN: [[taxCountry.otherCountryTIN]]
Reason for no TIN: [[taxCountry.reasonForNoTIN]]
Unable to obtain TIN reason: [[taxCountry.noTINReasonB]]
Business Activity: [[controllingPerson.occupation]]
Other Business Activity: [[controllingPerson.otherOccupation]]
Occupation Title: [[controllingPerson.occupationTitle]]
Country of Birth: [[controllingPerson.countryOfBirth.DESCRIPTION]]
Other Country Name: [[controllingPerson.countryOfBirthOther]]
City or Town of Birth: [[controllingPerson.cityOfBirth]]
Is the entity an active or passive NFFE/NFE? [[appForm.trustee_entityActivePassive]]
Beneficiaries
[[ beneficiary.sectionTitle || ( 'Beneficiary '+ ($index + 1)) ]]
Is the beneficiary an existing trustee? [[beneficiary.isExistingPerson]]
Existing trustee: [[setExistingPersonTitle(beneficiary.existingPerson,'company')]]
Given Name(s): [[beneficiary.givenNames]]
Other Names: [[beneficiary.otherNames]]
Family Name: [[beneficiary.familyName]]
Beneficial Owner(s)
Are there any beneficial owners: [[appForm.company_otherBeneficialOwners]]
[[ beneficialOwner.sectionTitle || ( 'Beneficial Owner '+ ($index + 1)) ]]
Is the beneficial owner an existing [[ getExistingPersonType('company') ]]? [[beneficialOwner.isExistingPerson]]
Existing [[ getExistingPersonType('company') ]]: [[setExistingPersonTitle(beneficialOwner.existingPerson,'company')]]
Is the beneficial owner Australian: [[beneficialOwner.isAustralian]]
Does the beneficial owner own 25% or more of the company? [[beneficialOwner.beneficialOwnerCompanyOwnership]]
Role of beneficial owner: [[beneficialOwner.role]]
Class(es) of Beneficial Owners: [[beneficialOwner.beneficialOwnerClass]]
Does the beneficial owner directly or indirectly control the trust? [[beneficialOwner.beneficialOwnerTrustControl]]
Role of individual: [[beneficialOwner.role]]
Title: [[beneficialOwner.title]]
Given Name(s): [[beneficialOwner.givenNames]]
Other Names: [[beneficialOwner.otherNames]]
Family Name: [[beneficialOwner.familyName]]
Email: [[beneficialOwner.emailAddress]]
Date of Birth: [[beneficialOwner.dateOfBirth | date: 'dd/MM/yyyy']]
Residential Address
Unit Number: [[beneficialOwner.address.unitNumber]]
Street Number: [[beneficialOwner.address.streetNumber]]
Street: [[beneficialOwner.address.street]]
Suburb: [[beneficialOwner.address.suburb]]
State: [[beneficialOwner.address.state]]
Postcode: [[beneficialOwner.address.postcode]]
Country: [[beneficialOwner.address.country]]
Postal Address
Address Line 1: [[beneficialOwner.postalAddress.address1]]
Address Line 2: [[beneficialOwner.postalAddress.address2]]
Suburb: [[beneficialOwner.postalAddress.suburb]]
State: [[beneficialOwner.postalAddress.state]]
Postcode: [[beneficialOwner.postalAddress.postcode]]
Country: [[beneficialOwner.postalAddress.country]]
Mobile: [[beneficialOwner.mobilePrefix]].[[beneficialOwner.mobileNumber]]
Politically Exposed Person: [[beneficialOwner.isPEP]]
Is the beneficial owner a sole trader: [[beneficialOwner.isSoleTrader]]
Name of Business: [[beneficialOwner.businessName]]
ABN: [[beneficialOwner.abn]]
Principal Place of Business: [[beneficialOwner.placeOfBusiness]]
Tax Resident of Australia only: [[beneficialOwner.otherCountryTax]]
Other Country Tax Residences
[[(taxCountry.otherCountryTaxName.DESCRIPTION == 'Other') ? taxCountry.otherCountryTaxNameOther : taxCountry.otherCountryTaxName.DESCRIPTION]]
Does beneficial owner have TIN: [[taxCountry.otherCountryHasTIN]]
TIN: [[taxCountry.otherCountryTIN]]
Reason for no TIN: [[taxCountry.reasonForNoTIN]]
Unable to obtain TIN reason: [[taxCountry.noTINReasonB]]
Business Activity: [[beneficialOwner.occupation]]
Other Business Activity: [[beneficialOwner.otherOccupation]]
Occupation Title: [[beneficialOwner.occupationTitle]]
Country of Birth: [[beneficialOwner.countryOfBirth.DESCRIPTION]]
Other Country Name: [[beneficialOwner.countryOfBirthOther]]
City or Town of Birth: [[beneficialOwner.cityOfBirth]]
Investment Details
[[singleFund.fundDetails.FUNDNAMEWITHCLASS]]
Investment Amount: [[singleFund.investmentAmount | currency:"$":0]]
Regular Monthly Investment Plan: [[singleFund.monthlyInvestmentPlan | currency:"$":0]]
Distribution election: [[singleFund.distributionElection]]
BPAY Biller Code: [[singleFund.bpayBillerCode]]
BPAY Customer Reference Number: [[pageTwo.bpayCrn]]
[[singleFund.fundDetails.DDOQUESTIONOBJECTIVE]] [[singleFund.ddoQuestionObjective]]
[[singleFund.fundDetails.DDOQUESTIONPERCENTAGE]] [[singleFund.ddoQuestionPercentage]]
[[singleFund.fundDetails.DDOQUESTIONTIMEFRAME]] [[singleFund.ddoQuestionTimeframe]]
[[singleFund.fundDetails.DDOQUESTIONRISK]] [[singleFund.ddoQuestionRisk]]
[[singleFund.fundDetails.DDOQUESTIONWITHDRAWFREQUENCY]] [[singleFund.ddoQuestionWithdrawFrequency]]
[[singleFund.fundDetails.DDOQUESTIONPRIORADVICE]] [[singleFund.ddoQuestionPriorAdvice]]
Acknowledges DDO: [[singleFund.agreeToDDO ? 'Yes' : 'No']]
[[singleFund.fundDetails.DDOSCENARIOTHREEQ1]]: [[singleFund.ddoScenarioThreeA1]]
[[singleFund.fundDetails.DDOSCENARIOTHREEQ2]]: [[singleFund.ddoScenarioThreeA2]]
[[singleFund.fundDetails.DDOSCENARIOTHREEQ3]]: [[singleFund.ddoScenarioThreeA3]]
[[singleFund.fundDetails.DDOSCENARIOTHREEQ4]]: [[singleFund.ddoScenarioThreeA4]]
[[singleFund.fundDetails.DDOSCENARIOTHREEQ5]]: [[singleFund.ddoScenarioThreeA5]]
[[singleFund.fundDetails.DDOSCENARIOTHREEQ6]]: [[singleFund.ddoScenarioThreeA6]]
Account Domicile: [[appForm.accountDomicile]]
Account Name: [[appForm.accountName]]
BSB: [[appForm.bsb]]
Bank/Institution Name: [[appForm.bankName]]
Branch Name and Address: [[appForm.branchDetails]]
Account Number[[appForm.accountDomicile == 'Foreign' ? '/IBAN' : '']]: [[appForm.accountNumber]]
Swift/BIC Code: [[appForm.swiftBICCode]]
Beneficiary Bank Country: [[appForm.beneficiaryBankCountry.DESCRIPTION]]
Other Country Name: [[appForm.beneficiaryBankCountryOther]]
Beneficiary Address: [[appForm.beneficiaryAddress]]
Payment Method: [[appForm.paymentMethod.name]]
Distribution funds paid into different account? [[appForm.distributionBankAccountDifferent]]
Account Domicile: [[appForm.distributionAccountDomicile]]
Account Name: [[appForm.distributionAccountName]]
BSB: [[appForm.distributionBsb]]
Bank/Institution Name: [[appForm.distributionBankName]]
Branch Name and Address: [[appForm.distributionBranchDetails]]
Account Number[[appForm.distributionAccountDomicile == 'Foreign' ? '/IBAN' : '']]: [[appForm.distributionAccountNumber]]
Swift/BIC Code: [[appForm.distributionSwiftBICCode]]
Beneficiary Bank Country: [[appForm.distributionBeneficiaryBankCountry.DESCRIPTION]]
Other Country Name: [[appForm.distributionBeneficiaryBankCountryOther]]
Beneficiary Address: [[appForm.distributionBeneficiaryAddress]]
Initial investment paid from different account? [[appForm.ddrBankAccountDifferent]]
Account Domicile: [[appForm.ddrAccountDomicile]]
Account Name: [[appForm.ddrAccountName]]
BSB: [[appForm.ddrBsb]]
Bank/Institution Name: [[appForm.ddrBankName]]
Branch Name and Address: [[appForm.ddrBranchDetails]]
Account Number[[appForm.ddrAccountDomicile == 'Foreign' ? '/IBAN' : '']]: [[appForm.ddrAccountNumber]]
Swift/BIC Code: [[appForm.ddrSwiftBICCode]]
Beneficiary Bank Country: [[appForm.ddrBeneficiaryBankCountry.DESCRIPTION]]
Other Country Name: [[appForm.ddrBeneficiaryBankCountryOther]]
Beneficiary Address: [[appForm.ddrBeneficiaryAddress]]
Is the account nominated above a joint bank account? [[appForm.ddrIsJointBankAccount]]
Joint Account Holders
[[accountHolder.name]]
Name: [[accountHolder.name]]
What is the purpose of the investment: [[appForm.investmentPurpose]]
Specify: [[appForm.investmentPurposeOther]]
What is the source of funds for the investment: [[appForm.investmentSource]]
Specify: [[appForm.investmentSourceOther]]
What is the source of wealth for the investment: [[appForm.sourceOfWealth]]
Specify: [[appForm.sourceOfWealthOther]]
Who should receive communications: [[appForm.commPreferencePerson]]
Communication Preference Format: [[appForm.commPreference]]
Newletters and updates sent via email?: [[appForm.emailNewsletters]]
Receive an Annual Report copy: [[appForm.annualReport]]
Received by: [[appForm.annualReportPreference]]
Adviser Details
AFSL Number: [[appForm.afslNumber]]
Full name: [[appForm.adviserName]]
Email: [[appForm.adviserEmail]]
Adviser to receive copy of email communications?: [[appForm.adviserEmailComms]]
Address Line 1: [[appForm.adviserAddress.address1]]
Address Line 2: [[appForm.adviserAddress.address2]]
Suburb: [[appForm.adviserAddress.suburb]]
State: [[appForm.adviserAddress.state]]
Postcode: [[appForm.adviserAddress.postcode]]
Country: [[appForm.adviserAddress.country]]
Phone: [[appForm.adviserPhonePrefix]].[[appForm.adviserPhone]]
Dealer Group Name: [[appForm.adviserDealerGroup]]
Adviser Macquarie Access Code (MAC): [[appForm.adviserMac]]
Adviser Company Name: [[appForm.adviserCompanyName]]
: $[[appForm.adviserUpfrontFee]]
: $[[appForm.adviserOngoingFee]]
Adviser agrees to declaration: [[appForm.adviserDeclaration]]
CRS & FATCA
Entity Type: [[appForm.company_entityType]]
Does Entity have GIIN: [[appForm.company_entityHasGIIN]]
GIIN: [[appForm.company_entityGIIN]]
FFI Status: [[appForm.company_entityFFIStatus]]
Trustee GIIN: [[appForm.company_entityTrusteeGIIN]]
Describe the FATCA status: [[appForm.company_entityFATCAStatus]]
Legal Name of Entity: [[appForm.company_entityLegalName]]
Entity Street Address: [[appForm.company_entityAddress.autocomplete]]
Is the entity a Tax Resident of Australia Only: [[appForm.company_entityTaxResidentAusOnly]]
[[(taxCountry.otherCountryTaxName.DESCRIPTION == 'Other') ? taxCountry.otherCountryTaxNameOther : taxCountry.otherCountryTaxName.DESCRIPTION]]
Does beneficiary have TIN: [[taxCountry.otherCountryHasTIN]]
TIN: [[taxCountry.otherCountryTIN]]
Reason for no TIN: [[taxCountry.reasonForNoTIN]]
Unable to obtain TIN reason: [[taxCountry.noTINReasonB]]
Is the entity an Investment Entity located in a non-CRS participating jurisdiction and professionally managed by another Financial Institution? [[appForm.company_entityCRS]]
[[ controllingPerson.sectionTitle || 'Controlling Person '+ ($index + 1) ]]
Is the Controlling Person Australian: [[controllingPerson.isAustralian]]
Role: [[controllingPerson.role]]
Title: [[controllingPerson.title]]
Given Name(s): [[controllingPerson.givenNames]]
Other Names: [[controllingPerson.otherNames]]
Family Name: [[controllingPerson.familyName]]
Email: [[controllingPerson.emailAddress]]
Date of Birth: [[controllingPerson.dateOfBirth | date: 'dd/MM/yyyy']]
Residential Address
Unit Number: [[controllingPerson.address.unitNumber]]
Street Number: [[controllingPerson.address.streetNumber]]
Street: [[controllingPerson.address.street]]
Suburb: [[controllingPerson.address.suburb]]
State: [[controllingPerson.address.state]]
Postcode: [[controllingPerson.address.postcode]]
Country: [[controllingPerson.address.country]]
Postal Address
Address Line 1: [[controllingPerson.postalAddress.address1]]
Address Line 2: [[controllingPerson.postalAddress.address2]]
Suburb: [[controllingPerson.postalAddress.suburb]]
State: [[controllingPerson.postalAddress.state]]
Postcode: [[controllingPerson.postalAddress.postcode]]
Country: [[controllingPerson.postalAddress.country]]
Mobile: [[controllingPerson.mobilePrefix]].[[controllingPerson.mobileNumber]]
Politically Exposed Person: [[controllingPerson.isPEP]]
Is the Beneficiary a sole trader: [[controllingPerson.isSoleTrader]]
Name of Business: [[controllingPerson.businessName]]
ABN: [[controllingPerson.abn]]
Principal Place of Business: [[controllingPerson.placeOfBusiness]]
Tax Resident of Australia only? [[controllingPerson.otherCountryTax]]
Other Country Tax Residences
[[(taxCountry.otherCountryTaxName.DESCRIPTION == 'Other') ? taxCountry.otherCountryTaxNameOther : taxCountry.otherCountryTaxName.DESCRIPTION]]
Does controllingPerson have TIN: [[taxCountry.otherCountryHasTIN]]
TIN: [[taxCountry.otherCountryTIN]]
Reason for no TIN: [[taxCountry.reasonForNoTIN]]
Unable to obtain TIN reason: [[taxCountry.noTINReasonB]]
Business Activity: [[controllingPerson.occupation]]
Other Business Activity: [[controllingPerson.otherOccupation]]
Occupation Title: [[controllingPerson.occupationTitle]]
Country of Birth: [[controllingPerson.countryOfBirth.DESCRIPTION]]
Other Country Name: [[controllingPerson.countryOfBirthOther]]
City or Town of Birth: [[controllingPerson.cityOfBirth]]
Is the entity an active or passive NFFE/NFE? [[appForm.company_entityActivePassive]]
[[ controllingPerson.sectionTitle || 'Controlling Person '+ ($index + 1) ]]
Role: [[controllingPerson.role]]
Title: [[controllingPerson.title]]
Given Name(s): [[controllingPerson.givenNames]]
Other Names: [[controllingPerson.otherNames]]
Family Name: [[controllingPerson.familyName]]
Address
Unit Number: [[controllingPerson.address.unitNumber]]
Street Number: [[controllingPerson.address.streetNumber]]
Street: [[controllingPerson.address.street]]
Suburb: [[controllingPerson.address.suburb]]
State: [[controllingPerson.address.state]]
Postcode: [[controllingPerson.address.postcode]]
Country: [[controllingPerson.address.country]]
Confirm no non-Australian Tax reisdents are Controlling Persons: [[appForm.agreeNoForeignTaxResidents]]
Declaration
Agree to declaration: [[appForm.agreeToDeclaration]]
The Settlor: [[appForm.settlor.name]]
Is the Settlor deceased? [[appForm.isSettlorDeceased]]
Was the Settlor's initial contribution less than $10,000? [[appForm.isSettlorContribution]]
Settlor Details
Title: [[appForm.settlorOther.title]]
Given Name(s): [[appForm.settlorOther.givenNames]]
Other Names: [[appForm.settlorOther.otherNames]]
Family Name: [[appForm.settlorOther.familyName]]
Signatories
[[ signatory.sigName || 'Signatory '+ ($index + 1) ]]
Name: [[signatory.sigName]]
Title: [[signatory.title]]
Has specific operating authority?: [[signatory.hasOperatingAuthority ? 'Yes' : 'No']]
Apart from any listed above, anyone else with operating authority: [[appForm.operatingAuthority]]
 Download PDF copy

Application complete

Thank you for submitting your application, in certain circumstances we might need to contact you to request further information and/or documentation.

Your application ID is: [[ companyKey + '-' + pageTwo.appId ]]

Account details for [[ singleFund.fundDetails.FUNDNAMEWITHCLASS ]]

Please use the below details to deposit money into your chosen fund.

BSB: [[singleFund.eftDetails.BSBCODE]]

Account Number: [[singleFund.eftDetails.ACNO]]

Account Name: [[singleFund.eftDetails.ACNAME]]

The monies will be debited from the bank account provided:

BSB: [[appForm.bsb]]

Account Number: [[appForm.accountNumber]]

Account Name: [[appForm.accountName]]

Fund: [[singleFund.fundDetails.FUNDNAMEWITHCLASS]]

BPAY Biller Code: [[singleFund.bpayBillerCode]]

BPAY Customer Reference Number: [[pageTwo.bpayCrn]]

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Two or more of the persons listed in this section have the same name and date of birth. Please rectify this before continuing.