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As it appears on identity documents

As it appears on identity documents

................................................................................... Tip: Click on the YEAR to select your birth year from the list

Please note we won’t proactively communicate with your authorised person – we will only respond to any communications they make to LatitudePay.

Authority to Disclose permits the party to provide or obtain information regarding your account. Authority to Maintain permits an authorized party to deal on your behalf (redraw facility excluded).

Enter your full name that matches the information in our records

DD/MM/YYYY

Please list your first account number

Please list your second account number

Please list your third account number

Please list your fourth account number

Please list your fifth account number

Add file or drop files here