How to apply

Your Salary Packaging Visa card
How to apply
To receive your card as soon as possible, follow our two step process.
STEP 1
Verify your identity – using the ANZ Know Your Customer (KYC) identification process
If you are already an ANZ banking customer – with products other than a Maxxia card – you do not need to verify your
identity. Simply indicate that you are an existing customer on your application form and also ensure that the name,
address and birth date you provide exactly match your details currently held with ANZ.
If you are a first-time ANZ customer, there are two ways you can verify your identity:
By certified documents, if you are
unable to attend an ANZ branch
In-person at any ANZ branch
• Review the accepted combinations of ID in
the attached ANZ KYC Flyer.
!
• Visit your local ANZ branch with two forms of
identification, at least one government-issued
photographic ID, such as a current Passport
or Australian Drivers Licence.
OR
• Complete the attached ANZ Identification
by Certified Copy for Individuals Form and
send certified photocopies of approved ID
documents to ANZ.
!
• Complete the seven-step checklist provided
with the application form.
• Ask your ANZ Branch Officer for a KYC
reference number.
STEP 2 Complete and return your application form
Complete the attached Salary Packaging Cardholder Application Form ensuring the name, address and birth date
you provide exactly match that supplied to ANZ. Then return your form to Maxxia by:
!
Email: [email protected]
!
Fax: 1300 733 444 or
!
Post: Maxxia Pty Ltd, Locked Bag 18, Collins Street East, Melbourne VIC 8003
!
Important notes
• The name, address and birth date provided on your identification, or held with ANZ if you’re an existing
ANZ customer, must exactly match those provided on your form or your application will not be approved.
• Complete your ID process and your application as soon as possible; otherwise you may not receive your
full tax savings in the current Fringe Benefits Tax year for benefits payable to your salary packaging card.
• Your pre-tax deductions will be held in your salary packaging account until the application process
is complete.
• If ANZ has provided you with a KYC reference number as a part of your identity verification process,
please ensure you include this on your Salary Packaging Cardholder Application Form.
• Remember, your salary packaging Visa card application cannot be processed by Maxxia until ANZ
has verified your identity.
Maxxia Pty Ltd ABN 39 082 449 036 Authorised Representative (No. 278683) of McMillan Shakespeare Limited (AFSL No. 299054)
MAXMKG_MESPVisaCard_Process_0314
Salary Packaging Cardholder Application Form
This form must be signed by the Cardholder and the Authorised Person listed overleaf.
To complete the form, please complete Parts 1-6.
1. Card Type & Amount
Please select Primary and/or Additional Card.
Primary Card
Additional Card
Both Primary and Additional Cards
Please select the type of Salary Packaging Card you require. If a Primary Card, nominate the amount you wish to salary package per pay cycle*:
A. Salary Packaging Card
If Primary, the amount to be deducted per salary cycle $
B. Meal Entertainment Card
If Primary, the amount to be deducted per salary cycle $
* Your pay cycle is determined by your employer. The nominated amount will be deducted from your pre-tax salary by your employer and will be made available on your Salary Packaging Card. If you wish to change
the nominated amount you will need to arrange this change with your employer. ANZ is not responsible for and accepts no liability for, your salary deduction arrangements with your employer. Any questions or
concerns regarding your salary deductions or the nominated amount must be referred to your employer.
2. Primary Cardholder Employer Details
EmployerSite/Campus
If applying for an Additional Card
Primary Cardholder full name
3. Primary Cardholder Details
*All fields mandatory
Title First Name Middle Name (if any) Employee ID
Salary Packaging Provider Reference/ID (if different)
Date of Birth (dd/mm/yyyy)
M a x x i a Surname
Security Code - You need to choose an identification password to be used to identify yourself over the phone or for online set up. This can be a
combination of numbers or letters.
Phone Number Mobile
Email Address
Residential Address
Suburb/town
State
Postcode
Postal Address (if different from above)
Suburb/town
State
Postcode
If you are an existing ANZ customer and you need to update your account details with ANZ, there are three fast and easy ways to do this:
- Log on to ANZ Internet Banking and select ‘Update Details’
- Call 13 13 14; or
- Visit an ANZ Branch
4. Additional Cardholder Details
Title First Name Middle Name (if any) Salary Packaging Provider Reference/ID (if different)
Primary Cardholder’s Employee ID
Date of Birth (dd/mm/yyyy)
Surname
M a x x i a Phone Number Mobile
Security Code - For over the phone identification only. This can be a combination of numbers or letters.
Residential Address
State
Australia and New Zealand Banking Group Limited (ANZ) ABN 11 005 357 522.
Suburb/town
Postcode
Page 1 of 2
Salary Packaging Cardholder Application Form
5. Identification (Know Your Customer) Verification
It is a legislative requirement that cardholders complete an identity verification check before the card is activated. If you do not currently hold a valid
identification record with ANZ, you will need to complete identification and verification (NB: cardholders who hold other ANZ products and have been
identified previously may not be required to be identified again. The address you were previously identified with ANZ must be the same as your
current address that you have detailed on this form).
You must have a valid identification record with ANZ before your card will be activated.
The easiest way to do this is by visiting an ANZ Branch with the identification documentation outlined in the accompanying flyer.
PLEASE ENSURE YOU HAVE COMPLETED IDENTIFICATION PRIOR TO SUBMITTING THIS APPLICATION. YOUR CARD WILL NOT BE ACTIVATED
UNTIL YOUR IDENTITY HAS BEEN SUCCESSFULLY VERIFIED BY ANZ.
ALL CARDHOLDERS (BOTH PRIMARY AND SECONDARY) WILL NEED TO COMPLETE IDENTIFICATION.
Please advise which of the following is applicable:
Primary
Additional
Cardholder Cardholder
I am an existing ANZ customer (for a product other than Salary Packaging).(NB: By ticking this box you may still be required
to be re-identified by ANZ, subject to existing account and identification status. Account details with ANZ must be the
same as the details listed on this form)
I have been to an ANZ Branch for the purposes of an identity verification check
I have been identified by ANZ through other means
6. Account Authority
If a Primary Card, by use of the Card, I accept that I will be liable to ANZ for any credit extended arising out of the use of the Card, including the use of the Card by an Additional
Cardholder, and agree to all applicable terms and conditions included within ANZ Commercial Card Terms and Conditions for the ANZ Salary Packaging Card or ANZ Meal
Entertainment Card which can be viewed at anz.com/aus/ratefee/default.asp?section=SBS
I declare that the details contained on this application form are true and correct and request that ANZ issue the card to me. I acknowledge that additional rules may be imposed by my
salary packaging provider regarding the use of this card and a copy of these rules have been made available to me. I hereby declare to abide by such rules and variations which are
made by salary packaging provider from time to time. Also, I have read and understood (and agree to) the declaration below.
Primary Cardholder Signature (Mandatory)
Date (dd/mm/yyyy)
If an Additional Card, by use of the Card, I agree to all applicable terms and conditions included within ANZ Commercial Card Terms and Conditions for the ANZ Salary Packaging Card
or ANZ Meal Entertainment Card which can be viewed at anz.com/aus/ratefee/default.asp?section=SBS
I declare that the details contained on this application form are true and correct and request that ANZ issue the card to me. I acknowledge that additional rules may be imposed by my
salary packaging provider regarding the use of this card and a copy of these rules have been made available to me. I hereby declare to abide by such rules and variations which are
made by salary packaging provider from time to time. Also, I have read and understood (and agree to) the declaration below.
Additional Cardholder Signature
Date (dd/mm/yyyy)
7. Declaration
ANZ’s collection, use and disclosure of personal information
Australia and New Zealand Banking Group Limited ABN 11 005 357 522 (ANZ) is
collecting the Cardholder’s information in order to provide the Cardholder with the ANZ
Salary Packaging Card. Without this information, ANZ will not be able to provide the
Cardholder with the Card. By signing this Salary Packaging Cardholder Application Form,
the Cardholder acknowledges and agrees that:
(a) ANZ may also use this information and disclose this information for internal
administration and operations; and
(b) ANZ may also disclose this information to third parties, including but not limited to
the Cardholder’s Employer and any salary packaging service providers, for the
purposes of the administration and operation of the ANZ Salary Packaging Card
The Cardholder may request access to this information by calling 1800 614 741. Access
will be granted in accordance with the Privacy Act (1988) for ANZ’s usual fee. If any of the
Cardholder’s information is inaccurate, the Cardholder may request that it be corrected.
Other Information
Your agreement to the use and disclosure of your personal information applies to any
personal information collected by ANZ in the course of your relationship with ANZ.
By signing this form, you acknowledge that the Consumer Credit Code does not govern
the Salary Packaging card.
ANZ is the issuer of the Salary Packaging Card
Your employer or salary packaging provider has entered into an arrangement with ANZ
for ANZ to issue Salary Packaging Cards to eligible and approved cardholders. By signing
this form, you acknowledge that ANZ is not responsible for the deduction of the
nominated amount listed in section 1 or for making any changes to this amount. Any
questions, concerns or request for changes to this amount must be referred to your
employer. ANZ accepts no liability in connection with your salary deduction
arrangements.
ANZ will make your salary deduction available for use on your selected Salary Packaging
Card once your application is approved and ANZ has processed your salary deduction
from your employer or salary packaging provider.
You are only eligible to use the Salary Packaging Card while you are employed by your
employer listed in section 2. Upon termination of your employment (either by you or
your employer), your eligibility ceases and ANZ may in its discretion immediately cancel
your Salary Packaging Card and return any available funds to your employer or salary
packaging provider. Your employer may then deal with any returned funds in accordance
with your employment contract or arrangement. You must immediately notify ANZ
(either directly or indirectly via your salary packaging provider) if your employment is
terminated.
You acknowledge that ANZ’s responsibility is to make salary deductions from approved
cardholders available for use on their Salary Packaging Cards once ANZ has processed
them. ANZ is not responsible for, and accepts no liability for, salary deductions until such
time as they are received and processed by ANZ.
ANZ accepts no liability for acts or omissions of your employer or any salary packaging
provider in any way connected with your Salary Packaging Card that in any way causes
loss or damage to you.
Australia and New Zealand Banking Group Limited (ANZ) ABN 11 005 357 522. Australian Credit Licence Number 234527. Item No. 74020 09.2013 W343637
Page 2 of 2
Marriage Certificate
Certificate of Divorce (must show married name as maiden name)
Court Order
•
•
•
Adoption Papers
Birth Certificate with Endorsement
Change of Name Certificate (Deed Poll)
Australia and New Zealand Banking Group Limited (ANZ) ABN 11 005 357 522. Australian Credit Licence Number 234527. ANZ’s colour blue is a trade mark of ANZ. Item No. 88622 08.2014 W405229
•
•
•
Any Questions? Call ANZ Salary Packaging on
1800 614 741. M-F 8am-8pm AEDST.
Other Australian Bank Passbook
•
•
Medicare Card
Financial Institution Bank Statements
•
(less than 3 months) – this must be a bank
statement issued by:
- Members of the Australian Bankers
Association
- Australian-owned banks that are
regulated by APRA
Australian Tertiary Institution Student Card
•
Tax Assessment Notice issued by ATO
•
(less than 12 months old)
Utility Bill
•
(less than 3 months old)
Government Benefits Notice
•
(less than 12 months old)
School Attendance Letter
•
(less than 3 months old)
•
Registered Aged Care Facility Letter
(less than 3 months old)
Rates Notice
•
(less than 3 months old)
•
Birth Certificate
•
Australian Citizenship Certificate
•
Foreign Citizenship Certificate (translated into
English if required, by a translator accredited
by the National Accreditation Authority for
Translators and Interpreters (NAATI))
One of the following Centrelink Pension Cards:
•
- Health Care Card
- Commonwealth Seniors Health Card
- Pensioner Concession Card
Interim Concession Card
•
Foreign Drivers Licence (must not be expired)
•
Australian Passport (current or expired less than 2 years) or
•
Foreign Passport
•
Australian Drivers Licence or Learner Permit
One of the following other photo ID:
•
- Proof of Age Card
- Army, Navy or Air Force ID
- Department of Defence ID
- Police ID
- Government issued Foreign ID
- Firearms / Shooting Licence
- Explosives Licence
- Waterways / Boat Licence
It is not acceptable to produce two forms of the same ID type
e.g. an Australian passport and a British passport, or drivers
licence and a learners permit or foreign drivers licence
Acceptable linking documents (if identification document is in a different name to that recorded in Customer key details)
Other ID
Evidence of Address
Government-issued non-photographic ID
Government-issued photographic ID
Category C
Category B
Category D
One category B and one category C
One category A and one category B
One category A and one category C
One category A and one category D
Two category A
Below is a list of documents that you can provide when visiting an ANZ branch.
Once you have been identified by ANZ, you should submit your Salary
Packaging or Meal Entertainment card application form to your
provider for processing.
For your nearest ANZ branch visit www.locate.anz.com/anz/australia
Category A
The Customer Identification Process requires only two identification documents, but in a limited
number of combinations. If an identification document is in a different name to that recorded in the
Key Details, a linking document will also be required, e.g. a marriage certificate that links the married
name in the Key Details to the maiden name on a driver licence.
You can provide any of the following combination of documents:
All primary and secondary cardholders will need to be identified by ANZ.
• A Medicare Card
• A Proof of Age Card
• An Australian Drivers Licence
isit an ANZ branch and provide two forms of identification before applying for your card.
V
For example, in your wallet you may currently be carrying:
Don’t forget to identify yourself with ANZ prior to submitting your application.
How to identify yourself with ANZ using certified documents
If you can’t access an ANZ Branch, you may wish to identify yourself with ANZ using certified documents.
ALL SECTIONS OF THE DOCUMENT ARE MANDATORY
Any Questions? Call ANZ Salary
Packaging on 1800 614 741.
M-F 8am-8pm AEDST.
CERTIFIED DOCUMENTS CHECKLIST
If any of these actions are not completed, this will delay card activation.
Step
Action
1
Complete ‘Part A’ on the following page (page 2)
Photocopy your original documents
Please make sure these documents are legible and the photocopy is clear to avoid having to re submit documents
NB: Acceptable Documents for Individuals and Acceptable Linking Documents are shown below
Complete ‘Section B’ on the following page (page 2)
Take your original documents along with the photocopied documents to have them certified by one of the authorised persons
(Authorised persons are listed on page 3)
Have the authorised person complete ‘Section C’ and make sure that the authorised persons are accepted by ANZ
(Authorised persons are listed on page 3)
Please ensure the writing is legible and clear and ensure that they sign Section C
Post certified copies, along with the completed form to:
ANZ SALARY PACKAGING CARDS
Attn Salary Packaging Cards
Lock bag 10
Collins Street West Post Office
Melbourne VIC 8007
Australia
Once received, certified documents can take up to three working days to be processed. Please allow for standard postage time.
Send your Salary Packaging or Meal Entertainment card application form to your provider for processing
Your card will not be activated until your certified documents have been processed
2
3
4
5
6
7
Complete
The Customer Identification Process requires only two identification documents in the combinations outlined below. If an identification document is in
a different name to that recorded in the Key Details, a linking document will also be required, e.g. a marriage certificate that links the married name in
the Key Details to the maiden name on a driver licence.
Acceptable combinations of documents
ü Two category A
ü One category A and one category B
ü One category A and one category C
Category A
Government-issued photographic ID
ü
ü
Category B
Government-issued
non-photographic ID
•Birth Certificate
•Australian Citizenship Certificate
•Foreign Citizenship Certificate
(translated into English if
required, by a translator
accredited by the National
Accreditation Authority for
Translators and Interpreters
(NAATI))
•One of the following Centrelink
Pension Cards:
- Health Care Card
-Commonwealth Seniors
Health Card
It is not acceptable to produce two forms
-Pensioner Concession Card
of the same ID type e.g. an Australian
•Interim Concession Card
passport and a British passport, or
•Foreign Drivers Licence
drivers licence and a learners permit
(must not be expired)
or foreign drivers licence
•Australian Passport (current or expired
less than 2 years) or Foreign Passport
•Australian Drivers Licence or Learner
Permit
•One of the following other photo ID:
- Proof of Age Card
- Army, Navy or Air Force ID
- Department of Defence ID
- Police ID
- Government issued Foreign ID
- Firearms / Shooting Licence
- Explosives Licence
- Waterways / Boat Licence
One category A and one category D
One category B and one category C
Category C
Evidence of Address
Category D
Other ID
•
Tax Assessment Notice issued
by ATO (less than 12 months
old)
•Utility Bill (less than 3 months
old)
•Government Benefits Notice
(less than 12 months old)
•School Attendance Letter
(less than 3 months old)
•Registered Aged Care Facility
Letter (less than 3 months old)
•Rates Notice (less than 3
months old)
•Other Australian Bank
Passbook
•Medicare Card
•Australian Tertiary Institution
Student Card
•Financial Institution Bank
Statements (less than
3 months) – this must be a
bank statement issued by:
-Members of the Australian
Bankers Association
-Australian-owned banks
that are regulated by APRA
Acceptable linking documents (if identification document is in a different name to that recorded in Customer key details)
•Adoption Papers
•Court Order
•Birth Certificate with Endorsement
•Marriage Certificate
•Change of Name Certificate (Deed Poll)
•Certificate of Divorce (must show married name as maiden name)
Australia and New Zealand Banking Group Limited (ANZ) ABN 11 005 357 522.
Page 1 of 3
Identification by Certified Copy for Individuals
(including Signatories and Agents) Form
All fields on this form are mandatory
This form must be signed by an Authorised Person as listed overleaf.
To complete this form, complete Part A, Part B and Part C and attach the certified copies.
PART A: INDIVIDUAL’S DETAILS
Full Name of Individual (no initials)
First name(s) Middle name(s) - if any
Last name(s) Date of birth
Residential address (PO Box is not acceptable)
Occupation
Suburb State
PostcodeCountry
Signature
PART B: DOCUMENTS CERTIFIED – ENSURE CERTIFIED COPIES ARE ATTACHED TO THIS FORM
First Identification Document
Type of Document
Secondary Identification Document
Type of Document
Linking Document
(If either or both identification documents are in a different name to Individual’s details)
Type of Document
Acceptable Documents for Individuals and Acceptable Linking Documents are listed overleaf.
Warning: It is an offence under Part 12 of the Anti-Money Laundering and Counter-Terrorism Financing Act 2006 (Cth) to produce false or misleading
information, produce a false or misleading document or forge a document for use in an applicable customer identification procedure.
Guidance Notes for Certified Copies
Certified copy means a document that has been certified as a true copy of an original document by one of the authorised persons.
To produce a certified copy, you should make a photocopy of the original document and take the original and the copy to an authorised person.
PART C: DETAILS OF AUTHORISED PERSON
Full Name of Authorised Person (no initials)
Title
Name of Organisation
First name(s)
Address of Organisation
Last name(s)
Suburb
Phone Number
State
PostcodeCountry
Professional Membership Number (if applicable)
Signature Date
Australia and New Zealand Banking Group Limited (ANZ) ABN 11 005 357 522.
Page 2 of 3
Identification by Certified Copy for Individuals
(including Signatories and Agents) Form
Authorised Persons
The following is a list of persons authorised to certify a copy.
Unless it is specified that the Authorised Person may be overseas, an
Authorised Person must be either an Australian Citizen or Permanent
Resident of Australia.
1. A person who is enrolled on the roll of the Supreme Court of a State or
Territory, or the High Court of Australia, as a legal practitioner
(however described);
2. A judge of a court in Australia or overseas;
3. A magistrate in Australia or overseas;
4. A chief executive officer of a Commonwealth court;
5. A registrar or deputy registrar of a court;
6. A Justice of the Peace;
7. A notary public (for the purposes of the Statutory Declaration
Regulations 1993) in Australia or overseas;
8. A police officer;
9. An agent of the Australian Postal Corporation who is in charge of an
office supplying postal services to the public;
10. A permanent employee of the Australian Postal Corporation with
2 or more years of continuous service who is employed in an office
supplying postal services to the public;
11. An Australian consular officer or an Australian diplomatic officer
(within the meaning of the Consular Fees Act 1955);
12. An officer with 2 or more continuous years service with one or
more Australian financial institutions (for the purposes of the
Statutory Declaration Regulations 1993) or overseas financial
institutions with which ANZ has an existing correspondent
banking relationship;
13. A finance company officer with 2 or more continuous years of
service with one or more finance companies (for the purposes of the
Statutory Declaration Regulations 1993);
14. An officer with, or authorised representative of, a holder of an
Australian financial services licence, having 2 or more continuous
years of service with one or more licensees;
15. A member of the Institute of Chartered Accountants in Australia,
CPA Australia or the National Institute of Accountants;
16. A pharmacist.
Exemptions – one identification document permitted (Only for persons who cannot otherwise provide two
identification documents)
The Customer Identification Process allows exemptions for some persons who cannot otherwise provide two identification documents. This section lists the
types of persons who are eligible for this exemption, and lists the types of document they are permitted to provide as their single identification document.
Recent arrivals in Aust
(less than six weeks)
Persons under 18
Australian passport (current)
Foreign passport (current)
Travel certificate
(issued by foreign country)
National foreign government
photo identity card (current)
Australian passport (current or
expired less than two years)
Foreign passport (current)
Australian driver licence or learner
permit (current)
Australian citizenship certificate
Foreign citizenship certificate
(translated into English if required)
School attendance letter (less than
3 months old)
Birth certificate
School leavers over 18
Aboriginals and Torres Strait
Islanders
Australian driver licence or learner
permit (current)
Electoral Card issued by Australian
Electoral Commission
(current residential address)
Rent or lease papers
(current residential address)
Letter signed by two Indigenous
Community Leaders*
Indigenous community ID card
(left school in last 6 months and
not currently working)
*Must be dated and include senders’
full names, titles or ranks, organisation
name(s) and address(es).
Australia and New Zealand Banking Group Limited (ANZ) ABN 11 005 357 522. Australian Credit Licence Number 234527. Item No. 90377 07.2014 W402205
Page 3 of 3

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