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Auspost Form

This document is an identity verification form that requires the presentation of identification documents to verify a person's identity. It begins by listing primary identification documents that can be provided alone such as a driver's license or passport. If the primary document does not contain a photo and date of birth, a secondary document must also be provided that shows the applicant's current residential address, such as a utility bill. The form then provides instructions for lodging it at Australia Post by having the applicant's signature witnessed and presenting original identification documents. Sections A and B of the form collect the applicant's name, date of birth, contact information and residential address. Section C is the applicant's declaration that must be signed at Australia Post. Section D is for the

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467 views

Auspost Form

This document is an identity verification form that requires the presentation of identification documents to verify a person's identity. It begins by listing primary identification documents that can be provided alone such as a driver's license or passport. If the primary document does not contain a photo and date of birth, a secondary document must also be provided that shows the applicant's current residential address, such as a utility bill. The form then provides instructions for lodging it at Australia Post by having the applicant's signature witnessed and presenting original identification documents. Sections A and B of the form collect the applicant's name, date of birth, contact information and residential address. Section C is the applicant's declaration that must be signed at Australia Post. Section D is for the

Uploaded by

georgiina
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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Identity Verification Form *2963 1 0000000164665390 48

Your Identity Document Requirements Primary Identification Documents


• Australian Driver Licence or Learner Permit (current)
Please present ONE primary document from the list. • Australian Passport (current or expired within the last 2 years)
• International Passport (current, containing a photo and signature
Does your primary document contain BOTH a photo and accompanied by a NAATI (National Accreditation Authority for
AND your date of birth? Translators and Interpreters) translation if not in English)
Yes ➧ No additional identification is required. • Proof of Age Card/NSW Photo Card (current and government issued)
• Centrelink Pension Card (current)
No ➧ You will also need to supply one secondary
• Australian Birth Certificate (not an extract)
document that displays your current residential
• Australian Citizenship Certificate
address.
To verify your identity, the details in section A and B Secondary Identification Documents with Residential Address
must EXACTLY MATCH your identification document(s) • Utility Bill (gas/electricity/phone/water) or council rates notice
including your first name and surname. NO MIDDLE (less than 3 months old)
• Taxation Notice or Centrelink Statement (less than 12 months old)
NAME REQUIRED.
• Under 18’s letter from a School Principal that states the attendance
period (less than 3 months old)
How to lodge your Application at Australia Post
Note: This form has a unique barcode and will not be accepted if amended.
1. Lodge your form at any participating post office. To find the nearest participating outlet, please call 13 13 18 or go to
auspost.com.au/pol and select .
2. DO NOT complete section C, your signature must be witnessed by the Australia Post verifier.
3. Identification documents MUST be presented and be original.
4. DO NOT make any changes to the information printed on this form. If you do, the form will be rejected.

A. Details of Applicant
Title eg (Mr, Mrs, etc) Family name/surname
MR KHOURY
Given name/first name
MICHAEL
Date of Birth Contact phone number
24/09/1986 0422282586

B. Current Residential Address of Applicant (must be an Australian residential address not a PO Box)
Unit number/street number/street name
U 1 136 BLYTH STREET
Suburb/locality State Postcode
BRUNSWICK EAST VIC 3057

C. Declaration by Applicant
DO NOT SIGN UNTIL YOU LODGE THIS FORM AT AUSTRALIA POST Applicant to sign at Australia Post

Your signature must be witnessed by the Australia Post verifier. Please sign
in black ink
I acknowledge that the information on this form is true and correct.
The details on this form have been completed by me and not another Date
person.
DD MM Y Y Y Y
Disclaimer and Privacy Notice - Australia Post is acting as an agent for ING (a business name of ING Bank (Australia) Limited) and collects
your information to identify you in accordance with requirements under Australian Law. Your details will be forwarded to ING and may also be disclosed
ING AML ID Check Template V4.0 (PRE POP) 10/17

to government agencies such as AUSTRAC. Subject to certain exceptions you may request access to your personal information. If access is denied,
the law says we must tell you why.

D. Australia Post use only


I confirm that I have sighted original documentation that verifies the Applicant’s name AND date of birth or residential address as set
out on this form. Verifier’s signature
Verifier’s name

Comments Date
DD MM Y Y Y Y
Work centre code

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