ANZ INTERNET BANKINGPERSONAL REGISTRATION FORM

Fill out this form to register for ANZ Internet Banking. Once you have completed all sections of this form, send the original copy to your local
ANZ branch.
If you require assistance in completing this form, contact ANZ Internet Banking Support. This form can be completed online and printed forsigning. If you are not completing this form online, print in BLOCK LETTERS.
SECTION 1: CUSTOMER DETAILS
Title

Full name

Telephone number

Mobile number

Date of Birth
SECTION 2: ACCOUNT(S) DETAILSIn this section, you can list the ANZ accounts you would like to be linked to the primary account on ANZ Internet Banking.
You must also nominate:(a) one (1) account to be the primary account, the address of which will be used to confirm your registration and any future changes to your ANZ
Internet Banking access;(b) the Access Level for each ANZ account linked to the primary account on ANZ Internet Banking, which can either be:(i)	Value: For ANZ accounts where you have single signing authority, you can fully operate and transact alone on the nominated ANZ accountusing ANZ Internet Banking;(ii)	Non-Value: For ANZ accounts that are held jointly with one or more persons and you do not have single signing authority, you may nottransact alone but can only view information about the nominated ANZ account using ANZ Internet Banking.
Complete either Option A or B and then complete the remaining sections 3- 6.
Option A – Link all ANZ accounts
Use this option to link all ANZ accounts that you currently hold with ANZ with the below customer number(s) on ANZ Internet Banking.
Select Access Level for all linked ANZ accounts:Access LevelValue

Non-Value

Please select the primary account for the purposes of ANZ Internet Banking, the address of which will be used to confirm your registration and any
future changes to your ANZ Internet Banking access.
Account nameAccount number

If selecting this option, do not complete Option B. Note that ANZ will not automatically add any new ANZ accounts opened in the future without
first notifying you.
Option B – Link selected ANZ accounts
Use this option to specify which ANZ accounts you would like to link to ANZ Internet Banking.
List the ANZ accounts that you would like to be linked on ANZ Internet Banking.
ANZ will notify you in writing as and when the ANZ account(s) listed below has been successfully linked on ANZ Internet Banking.
Note that ANZ accounts that you do not currently have authority to access should not be listed below. Contact ANZ for further assistance.

Australia and New Zealand Banking Group Limited, Cook Islands Branch
Australia and New Zealand Banking Group Limited, Fiji Branch
Australia and New Zealand Banking Group Limited, Solomon Islands Branch
Australia and New Zealand Banking Group Limited, Tonga Branch

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ANZ INTERNET BANKINGPERSONAL REGISTRATION FORM

ACCOUNT 1 – PRIMARY ACCOUNT
Account 1 will be the primary account for the purposes of ANZ Internet Banking, the address of which will be used to confirm your registration andany future changes to your ANZ Internet Banking access.
Account 1
Account name
Linked account settings

Account number
Access Level
Value

OR

Non-Value

Account 2
Account name
Linked account settings

Account number
Access Level
Value

OR

Non-Value

Account 3
Account name
Linked account settings

Account number
Access Level
Value

OR

Non-Value

Account 4
Account name
Linked account settings

Account number
Access Level
Value

OR

Non-Value

Account 5
Account nameLinked account settings

Account number
Access Level
Value

ORNon-Value

If more than five accounts are required, copy this page as required, correctly renumber the accounts and attach the pages to this form.
SECTION 3: SECURITY CODE
Nominate an ANZ Internet Banking security code below which is required when contacting ANZ Internet Banking Support regarding ANZ Internet
Banking. Your security code can be letters or numbers, or a combination of both.
Security code (between 6 to 14 characters)
Note:This is not your ANZ Internet Banking Password.
If you are also registered for ANZ Internet Banking as an authorised user or business contact person of a business account holder, then you mustalso use this security code when contacting ANZ Internet Banking Support in relation to accounts linked to ANZ Internet Banking of the businessaccount holder.

Australia and New Zealand Banking Group Limited, Cook Islands Branch
Australia and New Zealand Banking Group Limited, Fiji Branch
Australia and New Zealand Banking Group Limited, Solomon Islands Branch
Australia and New Zealand Banking Group Limited, Tonga Branch

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ANZ INTERNET BANKINGPERSONAL REGISTRATION FORMSECTION 4: DAILY LIMITYour Daily Limit is the maximum daily cumulative amount for all transactions initiated through ANZ Internet Banking, excluding bill payments,
funds transfers between your linked ANZ accounts denominated in the same currency and cross currency transfer requests. A default Daily Limit as
specified below will apply. ANZ reserves the right to lower the Daily Limit to match account permissions.
Country

Daily Limit

Cook Islands

NZD3,000Fiji

FJD2,000

Solomon Islands

SBD3,000

Tonga

TOP2,000

Speak to your ANZ Relationship Manager, or contact us via Bank Mail, should you wish to change your Daily Limit.
SECTION 5: CONFIDENTIAL INFORMATION AND PRIVACY
Information you provide to Australia and New Zealand Banking Group Limited (“ANZ”) will be kept strictly confidential and will be securely held by
ANZ and/or by any ANZ Group Member which term includes ANZ’s head office and its branches, agents, representative offices, regional offices oraffiliates, or any related corporation of ANZ anywhere in the world (“ANZ Group Member”).
ANZ will collect and use some of your information, including details about your transactions, your financial conditions, your account relationshipwith ANZ and /or your accounts(s) (herein collectively referred to as “Information”).
ANZ may, to the extent permitted law, collect your Information:• to assist in providing Information about a product or service;• to consider your request for a product or service;• to enable ANZ to provide a product or service;• to tell you about other products or services that may be of interest to you;• to perform other administrative and operational tasks (including risk management, systems development and testing, credit scoring, staff training
and market or customer satisfaction research);• to prevent and investigate any fraud or crime (or a suspected fraud or crime); and• as required by relevant laws, regulations and external payments systems, whether inside or outside the country where you live or where youraccount is held.
If you do not provide some or all of the information requested, ANZ may be unable to provide you with a product or service.
Disclosures by ANZ
To the extent permitted by law, by applying for the product or service, you agree that ANZ may use and disclose your Information to:• you, co-borrowers, your agents, authorised signatories, or customers you are an authorised signatory for;• your parents or guardians — if you’re under 18 years old;
• guarantors of any money you owe us;• brokers, custodians and other parties who introduced you to ANZ, are acting on your behalf, or are otherwise financially advising you;• any ANZ Group Member;• any service provider, agent or contractor which ANZ or any ANZ Group Member engages to carry out or assist its banking functions activities andservices — for example, mail houses, market research companies, cloud-service providers or data analysis companies;• marketing companies;• supervisors and advisors of our schemes;• any credit reporting company or debt recovery agencies;• regulatory bodies, government agencies, law enforcement bodies, taxation authorities and courts within and outside the country where you liveor where your account is held;• other parties ANZ is authorised or required to disclose information to by law of the country where you live or where your account is held or by lawof another country;• any reputable companies or organisations we have a continuing relationship with — including those we jointly offer products and services with,or anyone who offers loyalty programmes or services related to our accounts, products, or services;• other banks and financial institutions — if required when you send money from your account or receive money into it, to confirm or investigate
the transaction, and for verification and investigation into such transactions;• your authorised agents or your executor, administrator or legal representative;

Australia and New Zealand Banking Group Limited, Cook Islands Branch
Australia and New Zealand Banking Group Limited, Fiji BranchAustralia and New Zealand Banking Group Limited, Solomon Islands Branch
Australia and New Zealand Banking Group Limited, Tonga Branch

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ANZ INTERNET BANKINGPERSONAL REGISTRATION FORM

• any person where in ANZ’s view, disclosures are necessary or desirable for the purpose of allowing ANZ to perform its duties and exercise its
powers and rights under:– the ANZ Savings & Transactions Products Terms and Conditions,– the ANZ Electronic Banking Conditions and• any person or entity assisting us to investigate any concerns or complaints or manage any legal action; and• any other person or organisation as allowed by applicable law.
You agree and acknowledge that any ANZ Group Member may, to the extent permitted by law, transfer any Information to any party referred toabove to whom it is authorised to disclose the Information even though that party’s principal place of business is outside the country where youlive or where your account is held or that such information will be collected, held, processed or used by such party in whole or in part outside thecountry where you live or where your account is held.
To the extent permitted by law, you may access your Information by enquiring at any ANZ branch and you may also request that it be corrected.
A fee may be payable if you ask us to do this.
SECTION 6: CUSTOMER AGREEMENT
By signing below, I acknowledge and agree that:(1) I have been given a copy of the ANZ Electronic Banking Conditions at the time of this application;(2) I will be bound by the ANZ Electronic Banking Conditions when using ANZ Internet Banking and acknowledge that I will be given an
opportunity to read, understand and accept those ANZ Electronic Banking Conditions;(3) I warrant that I am above 18 years of age and acknowledge that ANZ reserves the right to terminate immediately my ANZ Internet Banking
access in the event that such access was mistakenly provided to a person under 18 years of age;(4) The contents of this registration form are true and correct and that my signature below is evidence of my understanding of and consent to allmatters set out in this registration form, including the Confidential Information and Privacy statement above.
The ANZ Electronic Banking Conditions can be accessed online on ANZ’s website, at any branch and when you first log into ANZ Internet Banking.
Full nameSignature
DateDDMM20YY

BANK USE ONLY Retain original file in Customer’s file.
User ID

Customer number
Account mandates checked

Customer identity verified by

Signatures verified by

Forwarded to DCM by

Date
2Name and phone number of person completing form

0Email of person completing this form

DCM USE
Date received

Actioned by
20Australia and New Zealand Banking Group Limited, Cook Islands Branch
Australia and New Zealand Banking Group Limited, Fiji Branch
Australia and New Zealand Banking Group Limited, Solomon Islands Branch
Australia and New Zealand Banking Group Limited, Tonga Branch 12/22 22368

Date actioned

Checked by20

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