Document ID: chunk:federal_register_of_legislation:F2024L00996:schedule:2:p2
Version: federal_register_of_legislation:F2024L00996
Segment Type: schedule
Provision Reference: sch 2 (pt 2/3)
Character Range: 33364–36269

a period of up to 6 months commencing after the day on which the reference is given.

       4. We will collect this Information from referee licensees, being:

           (a) (where representative of a licensee) one or more of the current or former licensees for whom You are, or were, a representative in the preceding 5 years; and

           (b) (where mortgage broker in relation to mortgage aggregator) one or more of the current or former mortgage intermediaries who acted as an intermediary in relation to You in the preceding 5 years.

       5. The information we collect will only relate to the five-year period before the information is shared.

       6. Information collected by Us will be collected, used, disclosed and stored by Us for the purposes described above, unless use or disclosure is required or authorised by law, including the Privacy Act 1988 (Cth), or You consent to the collection, use, disclosure or storage for a different purpose.

       7. Information collected by Us will be collected, used and disclosed for a period of 12 months commencing after the day You give consent, for the purposes described above, unless You have notified Us in writing that You withdraw this Consent. Unless it is withdrawn earlier, this Consent will cease at the end of that 12-month period.

       8. Information collected by Us will be stored for 5 years in accordance with the Protocol.

Your Declaration

    I declare that I have read and understood the content of this consent form and consent to the collection, use and disclosure of this Information for a period of up to 12 months by [insert name of future mortgage intermediary], or until you are notified in writing that I have withdrawn it, whichever occur earlier.

    I acknowledge that the defence of qualified privilege applies when a referee licensee shares Information in accordance with the Protocol. Licensees have a defence of qualified privilege against a defamation action or a breach of confidence action resulting from information shared in the course of complying with their obligations under the Protocol.

       Note: This defence does not apply to any information a referee licensee shares with Us that they are not obliged to give under the Protocol (e.g. information about conduct that occurred more than 5 years before the reference was given or information that is additional to that required under the Protocol, including any further background checking we may undertake on You).

    I understand that the Information collected will be stored for 5 years in accordance with the Protocol.

    Full name (print):

    ________________________________

    Date of birth:

    ________________________________

    ASIC reference number:

    ________________________________

    Signature:

    ________________________________

    Date:

    ________________________________